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ADHD Medication and Pregnancy GPs can prescribe stimulants (methylphenidate dexamfetamine lisdexamfetamine) in addition to non-stimulants like modafinil or atomoxetine to treat ADHD. These medications can help improve a patient's ability to manage their ADHD symptoms and keep regular appointments with their GP and specialist. The majority of studies on pregnancy safety of ADHD medication limit results to live births, thus underestimating the severity of teratogenic effects that result in abortions and terminations. This is the first study to include these data. Risk/Benefit Discussion Many women suffering from ADHD have a problem when taking stimulants during pregnancy. On one hand, they function using their medication but stopping it can result in marital conflict as well as issues at school or at work and other serious consequences. On the other hand, they don't want to expose their baby to drugs about which very little is known about long-term effects. While some doctors counsel their patients to quit using ADHD medications before they become pregnant, others have found a way to strike a balance between assumed safety and the needs of the individual patient. These patients usually consult their spouses and/or physicians before making an informed decision. They find the right balance between the need of a mother to take her medication and the potential for serious symptoms, such as depression and agitation in the event that she stops taking the medication. The majority of studies on ADHD medication and pregnancy are focused on the effects of the first trimester stimulant exposure on the growth of fetal malformations. However, the literature is inconclusive. This is partly because most of the available studies do not provide data on outcomes other than live births (eg, terminations, miscarriages and stillbirths) and because they fail to take into account a variety of confounding variables, such as the calendar year pregnant characteristics, maternal sociodemographics and indications for the medication, maternal mental and physical health status and proxies for various mental and medical illnesses. The results of a few studies show that there is no risk to the fetus through the use of stimulant drugs prior to, during, and after the 1st trimester. The signals for certain cardiac malformations are strong. This is particularly applicable to VSD (ventricular defect). However these findings need to be confirmed by larger studies that provide more specific information. There isn't enough evidence to prove the connection between methylphenidate atomoxetine use by mothers and an increase in the incidence of omphaloceles, gastroschisis and transverse limb deficiency. These birth defects could be caused by other medications, but the risks are not clear due to the limited data available. Medicines to Avoid Women suffering from ADHD who become pregnant are often confronted with a dilemma which option to take: Continue or discontinue their ADHD medication? This is a significant life change that affects both the mother and the baby. Many doctors believe that the best time to discuss this topic is when a patient informs her physician of her plans to start a family, so that she has the information she requires to make a decision prior to becoming pregnant. It is not always feasible and women might discover that they are pregnant later in pregnancy, when it is too late to stop taking medication. There are a few studies that examine the safety of stimulants during pregnant and breastfeeding. The majority of studies are based on retrospective data analysis and don't take into consideration factors like the age of the mother at first exposure or chronic conditions, stimulant-related indications as well as co-treatment with pain and psychiatric medication, or other factors that may affect the risk. adhd medication list have shown that there is a slight increase in chance of preeclampsia or premature birth when psychostimulants are administered during pregnancy. However these findings should be interpreted cautiously. Certain behavioral issues in infants have also been linked to the use of stimulants in pregnancy. The most commonly reported is the development of tics (abnormal muscle movements) in some children. Other problems with behavior that have been identified include an increase in irritability and impulsivity. check out the post right here is that these symptoms usually improve once the medication is taken off. Some ADHD medications may interact with other medications, causing dangerous side effects, especially when used in conjunction with alcohol or CNS stimulants such as methylphenidate and amphetamines salts. These medications should not be combined in conjunction with narcotics or antidepressants including pain relievers. They should be avoided by people who are using illicit drugs or nicotine products. Some patients find that a reduction or discontinuation of ADHD medications during pregnancy is possible without significant impairment in function. In these cases it is crucial to inform the mother and child about this decision. Request their assistance in reducing symptoms recurrence. This might include locating local resources, seeking assistance from family or friends, or seeking accommodations at work that address impairments related to symptoms. It is also helpful to know about cognitive-behavioral therapy and coaching for ADHD, which can be offered by trained professionals. Considerations for Medicines Both doctors and patients are unable to decide whether or not to continue taking ADHD medication during pregnancy. It's a difficult decision for patients who suffer from co-occurring disorders because many of the drugs they use to treat their addictions share similar effects to the common ADHD medications. This includes the possibility of high blood pressure or chest pain attacks. There aren't a lot of options for these people and their physicians. The lack of research into how to safely manage those who suffer from both ADHD and an addiction disorder allows certain doctors to err on the side of caution and advise their patients to quit their medications during pregnancy. Ideally, the question of whether to continue taking ADHD medication is discussed well in advance of making plans for the family. Many women with ADHD are shocked to learn that they are pregnant. This usually happens during the first trimester, which is when the development of the fetus is vulnerable to exposure to drugs. If the doctor and patient decide to take medication during the first trimester of pregnancy, it is recommended that they select the dose that is most effective and monitor closely for symptoms. The doctor might suggest that the woman take an immediate-release medicine in the middle of the day to help lower the fluctuation in the levels of medications in the bloodstream. In the near future, more research is hoped to be conducted on how best to manage ADHD and other substance abuse disorders in pregnant or nursing women. In the meantime, those who are pregnant or attempting to be pregnant should be encouraged to talk with their doctor and psychiatrist about what options might be available to them, including psychotherapy targeted at ADHD symptoms, and how those might differ from a medication-only approach. If they choose not to take medication for ADHD, it is likely that they will face more challenges at school, at work, and even in maintaining relationships. This could also have a profound impact on their children. Incorporate the use of medications Women suffering from ADHD frequently rely on medications as part of their treatment plan to deal with symptoms like inattention, hyperactivity and an impulsiveness. Recent studies have proven that these medications don't affect the fetus in any way, and can be used throughout pregnancy. This is great news for women who want to become mothers and depend on their ADHD medication. Many women are concerned about taking their prescriptions during pregnancy, particularly if they take stimulant medications like amphetamines and methylphenidate. These women should consult with their healthcare providers about the risks and benefits that come with the use of medications, based on current research and recommendations. Methylphenidate is one of the most frequently used ADHD medications prescribed to pregnant women, is safe when used under the supervision of a healthcare professional. Other stimulant medications that are commonly prescribed like atomoxetine and amphetamine are also considered safe for women who are pregnant. However, it is important to note that both stimulant and non-stimulant drugs should be closely monitored during pregnancy. A recent study of data from Danish national registers showed that children born to mothers who were taking ADHD medication during their pregnancy had no adverse effects on the child's long-term neurodevelopment or growth. These findings are important because they cover a larger population of patients than previous studies and take into account several confounding factors. The results also demonstrate that taking ADHD medication during pregnancy does not increase the risk of maternal complications, such as anemia, iron deficiency or hyperemesis. These findings are a significant advance in our understanding of how obstetricians are able to safely manage the use of ADHD medication during pregnancy. It is essential that women with ADHD continue to adhere to their treatment plans and work closely with their healthcare providers throughout their pregnancy. This will help to ensure that symptoms are managed properly, allowing women to maximize their pregnancy. There are non-pharmacological options for those who can't or don't wish to stop taking their medication. These treatments can enhance symptoms and improve overall health. These include: