Please help. Pregnant & desperate to wean off oxycodone...

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mckelmax2011
New Member


Date Joined Apr 2011
Total Posts : 1
   Posted 4/3/2011 9:09 PM (GMT -7)   
Hi All, first of all I would appreciate any and all advice I can get so all opinions welcome. So I have been on oxycodone for about 2 years now for chronic pain from endometriosis. I am currently up to taking about 50mg oxycodone 5-6 times daily (legally prescribed by my MD). I am DESPERATE to get off this drug because I do not want my baby going through withdrawls when she is born. I am 18 weeks pregnant so I'm hoping I have enough time to successfully wean off this medication. The question is how??? I admit it 100% I am addicted, and if I don't get my meds when I need them I get very restless (almost a feeling like restless leg syndrome, does this make sense?). I know I can do it, as my daughter is my motivation, I just need to know how??? Any advice? Thanks soo much.

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 4/3/2011 10:23 PM (GMT -7)   
You need to talk to your doctors about this. Doing it with medical assistance is the only safe way.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1124
   Posted 4/3/2011 11:53 PM (GMT -7)   
I agree with Jim. Talk to your ob, your perinatalogist and your PM doctor. Together , they can come up with a safe taper plan so that you don't jeapordize yourself and more importantly your baby while tapering.
It is the only safe way to do this. Nothing you will find on the internet is going to be helpful for you, because the baby is also involved here and you need to get the advise of professionals and experts in the management of addiction and withdrawal in neonates.
Is your PM doctor aware that you are pregnant? Most PM doctors would have weened you as soon as they discovered you are pregnant.

JCG32
Regular Member


Date Joined Dec 2010
Total Posts : 62
   Posted 4/4/2011 1:43 AM (GMT -7)   
I agree about talking to your doctors asap. There are also programs to assist you such as maybe a day or inpatient program. I would also look into support groups.

purplereading
Regular Member


Date Joined Nov 2010
Total Posts : 92
   Posted 4/4/2011 2:40 AM (GMT -7)   
The only safe way is to go down slowly over time, decreasing according to a schedule. Actually, endometriosis should no longer be a problem if you are pregnant, but there could be a physical dependence and emotional attachement to the oxycontin. 50 mg is alot to take all at once, esp of a short acting med and at 6 times a day. Most doctors would have put you on a longacting med, with you using so much oxycodone. Ask the OB or GP or whoever is taking care of your pregnancy, to refer you to somebody to help you get off the meds, if they do not want to do it . The best way is to lower the dose, and extend the time between the dose. Try to put yourself on a schedule, like every 6 hours, and go down to 40 or 45 mg. Use this dosage for the next 5 days or so, and then decrease it another 5- 10 mg, keeping the time between them at least 6 hours apart.every 5 days or so, decrease the dosage by 5 mg keeping yourself to 4 times a day (n 24 hours). After you get down to 10 mg or so, you may find that you can extend the time between doses to 8 hours or so, and go from there down to 5 mg, every 8 hours for 7 days or so, and then just take one if you really have pain and need it, or if you are still experiencing withdrawal symptoms go to every 12 hours. BUT THE med actually only lasts 3 -4 hours, so you should be able to get off. There are also other meds to help but you will have to ask about the safety for your pregnancy. GOOD Luck, with grit and desire you can do it.

flower123
Veteran Member


Date Joined Apr 2009
Total Posts : 843
   Posted 4/4/2011 4:45 AM (GMT -7)   
Jim is right. It's really important to taper with the help of your doctor, because withdrawals can cause you to miscarry.

msrm--Just wanted to let you know that there are many women who have to take pain medications while pregnant, and it is doable under the care of doctors. It is not ideal, but it does happen in situations where a woman can't otherwise have a child (if she doesn't take her pain medication). There are PM doctors who will still prescribe, and will be a part of the woman's healthcare team while pregnant.

mckelmax, please ask your doctor for a weaning schedule. Welcome to the forum. This is a great place for support.

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 4996
   Posted 4/4/2011 12:04 PM (GMT -7)   

 

         Hello Mckelmax!

               First off, I want to "Welcome you to the CP forum!" wink

      As most here suggest, I would also highly suggest you seek professional help before tapering down from you're pain med's on you're own! Never attempt to do this by yourself as it can be very dangerous not only to you, but your baby as well.

 Before I forget... congrats on the pregancy too! smilewinkgrin

        Now with the sincere welcome out of the way, I wanted to touch base with the Addiction statement you made in you're post here. First, please take the time to read the "Chronic Pain 101 located at the top of our CP forum page. It has a lot of excellant information and a very good article on "Addiction VS Dependency".

