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Is ths actually possible?

post #1 of 8
Thread Starter 

It's hard to look stuff up while nak. I came across this:

http://www.azcentral.com/news/articles/2011/06/24/20110624baby-dies-morphine-breast-milk.html

 

Is this actually possible? Isn't it more likely the baby was dosed directly?

post #2 of 8

Well there is a LOT the article leaves out - we dont know if the baby was nursing like 4 times a day ...being that she was taking the morphine since the baby was born - it stands to reason the baby was a little sleepy as well.  And it sounds like the mother was taking morphine orally as well as in a patch?  Was she taking them together?  Who prescribes a pregnant woman morphine?  And if she legally obtained the morphine in her 6 weeks postpartum  - how much morphine was that doctor on?  - Meaning - when the doc examined this woman couldnt he tell she had recently given birth?  Wouldnt this question come up "Are you breastfeeding?" 

i really dont know - its sad either way.

post #3 of 8

I read several articles about this case, one named 4 different pain medications she was on. Two were patches; two were pills:

Fentanyl - Pain med that comes in Patch form.  Often given to people who suffer from constant pain.

Duragesic - Pain med along the same type as Fentanyl.

Morphene - In pill form

Hydrocodon - also known as Vicoprofen

 

That list was copied/pasted from the article.

She fraudently obtained prescriptions for these medications.

 

Here's a quote from an article from a LLL spokeswoman: 

Breast-feeding mothers are allowed to take morphine because low levels of the painkiller pass into the mother's milk when taken properly, said Diana West, a spokeswoman for La Leche League International, which encourages breast-feeding in new mothers.

"Most drugs like morphine pass so poorly through human milk that it is nearly impossible for a child to have a therapeutic dose, much less a lethal dose," West said.

 

I would assume there were two ways this could happen. 1.The morphine was given to the baby directly or 2.This woman was on so much medication I don't see how she could function.

 

I hope this does not hurt women who need pain med prescriptions while breastfeeding! I have no idea what this woman was thinking. I don't normally hear of women abusing drugs/meds also breastfeeding. They tend to formula-feed or their family ends up taking care of the baby.

post #4 of 8

How tragic.

 

This is possible - some mothers metabolize opiates differently than others, and the metabolites are passed into breastmilk at levels that can sedate a newborn. This is why mothers prescribed opiates are now cautioned to look for excess sleepiness in baby.

 

Motherisk has some good info about codeine and breastfed babies. I gather there are similar cautions for other opiates.

post #5 of 8
Quote:
Originally Posted by PatioGardener View Post

How tragic.

 

This is possible - some mothers metabolize opiates differently than others, and the metabolites are passed into breastmilk at levels that can sedate a newborn. This is why mothers prescribed opiates are now cautioned to look for excess sleepiness in baby.

 

Motherisk has some good info about codeine and breastfed babies. I gather there are similar cautions for other opiates.

 

I have heard this as well, that some mom do metabolize opiates differently and more of the drug can get to the baby.  It is scary, but I don't think it's common.  I think that it's something that people should be aware of, though.



 

post #6 of 8
It's totally possibly - which is why I declined pain meds stronger than acetaminophen and ibuprofen after my C-section.
http://www.theglobeandmail.com/life/parenting/infant/breastfeeding/codeine-can-prove-toxic-for-breastfed-babies/article310860/singlepage/
post #7 of 8

The caution with codeine is actually different than other opiates. Codeine is converted to morphine in the body, and it's the morphine that is the active drug. Some people convert codeine faster ("fast metabolizers"), and thus end up effectively getting a monster dose of morphine, which can understandably have bad effects on mom and/or baby. If narcotics are necessary (i.e. ibuprofen and acetaminophen don't cut it), taking a lower dose of actual morphine would be safer, because then you know how much you and baby are getting and you don't run the risk of inadvertently getting that monster dose. In either case, baby should be watched for over-sedation, of course!

post #8 of 8
Quote:
Originally Posted by erigeron View Post

The caution with codeine is actually different than other opiates. Codeine is converted to morphine in the body, and it's the morphine that is the active drug. Some people convert codeine faster ("fast metabolizers"), and thus end up effectively getting a monster dose of morphine, which can understandably have bad effects on mom and/or baby. If narcotics are necessary (i.e. ibuprofen and acetaminophen don't cut it), taking a lower dose of actual morphine would be safer, because then you know how much you and baby are getting and you don't run the risk of inadvertently getting that monster dose. In either case, baby should be watched for over-sedation, of course!


nice explanation - thanks!

 

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