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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Breastfeeding. Back Pain. Weaning Off Methadone. Is Breast Milk Safe For Child?

I have a 8week yr old baby. I've been pumping and putting her to breast. I've been weaning myself off methadone i'm down to 40mg but today took double that (80mg) because really bad pain in my back and thought it would help can I still give her breastmilk today or should I wait and just give her the formula all day ( I normally give her both formula and breast milk) I don't want to risk anything. Please help.
Fri, 18 Oct 2013
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Addiction Medicine Specialist 's  Response
Hi,

Since the baby is already on formula milk, therefore it will be safer to give her formula milk today to avoid exposure to the extra dose of methadone that you took today. But please keep a close watch on the baby as she may show signs of methadone withdrawal, as she has been getting methadone daily through the breast milk. Please also try to taper off your methadone dose as soon as possible. Try using over the counter medicines or topically applied analgesic ointments for back ache. Methadone is not a good option for pain relief because suddenly doubling the dose puts you at risk of death from from respiratory depression. Please do not do this again.

Hope this helps you. Best wishes.
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Breastfeeding. Back Pain. Weaning Off Methadone. Is Breast Milk Safe For Child?

Hi, Since the baby is already on formula milk, therefore it will be safer to give her formula milk today to avoid exposure to the extra dose of methadone that you took today. But please keep a close watch on the baby as she may show signs of methadone withdrawal, as she has been getting methadone daily through the breast milk. Please also try to taper off your methadone dose as soon as possible. Try using over the counter medicines or topically applied analgesic ointments for back ache. Methadone is not a good option for pain relief because suddenly doubling the dose puts you at risk of death from from respiratory depression. Please do not do this again. Hope this helps you. Best wishes.