     If you are being treated for "Chronic Pain" you can become dependent on the pain med's, not addicted. Can a Chronic pain patient suffer from withdrawals? Certianlly they can! The difference is that you are being treated for Chronic Pain. It is legal and morally right. Don't be ashamed of that ever!

   An addict uses the pain med's for recreational enjoyment, and it is morally wrong and illigal as well. I'm not sure but I'm thinking that the withdrawals can be more severe with an addict. I could be very wrong about this. rolleyes

       None of us are Dr's, so we are limited in that we cannot tell you what to do. We can however support and suggest a direction and share our own personal experience with you.

        As far as the "endometriosis goes, I was thinking that it can spread to other parts of the body? ....so I'm not sure if you will be without pain once you become pregnant. Again please seek professional care with you're PCD.

       We also had a young lady here on the forum a while back that went through her pregnancy while on pain med's and I'm thinking quite a few other med's for that matter. I do believe she was tapered down on some of them, but not taken completely off of them. I will ask her and see if she will comment here to keep the story correct. She has two beautiful baby girls now and I do believe they are healthy as well. smilewinkgrin

      Again, I wanted to welcome you here! We have a great supporting membership, and I'm sure if you stick around you will thoroughly enjoy them. wink

         Please do come back and update us, as we love a prego CP member! smilewinkgrin

       Take care,

            SE wink

      One more thig!...if you're not seeing a PM, you really should be. Most of the members would agree that you should be on an extended release pain medication. The dose of "Oxycodone" you're currently on, really does seem rather high to me. shocked   

        


"The clock is running. Make the most of today. Time waits for no man. Yesterday is history. Tomorrow is a mystery. Today is a gift. That's why it is called the present."

Post Edited (Screaming Eagle) : 4/4/2011 1:02:19 PM (GMT-6)


Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 4/4/2011 12:40 PM (GMT -7)   
Hi all,
 
Many of you know that I delivered twins in September.... and started off on extremely high doses of narcotics, muscle relaxants (and a whole mess of other meds, too).  I wasn't supposed to be able to conceive again, so it was obviously a complete surprise.  Many of you know, too, that I was a mess in the beginning.  When an ER doc told me I was pregnant - I was crying and the first thing I said was "look at all the medications I'm on... what am I going to do?".
 
A successful pregnancy can happen for a chronic pain patients.  Many will be able to get off meds.  Some will not...and if things are managed well - a healthy baby and mom are completely possible. 
 
I was able to taper down - further than any doctor expected me to be able to.  However, I had to go back up on the meds during the last month - at my doctors insistence.  The pain issues were spiking my blood pressure and presenting other issues.  Long story short, both babies were born healthy.... they did a quick, quick taper of morphine (over 5 days).... a preventative measure as they did not exhibit any withdrawal symptoms.
 
So - long story short - this can be done.  It's a combination of hard work, finding the right doctors that know what they are doing, tapering down appropriately and so forth.  It's never an ideal situation to be on any meds while pregnant.  However, we all know we don't live in an ideal world... and a chronic pain patient CAN deliver a healthy baby/babies.
 
I know this topic is also controversial and there will probably be some that blatantly disagree.  That's ok - but I've lived through it so I know what's possible :)  Many of you here were my strongest advocates and it means more than I can say.  I think of you often when I see my little girls smile.
 
Mckelmax2011 - I hope you read these posts.  Feel free to e-mail me if you want to discuss more or have any specific questions (click on my user name and my e-mail is there). 
 
--Tina
 
 
Main Health Issues: Dysautonomia/POTS; CFS/Fibro; Chronic Pain (back issues, migraines, carpal tunnel, among other things); Chronic Hypertension; Hypothyroidism and Hypoadrenalism; Mixed Sleep Apnea (on BiPap); Depression/Anxiety; Vitamin D Deficiency.

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 4/4/2011 12:44 PM (GMT -7)   
Wanted to add one more thing re: what SE wrote:

Mckelmax2011 - Addiction and dependance ARE two different things. Most of us here ARE dependant on our meds - meaning...if we don't take them - we will exhibit symptoms like you stated (restless legs and a zillion other things). Addiction is another thing. I would definitely take a peek at the Addiction vs. Dependancy articlet that SE mentioned.

Take good care! and congrats on your pregnancy. --Tina
Main Health Issues: Dysautonomia/POTS; CFS/Fibro; Chronic Pain (back issues, migraines, carpal tunnel, among other things); Chronic Hypertension; Hypothyroidism and Hypoadrenalism; Mixed Sleep Apnea (on BiPap); Depression/Anxiety; Vitamin D Deficiency.

spinal soldier
Veteran Member


Date Joined Dec 2009
Total Posts : 629
   Posted 4/4/2011 3:58 PM (GMT -7)   
go be honest with your doc which it looks like you are and lay it all out. with mothers in a metahdone program if it's not early in the pregnancy they keep everything normal. the baby does not have W/D symptoms in 100 percent of cases but 80% do. they (obstetrician) will administer iv morphine and taper that after about 25 days. Methadone is hard to withdraw from but oxycodone is bad also. maybe you can get a matinence med. but do not stay in withdrawals! that is the worst case for you both.

broadway3124
New Member


Date Joined May 2011
Total Posts : 1
   Posted 5/9/2011 3:12 PM (GMT -7)   
Hi My best friend is goin though the same thing you are goin though. She doesn't know how far along she is but she has an apt w the ob gyn Tues but she's goin though really bad withdraws bc she's out & noone will help her out & said she might not go to the ob gyn on Tues bc of how she's feelin. She says she want to get off of them too. Good luck to you.

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1124
   Posted 5/9/2011 4:51 PM (GMT -7)   
Hi Flower,
Yes, I know all too well that someone with chronic pain can and might be treated with narcotic pain medications while pregnant. I was one of the people that helped Tina during her pregnancy regarding pain medications and being pregnant. I also lived it, twice , with my sons so I am aware that some pm doctors will allow treatment for certain conditions while pregnant, but I also know that the withdrawal can be very difficult on a neonate and many pm doctors are not familiar with how to treat those patients during pregnancy and after the delivery.
My suggestion to the original poster about talking to her ob, perinatalogist and her pm doctors was because of the amount of oxycodone that she is taking, any tapering plan needs to be monitored by all her doctors. There are only certain opiates that are safely and I mean that relatively, in pregnancy, and oxycodone is not one of them, especially at the amounts she is taking daily.
I wouldn't want to be responsible for giving her a taper plan and having something bad happen to her pregnancy or to her.
Motorcycle accident 1992, Back problems from 92 to 2005. August 2005- early 2006- Chiropractor care
March 2006- consult with surgeon -PLIF/TLIF L4-5, spondylolysthesis, canal and foraminal stenosis, multiple herniations
Post Op Cauda Equina Syndrome
Revision August 2007- salvage op
March 2011- 2nd onset of Cauda Equina Syndrome
Needs surgery to prevent paralysis

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 5/9/2011 5:26 PM (GMT -7)   
I absolutely agree w/ everything Sandi wrote... and, Sandi - you didn't just "help" me.... you were one of the main people that really got me through my pregnancy....I mean that in all sincerity and will always appreciate all you did for me.   You were the cheerleader that said "you can do it; it's going to be ok" when I was beyond freaking out (and you know that!!).
 
Thankfully, I had a very positive outcome - due to a combo of things.... 
 
It's a very difficult place to be in - on narcotics and to find out you are pregnant.  Tapering absolutely needs to be monitored.... and a good doctor is a necessity.
 
--Tina
 
 

MissTori
New Member


Date Joined Jul 2012
Total Posts : 1
   Posted 7/7/2012 7:58 PM (GMT -7)   
Hello Tina... I am new to this site. & Don't really feel comfortable putting my personal information out there for the world to see. But I do have some questions... I've read your posts over & over to make me feel a little bit better about my situation. Is there a way we can message eachother back & forth on here or email... Some type of way?? Or anybody who has been in this situation & knows information about it?? Please I would be so greatful!!! I need to talk to someone asap, I feel like I'm about to have a heart attack with my whole situation! confused

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 7/7/2012 9:35 PM (GMT -7)   
Hi Tori,

First - breathe, lol. I know it's hard... but it will be ok. The one reason I stay w/ this board.... above all the wonderful people that I've met here.... is to help share my experiences - especially the use of narcotics during pregnancy. I do like to share as much on the board, because I think it helps w/ this whole "taboo" thing that follows along w/ this.... But I'm more than happy to chat w/ you by e-mail.... unfortunately, I'm well-versed in this arena! If you click on my member name - it will lead to my profile and my e-mail address is there. Please feel free to e-mail me and I'll help you as much as I can.

I'm going to lock this thread.... but if anyone else reads it and has questions re: pregnancy, narcotics, etc. - PLEASE feel free to post or to personally e-mail me. It's one of the reasons I'm here. Thank you.
Moderator - Chronic Pain Forum

My faith and family sustain me even on my worst days... as well as my wonderful friends here at HW.

Health/Pain Issues - too many to list; feel free to ask
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