It is currently Sat Aug 19, 2017 4:54 pm



All times are UTC - 5 hours [ DST ]


Our Sponsors





Post new topic Reply to topic  [ 36 posts ]  Go to page 1, 2  Next
Author Message
PostPosted: Wed Mar 07, 2012 1:59 am 
Offline
Average Poster
Average Poster

Joined: Tue Jul 21, 2009 10:56 am
Posts: 27
First, I would like to say how incredibly helpful I have found not only this website, but this particular forum for mothers using suboxone. It is really great to read so many different stories and experiences. I hope that my own experience turns out to be one of the better ones. This is my story so far:

I have been prescribed Suboxone for almost 2 years by a psychiatrist that I randomly and LUCKILY discovered had the license to prescribe subs. I was seeing him for something else and obtaining subs w/o a script up until that point. My contact had run dry and I was in heavy withdrawals and completely hopeless. I confided in him my situation and begged him to refer me to a good doctor who would see me. Around my area, most sub doctors are actually really sketchy, in it for the money, scam artists. They charge a ridiculous up front price regardless of whether you have insurance (after you wait six weeks to even get an appt), they see you one time, write you a script for about 20 2mg pills with instructions on rapid taper, and suggest that you come to their once a week meetings for the next 6 weeks. That's it. So, it was a very, VERY LUCKY thing that this psychiatrist of mine handed me a slip of paper with my first 30 day RX for 8mg suboxones, and an appointment for the next month. Anyway, so he has been my doctor for a while, we have had our ups and downs, but all together it's been good. I have maintained on the 8mg for the entire time that I have been seeing him.

Fast forward 2 years..I am married, healthy and happy. We decide to have a baby. Dr. switches me from suboxone to subutex and things are fine. I go to my first OB appt. after finding out that I am pregnant and am up front with them about the sub. I was not judged in any way, in fact, they set me up an appointment with a Dr. at a near by medical school to talk about the sub and the pregnancy. Now, that was actually awful and the asshole didn't know anything about sub. He kept comparing me to methadone mothers and asking me if I was going to meetings..as if I were some junkie off the street...it was very, VERY irritating. I only spoke to him that one time, and he is not affiliated with my OB or with the hospital that I plan to deliver at. My OB has not mentioned my sub use at all since that first visit, and I have not brought it up. I have tapered myself to 4mg a day thus far, and plan to do as little as possible from now until D day. Theoretically if I can keep it at 2 or less a day, knowing my body and self, I should feel fine, and also be in the clear for any unexpected issues in the hospital, such as C-section or pain medication that may be needed. My body seems to metabolize suboxone very quickly, and also, seems not to suffer from very harsh withdrawal symptoms...though psychologically is another story all together.

I am afraid to mention the subs at the hospital. I do not want to be judged by a bunch of ignorant jerks for something that they know nothing about. And I know I am not alone in saying that I KNOW that I am more educated than even most doctors on anything and everything related to sub use. Subs are still very new to most and hardly anyone knows the details. I have heavily researched every aspect of this medication since the day I started taking it.. I really do not want a bunch of people trying to pump my baby full of morphine because she's crying..calling CPS on me...etc. I know this might sound wrong, but if it is not brought up by my OB, I do not want to mention my sub use at the hospital. If my baby shows clear signs of danger or suffering, I will "remind" them that I 'had been' taking sub during my pregnancy, and that she may be suffering from NAS...but otherwise, no way. I have had enough experiences on my own, not to mention all of the stories I have read, to know that the chances are very high that the situation will go completely misunderstood and possibly mishandled. Again, if my baby appears to be in danger or suffering, I will handle it accordingly, but I think it will be best to try and do it without bringing up the subs.

Anyway, I am due in less than 2 weeks now...I will keep this updated as best I can for anyone who may be in the same type of situation. Wish me luck.


