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PostPosted: Thu Jun 30, 2011 1:04 pm 
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I just found out 2 days ago that I'm pregnant, about 4 weeks along. I am on 4 mgs of suboxone a day and when I went to the doctor he told me I had two options. Switch to methadone or taper off of suboxone. I don't want to be on methadone so I have decided to taper the sub. I am very angry though that subutex isn't available in Canada. Seeing that recent studies have shown buprenorphine to be all around better then methadone for the unborn, I cannot fathom why my idiotic government would not make subutex available. Instead your forced onto methadone or forced to taper suboxone. My personal choice even if subutex was available would be to taper. I would feel much better tapering off of subutex though, without worrying about the naloxone exposure to my baby like I'm worrying about right now. I have made a million calls and no one can tell me the logic behind making subutex unavailable here and essentially forcing mothers to either go on methadone or end their suboxone treatment.

I am hoping I can taper from 4 to 0 in just 3 weeks time. I'm praying hard that I won't get hit with bad wds. I know wds could cause a miscarraige so I'm nervous all the way around. Trying not to stress about it is impossible. I AM VERY WORRIED! Worried about the naloxone harming my baby, worried about wds causing miscarraige, worried how I'll do post-withdrawal. Not fun but they're the cards I'm dealt. I posted a message to Dr.Junig on his Fon Du Lac website and I'm hoping he can shed some light on my situation and give me some advice. If worse came to worse and I could not get off suboxone I might even have to drive across the border and hope I can find a doctor to prescribe subutex to me. That is a last resort and I think it's insane that I'd have to do that in order to continue ORT safely. Canada SUCKS as far as providing opiate-dependent mothers options. It's methadone or nothing essentially and thats just wrong considering the studies that have been published recently regarding bupe vs methadone treatment in pregnant women. Here is a link to the studies if anyones interested"

http://www.coretext.org

And just type in pregnancy in the search bar on the page and it will bring up a list of studies all related to opiate replacement drug studies in pregnancy. I'm hoping to find out who in Canada I contact to voice my anger over being denied a medication that has been shown to be SAFER then methadone. Maybe a lawsuit would make them move faster on getting subutex approved for use in Canada... I'm very tempted to go that route if it means future mothers-to-be aren't forced to choose between two terrible options.

If there's anyone who's tapered off suboxone successfully in pregnancy I'd love some advice! I am new to tapering off sub and any tips would be appreciated!! And thanks for letting me vent about this.


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PostPosted: Thu Jun 30, 2011 1:08 pm 
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Wow, freebird, it's good to see you back! Congratulations on the pregnancy! I don't have time to really respond properly now, but I will post more later. Take good care of yourself,
Lilly


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PostPosted: Thu Jun 30, 2011 9:35 pm 
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I found out I was pregnant at 5 weeks, and have tapered off and am on day 5 completely off. I'm now 8 weeks tomorrow. You can do it. Be strong love. It's best for the baby!


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PostPosted: Thu Jun 30, 2011 9:49 pm 
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Actually it's recommended to stay on suboxone rather than to go through w/d during pregnancy - especially in the first trimester - it places the fetus at risk. See, the fetus goes through w/d right along with you, but due to being in the womb cannot be monitored and treated. I'm very surprised your doctor recommended you taper off instead of staying on (assuming he/she did). Good luck to you.

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PostPosted: Thu Jun 30, 2011 10:08 pm 
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Sheesh, what a spot to be put into! It's ridiculous that you can't just go onto Subutex. I did have a baby on Subutex and was taking 3 mg a day for nearly my whole pregnancy. My baby was totally healthy.

I completely understand wanting to taper down lower, but like Hat said, from what I understand it can put a tremendous amount of stress on the baby to taper off too fast or jump off, if doing either of those puts you into w/d. Do you absolutely have to do this in only three weeks? And I'm also wondering if the Naloxone worry is based on anything other than a lack of research on Naloxone exposure or if it's based on some actual concrete evidence that Naloxone is truly harmful. I guess I really just worry that you will be forced to make a decision that isn't the best one, simply because the best one is not available, and that you may even be forced to make a decision that is dangerous. What if you could reduce to 2 mg over the next few weeks and slowly keep reducing to off after that?

Hey, think of it like this: regardless of what you have to decide, be happy you are starting all this at only 4 mg. What if you were on 24 or something and had that to content with? I wish you the best. I know it can feel overwhelming to be in your situation. At the same time, I've noticed that most women who have a baby and were on Sub for part of all of their pregnancies seem to be having healthy babies!! :D

laddertipper

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PostPosted: Fri Jul 01, 2011 12:17 pm 
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I knew going into tapering that wd was no good for the baby, but if you do the taper right you hardly get a withdrawl. I'm 8 weeks today, and 6 days off of it. Only thing that's bothering me is being sluggish (which could just be from being pregnant) and the damned constant sneezing. If you really want off the crap and are worried about the wd possibly causing a miscarriage wait until the 2nd trimester when it's not such a high risk. This is my 4th baby, and I knew from past pregnancies I've had no problems, that's why I did it when I did.


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PostPosted: Fri Jul 01, 2011 12:46 pm 
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Free_bird did you get an appointment with the opiate OB specialist that you wrote about on the other thread? I am sure that would be a huge relief...to be under one doctors care that understands what you are going through.

And, I have to agree with MSYetti that I understood that there were risks in the withdrawal. However, I had yet to hear of anyone who had a miscarriage while tapering/jumping while pregnant but I HAD heard of several babies born with NAS? I am sure there are probably 1,000 things/ways I could have done it different. But for me, I asked my doctor if she knew anyone successful off of subs in pregnancy and she could cite examples..when it came to staying on subs, her #s for the risk of NAS were 50/50. Again, as many people have said on here, even with NAS it is treatable, but I could not deal with the next 6 months, then delivery, in that fear. Again...that is just ME..and what I did based on my docs opinion. If I would have been told to stay on, I would have viewed it totally different.

Please keep posting as to what you decide to do. I know how scary that can be...I started tapering at around 6-7 weeks, and jumped at 10 weeks. Looking back I probably would have waited until all the hormones stabilized, baby got past 1st trimester, etc. I was just HUGELY panicked about the whole deal and my typical behavior is all or nothing. I am glad it is done, however.

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