2018-09-16 at 1:14 PM UTC
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2018-09-16 at 3:23 PM UTC
Originally posted by DietPiano
Oxycodone.
well then that indication isnt based on logic is it? the most reasonable first line would be bupe. bupe has a higher molecular weight than oxy so less permeability and isnt very orally bioavailable. im researching opiates with the highest molecular weights that dont work orally rn to see if its possible to use an opiate that doesnt pass through breastmilk at all.
also i found this which is interesting
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3153123/
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2018-09-16 at 3:30 PM UTC
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2018-09-16 at 5:41 PM UTC
Oxycodone is the only Preg Cat. B opioid.
They made a really big point about that in intro to pharm.
This reasoning is based on a small, shit tier study probably funded by Purdue. Logic would tell us that any opioid that passes on to breastmilk, including oxy, is going to go to the baby and affect it.
It's not even that oxy has shown to be less damaging than others, it's just that a study showed that in small pain relieving doses it didn't seem to hurt babies, because most opioids in low doses aren't going to cause statistically significant damage to a baby.
Oxycodone is regarded as "safer" simply because a study was performed on it, and there aren't direct studies yet on how other opioids affect pregnancies, so it wins by default.
Are there better ones? Could be, but not enough money to fund research into figuring it out.
2018-09-16 at 5:59 PM UTC
That article is interesting.
Do you think people who dedicate their lives to studying opioids are probably all junkies but somehow manage to go to work and get be productive?