Top
 Profile  
 
 Post subject:
PostPosted: Mon Mar 12, 2012 3:21 am 
Offline
New Poster
New Poster

Joined: Mon Mar 12, 2012 3:17 am
Posts: 1
Good Luck Eleven. My prayers are with you, and I am looking forward to reading your next post. I am 29 weeks and on 1.5mg per day. Hoping to come all the way off in the next 8 weeks but also have some concerns. Thank you for posting.


Top
 Profile  
 
 Post subject: Thanks
PostPosted: Thu Mar 15, 2012 9:26 pm 
Offline
Average Poster
Average Poster

Joined: Tue Jul 21, 2009 10:56 am
Posts: 27
Thanks Poppy. I am due any day now, and I will update with everything that I experience. I think this forum is so helpful for mothers to be and I very much want to help anyone I can with my own experiences, whether they be good or bad!


Top
 Profile  
 
Our Sponsors
 Post subject:
PostPosted: Fri Mar 16, 2012 12:47 am 
Offline
Power Poster
Power Poster

Joined: Fri Mar 16, 2012 12:03 am
Posts: 54
Hey, so your life seems great! Any way you should of been talking about subs the whole time with your doctor! its a pretty big deal, but anyway cant live in the past, when you go to deliver you HAVE to tell them youve been on suboxone your entire pregnancy, they will treat the babely differently and watch him more intensly and the baby cant go home as quick as non- addicted babies..your baby is going to be born addicted to opiates so hes going to have to withdraw like any one of us has to when stopping an opiate, the doctors will know exactally what to do and how to make your baby as comftorable as he/she can be. YOUR baby is more important then what some doctors think about you right?if they havn't heard of it tell them its similar to methadone or just tell them its a opiate..I wish you and your baby the best.. GOOD LUCk


Top
 Profile  
 
 Post subject:
PostPosted: Fri Mar 16, 2012 2:52 pm 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Mon Apr 27, 2009 12:47 am
Posts: 1496
Oclafsti - Not all babies born to mothers taking bupe suffer NAS, and the severity of the NAS symptoms varies widely. Please try to know what you are talking about before you make statements like "your baby is going to be born addicted to opiates." We try not to spread misinformation here.

Eleven -

Have you asked your OB about what the protocols are where you'll be delivering your baby?

I'm just curious if they will ask you (when you're admitted) if you are on any medications. Do you know what you will say?

Honestly, I understand why you don't want to shout about your Suboxone use to everyone you'll be in contact with. There's plenty of judgement to go around when it comes to addicts and health-care workers. If I was in your position, I would probably feel the same way. I would want my baby with me to breastfeed on demand and be held as much as possible, rather than in the NICU.

I think that since your doctor knows about the Sub and since it's been presribed to you, you don't have much to worry about. I hope everything works out for you! Please keep us posted.

_________________
You can't stop the waves, but you can learn to surf.

-Jack Kornfield


Top
 Profile  
 
 Post subject:
PostPosted: Fri Mar 16, 2012 5:12 pm 
Offline
Average Poster
Average Poster

Joined: Sun Mar 11, 2012 2:08 am
Posts: 19
Location: Northern California
[font=Microsoft Sans Serif]oclafsti, are you serious?
Your comments are rude and annoyingly passive aggressive. You obviously are not educated about this subject, so please stop spreading misinformation on the internet especially on a topic that is so fragile.

Eleven- Best of luck to you. I believe everything should be done in the best interest of the baby- and that means I completely support your decision to keep quiet about your Subs! Because you aren't saying you will not disclose the information for ANY reason; You just aren't going to mention it if you do not have to because it could result in some unnecessary consequences for you AND your baby... Like if they AREN'T educated in the subject and overreact, which can result in holding the baby in the NICU for no reason, or giving the baby methadone, etc. I completely understand.

Please keep us posted! Good luck!
[/font]


Top
 Profile  
 
 Post subject:
PostPosted: Fri Mar 16, 2012 10:25 pm 
Offline
Average Poster
Average Poster

Joined: Tue Jul 21, 2009 10:56 am
Posts: 27
Diary of a Quitter--

I have not asked my OB what the protocols are, though, in retrospect, I wish that I had. When I told them that I was on sub, at the beginning, they had never even heard of the medication. They set me up with a "specialist" at a near by medical school and that is the last that it has been discussed. While at that "specialist's" I was made to feel like a junkie off the street, and the person I spoke to knew just about as much about sub as anyone who had googled it 10 minutes previous to having a conversation about it. It was pretty miserable, and that is kind of what made me decide to just keep it on the DL until labor. I am sure that they will ask me what medications I am on, and I don't want to lie to them. I guess I will just have to tell them and hope for the best. I will be outspoken though, and I will try my best to not let anybody over react. I will do anything to keep my baby off of methadone or morphine unless she is CLEARLY in distress.

The hospital that I chose is actually the only one in my area that is not a part of the monopoly that is SENTARA. I chose them because I have never had anything but poor experiences at Sentara hospitals (the medical school that I mentioned earlier is actually a part of Sentara as well.) I have also been to the non-sentara hospital a few times in my life and was always treated very, very well, even when being honest about my past. Hopefully they stay true to the reputation that they have already gained with me.

Due date is tomorrow....! First baby. Very nervous.


Top
 Profile  
 
 Post subject: Update 1
PostPosted: Sat Mar 17, 2012 10:05 am 
Offline
Average Poster
Average Poster

Joined: Tue Jul 21, 2009 10:56 am
Posts: 27
Just for the sake of documentation I guess I will describe my exact circumstances.

I'm prettty sure that I will be having the baby by the end of the day..I am a first time mother, however, and may be incorrect in that assessment!

Most of the pregnancy I have taken between 4 and 8 mg a day. For the past week or so I have taken between 2 and 4 mg, and for the past 2 days I have taken 2mg per day.

I am taking 2 today...and I anticipate labor sometime this evening.

I'll continue to document how it goes, if I do go into labor...specifically in relation to the suboxone.


Top
 Profile  
 
 Post subject:
PostPosted: Sat Mar 17, 2012 12:28 pm 
Offline
Average Poster
Average Poster

Joined: Sun Mar 11, 2012 2:08 am
Posts: 19
Location: Northern California
Good luck! I wouldn't worry too much about how many mgs you take today although I guess you probably want to keep it as low as possible from a pain-relief standpoint. If you need it, it won't make any difference for the epidural obviously but if you want any narcotic pain relief especially afterwards then that might complicate things. Regardless I know you will be fine. Good luck! I know how scary this time is.


Top
 Profile  
 
   
 Post subject:
PostPosted: Sat Mar 17, 2012 12:31 pm 
Offline
Average Poster
Average Poster

Joined: Sun Mar 11, 2012 2:08 am
Posts: 19
Location: Northern California
One more thing- have you thought about what you will do if you need a c-section? Like will you tell them about the sub at that point? Because I would be worried about you getting adequate pain relief during the surgery....


Top
 Profile  
 
 Post subject: Hrmmmmm
PostPosted: Sat Mar 17, 2012 12:46 pm 
Offline
Average Poster
Average Poster

Joined: Tue Jul 21, 2009 10:56 am
Posts: 27
Bella....

That is something I have wondered..because on the one hand, if I don't say anything UNTIL I needed a C-section, that might seem very shady, and obviously I wouldn't have the time to explain anything about suboxone or why I didn't mention it before...On the other hand, I do not know much about the medications used during a C-section. If I have an epidural, that would numb me from the waste down, correct? Most women are not unconcious during a C-section, are they? What is the normal procedure for this type of surgery?? I did tell my OB about the sub so, if i do need the surgery I will mention it to whichever doctor I have..I will remind them of the medication...I guess. :( Hmmm


Top
 Profile  
 
 Post subject:
PostPosted: Sat Mar 17, 2012 5:55 pm 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Mon Apr 27, 2009 12:47 am
Posts: 1496
Suboxone doesn't interfere with anesthesia (general or epidural or spinal block) so don't be worried about that. As far as I know, C-sections are usually done with an epidural or a spinal block so you're awake for the procedure and you can hold your baby pretty much right afterwards if everything is ok. I think they usually only do general anesthesia for C-sections if it's like an extreme emergency and you haven't already had an epidural, so there's just not time to get the epidural done. Then they knock you out.

Post-surgery pain is where Suboxone can complicate things because you'll have a higher tolerance to pain meds than the average patient. The epidural or spinal doesn't wear off for a while, so that helps with some of the post surgery pain. Some moms don't need anything more than ibuprofen or toradol after that, others need opiate pain meds. I think we've had some c-section moms here who just went right back on Sub and that helped their pain. It's hard to say how much pain relief you'd need - I think it just depends a lot on the circumstances. I had a c-section after 12 hours of labor, then I got a kidney infection and I was in quite a bit of pain and needed pain meds (this was before I was ever addicted to opiates.) My best friend had a planned c-section for a breech baby and never took anything stronger than tylenol after her surgery.

IF you end up with a c-section and you need more pain medication, let your doctor know. He's going to be the one writing the orders and he knows about the Suboxone. Usually docs write the orders for a range of medication (like 1-2 percosets every 4-6 hours) and the nurses might try to keep you on the lower end of the range, so if you're in pain, let them know.

And again, best of luck and hopefully you won't need any of this advice!

_________________
You can't stop the waves, but you can learn to surf.

-Jack Kornfield


Top
 Profile  
 
 Post subject:
PostPosted: Mon Mar 19, 2012 3:57 am 
Offline
Average Poster
Average Poster

Joined: Sun Mar 11, 2012 2:08 am
Posts: 19
Location: Northern California
Eleven, any update? Curious to know how you are doing!


Top
 Profile  
 
   
 Post subject:
PostPosted: Mon Mar 19, 2012 2:31 pm 
Offline
Average Poster
Average Poster

Joined: Tue Jul 21, 2009 10:56 am
Posts: 27
Have not had the baby yet :( :( But I had a dr. apt today and they said I was having pretty large contractions, according to the non stress test, so...maybe today???? Heh.. I will update once something actually happens...waiting game for now!


Top
 Profile  
 
 Post subject:
PostPosted: Mon Mar 19, 2012 5:14 pm 
Offline
Power Poster
Power Poster

Joined: Fri Feb 03, 2012 11:33 am
Posts: 54
I've been wondering about you, Eleven. Keep us posted! And good luck!


Top
 Profile  
 
 Post subject:
PostPosted: Tue Mar 20, 2012 2:55 pm 
Offline
Average Poster
Average Poster

Joined: Tue Jul 21, 2009 10:56 am
Posts: 27
Thank you for all the kind wishes :) Still no labor. Oh, am I ready though..


Top
 Profile  
 
 Post subject:
PostPosted: Wed Mar 21, 2012 10:40 pm 
Offline
Average Poster
Average Poster

Joined: Sun Nov 13, 2011 7:44 pm
Posts: 15
Eleven..no baby yet? I am so curious to know how your baby turns out! I am in the same kind of situation. I am 25 weeks and I have weaned myself down from 4mgs to 1.5 mg. I cant seem to get any lower than that, no matter how hard I try! Its so frustrating! I really wanted to be off the subs by the time the baby is born, but I never dreamed it would be so hard! I just dont want my baby to suffer...at all! I am prescribed the subs but I have not told my OB Im on them, and dont want the hospital to know either. I have a friend who is a ob nurse and my mother works at the hospital..and I really dont want them to know. Plus, like you said, hospitals might put the baby on morphine even if she doesnt need it! I dont want that! I am so afraid. Good luck to you with your labor and your baby! I hope she is healthy and doesnt suffer any NAS!!


