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PostPosted: Mon Nov 22, 2010 4:10 pm 
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Hi subdoc,
Im new here, I've been on suboxone for 3 years. I am also 23 weeks pregnant (4th child) first one while on suboxone.
I take 1 sometimes 2 mg a day , i have cut down even before i got pregnant. My doc knows what i take. Im supposed to see a perinatalogist in a couple weeks(routine) I wanted to know from you and my specialist when is the best time to quit during pregnancy ?? and how??? Im afraid maybe if i quit now that of course ill have withdrawels and maybe it will cause preterm labor...i know one thing i can not leave my baby in the hospital (emotionally)if need be . And i dont want the baby to go thru w/d cause i know how bad it feels. I really do want to finally get off sub once and for all but im scared. Would my baby still go thru w/d even at 1mg a day?? So far ultrasound reveals i have a healthy baby girl, which is a blessing . thanks doc


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PostPosted: Mon Nov 22, 2010 5:01 pm 
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Hi almost free and welcome. I'm no doctor, but I'll try to help you with what I know. You probably don't want to hear this, but it's generally not recommended that one goes off sub while they are pregnant. You will feel withdrawals at 1 mg, which means your baby will too. It's generally thought that it's safer for the baby if you stay on sub (actually get switched to Subutex) during the pregnancy. I know you don't want to hear that.

There are a LOT of threads in the section about women delivering healthy babies while on sub, some great stories, some not so good. Sub is thought to be pretty safe for the baby - safer than withdrawals, I believe. If you read the stories you'll see that many of the baby's born on sub had no withdrawals at birth (I believe it's called NAS).

Anyway, I'm sure others will come along and give you their opinions, experience, and knowledge. I hope this helps a little.

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PostPosted: Tue Nov 23, 2010 12:59 am 
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Hi, I took 3 mg Subutex throughout my pregnancy, up to 1 week prior to delivery, at which point I had to stop to prepare for surgery. My baby experienced zero w/d. Nothing whatsoever. I already had two children, and I would have noticed if she acted differently than other newborns. She stayed in my room with me, not in the NICU. After she was born, I was told that Subutex was emerging as the way to go during pregnancy if on any opiate maintenance because the molecule is too large to cross the placenta. I'm not a doctor either, so I do not know for certain, but I know my baby was a normal, warm, cuddly, peaceful little miracle. I was expecting all these horrible things to happen and none of them did! I've mainly heard good stories, and the negative stories I've heard seem to be frequently due to complications that are unrelated to Sub or w/d in the baby. My daughter is now 3 and she has always been very healthy and smart. She's needed antibiotics once in her whole life and she is reading small words. I'm finally convinced that we're in the clear!

Good luck!!

laddertipper


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PostPosted: Sun Nov 28, 2010 12:03 pm 
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I can tell you about my experience with pregnancy and bupeprenorphine and suboxone.

I saw my doctor as soon as I found out I was pregnant and switched from suboxone to buprenorphine. Then at 12 weeks I met with a peri and we talked for a long time about my history, and the risks of staying on vs. getting off bupe during pregnancy. I decided to stay on, even though I'm on a low dose (4mg) after consulting with the peri, my midwife, and my doctor, I feel this was a good decision. It had nothing to do with risking relapse, since that is most unlikely. The perinatologist stated that there is a bigger risk to the fetus from withdrawal than from the buprenorphine. Basically, they can monitor my withdrawal symptoms, but there's no way to monitor the baby until after she's born.

I won't lie, I am still afraid that my baby could be born with NAS. But I also know that the risk is much less than if I were on Methadone (which is the gold standard for pregnancy and opiate addiction). I feel that I'm getting really amazing care, and it's scary but I feel that we're in good hands.

Also I read that 2nd trimester is the best time to cut down, or taper off. But keep in mind that you have doubled your blood volume, so your 2mg dose is more diluted in your pregnant body.

Good luck, and be sure to ask the peri lots of questions. If you don't feel comfortable with that person, ask for a second opinion. No matter what you decide to do, you're going to be ok, and so is your baby!


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PostPosted: Fri Dec 03, 2010 12:56 pm 
When My mother was pregnant with me she was on some type of methaone called dolphine or close. I was born an addict, lived most my life an addict. I ask my bother about this... he doesn't think it safe to go thru wd while pregnant.

I have learn to forgive my mom... but I do think having an opiate in my system before my brain could even grow.. set me up for a life long addiction.

