NEED ADVICE

[slk714]

OK, as some of know i went to admit myslef inpatient thru ER, and was turned away. long story short, the info they gave me for outpatient care is coming up a brick wall, they have waitning lists til end of AUG, my baby is due in Sept! i need help now. i have a friend who works in the ER, she has been helping me all day but coming up empty handed. i need a psychiatrist and/or addiction counselor. thats why i wanted to be admitted, do it all at once. i decided that on Monday if nothing panned out i would have to tell them i am having suicidal thoughts, but as i was just told, they will only keep me for 24 hour supervision, how the he** do you get into a long term facility???? i need to be under lock and key, i finally come to terms with that and no one will help me, what am i doing wrong???? i would think if not for me they would want to help the baby inside of me, right??? am i doing or saying the wrong thing????
Please any advice would be helpful

[SableZen]

Exactly - I'm not saying it's a good alternative. I just don't know. It may be for you, definitely something to talk to a doctor about. But keep looking at the options and educate yourself as much as you can. That's what's going to get your through this. I really think there are always more options out there for us than we can usually see sometimes. Be persistent in looking for those options and advocate for yourself within the medical community. Make phone calls, talk to as many people as you can, just don't give up. A lot of people here are thinking about you and care. And hopefully you can find someone in the medical community with the knowledge and caring to help you soon. Keep looking for those options!

[slk714]

wow thanks for taking the time to send that to me. i will have to go over this a few times to understand it more and research it. i was told when you go into treatment, like inpatient they put you on an IV that is not harmful for baby, dont know what they use, just what i have been told, do you think the subutex is what they use??? i am gonna go on safefetus.com and check out this info too, it would be helpful to go in informed.
thanks again

[SableZen]

Ran into this in an article:

"Buprenorphine is classified by FDA as a Pregnancy Category C drug. Data from controlled studies on the use of buprenorphine in pregnant women are needed. The available evidence does not show any causal adverse effects on pregnancy or neonatal outcomes from buprenorphine treatment, but this evidence is from case series not from controlled studies."

"Methadone is currently the standard of care in the United States for the treatment of heroin addiction in pregnant women. Pregnant women presenting for treatment of opioid addiction should be referred to specialized services in methadone maintenance treatment programs."

"If such specialized services are refused by a patient or are unavailable in the community, maintenance treatment with the buprenorphine monotherapy formulation may be considered as an alternative."

"In such circumstances, it should be clearly documented in the medical record that the patient has refused methadone maintenance treatment, or that such services were unavailable; that she was informed of the risks of using buprenorphine, a medication that has not been thoroughly studied in pregnancy; and that she understands those risks."

Reference: (1) Clinical Guidelines For The Use of Buprenorphine In The Treatment of Opioid Addiction TIP 40 Chapter 5

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By the way, buprenorphine is sold under the brand name of Subutex or Suboxone (also contains naloxone). Methadone (the 'standard' for use in pregnancy) is also classified as FDA Pregnancy Category C.

Not sure if you were aware that this might be an option - but on the off chance it helps I'd thought I'd post it.

My thoughts are with you.

[troubleinohio]

Im so sorry you are hitting dead ends with this . I know how badly you want this. I hope something pans out for you soon hon!

[slk714]

no, i will pm her now, this has been such a crazy day, i cannot think straight at all, everything is a total blurr, please keep the info coming, i am writing it down as i get it.

[slk714]

i am in Illinois, i see my new OB on the 29th, havent met him yet. i just talked to my therapist who gave me one option, just have to check it out. i will try NA, that is a good idea, i go to meetings and i can ask my sponsor. never even thought about that, thats why i like to get as many heads together as i can. thanks guys, and by the way, you are right, it is 72 hours, but i need more than that, i am humble enough to admit it!

[cathy5841]

HEY, HAVE YOU TALKED TO 1234BETTERLIFE ABOUT THIS?  she maybe able to offer some insight.  hang in there.. you are going to be okay.  luv ya hun
cathy

[addictedme]

Dont know where you are but you might try an na hotline to find out about detox places. In most states its a 72 hour hold for talking suicide,,,gl,,keep trying

[joann1975]

Won't your ob/gyn help you out? That sounds crazy nobody is willing to help. Do you mind telling me what state you are in? You can PM it to me.