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ADHD Medication and Pregnancy GPs can prescribe stimulants (methylphenidate dexamfetamine lisdexamfetamine) and non-stimulants like modafinil or atomoxetine to treat ADHD. These medications can aid patients in managing their ADHD symptoms, and attend regular appointments with a GP or specialist. Most studies of the pregnancy safety of ADHD medication limit results to live births, thus underestimating severe teratogenic effects that result in abortions and terminations. This study is the first to include such data. Risk/Benefit Discussion Many women suffering from ADHD face a dilemma when taking stimulants during pregnancy. On the other side, they perform well with the aid of their medication and stopping it may cause marital conflict as well as difficulties at school or at work, and other significant consequences. On the other hand they don't wish to expose their baby to drugs whose long-term effects are not known. While some doctors may advise their patients to stop taking ADHD medications before they become pregnant, other doctors have found a way to strike a balance between assumed safety and the needs of individual patients. Patients often consult their doctors, spouses or partners before making an informed decision. They find a balance between a mother's need to take her medication and the possibility for severe symptoms, such as depression and agitation if she discontinues the medication. The majority of studies on ADHD medication and pregnancy concentrate on the impact of the first trimester's exposure to stimulant medication on the development of malformations in the fetus (eg malformations of the heart). The literature is not consistent. The literature is inconclusive due to the fact that most studies do not provide data on outcomes other than live births (eg. terminations and stillbirths, miscarriages and terminations) and also do not consider confounding variables like the calendar year, characteristics of pregnancy and maternal sociodemographics. The results of some studies indicate that there is no risk to the fetus from the use of stimulant medications prior to, during, and after the 1st trimester. Although the indicators for certain cardiac malformations, particularly VSD (ventricular septal defect) are clear, these findings need confirmation in larger studies that have more precise and detailed information. There isn't enough evidence to suggest a link between the use of methylphenidate (MPH) and atomoxetine (ATO) and a greater incidence of gastroschisis, omphalocele and transverse limb deficiencies. Other medications could also be a cause of an increased risk of these kinds of birth defects, however the risks are unclear based on the limited available data. Do not take medication. Women with ADHD who are pregnant are often confronted with a tough decision which option to take: Continue or stop taking their ADHD medication? This is a major life change that will affect both the mother and the fetus. Many physicians feel that the best time to discuss this topic is when a patient informs her physician of her desire to have a baby, so that she has the necessary information to make a decision prior to becoming pregnant. However, this is not always possible and women frequently discover they are pregnant at a later time in the pregnancy when it's too late to stop medications. There isn't much research into the safety of stimulants during the course of breastfeeding and during pregnancy. The majority of studies are built on retrospective analyses of data that do not properly control for factors like the age of the mother at the time of first exposure to drug and chronic conditions, the indications for stimulants, cotreatment with pain and psychiatric medications and other factors that influence the risk. Although some studies have revealed small increased risks of preeclampsia and premature birth due to the use of psychostimulants during pregnancy, these findings should be taken with caution. Certain behavioral issues in infants are linked to the use of stimulants during pregnant women. Most commonly, tics (abnormal movements of muscles) are reported in children. Other behavioral issues that have been observed include an increase in irritability and impulsivity. The good news is that these symptoms generally improve once the medication is taken off. Certain medications prescribed for ADHD can interact with other medications and may cause dangerous side effects when they are combined particularly with alcohol or other CNS stimulants (methylphenidate amphetamine salts). These drugs should not be used with antidepressants or narcotics, including pain relievers. They should be avoided by those who use illicit drugs or nicotine products. Some patients find it possible to decrease or stop taking ADHD medications during pregnancy without any significant impairment to their functional abilities. In such cases it is important to inform the mother and child about the decision. Request their help in minimizing symptoms recurrence. This could include identifying local resources, seeking assistance from family or friends, or seeking accommodations in the workplace that address impairments related to symptoms. It is also helpful to find out more about effective cognitive-behavioral treatments and coaching for ADHD which can be provided by professionals who are trained. Medications to Consider Both patients and doctors find it difficult to decide whether or not to continue taking ADHD medication during pregnancy. It's a difficult decision for patients suffering from co-occurring disorders, because many of the medications they use to treat their addictions have similar effects to common ADHD medications. This includes the possibility of high blood pressure or chest pain attacks. There aren't a lot of options for these people and their doctors. The lack of research on how to treat someone suffering from ADHD and a substance use disorder could lead some doctors to err to the side of caution and suggest that patients stop taking their medication during pregnancy. Ideal is to discuss the question of whether or not to continue taking ADHD medications before deciding to start making plans for a baby. Many women with ADHD are shocked to find out they are pregnant. This usually happens during the first trimester of pregnancy, when fetal growth is most susceptible to exposure to drugs. If the doctor and patient decide to proceed with medication during the first trimester, it is recommended to choose the most effective dose and monitor closely for symptoms. The doctor may suggest that the woman consume immediate-release medicine in the middle of the day in order to decrease the fluctuations in the levels of medications in the bloodstream. In the near future there is a lot of research to be conducted on how best to manage ADHD and other substance abuse disorders in pregnant or nursing women. In the meantime women who are expecting or planning to become pregnant should speak to their GP about what options they might have, such as psychotherapy that targets ADHD symptoms and how it differs from a treatment-only approach. They should be made aware that if they don't choose to take medication, they will likely have more difficulty at school and at work and may even find it difficult to keep relationships. This will likely affect their children as well. The use of Medications in conjunction with Women suffering from ADHD typically rely on medication as part of their treatment plan to deal with symptoms like hyperactivity, inattention, and an impulsiveness. While research on the effects of these medications on pregnancy has been minimal Recent studies have demonstrated that they are not likely to affect the fetus in any way and are safe to continue use during pregnancy. This is fantastic news for the increasing number of women who depend on their ADHD medication and want to become mothers. Many women are concerned that they should not continue taking their medication during pregnancy, particularly if they take stimulant medications like amphetamines and methylphenidate. Women should consult with their healthcare providers about the potential risks and benefits associated with the use of medications according to current research and recommendations. Methylphenidate is one of the most common ADHD medications prescribed to pregnant women, has been proven safe when administered under the supervision of a health professional. Amphetamine, atomoxetine and other stimulant medications are safe for women who are pregnant. However it is crucial to note that both stimulant and non-stimulant medications must be closely monitored during pregnancy. A recent study of data from the Danish national registers showed that children born to mothers who took ADHD medication during pregnancy did not experience adverse impacts on their child's neurodevelopment or long-term growth. These findings are significant as they include a much greater number of patients than previous research and take into account many potential confounding factors. Additionally, the results show that the use of ADHD medication during pregnancy does not result in an higher risk of maternal complications such as anemia and iron deficiency, hyperemesis gravidarum, or TORCH infections. These findings are a significant advancement in our understanding of how the use of ADHD medications during pregnancy can be successfully managed by obstetricians and psychiatrists. add adhd medications with ADHD must continue to follow their treatment plan and work closely with their healthcare professional throughout their pregnancy. This will help to ensure that symptoms are treated properly, allowing women to enjoy their pregnancy. There are non-pharmacological options for those who don't want or wish to stop taking their medication. These treatments can improve symptoms and promote overall health. These include: