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ADHD Medication During Pregnancy and Breastfeeding

Women suffering from ADHD have to make a difficult choice on whether to keep or stop taking ADHD medication during pregnancy and breast-feeding. There is a lack of information about how long-term exposure to these What Medications Are Prescribed For Adhd can affect the fetus.

A study recently published in Molecular Psychiatry demonstrates that children exposed to ADHD medication during pregnancy do not develop neurological disorders such as impaired hearing or vision, febrile seizures, or IQ impairment. The authors acknowledge the need for higher-quality studies.

Risk/Benefit Analysis

Women who are expecting and taking ADHD medication must weigh the benefits of taking it versus the risks to the baby. Physicians don't have the necessary data to give clear guidelines but they can provide information on the risks and benefits to help pregnant women make informed decisions.

A study published in Molecular Psychiatry concluded that women who took ADHD medication in early pregnancy were not at a higher risk of fetal malformations or structural birth defects. Researchers used a large population-based case control study to compare the incidence of structural defects that were major in infants who were born to mothers who took stimulants during pregnancy. Clinical geneticists and pediatric cardiologists reviewed the cases to ensure correct case classification and to limit the possibility of bias.

However, the researchers' study was not without its flaws. Researchers were unable in the beginning to distinguish the effects triggered by the medication from the disorder. This limitation makes it difficult for researchers to determine if the small associations observed among the groups exposed were due to the use of medication, or if they were affected by co-morbidities. In addition, the researchers did not examine the long-term effects of offspring on their parents.

The study did show that infants whose mothers took ADHD medications during pregnancy were at a more risk of being admitted to the neonatal intensive care unit (NICU) than infants who whose mothers did not take any medication or taken off their medication prior to or during pregnancy. This increase was caused by central nervous system disorders. The increased risk of admission was not influenced by the stimulant medication used during pregnancy.

Women who were taking stimulant ADHD medications during pregnancy also had a higher chance of having a caesarean section or the baby was not scoring well on the Apgar scale (less than 7). These increases appear to be unrelated to the type of medication taken during pregnancy.

Researchers suggest that the minor risks associated with the use adhd inattentive type medication medications during early pregnancies may be offset by the greater benefits to both mother and baby from continuing treatment for the woman’s disorder. Physicians should discuss the issue with their patients and, when possible, assist them in developing strategies to improve coping skills that can you get adhd medication without a diagnosis lessen the negative impact of her condition on her daily life and relationships.

Medication Interactions

As more women than ever are being diagnosed with ADHD and treated with medication, the dilemma of whether or not to end treatment during pregnancy is one that more and more doctors face. These decisions are usually made without clear and reliable evidence. Instead, physicians must consider their own expertise and experience, as well as the experiences of other doctors, and the research on the topic.

Particularly, the subject of possible risks to the baby can be tricky. Many of the studies on this issue are based on observational evidence rather than controlled research and their conclusions are often contradictory. The majority of studies limit their analysis to live births, which may underestimate the teratogenic impact that can you get adhd medication without a diagnosis lead to terminations or abortions of pregnancy. The study presented in this journal club addresses these issues by looking at data from both live and deceased births.

Conclusion Some studies have found a positive correlation between ADHD medications and certain birth defects, other studies have not found a correlation. The majority of studies show that there is a neutral, or somewhat negative, effect. As a result, a careful risk/benefit analysis must be done in each situation.

It can be challenging, if not impossible, for women suffering from ADHD to stop taking their medication. In an article published in Archives of Women's Mental Health psychologist Jennifer Russell notes that stopping ADHD medication during pregnancy can lead to increased depression, feelings of loneliness, and family conflict for those suffering from the disorder. A loss of medication may also affect the ability to drive safely and complete work-related tasks, which are crucial aspects of normal life for people with ADHD.

