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PostPosted: Sun Apr 25, 2010 3:11 pm 
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My step daughter has been taking up to 10 or more Norco per day during her pregnancy (we just found out about the amounts). She is 20 weeks along. We are terrified. Shes not being up front about the amounts she is taking with her baby MD. If we can get her to switch from Norco to Suboxone now will it be safer for her.

I'm sorry if this has been covered here before, I am reading as I write this post but we need answers asap. We are just terrified.

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PostPosted: Sun Apr 25, 2010 3:47 pm 
Hi Mitch, sorry to hear about your step daughter's predicament. It's hard to give an answer without knowing some of her background. Does she have a history of addiction or is the Norco something new? Who is prescribing it? If she has a legitimate prescription I'm wondering if she would be able to taper back down to the prescribed amount if she knew the risks of her behavior to herself and the baby. Either way the doctor needs to know what she has been taking. If she won't tell him/her then a family member will have to. If she is a full blown addict you'll probably have to consult with an addiction specialist as well, because, as we all know, the regular doctors don't seem to know how to handle it.

Ultimately she'll have to make a decision with the support of her family and the advice of her doctor(s) what is the least risk, highest benefit alternative for her and the baby.

Please keep us posted. I know there are others here who have been through this, so hopefully they will respond.


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PostPosted: Sun Apr 25, 2010 4:39 pm 
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I first heard she was taking Norco at the beginning of her pregnancy. Yes she has has problems with addictions in the past. She also has had a Gastric bypass procedure. Apparently shes been getting meds from 1 or 2 different MD's and a family member but no one knew how many different sources she had until the last couple of days.

My wife and I are both successfully tapering off Suboxone.

We are trying to have some kind of intervention. Were trying to get her into see her Baby MD tomorrow and tell them about the true amounts of Norco shes been taking. I'm wondering if Suboxone could be a solution.

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PostPosted: Sun Apr 25, 2010 5:34 pm 
Dang Mitch, I hate to hear that! Isn't it great that you and you and your wife are now in such a better position to help her though? You can relate to how hard it is for her to quit even though she's pregnant. And you are now able to see that there is help and hope.
She surely does need to get some help....sooner than later. The closer she gets to term the more difficult it will be for the baby in terms of withdrawal (in the baby). From what I understand, it is also dangerous for Mom to withdraw from opiates during pregnancy. So....she's left with running the risk of tapering off the Norco, which as we all know is nearly impossible; cold-turkeying off the Norco which will bring varying degrees of difficulty depending how much and how long she's been on it; OR she can try medication-assisted recovery with either Methadone or Subutex (Subutex being preferred in pregnancy over Suboxone.)
I hope she has a good OB who has some experience with high-risk pregnancy. She is not only at risk because of her addiction, but also because she is status post gastric bypass. As you probably know, gastric bypass patients often have absorption and therefore nutritional deficits than can adversely affect babies. I think it's a good idea to confront her and do all you can do to make her OB aware of what she's doing. They can't help her if they don't know.
In my mind, it's a no-brainer as to which would be preferred - buprenorphine or hydrocodone? Buprenorphine wins. Pregnant or not.....your stepdaughter must address her addiction. We all know too well, she's headed down a bad road. Encourage her to lay all the cards on the table so you can take the best care of her and her baby. No shaming her, no guilt trips laid on her about 'doing this to her baby' and so forth. Just flat out.....We want to help you and support you so you can get better. It might turn out to be a big relief for her to know that you know and want to help. I hope so!
Keep us posted on how it goes.


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PostPosted: Sun Apr 25, 2010 9:22 pm 
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I was abusing pain meds at 20weeks also about 40-80mg of percocet a day and I tried to taper, that was a no go, I tried three times. so it is like impossible to to taper for most people. Couldn't stop CT because the w/d was to bad. so that left me with subutex and it saved my life and now I am 37 week and am taper down to 2mg or am trying. Yes, subutex sounds like agood choice


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PostPosted: Mon Apr 26, 2010 10:49 am 
Mitch - she's lucky to have you and your wife, who have been through it yourselves, to support her and help her through. I'm glad you're planning an intervention and will be talking to her doc. You two might well be more informed about addiction and recovery than her doctor. Maybe you could contact your Sub doc and have him/her consult with the OB.
Please let us know how it goes.
Lilly


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PostPosted: Mon Apr 26, 2010 4:45 pm 
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Mitch -
So sorry to hear of your situation - I understand first-hand. She's lucky to have your support. Sorry that my post is a little lengthy, but I wanted to share my experience. I wish someone had helped me.
I was seeing a back specialist & taking Percocet 10/325 for herniated cervical disks & lower back pain, when I found out that I was pregnant. I had been seeing another orthopedic specialist (the 2 docs knew I was seeing them concurrently) who prescribed Norco for Carpel tunnel. He cut me off as soon as I told him I was pregnant, without so much as a referral for treatment or pain management (despite my begging him for one). I called around to various doctors & pain clinics and learned a hard lesson - NODOBY wants to treat a pregnant lady.
I tried with all of my being to taper off & quit, but with no luck. The WD symptoms were so bad, and I worried about the dangers WD may present to the baby. I decided NOT to tell my other ortho doc (the one for my back), and continued to receive Percocet from him. Research indicates that opiates may be used (if needed) during pregnancy, and my amnio results showed that I was having a perfectly healthy baby girl. I was still terrified, and did not know about Subutex, which would have changed my experience dramatically.
I thought things were fine, until, while at my OBGYN's for a routine checkup, he came into the room & started asking me if I was taking anything for pain. I played stupid, but I knew that something was up. It turns out that the DOH had sent him my prescription records, indicating that I was obtaining narcotics through another doctor . I explained my situation - that my pain was only exacerbated by pregnancy, and that I tried to find help, but could not find a doctor to treat my pain. I also explained that I was too scared to ask for help. He understood, but explained that I HAD to quit, and that I would have to sign a consent for random drug testing, so that the DOH would get off his back (and mine). He tried to find a pain management facility that would treat me, but to no avail. I was left to quit, or risk further problems, should I have a positive UA.
I quit CT (which was awful) - I had to go to my OBGYN 3x/week to be put on a monitor to ensure that the baby was not being affected by my withdrawal. Thankfully, she was fine, and after about 2 weeks, I felt ok. I was about 30 weeks at that point, and all of my UA's were clean. I gave birth to a beautiful, healthy girl on April 1st, 2009 (no joke - an April Fool's baby). A DOH Social Worker demanded to see me before they would release me (and my daughter) from the hospital. It was so humiliating, and it angered me beyond words.
I think it is awful that medical professionals are so unwilling to treat pregnant women, but I hope that her OBGYN will be able to steer her toward Subutex.
Unfortunately, I returned to opiates & found myself abusing Oxycontin 80mg (about 5-6/day), as soon as my daughter stopped breastfeeding. I immediately found a doctor around the block from me & he is great - he started me on 12mg/day of Suboxone. I am down to 8mg/day, and plan to gradually taper.
Best of luck to you & your family. I hope that she can put trust in both you & your wife, and seek treatment, as she can avoid going through a situation like mine.
Deb

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PostPosted: Mon Apr 26, 2010 8:16 pm 
Thank you for sharing that Deb. I'm sure it wasn't easy. You went through a lot. What an ordeal!! I'm so glad that you've finally gotten the proper help for yourself and ultimately for your child too. You'll be such a better mother for her by being off the opiates! I know once I got on Suboxone, I felt like I had kind of missed my kids for the previous few years. I mean I was there in body, but not completely in mind and spirit, if that makes any sense. It was like I was in a somewhat alternate universe when I was on pain meds.....I was functioning, but just not quite right. Anyway....good for you! You have probably just helped someone a great deal by posting what you did!
Glad to have you here and I hope you'll be back!


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PostPosted: Mon Apr 26, 2010 8:42 pm 
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Thanks, setmefree!! I wish I did it sooner, and sometimes I get SO angry at myself for it - the thought of putting my girl in any sort of danger (while I was carrying her or now that she is here) is something that I am still working to resolve & forgive myself for, and I will in time.
I'm just so happy that this is working, and that I am in the land of the living again - I could never get back lost time, and I would have A LOT of that, had it not been for my husband's support & this treatment.

Mitch - please keep us posted!
-PorcelainDoll

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