Methadone maintenance and lactation: a review
of the literature and current management guidelines

by
Jansson LM, Velez M, Harrow C.
Johns Hopkins University School of Medicine,
Baltimore, Maryland, USA.
J Hum Lact. 2004 Feb;20(1):62-71


ABSTRACT

Methadone offers significant therapeutic benefits to the population of pregnant, opiate-dependent women and is currently the treatment of choice for this group. Yet the problem of women who elect to breastfeed while on methadone maintenance frequently vexes providers. Although breast milk offers advantages clearly beneficial to the general population of infants, there is debate about recommending breastfeeding to postpartum women receiving methadone maintenance. Although previous research has shown that amounts of methadone in breast milk appear to be very small, and therefore breastfeeding seems to be safe, women on methadone do not often breastfeed, for a variety of reasons. This article provides an overview of the issues facing providers in treating methadone-maintained women who elect to breastfeed. A comprehensive review of existing literature on the subject is offered, along with clinical advice for practitioners providing care to this population of women and children.
Pain
LAAM
Fentanyl
Tramadol
Tolerance
Remifentanil
Endomorphins
LAAM v methadone
Methadone: structure
Opioids and depression
Methadone and cocaine
Methadone maintenance
Rapid opioid detoxification
Methadone and cancer pain
Methadone: "killer drug" etc
Buprenorphine v methadone
Methadone, LAAM and the rush
Methadone for tramadol addicts?
Methadone/morphine as antidepressants


Refs
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Critique of Huxley's Brave New World

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