i have degenerative disc disease and i take methocarbomal and hydrocodone for the pain and spasms per my dr and i am 25 weeks pregnant
Unfortunately there are no clinical studies done to determine the effect of methocarbamol on a fetus. The following is what the literature says:
Methocarbamol Pregnancy Warnings
Methocarbamol has not been assigned to a pregnancy category by the FDA. Animal studies have not been reported. There are no controlled data in human pregnancy. Methocarbamol is not recommended for use in women who are or may become pregnant (particularly early pregnancy) unless in the judgment of the physician, the potential benefits outweigh the potential risks.
Methocarbamol Breastfeeding Warnings
There are no data on the excretion of methocarbamol into human milk. Because many drugs are excreted into human milk, and because of the potential for serious adverse reactions in nursing infants from methocarbamol, nursing is not recommended for mothers on methocarbamol.
As far as hydrocodone, the literature says the following:
Teratogenic Effects – Pregnancy ategory C– There are no adequate and well-controlled studies in pregnant women. Hydrocodone bitartrate and acetaminophen tablets should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Nonteratogenic Effects – Babies born to mothers who have been taking opioids regularly prior to delivery will be physically dependent. The withdrawal signs include irritability and excessive crying, tremors, hyperactive reflexes, increased respiratory rate, increased stools, sneezing, yawning, vomiting and fever.
The intensity of the syndrome does not always correlate with the duration of maternal opioid use or dose. There is no consensus on the best method of managing withdrawal.
Labor and Delivery
As with all narcotics, administration of this product to the mother shortly before delivery may result in some degree of respiratory depression in the newborn, especially if higher doses are used.
Nursing Mothers – Acetaminophen is excreted in breast milk in small amounts, but the significance of its effects on nursing infants is not known. It is not known whether hydrocodone is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from Hydrocodone and Acetaminophen, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
You will need to decide if the benefits outweigh the risks. Since you are taking the hydrocodone the attending physician/pediatrician will need to be prepared for the babies possible symptoms of opoid withdrawal.
If you decide to discontinue the hydrocodone please do not just stop it cold turkey. You will need to taper off the medicine slowly over time and with your doctor's guidance.
- Hydrocodone Information for Consumers
- Hydrocodone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Hydrocodone (detailed)
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