Methadone and pregnancy

Methadone is a prescribed substitute for heroin and other opioids such as morphine, pethidine or codeine. When you are on an appropriate dose of methadone, it stops you from having withdrawal symptoms and craving opioids. Research shows that methadone as an opioid replacement treatment helps people to reduce their opioid use such as heroin. It also reduces the harm caused by other opioid use and helps people to improve their life circumstances. If you are experiencing physical withdrawal from heroin or other opioids, methadone stabilization may be recommended. Being on an appropriate dose of methadone is very important during pregnancy so that your baby is not having
withdrawal symptoms. You can get methadone online at Zamurgy.com

Is It Safe to Take Methadone While Pregnant?

The highest priority when seeking opioid addiction treatment during pregnancy is ensuring the safety of the baby. For that reason, many expectant mothers hesitate to investigate methadone maintenance treatment options fully. medication-assisted treatment (MAT) is widely misunderstood, with many people believing that these programs are “substituting one drug for another. This concept is far from the truth, and understanding the relationship between methadone & pregnancy will help you make the best decision for you & your baby.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), methadone is safe for pregnant women combating opioid addiction. In 1998, the American Society of Addiction Medicine (ASAM) and American College of Obstetricians and Gynecologists (ACOG) established MAT programs as the best practice treatment for pregnant women with opioid use disorders.

Methadone does have potential negative side effects for the baby, but it’s important to remember that they’re nowhere near as likely or dangerous as the effects of the most commonly misused opioids. Risks associated with methadone treatment are minuscule compared to the harm from your baby being exposed to prescription or illicit drugs that are taken in unmanaged doses more frequently than once a day.

What Should I Know About Methadone Use and Pregnancy?

Methadone is an opioid agonist, which means it binds fully to the receptors activated by drugs like heroin in a similar way. However, methadone has a significantly longer half-life than heroin or other opioids meaning it lasts much longer and is effective in managing the physical symptoms of withdrawal for 24-36 hours when administered at a therapeutic dose. It also has some opioid blocking properties which limits the euphoric effects of other opioids taken when a patient is in a MAT program.

Methadone also alters the response to pain in your brain and nervous system. This helps reduce the painful symptoms associated with opioid withdrawal. A MAT program gives patients safe access to methadone in a clinic setting. The medication is dispensed under medical supervision and in a wafer or liquid form. Methadone for opioid addiction is not dispensed in a pill form. Early in recovery, patients will attend the clinic each day to receive their medication. This provides much needed structure early in recovery. This system, called methadone maintenance, reduces the potential for misuse while shielding the patient from the worst of opioid withdrawals.

MAT using methadone is one of the most effective forms of treatment available to those struggling with opioid addiction, including expecting mothers.

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Opioids Commonly Misused During Pregnancy

It’s significantly more dangerous to continue using opioids than to begin or continue treatment with methadone. Some expectant mothers believe that prescribed painkillers are less dangerous for babies than opioids like heroin. It’s easy to think that because your doctor wrote a prescription, the drug has less potential to do harm. This misconception led to a massive increase in the number of women diagnosed with opioid use disorder during delivery.

Between 1999 and 2014, the number of women found to have opioid use disorder at labor and delivery more than quadrupled from 1.5 per 1,000 hospital deliveries to 6.5. Those who become dependent on prescribed opioids during pregnancy often take them for the acute pelvic and lower back pain so many women experience during pregnancy. Others may find they become pregnant while already struggling with a previous addiction. Either way, the effects of prescription opioids on pregnancy and birth are no different than those of non-prescription drugs.

Effects on newborns include:
  • Low birth weight
  • Weakened immune system
  • Extreme irritability
  • Digestive problems
  • Inability to latch and swallow during feeding
  • Breathing problems

This suite of problems at birth is the most common and is called neonatal abstinence syndrome (NAS). occurs when a mother who has been taking opioids or another drug stops for long enough to cause the baby to go into withdrawal. Here are some of the long-term issues prenatal opioid exposure and NAS create:

  • Growth: Some babies outgrow their low birth weight and catch up to their peers in terms of physical development. Others continue to lag behind in growth and may have trouble building up their immune system.
  • Behavior: Hyperactivity and very short attention span are linked to prenatal exposure to opioids, in addition to higher rates of caregivers reporting problems with child behavior.
  • Cognitive function: Children exposed to prenatal opioids score lower than their peers on memory and executive function, although IQ scores have not been studied extensively.

The more potent the drug and the longer you take it, the more likely your baby is to be born with NAS. Depending on severity, NAS can cause severe malnutrition and cognitive issues in a newborn. If the drug abuse is significant enough, the baby may even die before it is born.

Continuing to misuse an opioid, prescription or otherwise, during your pregnancy is guaranteed to lead to the worst outcomes for your baby. Opioid addiction and pregnancy simply do not mix. In contrast, methadone maintenance treatment is a time-tested tool with minimal risks that can prevent the worst effects of NAS.

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Detoxing From Methadone While Pregnant

Many expectant mothers have concerns about continuing methadone while pregnant. It may seem desirable to taper off before the birth of the baby, but detoxing from methadone while pregnant is more complex than you might realize. Here are three of the most common questions about stopping methadone during pregnancy:

1. Can Methadone Be Used While Breastfeeding?

Most women are concerned about detoxing from methadone due to possible effects on their ability to breastfeed once the baby is born. According to SAMHSA, the amount of methadone that transfers from the bloodstream into breast milk is negligible. The benefits to the baby from breastfeeding generally outweigh the effects of the minuscule amount of methadone transferred. Risk can be minimized by scheduling breastfeeding times since peak methadone levels occur two to four hours after taking the medication.

2. Should I Quit Methadone Cold Turkey While Pregnant?

Quitting methadone while pregnant is dangerous in two ways. For the baby, reduction in methadone dosage can lead to withdrawal symptoms and NAS in your baby even if you don’t feel the symptoms yourself. Quitting cold turkey will definitely cause perceptible feelings of discomfort for you, and increase your baby’s chance of more severe NAS symptoms. Attempting to stop cold turkey also vastly increases your chances of misusing opioids again, a risk too dangerous to take during pregnancy.

3. Are There Risks in Continuing Methadone While Pregnant?

Mothers who are thinking about detoxing from methadone while pregnant are often concerned that methadone treatment will cause harm to their babies. Studies have not shown methadone to increase the chance of birth defects or complications during pregnancy. There is a chance of your baby developing NAS after birth, but the risk and severity are much lower than with drugs of abuse. The side effects of methadone in pregnancy are negligible compared to what you would experience with heroin, oxycodone or any other opioid.

Stopping methadone maintenance treatment during pregnancy is not recommended, as the resulting withdrawals increase the risk for you and your baby even when the symptoms feel mild. Continuing your treatment program under your doctor’s supervision is the best way to increase your chances of a healthy birth.

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Medication-Assisted Treatment for Opioid Addiction During Pregnancy

There’s no question that MAT with methadone is a safe option for opioid addiction treatment during pregnancy. But even with this knowledge, you may be nervous trying to imagine what one of these programs involves. Health Care Resource Centers (HCRC) is a leading treatment provider with a highly effective methadone maintenance treatment program. We offer a process that is both individualized and effective for pregnant women. Though the overall structure is simple, we take care to make each step more approachable. Methadone and pregnancy

1. Intake Appointments

Once you’ve decided to begin an MAT program, the first thing you’ll have to do is complete intake appointments. You need both a physical and psychological evaluation to lay the foundation for the course of your treatment. In many cases, your treatment center will schedule the two evaluations together or back-to-back for your convenience.

In the physical evaluation, your doctor will perform a physical examination including a drug screen. It’s important to get a baseline idea of your health as well as the concentration of opioids in your blood before dispensing medication. In the case of pregnancy, your doctor will want to get up to date with any information you have received about the health of the baby so far. Don’t forget to include any supplements or medications you are taking to ensure minimal complications.

Your psychological exam will include a report of your history with opioid misuse and addiction, and the more detail you can give, the better the counselor will be able to help you plan for treatment. With pregnancy, the immediate goal for treatment is to continue adhering to the program up until and through birth, but your counselor will work with you to establish further long-term goals.

2. Receiving Medication

Medication is the foundation of an MAT program, and you will receive methadone daily on-site. Methadone is highly regulated and can only be dispensed in licensed facilities by a physician or nurse practitioner. The amount you receive will be informed by the results of your physical screening and level of addiction. In the last trimester of pregnancy, your metabolism is likely to increase, which means you may actually require more methadone to remain stabilized.

3. Receiving Resources

Medication alone is not enough to meet long-term recovery goals. In combination with more comprehensive counseling and education, however, MAT becomes a powerful tool against addiction. In a quality MAT program, your counselor will help you learn valuable coping skills that last a lifetime, as well as a variety of resources to help support you in long-term recovery. You’ll also gain a comprehensive understanding of how your treatment works on your brain, allowing you to take better control of your healing process.

Methadone After Pregnancy and Delivery

Giving birth while successfully participating in an opioid addiction treatment program is something to be proud of, but your journey doesn’t end there. There are two main things to attend to after delivery:

  • Monitoring for NAS: When you give birth, your doctor or nurses will help monitor the baby for symptoms of neonatal abstinence syndrome before you leave the hospital. In many cases, all the signs will be apparent within 24 to 48 hours after birth, and medical professionals will begin appropriate treatment right away. In other cases, the baby will not start showing symptoms for five to 10 days. The individual symptoms of NAS often resemble those of other conditions, so monitor the baby and contact medical professionals if you start to think something is going wrong.
  • Planning for parenthood: Becoming a mother is difficult. The added responsibility and unpredictable nature of parenthood add plenty of complications to the process of recovery. But with preparation and support, you can continue your healthy lifestyle while getting used to life as a new mom.

After delivery, you may wish to start tapering off methadone and maintaining sobriety without the assistance of medication. It’s crucial to discuss this decision with your doctor and it may not be a good option if your physician feels you haven’t stabilized completely. A period of one year is usually the recommended minimum treatment length for a methadone maintenance program, but many individuals find it takes longer to stabilize to the point of tapering off. Methadone and pregnancy

contact hcrc if you are addicted to opioids and pregnant

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