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ADHD Medication and Pregnancy GPs might prescribe stimulants to treat ADHD methylphenidate dexamfetamine dexamfetamine and Lisdexamfetamine and nonstimulants such as modafinil and Atomoxetine These medications can enhance the ability of patients to manage their ADHD symptoms and keep regular appointments with their GP and a specialist Most studies of the pregnancy safety of ADHD medication limit results to live births thereby underestimating the serious teratogenic effects which cause terminations and abortions This is the first study to incorporate such data RiskBenefit Discussion Many women with ADHD face a dilemma when taking stimulants during pregnancy On the one hand many women with ADHD function well when they take their medication Removing it can lead to marital conflict problems at school or work and other negative consequences On the other hand they dont wish to expose their unborn baby to medications whose longterm effects are unknown Some doctors counsel their patients to stop taking ADHD medications prior to having a baby but others have found a way to balance the presumed safety and the individual patient requirements These patients often consult their spouses andor physicians before making the decision They strike the right balance between a mothers need to take her medication and the possibility for severe symptoms such as depression and agitation if she discontinues the medication Most studies on ADHD medication and pregnancy focus on the effects of the first trimester stimulant exposure on the growth of fetal malformations However the current literature is inconsistent The literature is inconsistent in part because most studies do not provide data on outcomes other than live births eg terminations miscarriages and stillbirths neither do they take into account confounding variables such as pregnancy characteristics calendar year and sociodemographics of the mother The results of a few studies show that there is no risk to the fetus through the use of stimulant drugs before during or after the first trimester Although the signals for some cardiac malformations including VSD ventricular septal defect are strong but these findings require confirmation in larger studies with more precise and detailed information There is not enough evidence to support the link between methylphenidate and the use of atomoxetine by mothers and a higher incidence of gastroschisis omphaloceles and transverse limb deficiencies Other medications could also put you at a higher risk for these kinds of birth defects but the risks arent clear in light of the comparatively limited evidence Do not take medication Women with ADHD who become pregnant are often faced with a difficult decision to decide whether or not to discontinue their ADHD medication This is a major change that will impact both the mother and the fetus Many physicians feel that the ideal time to talk about this is when the patient informs her doctor of her intention to have a baby and to provide her with the information she requires to make this decision before becoming pregnant This is not always possible and women could discover that they are pregnant later in the course of pregnancy which is too late to safely stop taking medications Unfortunately there are few studies on the safety of stimulants in pregnant and breastfeeding Most studies are based on retrospective data analysis and do not take into account factors such as the mothers age at the time of exposure and chronic conditions stimulant warnings as well as cotreatment with pain and psychiatric medications as well as other factors that can affect risk While some studies have revealed small increased risks of preeclampsia and premature birth with psychostimulants used during pregnancy these findings must be taken with caution The use of stimulants during pregnancy has also been linked with a number of issues with infants behavior The most often reported concern is the development of tics abnormal muscle movements in a few children Other behavioral issues that have been noted include a rise in impulsivity irritability and resentment The good news is that these signs generally improve when the medication is removed Certain medications prescribed for ADHD can interact with other medications and can trigger dangerous side effects when combined especially with alcohol or other CNS stimulants methylphenidate amphetamine salts These medications should not be taken with antidepressants or narcotics including pain relievers They should be avoided by people who are using nicotine products or illegal drugs Some patients discover that a reduction or a cessation of ADHD medication during pregnancy is possible without significant functional impairment In these cases it is important to inform the mother and child about this decision Request their assistance in reducing symptoms recurrence This could include locating local resources seeking assistance from family members or friends or seeking accommodations at work which address impairments resulting from symptoms It is also beneficial to be aware of cognitivebehavioral treatments and coaching for ADHD that can be offered by trained professionals Considerations for Medications The decision to remain on ADHD medication during pregnancy is a challenging one for both doctors and patients Its a tough decision for patients who suffer from cooccurring disorders because many of the medications they use to treat their addictions share similar effects to the common ADHD medications This can include the possibility of high blood pressure or chest pain attacks Unfortunately these patients and their medical professionals dont have many options The lack of research on how to properly manage those who suffer from both ADHD and a substance use disorder makes it easy for certain doctors to err on the safe side and recommend that their patients discontinue their medications during pregnancy Ideal is to discuss the question of whether or not you should continue taking ADHD medications before deciding to start making plans for a baby Many women suffering from ADHD are surprised to discover they are pregnant adhd medication online happens in the first trimester of pregnancy when growing fetus is the most vulnerable to drug exposure If the doctor and patient decide to take medication during the first trimester it is recommended to choose the lowest effective dose and closely monitor for any symptoms The doctor may suggest that the patient supplement her dose with an immediaterelease medication that is taken during the middle of the day This will help to reduce the fluctuations and downs that are caused by fluctuating levels of medication in the bloodstream In the near future more research is hoped to be done on how best to manage ADHD and other addiction issues in nursing or pregnant women In the meantime women who are pregnant or planning to become pregnant should speak with their doctor about what options they might have including psychotherapy which targets ADHD symptoms and how this might differ from a medication only approach It is important to inform them that if they do not decide to take medication they may have more difficulty at school and at work and may even find it difficult to maintain a relationship adhd stimulant medication will also have a significant impact on their children Incorporate Medications Women suffering from ADHD often rely on medication as part of their treatment plan to help deal with symptoms like hyperactivity inattention and the tendency to be impulsive While research into how these medications can affect pregnancy has been scarce Recent studies have demonstrated that they do not appear to have negative effects on the fetus and are safe for continued use during pregnancy This is fantastic news for the growing number of women who rely on their ADHD medication and want to become mothers However many women are concerned about the safety of sustaining their medication during pregnancy especially those who are taking stimulant drugs like amphetamines or methylphenidate These women and their medical professionals should discuss the dangers and benefits of medication usage in accordance with the most recent research and recommendations Methylphenidate is one of the most commonly prescribed ADHD medication and has been proven to be safe for women who are pregnant when used under the care of a medical professional Amphetamine and atomoxetine as well as other stimulant medications are also safe for pregnant women It is vital to remember that stimulants and other medications must be monitored closely during pregnancy A recent study of data gathered from the Danish national registers showed that children born to mothers who took ADHD medication during pregnancy did not experience adverse effects on their childs neurological development or longterm growth These findings are significant because they cover a greater number of patients than previous studies and take into account many confounding factors The results also demonstrate that taking ADHD medication during pregnancy does not increase the risk of maternal complications like iron deficiency anemia or hyperemesis These findings represent a significant advancement in our understanding of how ADHD medications during pregnancy can be effectively managed by obstetricians and psychiatrists It is crucial that women with ADHD continue to adhere to their treatment plans and work closely with their healthcare professionals throughout their pregnancy This will help to ensure that symptoms are controlled correctly allowing women make the most of their pregnancy There are nonpharmacological options for those who dont want or wish to stop taking their medication These treatments can help improve symptoms and promote overall wellbeing These include