She recommends that women who are unsure about whether to keep or stop taking medication because of their pregnancy, consider informing family members, friends and colleagues about the condition, its effects on daily functioning, and on the benefits of keeping the current treatment plan. In addition, educating them can help the woman feel supported as she struggles with her decision. Certain medications can be passed through the placenta. If a woman decides to stop taking her ADHD medication while pregnant and breastfeeding, it's important to be aware that the medication could be transferred to the infant.

Birth Defects and Risk of

As the use and abuse of ADHD medication to treat symptoms of attention deficit hyperactivity disorder (ADHD) is increasing as does the concern about the potential effects of these drugs on the fetuses. A study that was published in the journal Molecular Psychiatry adds to the body of knowledge about this subject. Researchers utilized two massive data sets to study over 4.3 million pregnant women and determine whether stimulant medications increased the risk of birth defects. Although the risk overall remains low, the scientists did find that first-trimester exposure to ADHD medications was associated with an increased risk of specific heart defects, such as ventriculo-septal defect (VSD).

The researchers of the study did not discover any connection between early use of medication and other congenital anomalies like facial deformities or club feet. The results are consistent with previous studies showing an increase, but not significant, in the risk of heart malformations in women who started taking ADHD medications prior to the time of pregnancy. The risk increased in the latter stages of pregnancy when many women began to stop taking their medication.

Women who were taking ADHD medication during the first trimester were more likely to require a caesarean birth, have an insufficient Apgar after delivery and have a baby who needed breathing assistance when they were born. The authors of the study were not able to eliminate bias due to selection because they restricted the study to women who did not have any other medical conditions that might have contributed to the findings.

Researchers hope their research will provide doctors with information when they encounter pregnant women. They recommend that, while the discussion of the benefits and risks is important but the decision to stop or maintain medication should be based on each woman's needs and the severity of her ADHD symptoms.

The authors also warn that, while stopping the medication is an option, it is not an option that is recommended due to the high rate of depression and other mental health issues among women who are pregnant or postpartum. Further, the research suggests that women who decide to stop taking their medication are more likely to experience a difficult time adjusting to life without them after the birth of their baby.

Nursing

It can be a challenge to become a mom. Women who suffer from ADHD who have to manage their symptoms while attending physician appointments as well as preparing for the arrival of a child and adjusting to new household routines may face a lot of challenges. Many women decide to continue taking their ADHD medication during pregnancy.

The risk to a breastfeeding infant is minimal because the majority of stimulant medications passes through breast milk in low amounts. However, the amount of medication exposure to the infant can differ based on dosage, how to get prescribed adhd medication uk often it is administered, and the time of the day it is administered. In addition, individual medications enter the body of the baby differently through the gastrointestinal tract and breast milk. The impact of this on a newborn infant is not well understood.

Due to the absence of research, some doctors might be tempted to stop taking stimulant medication during the course of pregnancy. It is a difficult decision for the woman who must weigh the advantages of her medication against the potential risks to the foetus. As long as there is no more information, doctors should inquire with all pregnant patients about their experience with ADHD and if they plan or are taking to take medication during the perinatal time.

Numerous studies have demonstrated that women can you get adhd medication without a diagnosis uk continue taking their ADHD medication without risk during pregnancy and while breast-feeding. In response, a rising number of patients are opting to do this. They have discovered after consulting with their doctor, that the benefits of retaining their current medication far outweigh any possible risks.

Women with ADHD who plan to breastfeed should seek the advice of an expert psychiatrist prior to becoming pregnant. They should review their medications with their physician and discuss the pros and cons of continued treatment, including non-pharmacological strategies. Psychoeducation is also required to help women with ADHD be aware of their symptoms and the root cause and learn about treatment options and reinforce existing strategies for managing. This should include an approach that is multidisciplinary, including the GP as well as obstetricians, psychiatry and obstetricians. Pregnancy counseling should include a discussion of a treatment plan for the mother and the child, monitoring of signs of deterioration, and, if necessary, adjustments to the medication regimen.