Sep 06, 2008 11:04PM
- 2 comments
Dear God,
I come to You as I come to no one else.
I am so sorry. I have tried to throw away my life, my body, my soul—through addiction.
But recognition of my addiction has never given me power to control it.
You know this. You never blame me. You know the truth.
Addiction is an attractor field in which minds and bodies become mired to escape emotional pain.
But there is another, better way to escape pain.
Pain is transcended through an authentic calling from You.
Therefore, I surrender myself, now, to You.
I demand, now, in this moment, Father, that You call me—that You call me loudly.
You raise me up out of addiction and into a higher level attractor field.
And as You raise me, so do You raise Humanity out of addiction and into a higher level attractor field.
Together we rise, as one force in You, one at a time and together.
Because the world needs us. We rise or we fall, together.
For You need me. I am Your Thoughts, Your Voice, Your Hands.
I rejoice in awe over my inherent holiness: I am where You reside.
By Your grace, as I read this, my mind is aligned with Yours.
By Your grace, the power of my mind is multiplied exponentially by all who read this.
Aligned with You, we are more powerful than any evil—
or any substance—can ever be.
Together WE form a conduit of love that reaches into my need for addiction and I am healed.
By healing myself, I now heal Humanity's need for addiction.
Joy fills my soul. My gratitude is infinite.
Thank You.
And so it is.
Amen.
I come to You as I come to no one else.
I am so sorry. I have tried to throw away my life, my body, my soul—through addiction.
But recognition of my addiction has never given me power to control it.
You know this. You never blame me. You know the truth.
Addiction is an attractor field in which minds and bodies become mired to escape emotional pain.
But there is another, better way to escape pain.
Pain is transcended through an authentic calling from You.
Therefore, I surrender myself, now, to You.
I demand, now, in this moment, Father, that You call me—that You call me loudly.
You raise me up out of addiction and into a higher level attractor field.
And as You raise me, so do You raise Humanity out of addiction and into a higher level attractor field.
Together we rise, as one force in You, one at a time and together.
Because the world needs us. We rise or we fall, together.
For You need me. I am Your Thoughts, Your Voice, Your Hands.
I rejoice in awe over my inherent holiness: I am where You reside.
By Your grace, as I read this, my mind is aligned with Yours.
By Your grace, the power of my mind is multiplied exponentially by all who read this.
Aligned with You, we are more powerful than any evil—
or any substance—can ever be.
Together WE form a conduit of love that reaches into my need for addiction and I am healed.
By healing myself, I now heal Humanity's need for addiction.
Joy fills my soul. My gratitude is infinite.
Thank You.
And so it is.
Amen.
Sep 06, 2008 04:29PM
- 0 comments
this is general information on the use of suboxone in pregnancy. there are parallels between methadone and sub as well. this is information for situations when it becomes impossible for the mother to detox from opiates for medical or high risk circumstances only.
Is Suboxone safe for use during pregnancy? Will Suboxone cause NAS (infant withdrawal symptoms)? Is Suboxone better than methadone for use during pregnancy?
If you are pregnant and addicted to opiates, you have 3 choices:
Keep abusing your drug of choice
Try to quit using and suffer through withdrawal and detox
Get into an opiate substitution program and use methadone or Suboxone
The first 2 choices are not advised. Continuing to abuse drugs subjects the fetus to a lot of environmental risks, disease and to a reduced likelihood that the mother is going to take good care of herself during the pregnancy.
Trying to quit cold turkey and going through a hard withdrawal is also very risky. Opiate withdrawal is tough on the body, and the risk of miscarriage during a period of withdrawal is also very high.
This leaves getting on methadone or Suboxone as the only alternative remaining.
http://www.flickr.com/photos/48745248@N00/149580816/
Is Buprenorphine Safe During Pregnancy?
At present, Buprenorphine is listed as a category C drug for use during pregnancy. This, in the case of Suboxone, means that although scientists think it's probably OK – enough study has not yet been done proving that this is so (the manufacturer does not recommend that it be used during pregnancy).
Methadone has been studied very extensively for use during pregnancy and has been proven safe for both the mother and fetus – and thus the accepted protocol is to recommend that pregnant women take methadone instead of Buprenorphine.
Pregnant women who cannot or will not take methadone may be advised to take buprenorphine instead. Although doctors cannot say with absolute certainty that buprenorphine is safe, the available evidence indicates that it is not harmful to the mother or fetus, and if the mother cannot or will not take methadone, buprenorphine is likely preferable to no treatment or a cold turkey detox.
