Has anyone been prescribed Oxycodone while pregnant or nursing?

http://safefetus.com/DrugDetail.asp?DrugId=1163&Tr...

Generic Name Oxycodone

Trade Name Oxycontin

Manufacturer

Risk Category

B*

* Controlled studies done on animals in reproduction do not indicate risk to the fetus.

* No adequate and well-controlled studies done on pregnant women.

The risk category will be D only if used for prolonged period or in high doses at term.

FDA Pregnancy Risk Categories

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Indication

* Narcotic analgesic

Fetal Risk

* No fetal adverse effects in animals.

* Limited human data but no association with congenital defects reported during, 1st trimester exposure

* With prolonged use it may cause neonatal withdrawal.

Breast Feeding

* Excreted into milk.

* Potential effects in nursing infants are: Sedation, gastrointestinal effects, and change in feeding pattern.

http://toxnet.nlm.nih.gov/cgi-bin/sis/search/f?./t...

Summary of Use during Lactation:

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. If the baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, breathing difficulties, or limpness, a physician should be contacted immediately.

[...]

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]

Pain medications and breastfeeding

http://www.kellymom.com/health/meds/pain-meds.html

Oxycodone And Breastfeeding

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I can't give you medical advice: you would need to ask your doctor about your particular situation. However, percoset contains oxycodone, which is in the same class of drugs as heroin and cocaine (they are all related to morphines, and as a class are called "opioids"). Opioids are known to cross the placenta and enter the fetus's bloodstream. Opioids can cause complications during pregnancy, and since the baby has been exposed to them throughout the pregnancy, he/she can be physically dependent at birth. Stopping would avoid all of this, but if it going to send you into unbearable pain, the stress of that might be worse for the baby than the oxycodone. An important caveat to note is that the problems associated with opioids are usually based on the results of opioids like heroin/cocaine during pregnancy. The reason your doctor gave you percoset (rather than oxycodone straight up) is because the percoset also has acetaminophen (a/k/a Tylenol) in it, which means you need much less opioid for the same effect. In other words, although you ARE taking an opioid, you aren't taking NEARLY as much as the women that those "stop taking opioids" recommendations were intended for, and your baby is MUCH less likely to be affected than theirs. In the end, the decision is yours. Are the opioids a bad thing for your baby? Technically, probably yes, but technically, probably so is the radiation from the WiFi at Starbucks. Ultimately, though, your doctor is by far the best qualified to help you make the final decision. Until then? Tapering down the percoset dose might be a good idea if its bearable (please note, though: DO NOT try taking more Tylenol to make a lower dose of percoset work better. The acetaminophen dosage is already maxed out in the percoset, if your acetaminophen levels get too high, you will cause severe and potentially fatal liver damage to yourself). Consider calling the doctor's office, and asking them if a nurse can give you a temporary recommendation (i.e., "is percoset bad for my baby?") until you can get in to see the doctor. If they won't give you even that, try asking your pharmacist; they are pretty knowledgeable about things like that. Other than that, good luck, and congratulations on your pregnancy!

Yes.

I had a complication with my son's birth on Wednesday morning, and after a natural labor ended up being given emergency pitocin, methergen and cytotech as well as a transfusion. After all those meds to stop the bleeding and contract my uterus, I was in more pain than any of my labors (this was my fourth.) and my midwife gave me percocet (oxycodone) and stadol - without it I could neither have rested or tolerated the additional contraction/cramps of nursing. Now, baby is fine and not overly sleepy, and we are able to nurse.

Oxycodone is regularly given to c-section mami's after they are done with the heavy IV drugs, and they nurse.

Unlike pregnancy, nursing does not preclude the use of many medications.

I was given that after my c-section and they knew I was trying to breastfeed. I don't know what other painkillers they can give you post-op if you do have a c-section but I can tell you that without it the pain was excruiciating. I'll spare you the gory details but I tried to breastfeed without the pain killers after my c-section and I was sobbing in pain. It was the worst pain of my entire life because the nursing caused my uterus to contract and with an incision there and no pain killers. It gets worse but I'll stop there.

I'm guessing that some of the people acting shocked about it never had a c-section. lol I think that prescription strength pain killers are really necessary post-op and a c-section is a major operation!

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They generally prescribe Oxycodone to all women who have had c-sections. It does make your baby drowsy but it wont harm him. It's necessary. Trust me.

1

I was sent home from the hospital on it after my c-section and I was nursing. It can make the baby drowsy so try to take it right after you finish a nursing session.

Good luck

No. They should not prescribe any Oxycodone while you are pregnant or nursing.