10 Quick Tips About ADHD Medication Pregnancy
ADHD Medication During Pregnancy and Breastfeeding
The choice of whether to stop or continue ADHD medication during pregnancy and nursing is a difficult decision for women suffering from the condition. There are few data regarding how exposure over time may affect the pregnant fetus.
A recent study published in Molecular Psychiatry shows that children exposed to ADHD medication during utero do not develop neurological conditions like hearing or vision impairment seizures, febrile seizures, or IQ impairment. The authors acknowledge that further high-quality research is needed.
Risk/Benefit Analysis
Women who are expecting and taking ADHD medication must evaluate the benefits of using it against the potential dangers for the baby. Doctors don't have the data needed to provide clear recommendations however they can provide information on risks and benefits that aid pregnant women in making informed choices.
A study published in Molecular Psychiatry found that women who used ADHD medications during early pregnancy did not have a significantly increased risk of fetal cardiac malformations or major birth defects that are structural. Researchers used a vast population-based study of case-control to determine the prevalence of major structural birth defects in infants born to mothers who took stimulants during the early stages of pregnancy, and those who did not. Clinical geneticists and pediatric cardiologists reviewed the cases to ensure an accurate classification of the cases and to reduce the chance of bias.
However, the study had its limitations. In particular, they were unable to distinguish the effects of the medication from the disorder at hand. That limitation makes it difficult to determine whether the small differences observed in the groups that were exposed result from medication use or confounding by comorbidities. Additionally the study did not look at long-term offspring outcomes.
The study found that infants whose mother took adhd medication intuniv medication during pregnancy were at a slightly higher risk of admission to the neonatal care unit (NICU), compared to mothers who did not use any medication during pregnancy or had quit taking the medication prior to or during pregnancy. The reason for this was central nervous system disorders. The higher risk of admission was not influenced by the stimulant medications used during pregnancy.
Women who were taking stimulant ADHD medication during pregnancy also had an increased risk of having a caesarean section or having a baby with an low Apgar score (less than 7). These increases appear to be independent of the type of medication used during pregnancy.
The researchers suggest that the risk of a small amount with the use of ADHD medications during the early stages of pregnancy could be offset by the higher benefit to both the mother and child of continuing treatment for the woman's condition. Physicians should discuss the issue with their patients and, if they are able, assist them in developing strategies to improve their coping abilities that can lessen the effects of her disorder on her daily life and relationships.
Medication Interactions
As more women than ever before are being diagnosed with ADHD and being treated with medication, the dilemma of whether to continue or discontinue treatment during pregnancy is one that more and more doctors have to face. The majority of these decisions are taken in the absence of clear and authoritative evidence either way, so physicians have to weigh their experience about their experiences, the experiences of other doctors, and what research suggests about the subject, along with their own best judgment for each individual patient.
In particular, the issue of potential risks to the baby can be tricky. The research that has been conducted on this topic is based on observation rather than controlled studies, and many of the findings are in conflict. Furthermore, most effective adhd medication for adults studies restrict their analysis to live births, which could underestimate the severity of teratogenic effects that could cause abortion or termination of the pregnancy. The study presented in the journal club addresses these shortcomings by analyzing both information on deceased and live births.
Conclusion A few studies have shown a positive correlation between ADHD medications and certain birth defects, other studies have not shown such a relationship. most common adhd medications studies show a neutral, or even slight negative effect. As a result an accurate risk-benefit analysis is required in every situation.
For a lot of women with ADHD who suffer from ADHD, the decision to discontinue medication can be difficult, if not impossible. In a recent article published in the Archives of Women's Mental Health by psychologist Jennifer Russell, she notes that stopping ADHD medications during pregnancy can lead to depression and feelings of isolation. A loss of medication may affect the ability to safely drive and complete work-related tasks, which are vital aspects of normal life for people with ADHD.
She suggests that women who are not sure whether to continue taking medication or stop it due to their pregnancy educate family members, colleagues, and friends about the condition, its impact on daily functioning and the benefits of continuing the current treatment. In addition, educating them can aid in ensuring that the woman feels supported in her struggle with her decision. It is important to remember that some drugs can pass through the placenta, so if the patient decides to stop taking her ADHD medication during pregnancy and breastfeeding, she should be aware that the effects of the medication could be passed on to the baby.
Risk of Birth Defects
As the use and abuse of ADHD medication to treat symptoms of attention deficit disorder hyperactivity disorder (ADHD) increases the concern over the potential adverse effects of the drugs on fetuses. A study that was published in the journal Molecular Psychiatry adds to the existing knowledge about this subject. Utilizing two huge data sets researchers were able analyze more than 4.3 million pregnancies and determine whether stimulant medications increased the risk of birth defects. Researchers discovered that although the overall risk is low, the first trimester ADHD medication exposure was associated with slightly higher risk of specific heart defects like ventriculoseptal defect.
The authors of the study could not find any association between early use of medication and other congenital anomalies such as facial deformities or club feet. The results are in line with previous studies revealing an increase, but not significant, in the risk of heart malformations among women who started taking ADHD medications before pregnancy. The risk increased in the latter half of pregnancy when a large number of women decided to stop taking their medication.
Women who were taking ADHD medication in the first trimester were more likely require a caesarean delivery, have a low Apgar after birth and have a baby that needed help breathing after 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 issues that could have contributed to the findings.
The researchers hope that their research will serve to inform the clinical decisions of doctors who treat pregnant women. The researchers suggest that, while discussing benefits and risks are crucial, the decision on whether to continue or stop taking medication should be according to the severity of each woman's ADHD symptoms and her needs.
The authors warn 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 for women who are pregnant or recently gave birth. Furthermore, research suggests that women who choose to stop taking their Medications Used For adhd are more likely to have a difficult time adjusting to life without them following the baby's arrival.
Nursing
It can adhd medication help with memory be a challenge to become a mother. Women with ADHD who have to manage their symptoms while attending doctor appointments, preparing for the arrival of a baby and adapting to new routines in the home can experience severe challenges. This is why many women elect to continue taking their ADHD medications throughout pregnancy.
The majority of stimulant medicines are absorbed through breast milk in small amounts, therefore the risk to nursing infant is very low. The amount of exposure to medications will differ based on dosage and frequency of administration as well as the time of the day. In addition, individual medications enter the infant's system differently through the gastrointestinal tract and breast milk, and the effect of this on a newborn infant is not yet fully understood.
Some doctors may stop taking stimulant medications during a woman's pregnancy due to the absence of research. This is a difficult decision for the patient, who must balance the benefits of keeping her medication against the potential risks to the embryo. As long as more information is available, doctors may ask pregnant patients if they have an background of ADHD or if they intend to take medication during the perinatal period.
A growing number of studies have proven that women can continue their ADHD medication during pregnancy and while breastfeeding. In response, a growing number of patients are opting to continue their medication. They have found, in consultation with their doctor, that the benefits of keeping their current medication outweigh risk.
Women with ADHD who are planning to nurse should seek advice from a specialist psychiatrist before becoming pregnant. They should discuss their medication with their prescriber and discuss the pros and cons for continuing treatment. This includes non-pharmacological strategies. Psychoeducation is also required to help pregnant women with ADHD understand the symptoms and underlying disorder. They should also be informed about treatment options and strengthen strategies for coping. This should be an approach that is multidisciplinary, including the GP doctors, obstetricians and psychiatrists. Pregnancy counselling should include the discussion of a treatment plan for both the mother as well as the child, monitoring for signs of deterioration, and when necessary, making adjustments to the medication regimen.