Why You Should Concentrate On Improving ADHD Medication Pregnancy
ADHD Medication During Pregnancy and Breastfeeding
The decision to stop or continue ADHD medications during pregnancy and nursing is a challenge for women suffering from the condition. There isn't much information on how long-term exposure to these medications could affect the foetus.
A recent study published in Molecular Psychiatry shows that children exposed to ADHD medication during the uterus do not develop neurological disorders such as hearing loss or impaired vision, febrile seizures, or IQ impairment. The authors acknowledge the need for more high-quality studies.
Risk/Benefit Analysis
Pregnant women who take ADHD medications must weigh the advantages of using them against the risks to the fetus. Doctors don't have enough data to give clear advice however they can provide information on the risks and benefits to help pregnant women make informed decisions.
A study published in Molecular Psychiatry found that women who were taking adhd medication over the counter uk medications during their early pregnancy did not face an higher risk of fetal cardiac malformations or major structural birth defects. Researchers used a vast population-based case-control study to assess the risk of major structural birth defects in babies born to mothers who had taken stimulants in the early stages of pregnancy, as well as those who had not. Clinical geneticists, pediatric cardiologists and other experts looked over the cases to make sure that the classification was accurate and to reduce any bias.
However, the researchers' study had its limitations. Most important, they were unable to separate the effects of the medication from those of the disorder that is underlying. 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 if they were caused by the presence of comorbidities. The researchers also did not look at long-term outcomes for offspring.
The study did find that infants whose mothers had taken ADHD medications during pregnancy were at slightly greater risk of being admitted to the neonatal intensive care unit (NICU) than infants whose mothers had not taken any medication or had taken off their medication prior to or during pregnancy. This was due to central nervous system disorders. The higher risk of admission was not affected by the stimulant medication that was used during pregnancy.
Women who used stimulant ADHD medication during pregnancy also had an elevated chance of having a caesarean section or having a baby born with low Apgar score (less than 7). These increases didn't seem to be influenced by the type of medication that was used during pregnancy.
Researchers suggest that the minor risks associated with the use private adhd medication cost medications in early pregnancies could be offset by the greater benefits for baby and mother of continued treatment for the woman's condition. Doctors should discuss with their patients about this and, if possible, help them improve coping skills which may reduce the impact of her disorder in 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 to continue or discontinue treatment during pregnancy is one that more and more physicians have to face. Most of the time, these decisions are made without clear and authoritative evidence in either case, which means that doctors must weigh their knowledge about their experiences, the experiences of other doctors, and what research says on the topic, along with their best Non stimulant adhd Medication for Adults - http://delphi.larsbo.org/user/snailrouter00 - judgment for each individual patient.
Particularly, the issue of potential risks to the baby can be a challenge. The research that has been conducted on this topic is based on observation rather than controlled studies, and a lot of the results are conflicting. Most studies limit their analysis to live births, which may underestimate the severity of teratogenic effects leading to terminations or abortions of pregnancy. The study discussed in this journal club addresses these limitations by analyzing data on live and deceased births.
The conclusion: While some studies have shown a positive association between ADHD medications and the possibility of certain birth defects, others have found no connection, and most studies demonstrate a neutral or slight negative effect. In every case it is imperative to conduct a thorough evaluation of the potential risks and benefits is required.
For many women with ADHD and ADD, the decision to stop taking medication is difficult, if not impossible. In a recent piece published in the Archives of Women's Mental Health by psychologist Jennifer Russell, she notes that stopping ADHD medications during pregnancy can increase depression and feelings of isolation. In addition, a decrease in medication can interfere with the ability to perform job-related tasks and drive safely which are essential aspects of a normal life for many people suffering from ADHD.
She recommends women who are uncertain about whether to continue or stop medication in light of their pregnancy should consider informing family members, friends and colleagues about the condition, its effects on daily functioning, and on the advantages of staying on the current treatment regimen. It can also help women feel more confident in her decision. Certain medications can pass through the placenta. If a patient decides to not take her ADHD medication while pregnant and breastfeeding, it's important to be aware that the drug could be passed on to her infant.
Risk of Birth Defects
As the use of ADHD drugs to treat symptoms of attention deficit hyperactivity disorder (ADHD) increases there are concerns about the effects that the drugs could have on the fetuses. Recent research published in the journal Molecular Psychiatry has added to the body knowledge on this issue. With two massive data sets, researchers were able to analyze more than 4.3 million pregnancies and see whether the use of stimulant medications increased the risk of birth defects. Researchers discovered that, while the overall risk is low, the first trimester ADHD medication exposure was associated with slightly higher risk of specific heart defects like ventriculoseptal defects.
The authors of the study could not find any association between early use of medication and other congenital anomalies, like facial deformities or club feet. The results are in agreement with previous studies that showed the existence of a slight, but significant increase in cardiac malformations for women who started taking ADHD medication prior to the time of pregnancy. The risk increased in the latter half of pregnancy, when a lot of women began to stop taking their medication.
Women who were taking ADHD medication during the first trimester were more likely to require a caesarean delivery or have an insufficient Apgar after delivery, and had a baby that required breathing assistance at birth. The researchers of the study were unable to eliminate bias due to selection because they restricted the study to women with no other medical conditions that could have contributed to the findings.
Researchers hope that their study will help doctors when they see pregnant women. The researchers recommend that, while discussing benefits and risks are important, the decision on whether to continue or stop medication should be made according to the severity of each woman's ADHD symptoms and her requirements.
The authors also warn that, while stopping the medication is an option, it is not a recommended practice because of the high incidence of depression and other mental health problems for women who are expecting or recently postpartum. Research has also shown that women who stop taking their medication will have a harder transitioning to life without them after the baby is born.
Nursing
It can be a challenge to become a mother. Women who suffer from ADHD are often faced with a number of difficulties when they have to manage their symptoms, attend doctor appointments, prepare for the birth of their child and adjust to new routines. As such, many women elect to continue taking their ADHD medication throughout the pregnancy.
The majority of stimulant medications pass through breast milk in small amounts, so the risk to breastfeeding infant is minimal. However, the frequency of exposure to medications by the newborn may differ based on the dosage, frequency it is taken and at what time the medication is administered. In addition, various drugs enter the infant's system through the gastrointestinal tract or breast milk. The impact of these medications on the health of a newborn isn't completely understood.
Because of the lack of research, some physicians may recommend stopping stimulant medications during the course of pregnancy. This is a difficult decision for the patient, who must weigh the benefits of continuing her medication with the potential risks to the fetus. Until more information becomes available, doctors may ask pregnant patients whether they have a background of ADHD or if they intend to take medication during the perinatal phase.
A growing number of studies have shown that women can continue taking their ADHD medication during pregnancy and while breastfeeding. In the end, more and more patients opt to do this and, after consulting with their doctor, they have discovered that the benefits of maintaining their current medication far outweigh any risks.
Women with ADHD who plan to breastfeed should seek advice from a specialist psychiatrist before becoming pregnant. They should review their medications with their physician and discuss the advantages and disadvantages of continuing treatment, including non-pharmacological strategies. Psychoeducation is also necessary to help pregnant women with adhd medication names list understand the symptoms and underlying disorder. They should also learn about treatment options and strengthen the coping mechanisms. This should be a multidisciplinary effort including obstetricians, GPs and psychiatrists. Pregnancy counseling should include a discussion of a treatment plan for the mother and child, as well as monitoring for signs of deterioration and, if needed modifications to the medication regimen.