instruction: hi doctor my niece is pregnant and taking subutex she just confided to me that she has also been using heroin along with subutex for the last one month she is afraid to ask her primary care doctor for advice her doctor told us in the beginning that it is more harmful to the fetus if the mother were to abruptly quit using opiates now my niece is afraid to stop the heroin use even though she also has the subutex which I thought is supposed to help with this type of situation how can she safely stop using heroin can she continue her regular dose of subutex daily and just cut out the heroin all together at once
output: hi for further information consult an obstetrician and gynaecologist online