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Oxycodone while pregnant

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  • admin
    replied
    Rsimon14: If you've been off of oxycodone for 5 weeks, its very unlikely your infant will go through any withdrawal.

    Tom Hale Ph.D.

    Leave a comment:


  • Rsimon14
    replied
    If I stopped taking Oxycodone at 35 weeks will my daughter still suffer from any withdrawals or any other symptoms at birth or even after birth ? And how long before giving birth to avoid any symptoms of withdrawals

    Leave a comment:


  • Shantel1015
    replied
    I have taken 30mg of Oxycodone but, have not been taking in consistently. Just every couple of days here and there for pain but, have now stopped because I'm being induced in 4 days, will my baby suffer from withdrawals?

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  • Mommy of two89
    replied
    Thank you, I appreciate the piece of mind

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  • Sandra
    replied
    Mommy of two89,

    Oxycodone is rated a P2-benefits likely to exceed the risk. When taken chronically it could cause respiratory depression or withdrawal symptoms in an infant upon delivery, but if you are only taking 2 tablets once a week it should not be a problem if the dose is low.

    Sandra Lovato R.N.
    InfantRisk Center
    806-352-2519

    Leave a comment:


  • Mommy of two89
    replied
    Hello,

    I am about 20 weeks pregenant at this point and have suffered with chronic migraines since I was a young girl. I have a RX for Oxycodone. I have only taken two at a time when needed for my head and have only done this with about a week to a week in a half inbetween, due to the fact that I feel nervous about taking this during pregnancy. I don’t take them daily but I have suffered from my migraines almost everyday since becoming pregnant. Is this amount something that could possibly cause my baby to be dependent at birth? I’ve spoke to my healthcare provider but am looking for a second opinion. Any info would be greatly appreciated! Thank you

    Leave a comment:


  • admin
    replied
    Italianbabe:

    While acetaminophen + Oxycodone is not necessarily detrimental or teratogenic to the fetus, your infant will become dependent on this opiate if you continue it.

    I'd see an obstetrician quickly and take their advice as to continuing this drug. If you use it daily, the will probably have withdrawal symptoms at birth, and have to stay extra days in the nursery during withdrawal. I don't think you want this for your infant.

    Tom Hale Ph.d.

    Leave a comment:


  • Italianbabe4
    replied
    Hi everyone , I’m a first time future mommy. I don’t know how many weeks I am but I took a pregnancy test last week and it was negative, today I took 3 and all were positive. I take Percocet for pain right now and I would like to get off of them. But since I’m not far along like at all is it even harmful to the baby ? Please help me

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  • Sandra
    replied
    weathergirlch4,

    This is a discussion you will need to have with your OB/GYN so you can explain how bad your pain is. I am unable to answer how they will opt to treat or not treat your pain during pregnancy. We recommend weaning slowly and not abruptly if they decide to have you stop this medication.

    Sandra Lovato R.N.
    InfantRisk Center
    806-352-2519

    Leave a comment:


  • weathergirlch4
    replied
    Hi,
    i have Crohn’s & endometriosis and have been taking hydrocodone 5mg up to 3xs a day for about 3 years for pain. I’m pregnant about 7 weeks and utterly scared with the opiate crisis that an obgyn won’t understand how bad the pain gets without it. And will cut me off completely. Do they do that? That can’t be safe to completely withdraw and be in pain? I will plan on getting off toward end of pregnancy for the baby but I’m still scared. Any suggestions?

    Thank you

    Leave a comment:


  • Sandra
    replied
    Stephy037.

    Weaning is the best approach to coming off these medications. We would recommend that if you are able to wean and stop the medications to do so by the the last month of your pregnancy to try and avoid withdrawal symptoms.

    Sandra Lovato R.N.
    InfantRisk Center
    806-352-2519

    Leave a comment:


  • Stephy037
    replied
    I am currently taking adderrol and oxycodone
    during pregnancy I am in the health field and do not want the baby to come out withdrawing when should I stop so there are no signs of NAS after labor. I am currently tapering down and trying to stop both so I don’t cause fetal distress by going cold turkey I’m currently 14 weeks pregnant. Any advice would be greatly appreciated.

    Thanks

    Leave a comment:


  • admin
    replied
    Pineapple:

    1 week prior to delivery would be a minimal time. 2 weeks would be ideal and safer for your infant.

    Tom Hale Ph.D.

    Leave a comment:


  • Pineapple
    replied
    Hello,

    I'm 34 weeks pregnant and I've been on and off oxycodonde. I don't take it on a regular basis but maybe a few weeks here and there to manage pain. I'm worried my baby is going to have withdrawal symptoms. How long before birth is it safe to stop to avoid this?

    Leave a comment:


  • admin
    replied
    User70,

    Oxycodone is rated an P2 in pregnancy, benefits likely to exceed the risk. Neonates whose mothers have taken oxycodone chronically may exhibit respiratory depression and/or withdrawal symptoms, either at birth and/or in the nursery. Oxycodone hydrochloride tablets are not recommended for use in women during or immediately prior to labor. Occasionally, opioid analgesics may prolong labor through actions which temporarily reduce the strength, duration and frequency of uterine contractions. No increased malformation risk in small numbers. Reproduction studies in Sprague-Dawley rats and New Zealand rabbits revealed that when oxycodone was administered orally at doses up to 16 mg/kg (approximately 2 times the daily oral dose of 90 mg for adults on a mg/m2 basis) and 25 mg/kg (approximately 5 times the daily oral dose of 90 mg on a mg/m2 basis), respectively, it was not teratogenic or embryo-fetal toxic. There are no adequate and well controlled studies of oxycodone in pregnant women. Because animal reproductive studies are not always predictive of human responses, oxycodone hydrochloride tablets should be used during pregnancy only if potential benefit justifies the potential risk to the fetus. Neonates, whose mothers received opioid analgesics during labor, should be observed closely for signs of respiratory depression. A specific narcotic antagonist, naloxone, should be available for reversal of narcotic-induced respiratory depression in the neonate. (Medications and Mothers' Milk)

    Hydrocodone is rated an P3, unknown, risk to the fetus cannot be ruled out. There are no adequate and well-controlled studies in pregnant women.There does not appear to be an increased risk of major congenital anomalies if used in the first trimester but the numbers are small. (Briggs & Koren) Babies born to mothers who have been taking opioids regularly prior to delivery will be physically dependent. The withdrawal signs include irritability and excessive crying, tremors, hyperactive reflexes, increased respiratory rate, increased stools, sneezing, yawning, vomiting, and fever. The intensity of the syndrome does not always correlate with the duration of maternal opioid use or dose. There is no consensus on the best method of managing withdrawal. Hydrocodone tablets should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. (Medications and Mothers' Milk)

    Mom should discuss this with her OB.

    Sandra Lovato R.N.
    InfantRisk Center
    806-352-2519
    Last edited by admin; 11-29-2016, 09:51 AM.

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