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Should You Take ADHD Medication During Pregnancy? Many women are forced to take ADHD medication during pregnancy, but without any scientifically proven evidence. This is particularly the case for stimulants that have an effect that lasts for a long time, such as Adderall and Ritalin. While studies on ADHD medication and pregnancy have revealed little correlations with the outcomes of pregnancy However, these results require careful interpretation. These findings need to be confirmed by larger-sample research with better perinatal outcomes as well as longer-term outcomes. How Does It Work? Many of the medications commonly used to treat ADHD are stimulants, like Ritalin, Adderall, and Vyvanse. The stimulants increase the levels of dopamine in the brain, which is a neurotransmitter that is involved in executive functions. This assists people with ADHD to focus, control their behavior, and manage tasks and time. Many people with ADHD function well on medication, but without it, they could struggle with their lives. Their disorganization can cause problems in marriages, schools jobs, and other areas of life. They may also have difficulty complying with laws and driving safely, which can result in car accidents. Some women with ADHD will stop their treatment once they become pregnant. This is a big decision that needs to be taken with caution. The decision to stop a medication should be weighed against the effect it can have on the mother's health and well-being. There aren't many data on the long-term effects of stopping ADHD medication during pregnancy. A recent study looked at the outcomes of children who were exposed to stimulant medication during utero. Researchers analyzed data from 382 women who took prescriptions for methylphenidate. It is prescribed for ADHD in 90% cases. The women were compared with similar pregnancies of mothers who did not take methylphenidate. The researchers then examined the children's neurodevelopmental disorders (NDDs) and other health outcomes, like mental illness, substance abuse, and criminal behaviors. Studies have previously shown that a woman who takes stimulant drugs while pregnant or nursing is at a higher chance of having a child with a NDD. The current study however, did not provide evidence that NDDs were more common in children exposed to methylphenidate in the womb. Additionally there was no difference in the rates of any other NDDs. Some drugs used to treat ADHD can cause vasoconstrictive reactions which means that they may reduce blood flow to the placenta. This can lead to the development of the fetus and premature birth. Other medications that alter dopamine pathways may increase the risk of preeclampsia, preterm birth, and cesarean delivery. A recent study by Poulton and colleagues, using population-based Medicaid data in Australia discovered that a small percent of women who used stimulants prior to or during pregnancy suffered from more than one of these complications. What are the side effects? ADHD medications can cause serious side effects like insomnia and sedation. However, it's important to talk with your doctor about your options if you wish to keep taking your medication even while pregnant. Depending on your symptoms and the way you present, you may be able to locate an alternative treatment that is safe for you and your baby. Recent research examined the impact of stimulant ADHD medication on pregnancy outcomes in women who continued taking their prescriptions through the first trimester. As compared to women who ceased or ceased their stimulants those who continued taking their ADHD medication (the “continuers”) had an increased chance of having the birth by caesarean and lower than average Apgar score for the baby. Despite the study findings, there aren't many research studies that reveal how psychiatric medication of any kind may affect pregnant women or their infants. A lot of doctors rely on best practices of their peers, conduct research on past outcomes and a thorough consultation with every patient to make reasonable recommendations. Although it is a issue, many women suffering from ADHD are hesitant to stop their medication during pregnancy and breastfeeding. They fear that they will not be able to manage their ADHD without medication. They also fret about the negative consequences of exposing their infants to stimulants in the uterus. They might not also have accurate information about the safe use of ADHD medication during breastfeeding. When faced with a difficult choice some women opt to continue their treatment with the support of family and friends. Some women decide to stop taking their medication despite the impact on their work and personal life. It's important that you inform your spouse, partner, and other family members about your decision. This will allow them to understand your needs better and provide additional support if necessary. It's a smart idea to inform your coworkers and employers know that you've decided to stop taking your ADHD medication during pregnancy. This will minimize the disruption in your work and personal life, while decreasing the likelihood of miscommunication. Based on your individual requirements, you may want to look into non-medicative options such as exercise or cognitive behavioral therapy for ADHD. EndeavorOTC is one of the options that has been proven to decrease ADHD in mild to moderate ADHD patients without the side negative effects that are associated with stimulant medication. How can I manage my Side Effects? Many women who depend on ADHD medication to manage their daily lives are worried about the effects of their treatment on their child. It's understandable why women who depend on ADHD medication for daily functioning are concerned about the effects of continued treatment on their unborn baby. The majority of the drugs used to treat ADHD are absorbed through the placenta. However, the FDA has a limited understanding of the effects of these drugs on the fetus or infants. It is important to know what is known about the effects of these medications on infants and fetuses before making a decision on whether or not to continue taking them during pregnancy. It is best to start the conversation with a physician before a woman decides to plan to have a baby. It's not always feasible, and some women discover they are pregnant when it's too late to make an informed decision. Many people who use stimulants to treat adult ADHD discover that their symptoms are worse during pregnancy. This is due to the fact that levels of estrogen rise dramatically during the first trimester and estrogen can have a negative effect on the dopamine pathways of the brain. It's important that you discuss the pros and con of taking stimulants during pregnancy, with a psychiatrist with an in-depth understanding of ADHD and perinatal health. adhd medication uk or she will be able to explain the research and help you determine the best option. Another option is to try non-stimulant treatments for ADHD during pregnancy, which can be effective and safe for both mother and child. Cognitive behavioral therapy, for instance has been proven to improve executive functioning in those suffering from ADHD. It could be useful during pregnancy. Exercise can also be an effective non-stimulant treatment for ADHD. A study from 2018 showed that those with ADHD who engaged in regular physical activity had fewer errors on tests and this could be due to improved reaction times. Antidepressants can benefit certain people suffering from ADHD particularly those that stimulate the norepinephrine system such as Atomoxetine. It is important to keep in mind that antidepressants also have the potential to cross the placenta, and may cause harm to an unborn child. How can I manage my Side Effects while Breastfeeding? The decision to continue or stop taking ADHD medication during pregnancy requires careful evaluation of the risks and benefits for both the mother and the baby. Consult with healthcare professionals as they can offer guidance that is based on the most recent research and your individual health conditions. Women who are taking stimulant medications to treat ADHD symptoms can have a range of side effects. They can experience loss of appetite and weight gain, dry mouth, stomach pain, nausea anxiety, dizziness and difficulty sleeping. Depending on the specific medication being used, mothers may also experience psychological/mood changes like agitation, aggression and depression. These side effects are more likely to occur during long-term use or high doses. Stimulants increase the amount of neurotransmitters in the brain. This increases focus, attention and impulse control. They are commonly prescribed for adults and children who have ADHD, or to treat other ailments like narcolepsy. It is crucial to be aware that these medications may also interact with other supplements and medications. Women should talk to their doctor about any other nutritional supplements or medications they may be taking. There is limited information on how these medications could affect a baby who is pregnant and breastfeeding. Studies have shown in the past that women who are taking stimulant medication during pregnancy are more at risk chance of developing pregnancy-related complications such as preeclampsia or premature birth. This is believed to be due an array of factors, which include the fact that women who are taking stimulant medication tend to have other unhealthy habits, such alcohol and smoking. However, the authors of a recent systematic review have found that there is insufficient evidence to support the claim that ceasing stimulant use during pregnancy decreases the risk of these issues. It is important to keep in mind that the research on this issue is relatively new, and further high-quality studies are needed to better understand the ways in which the long-term outcomes of offspring could be affected by the maternal use of ADHD medications. Women who wish to continue taking their ADHD medication during pregnancy should think about using short-acting medications, which are absorb quickly and peak quickly. This will allow you to time feedings around drug dosing and to avoid exposure to the medication when possible.