What, If Any, Side Effects Are There To An Infant If You Take Oxycontin Or Oxycontin While Breast Feeding?
How does it take for it to clear your system before it is safe to resume breastfeeding?
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How does it take for it to clear your system before it is safe to resume breastfeeding?
I know people are saying it is not safe but …
When I was in the hospital after giving birth to my daughter the woman next to me was taking Oxycontin instead of Tylenol with Codiene for her c-section pain. She was breast feeding at the same time. None of the nurses, Dr’s or lactation consultants seemed to think it was a concern!
Talk to your Dr or pharmacist about it. They may be able to change your prescription to something else or reassure you that it is okay. If you are not in extreme pain there is no need to be taking the Oxycontin. You can just not take it! I was prescribed a giant bottle of the Tylenol with Codiene when I got out of the hospital but I had stopped taking it while I was still there! I could handle the pain and I didn’t like how the Tylenol was making me feel so I stopped taking it. It is not like a dose of antibiotics where you MUST finish all the pills. Pain relievers only need to be taken when absolutely necessary. Who cares if you paid for 20 pills and only used 2? You DON’T have to take it!
Oxycontin DOES get into breastmilk. The possible side effects for baby would be teh same possibles for you only to a much more serious degree as baby has no toelrance.http://www.pdrhealth.com/drugs/rx/rx-mon…
do not breastfeed till you ask the docter that is the generic for percocet a very powerful pain pill
My neice was on oxy and preg, she went to a methadone clinic,and that helped. Her baby has turned out fine, but she did stop the oxy during the last three months of her pregnacy. One doc told her she could not breast feed at all, but another told her to go ahead, that the baby would wen off as she did. Good look to you, I hope that everything turns out great for you and you little one. Be sure to be totally honest with your doc and your babys doc, so that they can give you the best advice for your situation.
Oxycontin should only be taken if you are in extreme pain. My son is a heroin addict BECAUSE of this drug and a doctor who gave it to him underage. By melting it and shooting it up, it’s the SAME THING AS HEROIN. WHY are you taking it???? Do not allow ANY of this medicine enter into a baby under any circumstances!!!!!!!!!!!!!!!!!!!!!!!!!!!…
“Maternal use of maximum dosages of oral narcotics while breastfeeding can cause infant drowsiness. Newborn infants seem to be particularly sensitive to the effects of even small dosages of narcotic analgesics, particularly in the first week of life. However, the newborn’s dosage is limited by the small volumes of colostrum in the first 2 to 3 days postpartum. Once the mother’s milk comes in, it is best to limit maternal intake of oral oxycodone (and combinations) and to supplement analgesia with a nonnarcotic analgesic if necessary. A maximum oxycodone dosage of 30 mg daily is suggested. Oxycodone elimination is decreased in young infants and much inter-individual variability exists. Monitor the infant for drowsiness, adequate weight gain, and developmental milestones, especially in younger, exclusively breastfed infants.
Drug Levels:
Oxycodone is metabolized to the active metabolites, noroxycodone and oxymorphone. In adults, oxycodone has an oral bioavailability of 60% to 87% in adults.[1] Oxycodone elimination is decreased in young infants and much inter-individual variability exists. Oxycodone can be dangerous when used as an analgesic in newborns.[2]
Maternal Levels. Six breastfeeding mothers who were using 1 to 2 capsules containing a combination of 5 mg oxycodone and 500 mg acetaminophen every 4 to 7 hours for post-cesarean section pain had their milk sampled several times after successive doses. Peak oxycodone milk levels reportedly occurred 1 to 2 hours after the first dose and then at variable times after successive doses. The number of hours after a mother’s last dose when oxycodone could still be measured in milk was depended on the number of doses taken. Oxycodone could be measured in milk up to 4, 12, and 36 hours after 4, 9, and 11 doses respectively. In all the mothers, measured oxycodone milk levels ranged from undetectable (<5 mcg/L) to 229 mcg/L. The authors estimated that an exclusively breastfed infant would receive a maximum 8% of the maternal weight-adjusted dosage of oxycodone, but active metabolite levels were not measured.[3]
Fifty mothers who delivered by cesarean section and received oxycodone had milk (colostrum) and serum samples measured for oxycodone at 24, 48 and 72 hours postpartum without respect to the time of the previous oxycodone dose. The most common doses received by the mothers during the previous 24 hours (including one 30 mg dose rectally immediately post surgery in some cases) were 60 mg (range 30 to 90 mg), 40 mg (range 0 to 90 mg), and 20 mg (range 0 to 50 mg), respectively. Mean colostrum concentrations at the 3 collection times were 58 mcg/L (range 7 to 130 mcg/L), 49 mcg/L (range 0 to 168 mcg/L), and 35 mcg/L (range 0 to 31 mcg/L), respectively. Little correlation was found between maternal dosage and colostrum concentrations, although colostrum levels correlated well with maternal serum levels, with a colostrum concentrations 3.2 to 3.4 higher than serum. Ten mothers had colostrum oxycodone concentrations over 100 mcg/L and 5 had detectable oxycodone in milk 37 hours after the last dose.[4] Infant Levels. In a study of 50 mothers taking oxycodone post-cesarean section, 45 blood samples were taken from 41 breastfed infants at 24, 48 or 72 hours postpartum. Only 1 of the samples had a detectable (>2 mcg/L) oxycodone level of 7.4 mcg/L. Because these infants were in the first 3 days postpartum, their dose was probably limited by the small volumes of colostrum they were ingesting.[4]
Effects in Breastfed Infants:
A 10-month-old, 7.7 kg infant of a prescription drug-dependant mother died of cardiac arrest after a 12- to 24-hour period of lethargy, hypersomnolence and dyspnea. The infant also had a recent history of fever. The mother had reportedly been breastfeeding the infant 3 times a day for several weeks and had taken 180 mg of oxycodone, as well as muscle relaxants, the day prior to her infant’s death. A blood oxycodone level of 600 mcg/L was measured on autopsy. The medical examiner considered it unlikely that such a high level of oxycodone in the infant’s blood could be due to breastfeeding exposure as reported by the mother and thus considered the death a homicide resulting from either the intentional administration of oxycodone directly to the infant or from a higher dose of oxycodone in breastmilk than that reported by the mother.[5]
In a study of 50 mothers taking oxycodone post-cesarean section, 50 neonates were evaluated for sedation ever 24 hours after birth. None was severely sedated and less than 4% had sedation of 3 on a 1 to 5 scale. Because these infants were in the first 3 days postpartum, their oxycodone dose was probably limited by the small volumes of colostrum they were ingesting.[4]
Possible Effects on Lactation:
Oxycodone can increase serum prolactin.[6] However, the prolactin level in a mother with established lactation may not affect her ability to breastfeed.
AAP Category:
Not listed, but the narcotic morphine is rated as usually compatible with breastfeeding.[7]“http://toxnet.nlm.nih.gov/cgi-bin/sis/se…
Alternate Drugs to Consider:
Acetaminophen, Ibuprofen, Morphine
Also check out:http://www.kellymom.com/health/meds/pain…
Anything a mother eats or drinks comes through in the breast milk. I would suggest not taking this drug unless you would like to cause harm to your baby. Oxycontin is a very strong narcotic.
Stop and think about what you are doing! This is your child’s health at risk don’t do it!!!
Pregnancy
The drug should not be taken by pregnant females and nursing mothers. Neonates whose mothers have been taking oxycontin chronically may exhibit respiratory depression and/or withdrawal symptoms, either at birth and/or in the nursery. Breast feeding should not be undertaken while a patient is receiving OxyContin because of the possibility of sedation and/or respiratory depression in the infant.
Why would you do that? It’s a pretty good rule of thumb to assume that ANYTHING you put in your body will pass through your milk to your child. Choose wisely what those things will be.
The first answer gave you the stats.
DO NOT TAKE WHILST BREASTFEEDING.
I’d consult your doctor for a different drug if you really need one
Yes, my doctor prescribed this drug (percocet) to me while I was still in the hospital for pain. I was concerned bc I was breast feeding and I asked him if it was safe, he told me yes, but I didn’t take it anyway bc I knew how it made me feel (droswy) and I didn’t want my baby to feel like that. I still have a full bottle of them sitting in my drawer.. I’ll probably just flush em.