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Should You Take ADHD Medication During Pregnancy? Many women are forced to take ADHD medication during pregnancy, but without any evidence-based scientific proof. This is particularly the case for stimulants that have an effect that lasts for a long time, such as Adderall and Ritalin. These findings need to be taken into consideration, even the studies on ADHD medication and pregnancy have shown an insignificant relationship with pregnancy outcomes. These results need to be confirmed by larger-sample research with higher perinatal outcomes and longer-term outcomes. How Does It Work? Ritalin Adderall and Vyvanse are all stimulants that are frequently used in the treatment of ADHD. The drugs increase the amount of dopamine in the brain, a neurotransmitter that is involved in executive functions. This allows those with ADHD to concentrate, control their behavior and manage their tasks and time. Without medication, many adults with ADHD struggle to function in their daily lives. Their disordered behavior can cause issues in relationships, schools, jobs, and other activities. They may also have trouble following the law or driving safely, leading to accidents in the car and other incidents. Some women suffering from ADHD are able to stop their treatment when they become pregnant. This is a huge decision that needs to be taken with care. The decision to stop a medication should be weighed against the impact it will affect the mother's health and well-being. There aren't many studies on the long-term consequences of stopping ADHD medication during pregnancy. A recent study examined the outcomes of children who were exposed to stimulant drugs during the uterus. Researchers looked at data from 382 women who had filled prescriptions for methylphenidate. It is indicated for ADHD in 90% cases. The women were compared with similar pregnancies of mothers who did not take methylphenidate. The researchers then looked at the children's neurodevelopmental disorder (NDDs), and other health outcomes like substance use, mental illness, and criminal behavior. Studies have previously found that a person who uses stimulant drugs during pregnancy or breastfeeding is at increased chance of having a child with an NDD. The current study, however, did not find any evidence that NDDs are more prevalent in children exposed to methylphenidate while in the womb. Furthermore, no differences were seen in rates of other NDDs. Certain medications used to treat ADHD have vasoconstrictive properties, which means they reduce the flow of blood through the placenta. This can lead to fetal growth restriction and premature birth. Other medications that affect the dopamine pathway may increase the risk for preeclampsia as well as preterm birth. Cesarean deliveries are also more likely. A recent study by Poulton et al using population-based Medicaid data from Australia found that a tiny percentage of women who took stimulants before or during pregnancy experienced more than one of these issues. What are the side effects? ADHD medications can cause serious side effects, such as sedation and insomnia. It is essential to discuss your options with your doctor should you want to continue taking your medication throughout pregnancy. Depending on your symptoms and how you present you may be able to locate an alternative treatment that is safe for you and your baby. A recent study examined the effects of stimulant ADHD medications on pregnancy outcomes for women who continued their prescriptions into the first trimester. In comparison to women who stopped or stopped taking their stimulants, those who continued taking their ADHD medication (the “continuers”) had an increased chance of having an emergency caesarean birth, as well as a lower than the normal Apgar score for the baby. Despite the research findings there aren't many scientific studies that show how psychiatric medication of any kind affects pregnant women or their infants. Many physicians rely on the best practices of their peers, research on the results of previous studies, and a careful consultation with each patient to arrive at sensible recommendations. Many women with ADHD, despite the fact that it is a serious problem they are hesitant to stop taking their medications during pregnancy and while breast-feeding. They fear that they'll be incapable of managing their ADHD symptoms without medication. They are also concerned about the possible negative effects of exposing babies to stimulant chemicals in utero. Additionally, they may not have access to reliable information about the safety of using ADHD medication during lactation. When faced with a tough decision, choose to continue treatment with the help of their family and friends. Others choose to stop their medication, even if this affects their work and personal life. It is essential to inform your partner, spouse, and other family members about your decision. This will allow them to better comprehend your needs and allow them to provide additional support when needed. 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 career and personal lives, while lessening the chances of miscommunication. Based on your personal needs, you might also think about non-medicative alternatives such as exercise or cognitive behavior therapy for ADHD. One alternative is EndeavorOTC which has been proven to reduce ADHD symptoms in those with mild to moderate ADHD without the negative side negative effects of stimulant medication. How do I manage my side effects? Women who rely on ADHD medication for their daily functioning worry about the impact on their child's future. It's understandable why women who rely on ADHD medication to manage their daily lives are concerned about the impact of the treatment they receive on their unborn baby. All medications used to treat ADHD cross the placenta and the FDA has limited information on the effects of these drugs on infants or fetuses. It is important to know what is known about the effects of these drugs on infants and fetuses before making a decision to continue taking them while pregnant. The best time to begin discussions with a physician is when women are planning a pregnancy. It's not always possible, and some women find out they're pregnant too late to make an informed decision. Many people who take stimulants to treat adult ADHD find that their symptoms are worse during pregnancy. This is because estrogen levels increase dramatically in the first trimester. Estrogen has a negative impact on the dopamine pathways in the brain. It's crucial to discuss the pros and cons of continuing to take stimulants during pregnancy with a psychiatrist who has a deep understanding of ADHD and perinatal health. He or she will be able to explain the research findings and help you determine the best option. Another option is to try non-stimulant therapies for ADHD while pregnant, which can be effective and safe for both mother and child. For instance, cognitive behavioral therapy has been proven to improve executive functions for people suffering from ADHD and could be beneficial during pregnancy. Exercise is a non-stimulant treatment for ADHD. A study in 2018 showed that those with ADHD who regularly exercised had fewer errors on tests. This could be due in part to an improved reaction time. Certain people with ADHD also benefit from antidepressants, specifically those that increase norepinephrine levels, such as atomoxetine. However, it's important to remember that antidepressants also have the potential to cross the placenta and could cause harm to the unborn child. How can my response control my adverse effects from breastfeeding? The decision to continue or stop ADHD medications during pregnancy requires careful consideration of the benefits and risks for both the mother and the fetus. It is crucial to consult with healthcare professionals because they can offer guidance in light of current research and individual health issues. Women who use stimulant medications to manage their ADHD symptoms are susceptible to a number of side effects, such as weight loss, dry mouth, stomach pain nausea, dizziness anxiety and trouble sleeping. Depending on the particular medication used, mothers may also experience changes in their mood or psychological like aggression, agitation and depression. These adverse effects are more likely to happen with prolonged use or high doses. Stimulant medications increase neurotransmitter levels within the brain. This improves focus, attention and impulse control. They are typically prescribed for children and adults with ADHD, or to treat other conditions like narcolepsy. It is vital to understand that these medications can interact with other supplements and medications. Women should talk to their doctor about any other supplements or medications they might be taking. There is not much information on how these may affect a baby who is pregnant and breastfeeding. Studies have demonstrated in the past that women who take stimulant medication during pregnancy are more at risk risk of pregnancy 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 drinking and smoking. The authors of a systematic review concluded that there was insufficient evidence to suggest that stopping the use of stimulants during pregnancy would reduce the risks. It is important to remember that research on this subject is still in its infancy. More high-quality studies will be required to determine how the use of ADHD medication by mothers may affect the long-term outcome of their children. In the meantime, it is recommended that women who want to remain on their ADHD medication during pregnancy think about using short-acting medications, which peak and disappear quickly. This will allow you to plan your meals to coincide with the dose of your drug and avoid exposure to medications whenever it is possible.