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oxycotine in pregnancy
Ok here's the deal I was taking oxycotine for my back problems and I take maybe 60 mg a day well I just for out I am 8 weeks pregnant and scared out of my mind that I may have hurt my baby or caused the baby birth defects someone please help and give me some advice
Cindie is absolutely right so please don't worry! The worry can cause more problems than the meds ;). I think your history of loss really makes this so much more difficult for you. I know after my miscarriage I felt like if only I had done this or hadn't done that everything would be ok. But it isn't the case. It is NOT your fault, you didnt cause SIDS or your miscarriage. Bad things happen to good people sometimes and it is horrible and traumatic and will stay with you for ever and ever but please remember it is NOT your fault and taking your medications is GOOD for the baby. If you stop taking them the risk of miscarriage from stopping them is high but staying on them doesn't cause development problems in the baby. Really like Cindie said the only risk is withdrawal in baby at delivery but even that won't hurt baby it just means baby may need a little extra care in the hospital while you both are there. Hang in there you are doing fine!
hey hon,
I'm Cindie, be sure to talk to your doctor, and I'm just expanding a bit on what SunWorshiper said.
#1 you need to talk to your pain Dr if your seeing one about what they're willing to do to help with your pain during pregnancy and talk to your OB and see if he or she will work with your pain management doctor. If the answer is no then I'd suggest changing OB's and asking that OB for a referral to a high risk OB.
The main things to do during pregnancy are #1- Unless the doctor says it's ok, stay away from muscle relaxers the first 12 weeks (1st trimester) because they can lead to neural tube defects like spina bifida. The things to refrain from are like Flexeril, or Soma, etc.
The pain doctors, I didn't see them until I was about 4 months pregnant with my 2nd son due to the referrall taking FOREVER to be approved. I really wish I hadn't even told my primary doctor that I was pregnant until I was about 3 months pregnant because he had very limited experience with patients taking pain meds during pregnancy especially during the first 3 months of pregnancy. He literally stopped my pain medicine completely cold turkey and I was in complete hell because of him. the pain doctors clarified that it would've been OK to take them early on and said the stress of possible w/d and pain could've caused me to miscarry.
Here's what I know for sure, and what I've done with both of my children. with TJ, my firstborn I was on Vicoden sporadically due to pre-existing migraines and severe lower leg pain. I now know the lower leg pain was due to varicose veins. The migraines only occurred a few times a month and lasted 3-4 days each time, I've had them my entire teenage and adult life. I can't be on regular migraine meds like Imitrex because I have an allergy of sorts where the migraine gets 10x worse and I have to sleep the medication off. But other than that son being born with genetic stuff completely unrelated to medications or me, he was fine. (he has down syndrome and was a heart baby.)
Tips from my experience are:
#1- make sure you take at least 400mcg of Folic Acid. and if your on a muscle relaxer of any kind or something like an anxiety medication you may want to take more since those may cause risk of NTD's to increase.
Reason: Folic Acid is in Prenatals but only at levels of 200-400 MCG's. it takes 400mcg-1000mcgs= 1mg to help prevent neural tube defects.. speak to your doctor first before trying the following Most information out there states that for women who are susceptible to having a child with a neural tube defect, they should get at least 1-3 mg's. at stores like Walmart they sell folic acid at different amounts but regularly they sell 1000 MCG's in a bottle so all you'd need to take is 1 to 3 of those tablets to equal up to 3mg. that much will NOT hurt baby or you. My OBGYN's words were, and I quote, "It won't hurt but you really don't have to take 3mg's" and that was because I had no background or immediate risk for neural tube defects (due to meds) As a matter of fact, for women who've got a history of having a child with a neural tube defect or who have NTD's in their family it's suggested they take 3-5 MG's (that's 300,000-500,000mcg's) just to help prevent it during that pregnancy.
Neural tubes are generally formed by the 14 week mark in gestation.
With BOTH my pregnancies I made sure to take 3mg's of folic acid.
As in any pregnancy make sure your fluid levels are alright. if your lips are chapped, you need more fluids just as something to remember. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
So....
Make sure your Pain Doctors will work with you and your OBGYN hand in hand so that you get the best care during your pregnancy.
Make sure Pain Mgmt will do what's necessessary to control your pain as you get larger, even if that means upping your pain medication as needed, and in my opinion they may want to start titering down your medication during the last few weeks before the baby is born to lessen the risk and violency of dependancy. There are ways to treat dependancy in a baby like waiting it out or even using another narcotic drug to lessen the strength of the withdrawals like with Methadone. They should also prepare you for what to expect to see your baby MIGHT go through. The Shakes, excessive cravings causing extreme crying and screaming since the little one can't talk and no appetite. there are more possible symptoms but I can't remember them all.
Personally with me, I got VERY lucky that my son experienced very minimal to no withdrawal symptoms. I had been on something like 15mg of Oxycodone every 4-6hrs and I had delt with preterm contractions from around 14 or 15 weeks on. after I was about 20 weeks they'd finally treat it by pumping me with IV fluids, and keeping a close eye on the amt of contractions. They'd also give me 1 of 2 medications at each visit. Terbutaline, or Procardia and both sucked, excuse my language. I got started on a very low dose of oxycodone and after a week when there was no relief they doubled that dose and put me on flexeril.