Just my thoughts. My brother is much younger and my mother was not on this medication when preg. with him.. She was then in the USA... (she is German), what a difference in our lives. Same inviroment, same parents... I was an active addict by 14 or so. He on the other hand.. played with drugs but able to walk away unharmed.


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 Post subject: capt, that scares me...
PostPosted: Fri Dec 03, 2010 5:16 pm 
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I wonder if there is any sort of medical opinion on this issue.

I had a baby on 3 mg Subutex and she was 100% fine, but I've never considered that I may have still set her up to be an opiate addict in the future. I've never even thought of that until now, actually! I started Subs for pain, not opiate addiction. However, I am an alcoholic. So, if someday she develops and opiate addiction, I guess I won't know if it's because of the Subutex during pregnancy or because addiction is genetic and just because my drug of choice was alcohol, hers could be something else.

capt, have you ever considered that maybe you by chance genetically inherited the addiction gene and your brother did not, or do you really think it's because she took meth during her pregnancy w/ you?

laddertipper

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 Post subject: re: capt & laddertripper
PostPosted: Sat Dec 04, 2010 1:18 pm 
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I have passing thoughts about this, but I truly don't believe that taking Subutex while pregnant will cause your baby to grow up to be an addict. If your child grows up with parents that are in active addiction, that might be different.

Since my pregnancy was planned, I was able to discuss the option of discontinuing Subs BEFORE I got pregnant. My doctor made me feel quite confident that I was not predisposing my child to addiction by taking bupe while pregnant. I think it's wild that pregnant women on buprenorphine are supposed to go on Methadone because it's the standard of care for opiate-dependent mothers, and that I had to sign a waiver to stay on buprenorphine during my pregnancy.

Laddertripper, I am certain your baby is not any more likely to become an addict than anyone else's. There are plenty of people whose parents aren't addicts that grow up to be, and there are lots of children of addicts that never have problems with drugs or alcohol. I really believe it has more to do with what kind of parent you are than what kind of problems you have/ had. I guess we could debate nature vs. nurture, but our kids are going to grow up to make their own decisions, sometimes in spite of what kind of mothers (and people) we are.

Capt, if you had any idea how frightening it can be just dealing with the uncertainty that pregnant women face- especially for those of us on Subutex- then you might have thought twice about posting your response on this thread. Your experience is completely different than the OP's story, and it causes MORE anxiety for those of us who are facing or have faced this dilemma. I'm sure that wasn't your intention, and I think your story is valid and interesting, I just don't think this particular thread is the best place for it.

There is a HUGE difference between taking methadone and taking bupe while pregnant. There's a big study coming out this month on this very topic. I'm lucky enough to be attending a virtual seminar on the study on Tuesday. It's called the MOTHER study, and it's coming from Johns Hopkins Center for Addiction and Pregnancy. I will share what I learn as soon as I can (my first final is due friday!).


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 Post subject: true that!
PostPosted: Mon Dec 06, 2010 8:41 pm 
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Thanks, bupempm, for those very wise words!!

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First you take a drink, then the drink takes a drink, then the drink takes you. ~F. Scott Fitzgerald


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 Post subject: MOTHER study
PostPosted: Tue Dec 07, 2010 1:32 pm 
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bupemom wrote:
There's a big study coming out this month on this very topic. I'm lucky enough to be attending a virtual seminar on the study on Tuesday. It's called the MOTHER study, and it's coming from Johns Hopkins Center for Addiction and Pregnancy. I will share what I learn as soon as I can (my first final is due friday!).


Oops, my bad. The web seminar is NEXT tuesday :oops:


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 Post subject: RE:CAPT
PostPosted: Tue Jan 11, 2011 1:50 pm 
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You think having opiates in your brain set you up to be an addict? What about in the days when they would prescribe women benzo's left and right, pregnant or not. And when they would put women under during the whole labor process? And when women drank throughout pregnancy before it was known to be harmful? I think genetics has something to do with it, but if you think about these things, every baby whose mother had martini's throughout pregnancy would be an alcoholic, wouldn't you think? When my OB told me it wasn't safe to discontinue my subutex while pregnant, I listened because I was scared to have a miscarriage. My son had no NAS and is incredibly smart. I worry about what my genes will give him ( bad teeth, acne, depression, AND addiction), but I do not believe he is destined to be an addict.


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 Post subject: RE:bupemom
PostPosted: Tue Jan 11, 2011 1:57 pm 
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Sorry I also wanted to sat I totally agree with bupemom. This forum is best used by WOMEN or MEN who have questions about pregnancy and sub use currently, not questions about your own birth. I agree that CAPT post would be best posted in another forum.


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