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Oxynorm in Pregnacy?
Saw OB this morning for regular appointment and to book in c-section...
Registrar that I saw Monday suggested to me that c-section be early due to the pain I'm in from scar tissue around c-section site... however this senior OB likes to wait until 39 weeks, and I was only able to convince him (through tears I might add) to bring it forward, and we have been booked in for the c-section for 38 weeks 3 days which is 20 days away... he would prefer for me to be on Oxynorm for the pain than the baby arriving early...
Has anyone else been on this and what kind of side effects did baby get?
When I asked him he was that yes the baby could get addicted however they have an excellent team to look after those problems once baby arrives... I would have thought it would be better for baby to arrive early than expose him to drugs :-(
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OMG is that dr for real? That sounds ludicrous.... having your baby in the next few weeks would be fine... Having it addicted to morphine which is was oxynorm is (synthetic version ) that is terrible :(
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oh gosh.. Can you deal without the drugs for another 20 days? I know it might sound like a life time, but Ide rather do that than put my baby through it. THAT being said, I have never been through what you are going through, only you can decide whether the pain is bearable enough to put up with. But yes, I would think he would rather deliever earlier than put you on a drug that would affect the baby.
That didnt answer your question at all, sorry. Ive never even heard of oxynorm.
ETA -
I found this info on Dr Google -
How does it work?
OxyNorm capsules, liquid and injection all contain the active ingredient oxycodone hydrochloride, which is a type of medicine called an opioid painkiller. It is related to morphine.
Opioid painkillers work by mimicking the action of naturally occurring pain-reducing chemicals called endorphins. Endorphins are found in the brain and spinal cord and reduce pain by combining with opioid receptors.
Oxycodone mimicks the action of natural endorphins by combining with the opioid receptors in the brain and spinal cord. This blocks the transmission of pain signals sent by the nerves to the brain. Therefore, even though the cause of the pain may remain, less pain is actually felt.
Oxycodone is used to relieve moderate to severe pain, for example associated with cancer or severe injury, or following surgery.
OxyNorm capsules, liquids and injections are short-acting forms of oxycodone. OxyNorm capsules and liquids need to be taken every four to six hours to provide continuous pain relief. The injection may be given more frequently than this, or may be given as a continuous infusion (drip into a vein or under the skin).
What is it used for?
Relieving moderate to severe pain in cancer or following surgery.
Relieving severe pain that is not relieved by weaker painkillers.
Warning!
This medicine may cause drowsiness. If affected do not drive or operate machinery. Alcohol should be avoided as it will make any drowsiness worse.
Opioids such as oxycodone frequently cause constipation. Constipation can often be eased by eating plenty of fibre, such as fruit, green leafy vegetables and bran and by drinking six to eight glasses of water each day. However, if this doesn't work or is not possible a laxative may be needed. Ask your doctor for advice if you get constipated while taking this medicine.
If this medicine is taken for prolonged periods of time, the body can become tolerant to it and it may become less effective at relieving pain. This means that with time, higher doses may be needed to control pain. With prolonged use the body may also become dependent on the medicine. As a result, withdrawal symptoms can occur if the medicine is stopped suddenly. For this reason, when a person no longer needs this medicine it may be necessary to reduce treatment gradually to avoid withdrawal symptoms.
This medicine is not licensed for use in children or adolescents under 18 years of age.
OxyNorm concentrate and 5mg capsules contain the colouring sunset yellow. This may cause allergic reactions such as asthma attacks, particularly in people with an allergy to aspirin. OxyNorm liquid and concentrate contain the preservative sodium benzoate, which is a mild irritant to the skin, eyes and mucous membranes. Avoid contact with these areas.
Use with caution in
Elderly people.
Weak or debilitated people.
Abnormal muscle weakness (myasthenia gravis).
Severe lung disease.
Low blood pressure (hypotension) or low volume of circulating blood (hypovolaemia).
People with reduced blood flow to vital internal organs (shock).
Mild to moderately decreased kidney function.
Chronic kidney disease.
Mildly decreased liver function.
Chronic liver disease.
Diseases of the bile ducts.
Inflammation of pancreas (pancreatitis).
Inflammatory bowel disease such as ulcerative colitis or Crohn's disease.
Enlarged prostate gland (prostatic hypertrophy).
Underactive thyroid gland (hypothyroidism).
Lack of production of natural steroid hormones from the adrenal gland (adrenocortical insufficiency).
History of convulsions (fits), eg epilepsy.
People dependent on opioids.
History of drug, alcohol or medication dependence or abuse.
Alcoholism.
Serious medical condition caused by withdrawal from alcohol (delirium tremens).
People with mental and behavioural disorders caused by a toxic substance (toxic psychosis).
