Am in contact with a mother with severe back pain due to injury and 
surgery, that has resulted in a permanent disability.  Baby delivered by 
c-section at 32 weeks and locked into the NICU until reached 37 weeks.  
In NICU staff asked her what medication she was on, and then called 
Child Protection Services to request complete profile on her as a fit 
mother before considering the return of baby and allowing her to feed 
EBM, so baby has been on formula.  Despite medication being approved 
throughout pregnancy etc

Mother has been pumping and dumping since, to build and maintain supply, 
whilst going through hoops on both medication and prove she can take 
care of baby with disabled back.  She has also developed a severe 
infection in wound that required surgery to remove section of skin and 
is looking at a 3 month heal.  Baby should be returned next week, when 
she reaches 37 weeks.

Whilst they've investigated the risk component of each separate drug, 
she'd feel better if more experienced professionals could advise on the 
combined drug regime that's been decided, hence the post.  In her own 
words, she's on...

"Hydrochlorothiazide 25 mg once per day... they put me on this to keep 
my blood pressure in check since it went thru the roof and they had to 
deliver her. Thought I haven't had issues since then. I have been told 
this is safe by my OB...

Hydrocodone -- which I did a lot of reading on, so I don't need research 
on this on. I know that I can't if I can help it feed her within 90 mins 
of taking the pill to reduce her exposure to it... and to watch her for 
sleeping too much.

Oxycodone - which I am on currently instead of Hydrocodone, but if need 
be can get back on Hydrocodone by the end of the week... I am not sure 
what the stronger pain medicine would do to baby... So... I do need to 
some answers if that is safe.

Synthroid 100 mcg... which is for my thyroid which is very safe...

and finally I am on a high powered anti-biotic which is done in 2 
days... and then I think I am safe to start saving milk. I opted not to 
save milk while on antibiotics since it can cause hearing and balance 
issues in large doses... and didn't want to cause problems with baby 
since she couldn't have the milk currently. So I think that is about 
it... that we should be set with a bit of help on the Oxycodone and 
Hydrochlorothiazide... and then once she is home... I have to transition 
her to my breast... which I think I know how to do.... but any 
suggestions are welcome..."

Any one have any suggestions on these drugs/better combos etc?

many thanks

Morgan Gallagher

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