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Subject:
From:
"Pat Lindsey, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 23 Apr 1997 23:26:59 -0400
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text/plain
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Dear Dr. Jack, Dr. Hale and fellow Lactnetter,

I have a client seven months pregnant, only gained 10 lbs. She's an addict
being detoxfied and is presently taking 40 mg of methadone and 2 mg of xanax.
 I'm concerned that the methadone dose is above the 20 mg that is AAP
approved for a breastfeeding mother. And also concerned with the xanax which
has a long half life is not AAP approved.  I bear in mind that most likely
less of these drugs will come through her milk than the baby is presently
getting through the placenta.  Also I'm concerned with the baby having
withdrawal from the methadone and possible even the xanax which is quite
addictive itself.  Does anyone have any experience with addicts and babies
born to them?  What can I expect of this baby?  Will it be safe to breastfeed
and continue these drugs at these dose levels?  Any information or
suggestions will be appreciated.

Pat Lindsey, IBCLC near Orlando, FL

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