Suboxone is a medication that contains buprenorphine and Naloxone. The naloxone is added to the buprenorphine to lessen the odds that a user will abuse the medication. Because Naloxone can sometimes cause symptoms of opiate withdrawal, pregnant women wanting to take buprenorphine are normally advised to take Subutex instead. Subutex is exactly the same as Suboxone, but it contains no Naloxone, only buprenorphine.
If a women becomes unexpectedly pregnant while taking Suboxone – her doctor will probably recommend that she switch to Subutex, but not switch to methadone or any other form of treatment. Switching after she is already pregnant carries an unacceptable risk of stress on the fetus. If a woman plans on becoming pregnant, her doctor will likely advise that she first switch to methadone or naltrexone before getting pregnant.
Does Subutex Cause NAS (Neonatal Abstinence Syndrome)
If you take Subutex while pregnant, your baby will be born addicted to buprenorphine, and will likely go through some degree of NAS.
Studies indicate that over half of babies born to Subutex using mothers will suffer this infant withdrawal period to some degree. Many infants with NAS need only a few days of additional cuddling, attention and quiet – some infants will need treatment, such as with an opiate tincture.
The likelihood or severity of NAS in babies born to methadone using women does not seem to be influenced by the dosage that she was on. Therefore, with methadone at least, women are not recommended to attempt to reduce their dosage drastically in an attempt to spare their baby NAS. Quick reductions in dosage are associated with miscarriage inducing withdrawal and a higher risk of relapse back to a drug of abuse.
Is Methadone better than Subutex During Pregnancy?
Methadone has been very well studied for a long period of time, and it is known to be safe for both the mother and unborn child.
Preliminary studies of buprenorphine indicate that it is also safe, but there is not yet sufficient clinical evidence to allow for a recommendation of use.
Several studies that have compared methadone and buprenorphine use during pregnancy indicate that the NAS symptoms are worse and felt for longer with methadone.
Can a Mother Breastfeed on Subutex?
Buprenorphine is passed through the milk to the infant, and the manufacturer of Subutex does not recommend that it be used by nursing mothers.
SAMHSA has looked at the issue and has said that since buprenorphine is not well absorbed in the stomach, babies getting it through breast milk seem minimally affected by it, and that Subutex using women can breastfeed.
Summary
Unfortunately, there are no guarantees about the use of buprenorphine while pregnant, and a woman and her doctor will have to make a decision based on individual evidence about what medication is best for any particular situation.
The initial evidence indicates that Subutex offers a safe means for a pregnant women to stay off opiates of abuse, and that babies born to Subutex using mothers suffer fewer and less severe withdrawal symptoms than do babies born to methadone using moms.
On the other side – methadone has been studied and used for a very long time, and it is known to be a very safe medication for use during pregnancy.
Using either Subutex or methadone is preferable to cold turkey style detox or the continuing abuse of opiates.
Because Suboxone contains Naloxone and Naloxone can cause symptoms of withdrawal, pregnant women are advised to switch to Subutex.
Is Suboxone safe for use during pregnancy? Will Suboxone cause NAS (infant withdrawal symptoms)? Is Suboxone better than methadone for use during pregnancy?
If you are pregnant and addicted to opiates, you have 3 choices:
Keep abusing your drug of choice
Try to quit using and suffer through withdrawal and detox
Get into an opiate substitution program and use methadone or Suboxone
The first 2 choices are not advised. Continuing to abuse drugs subjects the fetus to a lot of environmental risks, disease and to a reduced likelihood that the mother is going to take good care of herself during the pregnancy.
Trying to quit cold turkey and going through a hard withdrawal is also very risky. Opiate withdrawal is tough on the body, and the risk of miscarriage during a period of withdrawal is also very high.
This leaves getting on methadone or Suboxone as the only alternative remaining.
http://www.flickr.com/photos/48745248@N00/149580816/
Is Buprenorphine Safe During Pregnancy?
At present, Buprenorphine is listed as a category C drug for use during pregnancy. This, in the case of Suboxone, means that although scientists think it's probably OK – enough study has not yet been done proving that this is so (the manufacturer does not recommend that it be used during pregnancy).
Methadone has been studied very extensively for use during pregnancy and has been proven safe for both the mother and fetus – and thus the accepted protocol is to recommend that pregnant women take methadone instead of Buprenorphine.
