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