A Step-By-Step Guide To ADHD Medication And Pregnancy From Start To Finish
ADHD Medication and Pregnancy
Psychiatrists are often approached by women who are trying for a baby or are pregnant and are concerned about the negative effects of their ADHD medication. The good news is that research suggests it is safe to take stimulant medication throughout the pregnancy.
The findings are based upon naturalistic studies which included an abundance of first-trimester presentations.
Pregnancy
Women are excited about pregnancy and the birth of the baby, but they may worry about how their ADHD medication will affect their child's birth. Some physicians recommend to their patients to quit taking stimulant medications during pregnancy or when trying to have a baby. However, many people with ADHD require the advantages of their medication to perform in everyday life and may struggle without it during this time.
A recent study from Denmark discovered that exposure to methylphenidate in the first trimester (in the form a redemption medication) did not appear to increase the risk of malformations that cause major damage when compared with the control group who did not receive redeemed medication during the first trimester. The study used registry information from Danish databases to identify pregnant women and their medication history, including whether they were treated for ADHD.
Researchers observed 898 babies whose mothers had been exposed to methylphenidate as well as other stimulants during the first trimester. They were compared to 1,270 babies in the control group that did not receive any stimulant medication or methylphenidate during the first trimester of pregnancy.
Both infant groups were screened for neurodevelopmental psychiatric disorders, other neurodevelopmental impairments growth impairments, fetal heart issues (such as gastroschisis, omphalocele, or transverse limb deficiency). The results showed that babies born to mothers who were exposed to methylphenidate during pregnancy didn't exhibit any higher rates as compared to those who were not. This was the case for the first and second trimesters.
This is a positive result that can comfort pregnant women who are taking ADHD medication and may want or require treatment throughout the pregnancy. This study did not assess the impact of lifestyle changes or other medications on a pregnant fetus. Other studies have shown that there is a link between stimulant medications and adverse pregnancy outcomes such as a caesarean birth or the baby needing assistance to breathe during birth.
Breastfeeding
Even when women with ADD or ADHD need to take medication to control their symptoms, they find that breastfeeding benefits their baby. It is crucial that the mother and infant are well-nourished, so the decision to breastfeed or take ADHD medication should be taken in consultation with a healthcare professional. According to the most current guidelines and research1 women don't have to stop breastfeeding in order to take her prescribed medication. Numerous studies have demonstrated that the long-term neurodevelopmental effects on the baby are not significant if the mother takes her ADHD medications as prescribed.
Stimulants are the most commonly used treatment for ADHD such as methylphenidate (with brand names Ritalin and Concerta) and dexamfetamine (brand name Vyvanse). They are available in immediate-release versions that lasts up to four hours, and extended-release versions that are taken once a day in the morning. They could last as long as 16 hours. Many people suffering from ADD or ADHD find that the best method to manage their symptoms is to take the extended-release medication with immediate-release pills in the evening or afternoon.
Some medications are not compatible with breastfeeding, like Clonidine, which decreases prolactin production and reduces milk production. Some people with ADD and ADHD don't want to stop breastfeeding for this reason, and so they change to a different stimulant. These medications are less likely contain high RIDs and could be covered under the Pharmaceutical Benefits Scheme. If you're thinking of changing your medication during your pregnancy or while breastfeeding it is essential to talk to an GP or specialist. They can offer advice on the most safest medication to use and how to track the baby's weight and growth. The doctor or specialist can also help with the referral to a psychiatrist or psychologist to receive additional assistance. They may also refer you to a dietitian for assistance in nutrition and diet.
Postpartum
During pregnancy, the female body experiences massive emotional, physical and hormonal changes. For some women, the transition to parenthood can bring feelings of excitement, joy and love but also frustration, sadness or anxiety. This is normal and it is crucial that the mother receives help from family members and her health care provider, and/or a mental health professional in case she is experiencing difficulties.
Being a mother can be exciting and overwhelming, but there is no reason why the new mom should feel that she has to do it by herself. Finding the right balance can be difficult, but it can be helped by allowing yourself the time to rest, getting enough sleep and eating well. treating adhd without medication is also crucial to schedule your postpartum checkups as they will be able to spot any potential problems early on.
Some women may experience a brief moment of depression or anxiety following the birth of their child. This is called the "baby blues." It is a common occurrence and tends to go away by itself within a week or two. However for some, the feelings can become more serious and last longer. This is called postpartum depressive disorder and is a treatable condition. If treating adhd without medication has had depression or anxiety before, she is at a higher risk of developing it following the birth of her baby.
In certain instances women can suffer from postpartum psychosis, which is very dangerous for the mother and the child. This is a psychiatric issue that should be treated as soon as possible. Treatment may include the use of medications and therapy. A therapist who has expertise in this type of illness could be helpful. If the symptoms are severe electroconvulsive (ECT) therapy may be advised.
If a mother who is having an episode of postpartum psychosis, her doctor will probably prescribe an antipsychotic medication like lithium or valproate and a mood stabilizer such as citalopram. They may also recommend cognitive behavioral therapy to treat the root causes. Tricyclic antidepressants, such as nortriptyline and imipramine are occasionally used but they can have adverse side effects that are difficult to manage and are typically only prescribed when other medications have not been effective.
Adolescence
Adolescence is an important period of physical, cognitive and psychosocial growth. It requires a transition from dependence on parents to a sense of independence when making decisions and acting in the world around them. Adolescents are interested in expanding their social circle beyond their immediate family members to include their peers, friends, and acquaintances. Their social circle could also comprise members of student groups as well as team sports or jobs.
In adolescence, the biological changes in brain structure and connectivity can be correlated with increased knowledge, experience and social demands that change to create rapid cognitive growth. This includes improvements in selective and divided focus (the ability of focusing on different stimuli simultaneously), working memory, and long-term memories. In addition, adolescents' capacity of thinking abstractly and morally improves too.
These cognitive changes are accompanied by hormonal changes that makes adolescents more drawn to exciting and new experiences. Their hormones also cause them to seek out experiences that will improve their standing in the opinions of others. This desire to explore new things can be used positively, for example by participating in a school production. It is also a way to take risks that are healthy for example, like exploring sexual behavior or other risk-taking behaviours, provided they are in a safe and secure environment.
The different rates of physical growth can cause awkward stages in adolescence and feelings of self-consciousness or anxiety about their body changes. In certain cultures, like those of Aboriginal and Torres Strait Islander people, the adolescent years can be a time in which young people establish their identity with their families, clans and nations, as well as their ancestors, tribes, and country.
Relationships between teens and friends can either be a source for support or conflict. These relationships are crucial for the health of adolescents and can have a significant impact on their happiness and well-being. The relationships between adolescents and parents can be a wonderful source of support for them, particularly when they are able to resolve issues in a non-confrontational fashion.