Pregnant women who cannot or will not take methadone may be advised to take buprenorphine instead. Although doctors cannot say with absolute certainty that buprenorphine is safe, the available evidence indicates that it is not harmful to the mother or fetus, and if the mother cannot or will not take methadone, buprenorphine is likely preferable to no treatment or a cold turkey detox.
Suboxone is a medication that contains buprenorphine and Naloxone. The naloxone is added to the buprenorphine to lessen the odds that a user will abuse the medication. Because Naloxone can sometimes cause symptoms of opiate withdrawal, pregnant women wanting to take buprenorphine are normally advised to take Subutex instead. Subutex is exactly the same as Suboxone, but it contains no Naloxone, only buprenorphine.
If a women becomes unexpectedly pregnant while taking Suboxone – her doctor will probably recommend that she switch to Subutex, but not switch to methadone or any other form of treatment. Switching after she is already pregnant carries an unacceptable risk of stress on the fetus. If a woman plans on becoming pregnant, her doctor will likely advise that she first switch to methadone or naltrexone before getting pregnant.
Does Subutex Cause NAS (Neonatal Abstinence Syndrome)
If you take Subutex while pregnant, your baby will be born addicted to buprenorphine, and will likely go through some degree of NAS.
Studies indicate that over half of babies born to Subutex using mothers will suffer this infant withdrawal period to some degree. Many infants with NAS need only a few days of additional cuddling, attention and quiet – some infants will need treatment, such as with an opiate tincture.
The likelihood or severity of NAS in babies born to methadone using women does not seem to be influenced by the dosage that she was on. Therefore, with methadone at least, women are not recommended to attempt to reduce their dosage drastically in an attempt to spare their baby NAS. Quick reductions in dosage are associated with miscarriage inducing withdrawal and a higher risk of relapse back to a drug of abuse.
Is Methadone better than Subutex During Pregnancy?
Methadone has been very well studied for a long period of time, and it is known to be safe for both the mother and unborn child.
Preliminary studies of buprenorphine indicate that it is also safe, but there is not yet sufficient clinical evidence to allow for a recommendation of use.
Several studies that have compared methadone and buprenorphine use during pregnancy indicate that the NAS symptoms are worse and felt for longer with methadone.
Can a Mother Breastfeed on Subutex?
Buprenorphine is passed through the milk to the infant, and the manufacturer of Subutex does not recommend that it be used by nursing mothers.
SAMHSA has looked at the issue and has said that since buprenorphine is not well absorbed in the stomach, babies getting it through breast milk seem minimally affected by it, and that Subutex using women can breastfeed.
Summary
Unfortunately, there are no guarantees about the use of buprenorphine while pregnant, and a woman and her doctor will have to make a decision based on individual evidence about what medication is best for any particular situation.
The initial evidence indicates that Subutex offers a safe means for a pregnant women to stay off opiates of abuse, and that babies born to Subutex using mothers suffer fewer and less severe withdrawal symptoms than do babies born to methadone using moms.
On the other side – methadone has been studied and used for a very long time, and it is known to be a very safe medication for use during pregnancy.
Using either Subutex or methadone is preferable to cold turkey style detox or the continuing abuse of opiates.
Because Suboxone contains Naloxone and Naloxone can cause symptoms of withdrawal, pregnant women are advised to switch to Subutex.
Sep 06, 2008 04:03PM
- 1 comments
this is an extremely helpful website explaining all aspects of methadone in pregnancy and breastfeeding. i am providing this for women who find themselves in a methadone program.
this does not mean i am encouraging anyone to pursue this program unless all other means of have been exhausted with regards to opiate addiction.
http://www.methadoneandpregnancy.com/index.htm
this does not mean i am encouraging anyone to pursue this program unless all other means of have been exhausted with regards to opiate addiction.
http://www.methadoneandpregnancy.com/index.htm
Jan 22, 2008 12:36AM
- 2 comments
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there have been numerous questions regarding the use of narcotics in pregnancy. enclosed is a link discussing this topic. it is written for professionals but it is easy to understand and is quite informative. if you find yourself here and have questions after researching this please feel free to ask. if i do not know the answer i will find it for you. there are also links within this link to resources for treatment plans. i feel this is very important as once you are clean from your addiction in pregnancy, your followup is paramount. i know you want to be the best mother you can be for the rest of your life. i know it can be done. i will be happy to help you in any way that i can. take care of yourself and the rest will follow through!
http://www.marchofdimes.com/professionals/14332_1169.asp
http://www.marchofdimes.com/professionals/14332_1169.asp