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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Subutex. Given Morphine. Any Information?

we have a grand daughter born w/ subutex in her little body, they are weening her with morphine starting at 3.0 or .30 now down to 2.5? .25 ..i don't really know because i am not the "parent". she is 7 days old today... it breaks my heart because we were told that it would not harm the baby,
I know because i took her there, i heard it.
now they are talking about some other med to switch her to febinefrine i know that isn't the right spelling, i'm dealing with a very upset mom...this is how she heard it. any info would be helpful, thank you, bob
Mon, 22 Apr 2013
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Pediatrician 's  Response
Hi,
Thanks for your query.
The baby girl is suffering from what is known as "neonatal abstinence syndrome".
Neonatal abstinence syndrome (NAS) is a term for a group of problems a baby experiences when withdrawing from exposure to narcotics.
Almost every drug passes from the mother's blood stream to the fetus .
Recreational substances that cause drug dependence and addiction in the mother also cause the fetus to become addicted.
At birth, the baby's dependence on the substance continues.
However, since the drug is no longer available, the baby's central nervous system becomes overstimulated causing the symptoms of withdrawal.
Treatment for NAS include;
1/-Babies suffering from withdrawal are irritable and often have a difficult time being comforted. .
They are often cared in dark, quiet rooms. Swaddling, or snugly wrapping the baby in a blanket, may help comfort the baby
2/-Babies also may need extra calories because of their increased activity and may need a higher calorie formula.
3/-Some babies need medications to treat severe withdrawal symptoms, especially for seizures and to help relieve the discomfort and problems of withdrawal.
The basic idea is to control symptoms from a similar drug to which baby was addicted while in womb & slowly taper the medicine off over several weeks.
There is no need to panic as what she is getting, is the standard treatment for NAS .
As the treatment is for several weeks, you & her mom both need to be patient.
Hope i answered your query.
May god bless you all.

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Child Has Subutex. Given Morphine. Any Information?

Hi, Thanks for your query. The baby girl is suffering from what is known as neonatal abstinence syndrome . Neonatal abstinence syndrome (NAS) is a term for a group of problems a baby experiences when withdrawing from exposure to narcotics. Almost every drug passes from the mother s blood stream to the fetus . Recreational substances that cause drug dependence and addiction in the mother also cause the fetus to become addicted. At birth, the baby s dependence on the substance continues. However, since the drug is no longer available, the baby s central nervous system becomes overstimulated causing the symptoms of withdrawal. Treatment for NAS include; 1/-Babies suffering from withdrawal are irritable and often have a difficult time being comforted. . They are often cared in dark, quiet rooms. Swaddling, or snugly wrapping the baby in a blanket, may help comfort the baby 2/-Babies also may need extra calories because of their increased activity and may need a higher calorie formula. 3/-Some babies need medications to treat severe withdrawal symptoms, especially for seizures and to help relieve the discomfort and problems of withdrawal. The basic idea is to control symptoms from a similar drug to which baby was addicted while in womb & slowly taper the medicine off over several weeks. There is no need to panic as what she is getting, is the standard treatment for NAS . As the treatment is for several weeks, you & her mom both need to be patient. Hope i answered your query. May god bless you all.