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Post by mcclain on May 30, 2014 15:41:13 GMT -5
Over the past few shifts I've noticed there's not a clear guide for when a breastfeeding mama needs to pump and dump after narcotic medication. Obviously we need to treat their pain appropriately. Moms take Percocet after C-sections and continue to breastfeed their babies. How many morphine equivalents would be appropriate before the mom has to pump and dump? And how long should she pump and dump?
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Post by drizsak on Jun 18, 2014 5:46:47 GMT -5
Check out LactMed: toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACTOxycodone is metabolized to the active metabolites, noroxycodone and oxymorphone. Oxycodone has an oral bioavailability of 60% to 87% in adults.[2] Oxycodone elimination is decreased in young infants and much inter-individual variability exists. Oxycodone can be dangerous when used as an analgesic in newborns.[3] Maternal Levels. Six breastfeeding mothers who were using 1 to 2 capsules containing a combination of 5 mg oxycodone and 500 mg acetaminophen every 4 to 7 hours for post-cesarean section pain had their milk sampled several times after successive doses. Peak oxycodone milk levels reportedly occurred 1 to 2 hours after the first dose and then at variable times after successive doses. The number of hours after a mother's last dose when oxycodone could still be measured in milk was depended on the number of doses taken. Oxycodone could be measured in milk up to 4, 12, and 36 hours after 4, 9, and 11 doses respectively. In all the mothers, measured oxycodone milk levels ranged from undetectable (<5 mcg/L) to 229 mcg/L. The authors estimated that an exclusively breastfed infant would receive a maximum 8% of the maternal weight-adjusted dosage of oxycodone, but active metabolite levels were not measured.[4] |
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Post by mcclain on Jun 18, 2014 11:21:30 GMT -5
Thank you!
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