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ADHD Medication and Pregnancy GPs might prescribe stimulants to treat ADHD (methylphenidate dexamfetamine, dexamfetamine and lisdexamfetamine) along with non-stimulants such as modafinil and Atomoxetine. These medications can aid patients in managing their ADHD symptoms, and attend regular appointments to see the doctor or a specialist. The majority of studies regarding the safety of ADHD medication during pregnancy limit the results to live births. This undervalues the severe Teratogenic side effects that can cause terminations and abortions. This is the first study that includes such information. Risk/Benefit Discussion The use of ADHD stimulants during pregnancy is a typical problem for women suffering from the disorder. On one side, a lot of women with ADHD function well when they take their medication. Stopping it could cause conflicts in the marriage, issues at work or school, and other serious consequences. On the other hand they don't wish to expose their child to drugs whose long-term consequences are not known. Some doctors suggest to their patients to quit taking ADHD medications prior to getting pregnant, while other have found a way to balance the assumption of safety and individual needs of the patient. They usually make an option after consulting with their spouse and/or physician and strike an equilibrium between the mother's need for her medication and the potential of experiencing severe symptoms like agitation, depression, and trouble staying awake when stopping the medication. Most studies of ADHD medication and pregnancy focus on the effect of first-trimester exposure to stimulant medication on the formation of fetal malformations (eg, cardiac malformations). The literature is inconsistant. The literature is inconclusive due to the fact that most studies do not provide information on outcomes other than live births (eg. terminations and stillbirths, miscarriages and terminations) and also do not take into account confounding variables such as calendar year, characteristics of pregnancy and sociodemographics of the mother. The results of a few studies indicate that there is no risk to the fetus from the use of stimulant medication before, during, or after the 1st trimester. While the signs for certain cardiac malformations, particularly VSD (ventricular septal defect), are strong but these findings require confirmation in larger studies with more precise and detailed information. There isn't enough evidence to establish a connection between maternal use of methylphenidate (MPH) and Atomoxetine (ATO) and a higher incidence of gastroschisis, omphalocele and transverse limb deficiency. Other medications may also pose an increased risk of these types of birth defects, but the risks are unclear based on the limited available information. Avoid taking medications Women suffering from ADHD who are pregnant have to make a difficult decision: Should they continue their ADHD medication or stop taking it? This is a major change in life that will affect both the mother and the fetus. Many doctors believe that the ideal time to bring up this topic is when a woman tells her doctor that she would like to start a new family. This will give her the information she needs to make a decision prior to when she is pregnant. However, this is not always the case and women often discover that they are pregnant at a later point in the pregnancy when it may be too late to safely stop taking medications. Unfortunately, there are few studies on the safety of stimulants during pregnant and breastfeeding. Most studies are based on retrospective data analysis and don't take into consideration factors like the mother's age at first exposure and chronic conditions, stimulant indications or co-treatment with pain medications and psychiatric medications, as well as other factors that may affect risk. While some studies have revealed slight increases in the risk of preeclampsia and premature birth due to psychostimulants used during pregnancy, these findings should be interpreted with caution. Some behavioral problems in infants have been caused by the use of stimulants in pregnancy. The most commonly reported is the development of tics (abnormal muscle movements) in some children. Other problems with behavior that have been observed include an increase in irritability and impulsivity. The good thing is that these symptoms tend to improve after the medication is removed. Certain ADHD medications may interact with other medications, causing dangerous side effects, particularly when they are combined with alcohol or CNS stimulants such as methylphenidate and amphetamines salts. These medications should not be combined with antidepressants or narcotics, including pain relievers, and should be avoided by those who are using illicit drugs or nicotine products. Some patients are able to decrease or stop taking ADHD medications during pregnancy without significant functional impairment. In these cases it is important to inform the patient and her partner about the decision. Ask them for assistance in reducing the frequency of recurrence of symptoms. This could include locating local resources, seeking help from friends or family, or seeking accommodations at work that can address symptoms-related impairments. It is also helpful to be aware of cognitive-behavioral treatments and coaching for ADHD that can be offered by professionals who are trained. Considerations for the use of medications The decision to remain on ADHD medication during pregnancy is a difficult one for both physicians and patients. add adhd medications 's a particularly difficult choice for those who suffer from co-occurring disorders of substance use due to the fact that many of the medications used to treat their addictions may have the same effects as common ADHD medications, including the possibility of increasing blood pressure and a recurrence of chest pain. Unfortunately, there aren't a lot of alternatives for these patients and their physicians. The lack of research on how to properly manage a person with both ADHD and a substance use disorder makes it easy for certain doctors to err on the side of caution and recommend that their patients stop taking their medications during pregnancy. Ideally, the question of whether to continue taking ADHD medication is discussed well prior to making plans for the birth of a child. Many women with ADHD are shocked to discover they are pregnant. This often happens in the first trimester, when the development of the fetus is the most vulnerable to exposure to drugs. If the doctor and patient decide to continue with medication during the initial trimester, they should pick the lowest dose possible and closely monitor symptoms. The doctor might suggest that the patient add an immediate-release drug taken in the middle of the day, which will help to reduce the fluctuations and downs that are caused by the fluctuating levels of medications in the bloodstream. In the near future, more research is hoped to be conducted on how best to manage ADHD and substance abuse issues in nursing or pregnant women. In the meantime, those who are pregnant or trying to become pregnant should be encouraged to talk with their doctor and psychiatrist about what options might be available to them such as psychotherapy geared towards ADHD symptoms and how they could differ from a treatment-only approach. If they decide not to take medication and are not taking medication, they will experience more difficulty at work, school as well as in maintaining relationships. This will likely affect their children too. Incorporate the use of Medications Women with ADHD may take medications to manage symptoms such as inattention hyperactivity and the tendency to be impulsive. Recent studies have shown that these medications do not negatively impact the fetus, and can be used during pregnancy. This is great news for women who are planning to become mothers and depend on their ADHD medications. Many women are worried that they should not continue taking their medications while pregnant, especially when they are taking stimulant drugs like amphetamines and methylphenidate. Women should talk to their healthcare professionals about the potential risks and benefits associated with the use of medications according to current research and guidelines. Methylphenidate, one of the most commonly used ADHD medications prescribed to pregnant women, is to be safe when used under the supervision of a healthcare professional. Amphetamine, atomoxetine and other stimulant medicines are safe for women who are pregnant. However, it is important to remember that both non-stimulant and stimulant medications must be monitored closely during pregnancy. A recent study of data from the Danish national registers has revealed that children born to mothers taking ADHD medication during pregnancy did not experience adverse effects on their child's neurodevelopment or long-term growth. These findings are significant as they cover a larger population of patients than previous research and take into account numerous confounding factors. The results also demonstrate that the use ADHD medication during pregnancy does not increase the risk of maternal complications, like anemia, iron deficiency or hyperemesis. 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. Women with ADHD must adhere to their treatment plan and closely work with their healthcare professional throughout their pregnancy. This will ensure that their symptoms are well managed, allowing them benefit the most from their pregnancies. There are alternatives to pharmaceuticals for those who are unable or don't want to quit taking their medication. These interventions can improve symptoms and promote overall health. These include: