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PostPosted: Tue Oct 25, 2016 11:36 pm 
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I have been on Suboxone for a year. I recently found out I am expecting my third child. I was hoping to feel reassured when I spoke to my sub dr but now I am terrified. I am already taking 4mg a day. I thought I could maintain around 2mg a day through delivery. He says he will keep me on 2mg until my final month and then take me off completely! He said women in late pregnancy do not withdrawal cause of endorphins! Wtf. I was addicted to opiates with my daughter thats definitely untrue. I am scared this will harm the baby and IDK what to do. Are there studies I can show him? He also said I would need it again after the baby is born but noy before and I would not be able to breastfeed! I am so confused and scared now. None of this makes sense with the research I have done.


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PostPosted: Wed Oct 26, 2016 9:40 am 
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Wow if it were me, I'd be finding another doctor....is that possible? There are lots of threads in this section u can read through, lots of women that's posted throughout their journey about their experience. U can stay on buprenorphine throughout ur pregnancy and it's definitely a good idea to brestfeed if u do. It actually helps the baby I think.

There have been women taper down and go off buprenorphine so that they're totally off for the birth. I wouldn't do it that way but some women do. It should be what u choose to do. Gather up all the information u can come across and take it to ur doctor. If he still can't be open to ur needs, then stay long enough till u find another doctor.....if tapering off before the birth is not what ya want to do. That's just what I would do, hopefully Dr J or someone that's been through this will be along shortly.

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PostPosted: Wed Oct 26, 2016 1:30 pm 
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That level of ignorance is intentional and unlikely to be fixed. It is usually accompanied with arrogance and my way.
Try to stockpile enough to carry you through delivery or find another doctor, you need to.
SAMSA TIP 40 and 43 describe in detail use of buprenorphine during pregnancy, and safety with breast feeding.
Product label tells us we shouldn't breast feed but consensus reviews advocate for it.
good luck


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PostPosted: Fri Oct 28, 2016 1:07 am 
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I am going to be calling around to other offices. I have amazing insurance so I am hoping I can find someone but I do want to have a conversation with my Dr first as I have always loved him, he is a great doctor and we have a wonderful dr/patient relationship. I feel bad for not WANTING to wean but I do not believe that it is safe nor do I feel ready to be off maintenance medication. I would prefer to be on it long term and its only been a year. Also breastfeeding is something I feel extremely strongly about. It really worries me that he said women do not withdrawal in their last trimester due to endorphin production as I know that is untrue and have no idea where he learned that. I have heard the opposite and that due to increased blood flow it can be harder to taper.

On a side note I am struggling with the switch from Suboxone to generic subutex. I do not feel normal and my dose is not lasting and I am having to take more. This makea me very nervous but it has only been three days and I am hoping it will get better.


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PostPosted: Sat Oct 29, 2016 2:34 pm 
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I can personally attest that pregnant women DO MOST CERTAINLY w/d!! And 4 weeks is NOT enough time to comfortably taper from even 2mg. I would do what docm2 suggested and stockpile your meds for that last month.
It wouldn't be a bad idea to at least taper to 2mg, just in case you end up having a c-section, plus it would decrease your chances for neonatal w/d a bit.
Also, you say that you think it wouldn't be safe to get off of it while pregnant, and i can tell you that it isn't unsafe. BUT, you should do what you think is best for you and your baby. Everyone is different, for me and my baby it was best to be off of it (although i didn't completely finish my taper before going into labor early).
I would like to know where your doctor got this info about pregnant women not w/d due to endorphins. You should ask him where he got his data from.
Also, nursing your baby while taking subutex, everyone has told me it is safe, even the lactation specialists. It may say differently on the bottle like docm2 said, but i've been told it safe and my now 2 years old was nursed until he was about 18 months old and my 4 week old is also nursing all while i was taking subutex with no problems.
Good luck to you!! keep coming back here for support!


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PostPosted: Sat Oct 29, 2016 2:43 pm 
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1234km I think u should periodically check this pregnancy section of the forum for posts like this. A lot of us can advise these ladies on what to do, but it means so much more from someone who's actually been there.... and the doctors of course too.

It's an area that imo, women feel better hearing how ur experience went cause u literally lived it.

I'm glad docm2 and u 1234km posted!

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