People who have recently had abdominal surgery.
Not to be used in
People with slow, shallow breathing resulting in low levels of oxygen and high levels of carbon dioxide in the blood (respiratory depression).
People with an abnormally high level of carbon dioxide in their blood (hypercarbia).
Chronic obstructive pulmonary disease (COPD).
Chronic asthma.
People with a head injury or increased pressure in the brain (raised intracranial pressure).
People in a coma.
People with inactivity of the intestine that stops material passing through the gut (paralytic ileus).
People with delayed emptying of the stomach contents into the intestine.
Chronic constipation.
Sudden emergency conditions affecting one or more of the organs in the abdomen (acute abdomen, eg appendicitis).
Severe enlargement of the right side of the heart due to high blood pressure in the pulmonary artery (cor pulmonale).
Moderate to severely decreased liver function.
Severely decreased kidney function.
Hereditary blood disorders called porphyrias.
People who have taken a monoamine-oxidase inhibitor antidepressant (MAOI) in the last 14 days.
Pregnancy.
Breastfeeding.
This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.
If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.
Pregnancy and breastfeeding
Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.
This medicine is not recommended for use during pregnancy or labour because it may cause breathing difficulties in the baby. Babies born to mothers who have been having long-term treatment with this medicine may have withdrawal symptoms after birth. Seek medical advice from your doctor.
Significant amounts of this medicine may pass into breast milk. It should not be used by breastfeeding mothers as it may cause breathing problems in the nursing infant. Seek medical advice from your doctor.
Label warnings
This medication may cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink.
Side effects
Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Just because a side effect is stated here does not mean that all people using this medicine will experience that or any side effect.
Common (affect more than 1 in 100 people)
Headache.
Dizziness.
Drowsiness or sedation.
Disturbances of the gut such as constipation, nausea, vomiting, indigestion, abdominal pain or diarrhoea.
Loss of appetite.
Dry mouth.
Increased sweating.
Itching.
Rash.
Weakness or loss of strength (asthenia).
Chills.
Shortness of breath or difficulty breathing.
Confusion.
Anxiety or nervousness.
Difficulty sleeping (insomnia).
Abnormal dreams.
Uncommon (affect less than 1 in 100 people)
Sensation of spinning.
Flushing.
Low blood pressure (hypotension).
A drop in blood pressure that occurs when moving from a lying down or sitting position to sitting or standing, which results in dizziness and lightheadedness (postural hypotension).
Mood swings or changes.
Euphoria.
Depression.
Agitation or restlessness.
Hallucinations.
Feeling disorientated.
Loss of memory (amnesia).
Pins and needles or numb sensations.
Muscle rigidity or floppiness, twitching or tremor.
Convulsions.
Taste disturbances.
Pin point pupils.
Visual disturbances.
Hiccups.
Swallowing difficulties.
Slow, shallow breathing (respiratory depression).
Difficulty passing urine (urinary retention).
Fluid retention causing swelling, eg of the ankles (oedema).
The side effects listed above may not include all of the side effects reported by the medicine's manufacturer.
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I've been reading up on the drug :-( and I'm not liking it one little bit... the main concern for the baby other than addiction is breathing difficulties, which is the ONLY reason the OB didn't want to deliver early... surely with that being the risk between both options then him being early isn't going to be much different
He's a big boy... at 32 weeks they already estimated him at 5 pound 3 ounces, my last two bubs were 9 pound 4 & 9 pound.
I'm going to get a second opinion before I start them and then only take them if and when needed... my baby does not NEED drugs
Perhaps I should just over do life and try and bring him on earlier... cause if i go into labour I have to go straight in
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not such a silly idea lol. Maybe some accupuncture??
What i was reading... doesnt to state to do the same thing that panedene forte does? Is that a safer option?
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Unfortunately I had panedene forte while in pregnancy assessment on Monday night and yip it worked well while laying down... but the small trip to the bathroom and back caused the pain to return.
I've got an irritable uterus that's been playing games with me for the past two weeks, but for the first time this morning I actually had mild back contractions that I don't think are the same as what I was getting in the front... so maybe that will turn into something... god I don't know... why can't all this be simple... if it was only going to affect me I'd have no problem with anything... but what ever I take / do is going to affect this little man :(
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Im so sorry you are having to deal with this :hug: xox
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Pain has already started for today... I'm putting it down to the contractions that woke me every half hour between 1 & 4 this morning... lots of pressure this morning also which won't be helping...
I've decided not to take the drug but head into Pregnancy assessment when the pain gets too bad and try and talk to the pain management team and air my concerns instead, IF and that is a big IF... I do have to take the drug I want to be monitored on the CTG to ensure that the affects on baby will not affect his heart rate.