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Methadone Levels in Breast Milk

Children's Hospital and Medical Center of the University of Washington.

Elinor A. Graham, MD, MPH

University of Washington; Children's Clinic at Harborview Medical Center.

Barry Logan, PhD

State Toxicology Laboratory, Washington State.

Egle L. Weiss

Two case reports of breastfeeding mothers on high doses of methadone and a literature review reveal that minimal transmission of methadone into breast milk occurs regardless of the mother's methadone dose. The current American Academy of Pediatrics recommendations that only women in drug treatment programs on less than 20 mg/day of methadone be advised to breastfeed should be reconsidered.

Key Words: breast milk • methadone • neonatal abstinence syndrome • chemically dependent women • methadone maintenance

Journal of Human Lactation, Vol. 13, No. 3, 227-230 (1997)
DOI: 10.1177/089033449701300312


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