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About Dr. Tara Kompare, Pharm.D.
Expertise
I can answer a broad range of questions related to community pharmacy practice. My particular
interests include childrens` health and safe medication use for seniors. As the mother of two small children, I am quite knowledgable on many parenting issues from how to handle
a baby with colic to how to get kids to take their medicine. With regards to medication use in seniors, I can answer questions about adverse effects, drugs to generally avoid
in that population, and disease management issues.
Experience
I entered the world of pharmacy as a technician for approximately six years. I then went on to receive my Doctor of Pharmacy degree and now work for the Federal Government as an outpatient pharmacist.
Publications
Drug Topics Feb.2006 edition ("Why a Kiddie Corner Makes Sense"),
I also recently submitted an article to Pharmacy Times entitled "How to Help Parents Cope With Colic" which is scheduled for publication in the near future.
Education/Credentials
B.S. Biology (Old Dominion University 1997)
Pharm.D.(Virginia Commonwealth University 2002)
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You are here: Experts > Health/Fitness > Pharmacology > Pharmacy > pain management and pregnancy
Expert: Dr. Tara Kompare, Pharm.D.
Date: 5/5/2008
Subject: pain management and pregnancy
Question
well my wife has been on avinza and hydrocodone for a year and just found out she is pregnant due to a visit to the e.r. for her pain. and was tested as she told them she was 2 weeks late.and she is positive for pregnancy.what do we do now she is in alot of pain crying and not able to get relief ..no shots just stay on the morphine sulfate and soma for her back and degenerative disc and bulging disc problems.she had an x-ray last week befor she knew ..so first off the x ray how bad is this since it was of her lower back . and she had an mri and has been on these meds for a year now avinza,hydrocodone,soma..is she going to be able to have this baby or will we here that she will have to abort ..really confused and upset at this point i value her well being above all but she doesn't she would think of the fetus first as any mother would..advise going to see the o.b this week and want to be ready for the advice ..roger
Answer
Dear Roger,
I am so sorry you and your wife are going through such a tough time right now. Although for many, pregnancy is a congratulatory affair, for others I realize it is a little scary, especially for women who, like your wife, have underlying medical conditions.
The decision on whether or not to continue with this pregnancy is purely personal. I will say that I have seen perfectly healthy, beautiful babies delivered by moms on chronic pain meds. But, there are some possible risks such as giving birth to a lower birth weight baby and/or the possibility of neonatal dependence. As for the x-rays, chances are if it caused any damage, then your wife could miscarry. Hopefully this is not the case but, as you probably already know, x-rays are generally avoided in pregnancy for this reason.
I really hope that your wife finds a good OB who can talk to her about her options and perform an early ultrasound to check on the current development of the fetus. I wish you and your wife the best. God bless.
Regards,
Dr.Tara Kompare, Pharm.D.
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