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question about Methadone

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  • question about Methadone

    Today I received a question about methadone that I could not answer.

    The question "If a mother in a methadone program continues in the program while she is breastfeeding, she is on methadone maintenance. What happens to her baby when she weans? Does the baby have a risk of NAS?

  • #2
    Dear Nikki,

    Abrupt cessation of breastfeeding during high dose Methadone therapy can result in neonatal abstinence. Infant should be weaned slowly. An example being if the mother is breastfeeding 8 times a day, drop to 7 times a day for about 5 days, then drop to 6 times a day for about 5 days, then to 5 times a day for about 5 days and trending down to nothing.

    I hope this helps!!!! If you have any other questions please contact the Infant Risk Center at 806-352-2519

    Sandra Lovato R.N.
    InfantRisk Center