Top
 Profile  
 
 Post subject:
PostPosted: Thu Mar 22, 2012 2:37 pm 
Offline
Average Poster
Average Poster

Joined: Sun Mar 11, 2012 2:08 am
Posts: 19
Location: Northern California
We are all wondering if there is a baby yet!?
:D


Top
 Profile  
 
 Post subject: Finally had my baby!!
PostPosted: Thu Mar 22, 2012 10:57 pm 
Offline
Average Poster
Average Poster

Joined: Tue Jul 21, 2009 10:56 am
Posts: 27
Had a baby girl this afternoon!! Delivered vaginally, and via induction. Here are the details---

I had absolutely no natural progress almost a week after my due date, so..I was scheduled to be induced..not at all what I had wanted to happen, but..not really my choice. The last week I was taking 2 mg a day, and a few times, I took 4.

The night that I am induced I am scheduled to show up at the hospital to get an insert of Cervidile, a medication used to ripen and sometimes dilate the cervix. (I had taken my 2mg of sub about 6 hours before being thrown into labor by the med.) It worked for me, and threw me into labor, dilated me from 1 to 5 cm, and gave me some intense contractions. I asked for pain med, they gave me NUBAIN which interestingly is mixed with nalaxone. Of course I did tons of research about this as soon as they told me the name to make sure there would be no crazyness with this med. It didn't give me a buz or anything, and it helped mildly with the contractions. It was shortly after that I decided to opt for the epidural. The epi had some type of numbing and also Fentanyl (sp, sorry too sleepy to care about spelling.) They gave me a drip and a button for it, and I used it a LOT. Halways through my long ass labor, the epi stopped working, and remained pointless until the end. I was in ridiculous pain, crying,begging for a csection..but I ended up just pushing.

I did NOT mention the suboxone to my nurses. I think that they must have known though..there were only four people on the entire unit and they were VERY nice and well prepared for me. I am now up in Maternity, and still have not mentioned it. The baby got good marks on all of her little tests and is back with me now. She is not showing any sign of W/D at all. In fact, most of the "signs" of withdrawal that normal infants get my nurses told me to expect and told me how to deal with them..such as sneezing and what not. I do not know if they know..but id assume not because they have not tried to score the baby. My husband said that in the nursery, (he got to go with them) she pooped multiple times and her muconium was not sampled for testing. He said that the nurse down there did see that I had previously used heroin though so he assumed they would drug test the baby..however did not say a word other than that..on that same page it mentions sub..so..? I know we are not out of the water yet..day by day to see how she acts. She ate very well. She was born at 4pm mar. 22. It is now almost 11pm on the 22. My last dose of sub was before 7pm mar. 21, 2mg. She's with me now..has slept the vast majority of the day, ate a good amount. She has no startle or tremmors or fidgety restlessness...no watery eyes. I hope this lasts.

Ok, question for me..how long should I wait to take my sub? I had an epi with fentanyl dripping into my spine all day..however I am showing signs of sub w/d. I just hope for a quick insight, too beat to look it up and ill probably wait until the morning anyway..Thanks all, I will update tomorrow with her symptoms or lack of!


Top
 Profile  
 
 Post subject:
PostPosted: Thu Mar 22, 2012 11:41 pm 
Offline
Average Poster
Average Poster

Joined: Sun Mar 11, 2012 2:08 am
Posts: 19
Location: Northern California
Congratulations. I am so happy for you. I hope things continue to go well.
About your sub- I am not hey doctor, but in my opinion you should treat it as if you were just starting sub. After you take your last dose of the other medication, wait until you are in full withdrawal and then take your sub as normal. I did want to know- will they give you other pain meds if you ask? Most women are allowed to take stuff after they have a baby if it was very painful and you tore or something... Just a thought if you want to go that route until you are out of the hospital...
One more thing... You mentioned that they know you have a history of heroin use... How do they know that?


Top
 Profile  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 36 posts ]  Go to page 1, 2  Next

All times are UTC - 5 hours [ DST ]


Who is online

Users browsing this forum: No registered users and 0 guests


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Search for:
Jump to:  
Our Sponsors
Suboxone Forum latest topics RSS feed Subscribe to the entire forum
 

 

 
Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

Powered by phpBB® Forum Software © phpBB Group