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ADHD Medication During Pregnancy and Breastfeeding

Women suffering from ADHD must make a difficult decision regarding whether or not to stop taking ADHD medication during pregnancy and breast-feeding. There are few data regarding how exposure over time may affect the foetus.

A recent study published in Molecular Psychiatry shows that children exposed to ADHD medication for adhd and anxiety in adults in utero do not develop neurological developmental disorders such as impaired vision or hearing seizures, febrile seizures or IQ impairment. The authors acknowledge that more high quality studies are needed.

Risk/Benefit Analysis

Pregnant women who use strongest adhd medication for adults medications must weigh the advantages of using them against the risks to the fetus. The doctors don't have the information to give clear advice, but can provide information about risks and benefits to assist pregnant women to make informed choices.

A study published in Molecular Psychiatry found that women who took ADHD medications during early pregnancy did not have a significantly increased risk of fetal cardiac malformations or major structural birth defects. Researchers conducted a large population-based study of case control to assess the frequency of structural defects that were major in infants who were born to mothers who used stimulants during pregnancy. Clinical geneticists, pediatric cardiologists and other experts looked over the cases to ensure that the classification was correct and to minimize any bias.

The study conducted by the researchers was not without limitations. The researchers were unable, in the first place to differentiate the effects caused by the medication from the disorder. This makes it difficult for researchers to determine whether the few associations observed between the groups that were exposed to the use of medication or affected by co-morbidities. Researchers also did not examine the long-term effects for the offspring.

The study found that infants whose mother took ADHD medication during pregnancy had a slightly higher chance of being admitted to the neonatal care unit (NICU) as compared to mothers who didn't take any medication during pregnancy, or had discontinued taking their medication prior to or during pregnancy. This increase was due to central nervous system disorders, and the higher risk of admission was not found to be influenced by which stimulant medication was used during pregnancy.

Women who were taking stimulant ADHD medications during pregnancy also had a higher risk of having to have caesarean sections or the baby was not scoring well on the Apgar scale (less than 7). These risks did not appear to be affected by the kind of medication used during pregnancy.

The research suggests that the risk of a small amount with the use of ADHD medications during the early stages of pregnancy may be offset by the higher benefit to both the mother and child of continuing treatment for the woman's condition. Physicians should speak with their patients about this issue and as much as possible, assist them improve coping skills which can lessen the effects of her disorder on her daily life and relationships.

Medication Interactions

More and more doctors are confronted with the dilemma of whether to maintain treatment or stop during pregnancy as more women are diagnosed with ADHD. These decisions are often taken without clear and authoritative evidence. Instead, physicians must consider their own expertise in conjunction with the experiences of other physicians and the research that has been conducted on the subject.

Particularly, the subject of possible risks to the baby can be tricky. The research on this subject is based on observation rather than controlled studies and many of the findings are in conflict. The majority of studies limit their analysis to live-births, which could underestimate the severity of teratogenic effects which can cause abortions or terminations of pregnancy. The study that is discussed in the journal club addresses these issues, by examining both data on live and deceased births.

Conclusion Some studies have revealed an association between Private Adhd Medication Cost medications and certain birth defects However, other studies haven't shown such a relationship. Most studies show that there is a neutral, or slight negative impact. In every case it is imperative to conduct a thorough analysis of the risks and benefits must be performed.

For a lot of women with ADHD who suffer from ADHD, the decision to stop medication is difficult if not impossible. In a recent article published in Archives of Women's Mental Health by psychologist Jennifer Russell, she notes that stopping ADHD medications during pregnancy can increase depression and feelings of loneliness. A loss of medication may also impact the ability to drive safely and complete work-related tasks, which are essential aspects of everyday life for those suffering from ADHD.

She suggests that women who are unsure whether to continue taking medication or stop it due to their pregnancy, educate their family members, coworkers and acquaintances about the condition, the impact on daily functioning and the advantages of staying on the current treatment plan. Educating them can also aid in ensuring that the woman feels supported as she struggles with her decision. Some medications can pass through the placenta. If the patient decides to stop taking her ADHD medication while breastfeeding, it's important to be aware that the drug could be passed on to her baby.

Birth Defects Risk

As the use and misuse of ADHD medication to treat symptoms of attention deficit disorder hyperactivity disorder (ADHD), increases as does the concern about the possible effects of the drugs on foetuses. A recent study published in the journal Molecular Psychiatry adds to the body of knowledge on this subject. With two massive data sets researchers were able to look at more than 4.3 million pregnancies to determine whether the use of stimulant medications increased the risk of birth defects. Researchers found that while the risk overall is low, the first trimester ADHD medication use was associated with slightly higher rates of certain heart defects, like ventriculoseptal defect.

The researchers behind the study found no connection between the use of early medications and other congenital abnormalities, like facial clefting, or club foot. The results are consistent with previous studies that have shown the presence of a small, but significant increase in the risk of heart malformations in women who started taking ADHD medications prior to pregnancy. The risk grew in the latter half of pregnancy, as many women decide to stop taking their ADHD medications.

Women who used ADHD medications in the first trimester of pregnancy were also more likely to have a caesarean section, a low Apgar score following delivery, and a baby that required help breathing at birth. However, the authors of the study were unable to eliminate bias due to selection by restricting the study to women who didn't have any other medical conditions that could have contributed to the findings.

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

The authors caution that, although stopping the medication is an option to look into, it is not advised due to the high rate depression and other mental problems among women who are pregnant or recently gave birth. Additionally, the research suggests that women who choose to stop taking their medications are more likely to experience a difficult time adjusting to life without them following the birth of their baby.

Nursing

It can be a stressful experience becoming a mother. Women who suffer from ADHD who have to deal with their symptoms while attending physician appointments and preparing for the arrival of a child and getting used to new routines at home may face a lot of challenges. This is why many women decide to continue taking their ADHD medications throughout the course of pregnancy.

The risk to breastfeeding infant is not too high since the majority of stimulant medication passes through breast milk at low levels. The rate of medication exposure will vary based on the dosage and frequency of administration as well as the time of the day. Additionally, different medications enter the body of the baby differently through the gastrointestinal tract as well as breast milk. The impact of this on a newborn infant is not fully understood.

Some doctors may stop taking stimulant medication during a woman's pregnancy due to the lack of research. This is a difficult decision for the mother, who must weigh the advantages of continuing her medication against the risks to the embryo. Until more information is available, GPs should ask all pregnant patients about their history of ADHD and whether they are taking or planning to take medication during the perinatal time.

Numerous studies have demonstrated that women can continue to take their ADHD medication in a safe manner during pregnancy and while breast-feeding. In response, a rising number of patients are opting to do this. They have found after consulting with their doctors, that the benefits of retaining their current medication outweigh potential risks.

Women who suffer from ADHD who plan to breastfeed should seek advice from an expert psychiatrist prior to becoming pregnant. They should review their medications with their prescriber and discuss the advantages and disadvantages of continued treatment, including non-pharmacological management strategies. Psychoeducation should also be offered to help pregnant women suffering from ADHD understand their symptoms and the root cause Learn about the available treatments and to reinforce existing strategies for managing. This should include a multidisciplinary approach, which includes the GP as well as obstetricians, psychiatry and obstetricians. Pregnancy counseling should include discussion of a treatment plan for the mother and child, as well as monitoring for signs of deterioration and, if necessary adjustments to the medication regimen.