I hope all turns out well with your little one
I'm Cindie, be sure to talk to your doctor, and I'm just expanding a bit on what SunWorshiper said.
#1 you need to talk to your pain Dr if your seeing one about what they're willing to do to help with your pain during pregnancy and talk to your OB and see if he or she will work with your pain management doctor. If the answer is no then I'd suggest changing OB's and asking that OB for a referral to a high risk OB.
The main things to do during pregnancy are #1- Unless the doctor says it's ok, stay away from muscle relaxers the first 12 weeks (1st trimester) because they can lead to neural tube defects like spina bifida. The things to refrain from are like Flexeril, or Soma, etc.
The pain doctors, I didn't see them until I was about 4 months pregnant with my 2nd son due to the referrall taking FOREVER to be approved. I really wish I hadn't even told my primary doctor that I was pregnant until I was about 3 months pregnant because he had very limited experience with patients taking pain meds during pregnancy especially during the first 3 months of pregnancy. He literally stopped my pain medicine completely cold turkey and I was in complete hell because of him. the pain doctors clarified that it would've been OK to take them early on and said the stress of possible w/d and pain could've caused me to miscarry.
Here's what I know for sure, and what I've done with both of my children. with TJ, my firstborn I was on Vicoden sporadically due to pre-existing migraines and severe lower leg pain. I now know the lower leg pain was due to varicose veins. The migraines only occurred a few times a month and lasted 3-4 days each time, I've had them my entire teenage and adult life. I can't be on regular migraine meds like Imitrex because I have an allergy of sorts where the migraine gets 10x worse and I have to sleep the medication off. But other than that son being born with genetic stuff completely unrelated to medications or me, he was fine. (he has down syndrome and was a heart baby.)
Tips from my experience are:
#1- make sure you take at least 400mcg of Folic Acid. and if your on a muscle relaxer of any kind or something like an anxiety medication you may want to take more since those may cause risk of NTD's to increase.
Reason: Folic Acid is in Prenatals but only at levels of 200-400 MCG's. it takes 400mcg-1000mcgs= 1mg to help prevent neural tube defects.. speak to your doctor first before trying the following Most information out there states that for women who are susceptible to having a child with a neural tube defect, they should get at least 1-3 mg's. at stores like Walmart they sell folic acid at different amounts but regularly they sell 1000 MCG's in a bottle so all you'd need to take is 1 to 3 of those tablets to equal up to 3mg. that much will NOT hurt baby or you. My OBGYN's words were, and I quote, "It won't hurt but you really don't have to take 3mg's" and that was because I had no background or immediate risk for neural tube defects (due to meds) As a matter of fact, for women who've got a history of having a child with a neural tube defect or who have NTD's in their family it's suggested they take 3-5 MG's (that's 300,000-500,000mcg's) just to help prevent it during that pregnancy.
Neural tubes are generally formed by the 14 week mark in gestation.
With BOTH my pregnancies I made sure to take 3mg's of folic acid.
As in any pregnancy make sure your fluid levels are alright. if your lips are chapped, you need more fluids just as something to remember. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
So....
Make sure your Pain Doctors will work with you and your OBGYN hand in hand so that you get the best care during your pregnancy.
Make sure Pain Mgmt will do what's necessessary to control your pain as you get larger, even if that means upping your pain medication as needed, and in my opinion they may want to start titering down your medication during the last few weeks before the baby is born to lessen the risk and violency of dependancy. There are ways to treat dependancy in a baby like waiting it out or even using another narcotic drug to lessen the strength of the withdrawals like with Methadone. They should also prepare you for what to expect to see your baby MIGHT go through. The Shakes, excessive cravings causing extreme crying and screaming since the little one can't talk and no appetite. there are more possible symptoms but I can't remember them all.
Personally with me, I got VERY lucky that my son experienced very minimal to no withdrawal symptoms. I had been on something like 15mg of Oxycodone every 4-6hrs and I had delt with preterm contractions from around 14 or 15 weeks on. after I was about 20 weeks they'd finally treat it by pumping me with IV fluids, and keeping a close eye on the amt of contractions. They'd also give me 1 of 2 medications at each visit. Terbutaline, or Procardia and both sucked, excuse my language. I got started on a very low dose of oxycodone and after a week when there was no relief they doubled that dose and put me on flexeril.
I hope all turns out well with your little one
Well it just ***** I am so so scared something is going to be wrong sunworshiper r u sure I have a 4 year old and them had a boy after her and he past away a 6 weeks of sids then in august had a miscarriage I am so scared and want everything to be ok and u know it was in the first weeks which is the development part of the baby so idk
Opiates are safe in pregnancy they don't cause birth defects this includes methadone which is used as a form of pain management not just for drug addicts. There are some risks of baby having withdrawal at delivery but this can be handled easily especially if your OB knows about it prior to delivery. Keep taking your meds as prescribed if you stop cold turkey it can lead to miscarriage or stillbirth. Speak with your OB and see if you can see a pain management specialist who specializes in pregnancy. I see one for my two spinal fractures and I take vicodein for pain management as well as use a TENS unit and lidoderm pain patches.
there are people who take methadone though there whole pregnancy because the risk of with draw is worse for the baby and there babys can be born fine and methadone is synthetic heroin so im sure if you were to quit now your baby will be fine im sure oxys are not as bad as methadone
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