I'm a guy with no kids, so I don't know anything about pregnancy, except that I know that a lot of pregnant women used to come into the clinic to get on methadone during their pregnancy. I do know about split dosing because I did it for a couple years before I quit. It is very, very unlikely that you would go into withdrawals that quickly from only doing half a dose. Your going to get the other half later so after about 24 hours you body is still going to running on the same amount every day from then on. I preferred doing half and half actually. I had more energy and remained more level throughout the day. I'm definitely NOT a doctor. This is just my personal experience with splitting the dose. Good luck to you and congrats.
Hi there & congrats on your pregnancy,
As Nursegirl pointed out, Methadone is the maintenance drug of choice for expectant mothers. What you're experiencing is pretty common. The baby is 'consuming' part of your dose. So, that's where the discomfort is coming from. It makes total sense (& is standard in these cases) that your clinic doesn't want to raise you (130mgs is a high enough dose) but would prefer to try split dosing. I wasn't pregnant but was getting ill at night on my dose. They did what they call a 'Peak & trough' on me in order to test the serum level of methadone several hours after dosing & then before I dosed in the morning. (The first being the peak & the second the trough). The numbers indicate if you are rapid metaboliser for Methadone. I was. So, they gave me half my dose in the morning & half to take home. It helped a lot & I felt much steadier.
As long as you're otherwise clean, this should work for you. Believe it or not, 65 mgs. in the morning & 65 mgs @ night is more than enough. (I only mention this because some people on higher doses get caught up in the 'numbers' & don't realize the strength of this drug. In fact, a while back many places wouldn't dose over 100mgs.)
Please do let your OBGYN know about your clinic & dose if you haven't already. Good luck to you & the baby! :))
Congrats on the pregnancy!
Does your methadone doc know you're pregnant? Have you seen your OB yet? THAT needs to be your first priority...getting in to see your OB so he/she can help you remain stabilized. Pregnancy is NOT the time to withdrawal, that can cause more issues than staying on a steady dose.
Methadone is actually the drug of choice for opiate addicted expectant mothers. Your doctor would be your go to person. It's very important that you keep him/her in the loop.
Good luck to you!