10 Quick Tips About ADHD Medication Pregnancy
ADHD Medication During Pregnancy and Breastfeeding
Women suffering from ADHD must make a difficult decision regarding whether or not to stop taking ADHD medication during pregnancy and breastfeeding. There isn't much information on how long-term exposure to these medications can affect the foetus.
A recent study published in Molecular Psychiatry shows that children exposed to ADHD medication in the uterus don't develop neurological developmental conditions like impaired vision or hearing seizures, febrile seizures, or IQ impairment. The authors acknowledge that further high-quality research is needed.
Risk/Benefit Analysis
Pregnant women who use ADHD medications need to balance the benefits of taking them against potential risks to the fetus. doctors prescribing adhd medication don't have enough data to give clear advice however they can provide information about risks and benefits to assist pregnant women to make informed choices.
A study published in Molecular Psychiatry concluded that women who were taking ADHD medication during early pregnancy were not at a higher risk of fetal malformations, or structural birth defects. The researchers used a large population-based case-control study to evaluate the incidence of major structural birth defects in babies born to mothers who had taken stimulants during early pregnancy, and those who did not. Pediatric cardiologists and clinical geneticists reviewed the cases to ensure correct case classification and to limit the possibility of bias.
However, the study had its limitations. In particular, they were unable to distinguish the effects of the medication from those of the disorder at hand. This makes it difficult for researchers to determine whether the small differences observed between the groups that were exposed to the use of medications, or if they were confounded by comorbidities. Additionally the study did not examine the long-term outcomes of offspring.
The study did show that infants whose mothers took ADHD medication during pregnancy were at a higher risk of being admitted to the neonatal intensive care unit (NICU) than infants who whose mothers did not take any medication or cut back on their medications prior to or during pregnancy. This was due to central nervous system disorders. The higher risk of admission was not affected by the stimulant medications used during pregnancy.
Women who were taking stimulant ADHD medication during pregnancy were also at an elevated chance of having a caesarean delivery or having a baby with a low Apgar score (less than 7). These increases appear to be unrelated to the type of medication taken during pregnancy.
The researchers suggest that the small risk associated with the use of ADHD medications during the early stages of pregnancy may be offset by the greater benefit to both the mother and child of continuing treatment for the woman's condition. Physicians should discuss this with their patients and, when they are able, assist them in developing strategies for improving their coping skills that can lessen the negative impact of her condition on her daily functioning 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 keep or discontinue treatment during pregnancy is a question 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 what they know, the experiences of other doctors, and what research says on the topic and their best judgment for each individual patient.
Particularly, the issue of possible risks to the infant can be difficult. The research that has been conducted on this topic is based on observations instead of controlled studies and a lot of the results are in conflict. The majority of studies limit their analysis to live births, which may underestimate the teratogenic impact leading to abortions or terminations of pregnancy. The study discussed in this journal club addresses these shortcomings by looking at data from both live and deceased births.
Conclusion A few studies have found a positive correlation between ADHD medications and certain birth defects, other studies have not found a correlation. Most studies show that there is a neutral, or somewhat negative, effect. In all cases it is imperative to conduct a thorough analysis of the risks and benefits must be performed.
For women suffering from ADHD and ADD, the decision to discontinue medication is difficult, if not impossible. In fact, in an article published in the Archives of Women's Mental Health psychologist Jennifer Russell notes that stopping ADHD medication during pregnancy can increase depression, feelings of isolation, and family conflict for those suffering from the disorder. Additionally, the loss of medication may affect the ability to do jobs and drive safely that are crucial aspects of daily life for a lot of people with ADHD.
She suggests that women who are unsure about whether to keep or stop medication in light of their pregnancy should consider informing family members, friends and colleagues on the condition, its impact on daily functioning, and the advantages of continuing the current treatment regimen. It will also help a woman feel supported in her decision. Certain medications can pass through the placenta. If a woman decides to not take her ADHD medication while pregnant and breastfeeding, it is crucial to be aware that the medication could be transferred to the baby.
Birth Defects and Risk of
As the use of ADHD medications to treat symptoms of attention deficit hyperactivity disorder (adhd medication uk for adults; simply click the next website page,) increases as do concerns about the effects that the drugs might have on the fetuses. A study that was published in the journal Molecular Psychiatry adds to the existing knowledge on this subject. Researchers used two huge data sets to study over 4.3 million pregnancy and determine whether stimulant medications increased birth defects. While the overall risk is low, the researchers did find that first-trimester exposure to ADHD medications was associated with a slightly higher rate of certain heart defects, like ventriculo-septal defects (VSD).
The researchers behind the study found no connection between early medication use and other congenital abnormalities, such as facial clefting or club foot. The results are in the same vein as previous studies that showed an insignificant, but small increase in the number of cardiac malformations among women who began taking ADHD medication prior to the time of pregnancy. The risk grew in the later part of pregnancy, when many women decide to stop taking their medication.
Women who used ADHD medication in the first trimester of their pregnancy were also more likely to experience a caesarean section, a low Apgar score after delivery and a baby who needed breathing assistance at birth. The authors of the study were unable to remove bias in selection since they restricted the study to women without other medical conditions that might have contributed to the findings.
The researchers hope that their research will serve to inform the clinical decisions of physicians who encounter pregnant women. They advise that while discussing the benefits and risks is important but the decision to stop or keep medication should be based on each woman's requirements and the severity of her ADHD symptoms.
The authors caution that, while stopping the medication is an option to consider, it is not advised because of the high incidence of depression and other mental disorders in women who are expecting or recently gave birth. Additionally, the research suggests that women who choose to stop taking their medications are more likely to experience a difficult time getting used to life without them following the birth of their baby.
Nursing
The responsibilities of being a new mom can be overwhelming. Women with ADHD who must work through their symptoms while attending doctor appointments, making preparations for the arrival of a baby and adjusting to new household routines are often faced with a number of difficulties. This is why many women decide to continue taking their ADHD medications throughout the course of pregnancy.
The risk to breastfeeding infant is minimal because the majority of stimulant medications passes through breast milk in low amounts. The rate of medication exposure can vary depending upon the dosage the medication is administered, its frequency and time of day. Additionally, different medications enter the infant's system differently through the gastrointestinal tract as well as breast milk and the impact of this on a newborn infant is not yet fully understood.
Some doctors prescribing adhd medication may stop taking stimulant medications during a woman's pregnancy due to the lack of research. This is a difficult decision for the woman, who must weigh the benefits of continuing her medication against the risks to the fetus. Until more information becomes available, GPs can inquire about pregnant patients whether they have an background of ADHD or if they plan to take medication during the perinatal phase.
A increasing number of studies have shown that women can continue their ADHD medication while they are pregnant and nursing. This has led to an increasing number of patients choose to do so, and in consultation with their doctor they have found that the benefits of continuing their current medication exceed any risk.
It is crucial for women suffering from ADHD who are considering breastfeeding to seek out a specialist psychiatrist's advice prior becoming pregnant. They should discuss their medication with their doctor, and the pros and cons for continuing treatment. This includes non stimulant adhd medication-pharmacological strategies. Psychoeducation is also needed to help pregnant women suffering from adhd anxiety medication be aware of the symptoms and the underlying disorder. They should also learn about treatment options and build coping mechanisms. This should be a multidisciplinary approach with the GP as well as obstetricians, psychiatry and obstetricians. The pregnancy counselling should consist of the discussion of a plan for management for both the mother and child, and monitoring for signs of deterioration, and the need for adjustments to the medication regimen.