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PostPosted: Sun Oct 28, 2012 11:26 am 
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Hi, I am brand new to this forum. I have been on subs for 2 1/2 yrs, currently at 1 film per day and am 17 weeks pregnant. My OB knows this, is awesome and I can speak openly with her. My Sub doc, on th other hand, is different. I see him every 3 months for maybe 10 mins. Last year I was pregnant, he told me normal procedure is to refer any prego woman on subs to a methadone clinic. I lost the pregnancy unfortunately so I stayed on subs. I am now prego again, all is healthy and well with baby. BUT, I haven't told him I'm pregnant yet due to fear of being shipped off to a meth clinic. I will not do that...I feel it's going backwards in my treatment and honestly just crazy. My OB agrees with me. Subs have seriously saved my life....I was in an auto accident in 2006 and suffered severe injuries and sadly my 7yr old daughter died in the accident....I was on methadone then. So you can understand why I feel so strongly about not going back on that crap. I am remarried now, have a 3yr old son, am teaching Sunday school and functioning well and I guess normal. I have huge anxiety issues I need to get a grip on before weaning off subs....I love love love my therapist at the clinic I go to,but the psychiatrist who writes the subs for me is just a strange little man, and always asks the same questions plus a wierd sometimes insulting comment. He has already diagnosed my son with Autism....though he has NEVER even seen him!!! I am in Wisconsin, and unless you are paying cash, there are long waiting lists.
Sorry to ramble....basically I'm asking, do I tell my sub doc that I'm pregnant? Or keep it quiet and find a new doc in the meantime? I see him in a few days and will get a 3 month supply at that time. My OB offered to help me find a new one if he won't prescribe it, IF I decide to tell him.


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PostPosted: Sun Oct 28, 2012 1:45 pm 
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Hi and welcome to the forum!

I guess if I were in your sitiation I would get the three month supply of sub and start looking for another doctor. If you know he will make you go to methadone and you dont want to, you will have to leave. He will eventually see that you are pregnant so I would start looking now.

It seems like this doctor is a bit odd anyway!

I also wondered if your OB has mentioned that pregnant women should take subutex instead of suboxone? I have read that alot on this forum. I guess doctors feel that if women take subutex their babies are exposed to less drugs. (naloxone)

Anyway, thats what I would do.

I am also so sorry you lost your daughter and sorry you had to go through a miscarriage. I cant even imagine how painful those experiences are. This is a very supportive forum with super caring members. If you ever need to get some feelings out, or vent, or anything we are all here for you.

Good luck and I hope its not too hard for you to stay on sub!


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 Post subject: Subutex
PostPosted: Sun Oct 28, 2012 3:52 pm 
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Hi Sparxylady and Welcome to our forum. Just like Orange doll mentioned, this is the first time I've ever heard of a Suboxone Dr. saying you need to be on Methadone due to pregnancy. The general consensus is to be on Subutex, which has the Buprenorphine without the Naloxone. Tell your OB this when she is looking for a new Suboxone doctor for you.

They come in pill form not film, but you can get the 2mg pill and cut it down as needed to taper. I'm not sure the proper dose you should be on by the time you are ready to deliver but I'm sure it's a low dose for the babies sake.

Check out more threads here about pregnancy and you'll learn a lot. Once more, Welcome to the forum and feel free to ask any questions you may have.

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PostPosted: Sun Oct 28, 2012 5:46 pm 
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I agree with what you've already been told here. I'd go to my appt., get my 3 month script and find a new doctor!

I'm not arguing which is better for pregnancy here, but I do have personal some personal experience here... my cousins baby was born 6 months ago addicted to methadone. She was and is going to the clinic daily and getting 80-100 mg of methadone, and her son spent about 3 months in the nicu weaning off of the methadone. I've read a lot of positive stories on here about babies being born on subutex and having little to no withdrawls at all.

Personally, if it were me, I wouldn't switch to methadone while pregnant either, I'd stay on my suboxone, only switching to subutex and I'm sure you can find a doc willing to do that.

You're doc now does sound kind of wacky to me too, just another reason to make a switch now while you can! I would just keep quiet to my doc now, get my script and find a new doc to prescribe the subutex. Just be sure to tell the new doc why you need to switch, which I'm sure you will. Then like Rule said, you can get the 2mg pills and taper a little so that you're taking the lowest dose possible for you and for baby.

Good Luck, I'm sure everything will be fine. You are you're own advacate and if you don't want to switch to methadone, you do not have to!

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PostPosted: Sun Oct 28, 2012 6:12 pm 
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Thank you so much everyone. And yes, my current sub doc is wacky. After my miscarriage last year, I am 40yrs old by the way, his response was "yeah, I'm not sure how fertile you are anymore so I doubt you'll have anymore children"....OMG! The truth is, he is an awkward little man....VERY socially awkward...I think I intimidate hm because I am very outspoken and kind of a lot of personality....I don't think he meant any harm but just weird. Which considering he is a psychiatrist....you'd think he'd be better with people...maybe that explains why I only see him for 5-10 mins! LoL
I mentioned the subutex to my OB and she didn't seem to know about it, but DOES have experience with prego women on subs. I am seeing a high risk OB, due to my age and the subs, on nov 6 and I thought I'd talk to them with questions also.
It's strange after being so deceitful throughout my entire addiction then turning my life around thanks to subs, and FINALLY being honest to now having to lie again. The guilt gets to me now that I can actually FEEL! I just don't want to come clean to him about being prego, then him telling me methadone or nothing...then what? I'd be screwed.
Your responses are what I was leaning towards...I guess I just needed reassurance. And I was wondering if this was a common policy with sub doctors. I think the idea of methadone is insane....then I have a baby, and I'm back in the same boat I was 2 1/2 years ago.


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PostPosted: Sun Oct 28, 2012 7:12 pm 
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The reason your doctor might prefer you to be on methadone is just because there's been a lot more research over the years on methadone in pregnancy than there has been with Suboxone. He's probably just erring on the side of caution. There'd be 50x more studies into methadone in pregnancy than for buprenorphine, if anything just because it's been around longer. I've seen some data sheets on buprenorphine in pregnancy / breastfeeding and they were labelled "Limited human data - potential toxicity".

That doesn't mean that buprenorphine isn't a better option than methadone. It's just less researched. I personally would rather go with buprenorphine, just because I'm sure a baby would find methadone more intoxicating just like I would. Also there's been plenty of mothers come in here who were on buprenorphine while pregnant and who had relatively few problems.

Rule just got me considering another scenario. What if your doctor is just apprehensive to prescribe you Subutex? He likely knows that Suboxone isn't proven safe for pregnancy and Subutex is the better option... but maybe he doesn't like the idea of prescribing Subutex at all? RB's fantastic disinformation campaign has made a lot of doctors apprehensive about Subute.


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PostPosted: Sat Nov 03, 2012 9:01 am 
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Hi again all! Well I went and saw my sub doc on Wednesday and got my script. Same ol questions, in and out in less than 3mins. Another bonus that happened was that he thought with the holidays coming I should increase to 1 1/2 strips per day, I had a tougher than usual holiday season last year so I guess he is reflecting on that? Either way, I am only taking 1/2 strip per day so I am stocked up for quite awhile now! I still can't help but feel so horrible though! Funny how when on opiates, and seeking them from docs, lying and deceit was second nature without even a second thought and NO guilt! Being sober, my conscious has been awakened again:) I see the high risk OB on Tuesday, I have a bunch of questions prepared, then my OB the week after. So I will search for a new doc after that.
I'm wondering though, will some new sub docs be skeptical to take me on since I currently already have a sub doc? Oh we'll, I'm hoping my OB will keep her promise in helping me find someone also.

TeeJay,
I think you are right. I just remember last year when I was pregnant, my doc told me "it's normally routine policy to send a woman who's pregnant to a methadone clinic, or REFER her to one is what he said" I get the impression it's the CLINICs policy maybe? A year ago I didn't know about Subutex, or I would've asked. I DO remember getting the impression that he didn't fully AGREE with the idea though. Luckily, I was on only 1/2 strip or tablet per day at the time, so he gave me a 3 month supply and wished me luck weaning off. It seemed odd to me that he had NO suggestions or advice to help me wean....just a script and a Good Luck! Unfortunately, I miscarried a week later so obviously continued on with treatment.

Thank you again everyone! For all your advice and for being so open and welcoming! It's a wonderful feeling knowing I have somewhere to turn with worries. I'm seriously the only addict in my family, my hubby is FINALLY coming around to understand all of this somewhat. He was raised to believe that prayer will fix everything. Granted it helps, but it doesn't always work that way.
Hope everyone has a wonderful weekend! It's not TOO cold yet here in Wisconsin, so I may do some yard cleanup and winter prep....maybe bake some cookies too:)

Love n Hugs to you all:)


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PostPosted: Sat Nov 03, 2012 11:45 am 
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Yay Sparxylady,

Im glad you got a little extra sub. That will give you time to find a doctor.

I wonder if the high risk OB is able to prescribe subs. That would be nice!

I know what you mean when you say you feel guilty about deceiving your doctor.I am also 40 and trying to be honest with everyone in my life. I had a relapse back in may and i feel like now is the time to really change. I dont want to be a 50 year old addict! I even had to tell my brand new manager at my brand new job that I am an addict in recovery. (it is required I do that by the board of nursing if I want to continue to use my license.) That was one of the hardest things I have ever done. Thank God she is an awesome person andI got the job! Anyway, there is a fine line though between being honest and being TOO honest. I mean you have to do what is right for you to protect your recovery and the health of your baby. I think you made the right decision in this case.

Good luck with your up coming appointments! Keep us updated and post as often as you like. There are alot of pregnant moms who come on here worrying about taking suboxone. Im sure it would be really informative for us to follow your story.

Take care!


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PostPosted: Mon Nov 19, 2012 1:11 pm 
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are you on medicaid, not sure if anyone mentioned this because my son is 3 months and just trying to swing on here really quick lol... but i know here in michigan methadone is the preferred medication which is why they try to put pregnant women on it my dr told me, but all he had to do to have them put me on subs was give a authorization saying i refused methadone treatment... not sure if thats the reason.. i just know that its the preferred treatment, but my dr said soon subutex/suboxone will be the gold standard over methadone, i know that dont help your situation now, maybe you can ask ur ob if she knows of another dr that may beable to help you? or maybe an ob that specializes in this kind of treatment? my ob was an addiction specialist that prescribed methadone and subs, depending on what the patient requested, but he was all for the subs, i didnt even know that was a possibility when i went to him, thought i was getting on methadone and was super depressed about it, i hope it all works out for you tho hun, youve been through so much and deserve to have a happy stress free pregnancy :)


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PostPosted: Fri Nov 23, 2012 11:44 am 
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Thanks Mishka. I am not on Medicaid....I have my hubby's insurance as a primary and Medicare as a secondary. I met with the high risk OB, he was really nice but surprisingly said he had to agree with my sub doc based solely on the fact that there is more research...blah blah blah. I see the high risk OB again next week and I have more ?'s for him. He told me unfortunately there isn't a lot of resources here in Wisconsin for subs/pregnancy....a bit discouraging. But it was strange, aft seeing him, I came home and went onto one of the sub doc directories and he was on the list!! WTF? I'm tempted to just stick with my current sub doc, just hide the pregnancy, which I feel so horrible doing by the way. I'd only have to see hi one more time while prego, and I'm tiny with a basketball belly....plus with it being winter here in Wisconsin, I've got my bulky coat to hide under. My regular OB though has been wonderful...she knows my situation and I can be 100% honest with her. Oddly, neither doc seems to think that I need to switch to subutex though. I'm going to do some serious searching and get on some waiting lists this next week and keep the hiding baby bump plan as a last resort. Not sure if its the same in other states, but I have found ALOT of SUV docs that won't take your insurance if you have it....cash only. I simply cannot afford that, I have two insurance plans for a reason. Both OB's have eased my worries for the most part though, and that's a huge relief! Us women worry enough on a daily basis! LoL


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PostPosted: Sat Nov 24, 2012 1:14 pm 
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Oh brother Sparxlady, what a dilemma. Im surprised that these doctors are so scared to prescribe sub.

My doctor specializes in addicted pregnant women. He told me he gives them all subutex and that it is very safe. I dont know what I would do in your shoes. I guess just what you are doing. Keep looking and not say anything about the pregnancy. It sucks, but seems like your only option.

Keep us updated and good luck!

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PostPosted: Sat Nov 24, 2012 7:03 pm 
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Thanks Orange doll, luckily my regular OB is completely 100% in agreement with me and my decisions with this mess. I am going to point blank ask the high risk OB why he is so squirmish, and tell him I know he is on the sub doc list.

One question I have though...if, lets say this high risk OB were to start writing my sub scripts. What happens AFTER the baby is born? I can't imagine going to an OB for my scripts after that....as we all know, therapy, etc plays a huge roll in our treatment plan and an OB cannot provide that. While looking through his profile on a physicians review site I noticed he DOES have some psych background, but his practice is in OB/Gyn. This would be SO much easier if I had my sub doc on board with me. I really truly hat being so deceitful. Takes me back to my Percocet days and doctor shopping. I'm assuming NORMALLY the original sub doc would work with the OB prescribing the subs then take over again after baby, etc.

By the way, I noticed my previous post stated that I found the high risk OB in one of the SUV sites....obviously meant sub doc sites! LoL....hate this damn spell check sometimes....ugh, technology!

Thanks again for all the advice and support....love love love this site and everyone on it:)


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PostPosted: Sat Nov 24, 2012 7:06 pm 
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One last thing I forgot to mention, I found out that IF I stuck with my sub doc, told him I'm prego and wants to go on methadone, like he says I would have to do....he wouldn't be prescribing it!! I'd get a referral to a methadone clinic!!! OMG....yeah, thanks buddy


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