Lesson 3 of 13
In Progress

Can I go on substitution if I’m pregnant?

Yes! It’s safer to be on substitution treatment while pregnant than using streets drugs or quitting cold turkey.

Why is it safer to be on substitution treatment while pregnant?

      • Withdrawal can lead to miscarriage, having stillbirth, or premature birth of your baby

What are the benefits of substitution treatment while pregnant?

      • Improved nutrition for you and your baby
      • Decreased chances of withdrawal
      • Decreased chances of blood infections from injecting drugs
      • Decreased chances of infant death
      • Increased birth weight
      • Increased infant head circumference

Are there any disadvantages to substitution treatment while pregnant?

Like any other drug, there are disadvantages to being on substitution treatment.

Some of these disadvantages include bare:

      • Being constipated, increased sweating, lowered libido, and insomnia.
      • While better than heroin, Methadone may lead to a more pronounced Neonatal
        Abstinence Syndrome (NAS)

What’s NAS?

NAS is the baby being born dependent (not addicted) on the drugs the mother was taking.
A baby with NAS will go through withdrawal within the first few days being born. NAS is a treatable condition under proper supervision.

Is there a specific substitution medication for pregnant individuals?

Currently, Methadone is the most researched and supported substitution medication for pregnant individuals; Buprenorphine has also been supported in some cases. It is best to check with your doctor about the best option for you.

More Resources

Click here for a pamphlet on pregnancy and medication assisted treatment

And here’s a video describing what that process might look like in Substitution treatment: