Okay. Post resurrection.
I have a FOAF (literally lol) who is an opiate
addict. She just found out she's a couple months pregnant. She tried to withdraw but it was causing contractions, and the doctor told her that withdrawal
is a serious miscarriage risk and wants her on a suboxone
program. Now, one thing that my rat has learned through long years is that he does not believe in maintenance opiates
. The purpose of replacement therapy is to keep you addicted to something so that you don't have the reckless pleasure-seeking behavior of actually wanting to do good opiates. Its also impossible (in my rats experience), to taper down using a substance such as suboxone or methadone
, whose tolerance curve is such that you will reach a plateau of mild pleasure, where you feel very little euphoria
, just a bunch of secondary effects. And you're loathe to go down from there, as A) its super long acting and B) theres no euphoria, even in small doses.
I'm sure every opiophile out there has experienced the sensation of taking a small to medium amount of opis during deep withdrawals. One will experience euphoria and withdrawals at the same time. This is the basic idea behind tapering down, in my estimation. You start off at say 60mg morphine
per day, which has a metabolic life of say 48-72 hours. So every 2-3 days, you reduce by 6 mg, and in 30 or so you're at baseline with very little physical withdrawal to cope with. This cycling down is, as I mentioned, almost impossible with maintenance opis, and difficult with high-euphoria street opis (as when you're around that type of social group theres always the temptation to just F*** the plan and get high.) This is where the kratom
comes in. My rat successfully switched his addiction
to kratom (previously methadone 10mg twice a day, before that suboxone 4-8mg a day, before that hydromorphone
whenever he could get it) and has had no thoughts of returning to opis, but hasn't really wanted to taper down because, dammit, he LIKES being euphoric. He's also not pregnant, however.
Sooooo my question is. Safety of kratom for use in getting off of opiates during pregancy. We're talking about two strong doses a day, reduced by say 10% every 3-4 days. Is there miscarriage risk? Is there any sort of documented risk at all, any sort of history of human use? Or is it all just a black void? Because, if its no more damaging to the fetus than opiates, I think it would be highly preferable to taper down while the things still in the womb, rather than having it be born with long-acting withdrawals (as if life wasn't horrifying enough.) The medical profession will be no help beyond expediting treatment for my friend.
So, lend me an opinion, hazard a guess, point me to some paper I missed. Is Kratom relatively safe to use to get off of opiates during pregnancy, or should my friend just get on a program and doom the baby to a congenitally overstimulated dopamine
system? Your thoughts would be greatly appreciated.