What Is ADHD Medication Pregnancy And Why Is Everyone Speakin' About It?
ADHD Medication During Pregnancy
Women with ADHD typically experience symptoms that are so severe that they decide to continue their medication throughout the course of pregnancy. This is a difficult decision to make since there have been no controlled studies that have proven the safety of ADHD medication during pregnancy or nursing.
Physicians must strike the right balance between presumed safety and the requirements of their patients. It is important to educate patients and help them assess the risks.
What are the risk factors?
Idealy women should discuss their use of medications and plans for starting the next chapter of their lives with their doctor so they can make an informed choice. Sometimes, things don't go as planned, and a lot of women end up with unintended pregnancy.
Fortunately, it appears that the risk of taking medication during an ADHD pregnancy with medication are lower than previously believed. In the latest study published in Molecular Psychiatry, it was discovered that children born to mothers who continued to take their medications throughout pregnancy did not have an increased risk of neurodevelopmental disorders hearing or vision impairments, epilepsy or seizures. The findings were confirmed after taking into account confounding factors in the mother's pregnancy.
Do I need to stop taking my medication?
Women suffering from ADHD who become pregnant must weigh the benefits and risks of continuing or discontinuing medication during pregnancy. In a clinical setting such as perinatal psychosis, doctors collaborate closely with patients to assist them in deciding the best option for their individual circumstances.
The current study examined associations between redeemed ADHD medications and first-trimester exposure to drugs in a population-based study of 364,012 women who were pregnant. This included both stimulant medications like methylphenidate (Ritalin, Concerta) and nonstimulants such as atomoxetine (Strattera) and guanfacine (Intuniv).
Although the results are encouraging but many ADHDers who have previous history of taking medication are still inclined to take a step of caution in the case of pregnancy, and may decide to cut off their medication. This can have a serious impact on a patient's ability to function, especially at school and work.
Should I begin taking medication in the first trimester?
Women with ADHD tend to decide to stop or cut off their medication during pregnancy. The decision is based on the severity of the symptoms and their impacts on daily activities such as driving safety and school or occupational functions.
Recent research examined the effects of women who took or did not take ADHD medication during their pregnancy. Researchers divided the women into three groups that continued to take medication, those who stopped, and those who didn't.
The results showed women who continued taking their medication were less prone to undergo a c-section, an Apgar score active of less than seven or to be hospitalized due to complications during pregnancy. The authors stress that the study design limitations make it difficult to determine if these results are causal. More studies are required to assess the impact on specific periods of development of the fetus.
Should I begin taking medication in the second trimester?
Many women with ADHD who are of reproductive age have a difficult choice to make about medication use during pregnancy. Currently, we are not aware of the impact of ADHD on women's work functioning, relationships, and comorbid illness. In addition, doctors must weigh the safety of their patients against the wishes of their patients and the needs of the childbearing population.
Recent research suggests that certain stimulant medicines like Vyvanse or Adderall may be safe for mom and baby during the second trimester. It is crucial to consider the ways ADHD symptoms will be dealt with when the baby is born.
Untreated symptoms can also cause impairment at work or in school. Alternative treatments that are not medication-based like EndeavorOTC can help improve performance and reduce ADHD symptoms.
Can I continue taking medications in the third trimester?
The medicines used to treat ADHD may have adverse effects during pregnancy. However, women who have severe ADHD symptoms and comorbid conditions who depend on their medication for their daily functioning might decide to continue taking it throughout the perinatal time.
The women in this group might require additional medication to manage their everyday tasks and relationships as they change through life. Additionally, research shows that this group is at a greater risk for depression in the postpartum period, if they discontinue their ADHD medications.
Although the research isn't extensive but it does reveal that women who quit their medication are more depressed, experience more conflict in their family, and report feeling lonely compared to women who are still taking their medication. The decision to keep or discontinue taking ADHD medication during pregnancy is a decision that is personal and should be considered carefully.
Can I continue taking medication during the fourth trimester?
Women suffering from ADHD often elect to continue their medication during pregnancy. This decision should be made carefully, and the severity of symptoms and co-morbidities should be taken into consideration. It is important to also consider the impact the medication will have on the family and your ability drive or work safely.
Recent research has shown that women who stop taking ADHD medication in the first trimester experience more depression-related symptoms than those who take their medication (continuers). The continued treatment can also improve women's ability to cope with the demands of parenting and postpartum depression.
Research has shown that the benefits of continuing to take ADHD medication outweigh any risk. Women with mild symptoms or who require more intensive treatment like cognitive behavioral therapy, could decide to discontinue their medication. These women can benefit from effective non-medication treatments that are safe for mother and baby.
Can I Continue Taking Medication in the Fifth Trimester?
In a perfect world, women who are pregnant or are planning to become pregnant will discuss their ADHD medication with their physician prior to the beginning of their pregnancy. Unfortunately, things don't always go as planned and many patients discover they are pregnant well into their first trimester which makes it more difficult to make the right choice for themselves and their baby.
While inattentive adhd medication of observation have revealed some associations between ADHD medication and pregnancy-related outcomes, it is difficult to know whether the observed effects reflect a direct causal effect of exposure or result from confounding factors (eg. the differences between untreated and medicated patients in the severity of symptoms and the presence of comorbidities). Further research with high quality samples is needed.
Treatment decisions should be based upon the severity of symptoms as well as the degree of impairment to daily living. If the impairment is not severe, then non-medicative treatments might be appropriate. These include cognitive behavior therapy (CBT) and adaptations at school or at work, and lifestyle changes that limit the impact of stressors.
Can I continue taking medications during the sixth trimester?
Despite promising outcomes from studies and clear guidelines for medication use and the use of medications, many women with ADHD elect to discontinue their medications during pregnancy. They may think they can rely on non-drug treatments, such as cognitive behavioral therapy (CBT) as well as exercise and coaching strategies to treat their symptoms and improve their functioning, especially during the first trimester, which is when they are most likely to encounter problems with concentration.
Unfortunately, the effects of stopping treatment are serious. One study found that women who stopped their stimulant therapy saw an increase in depression. They were also more likely to have conflicts in their families and report that parenting was more difficult, and feel isolated. This is why it's essential to have a range of treatment options in the toolkit, which includes non-medical interventions like EndeavorOTC. The information available is too small to provide clear guidelines, but it is essential to consider individual circumstances carefully.
Can I continue taking medications in the seventh trimester?
Women with ADHD who stop taking their medication during pregnancy could experience more severe symptoms of depression. They are also more likely to experience family conflict and judge parenting as difficult. They are more likely to feel lonely as well.
There are studies that demonstrate that the treatment can be continued safely through the seventh trimester, or beyond. This includes the well-known drugs Adderall and Vyvanse.
A study from Denmark analyzed data on 364 singleton births and compared the outcomes of women who filled prescriptions for ADHD medications to those who did not. The study concluded that the risk of malformations in children isn't increased when medication is taken according to the prescription. Talk to your doctor to determine the most appropriate course of action for you. EndeavorOTC provides non-medicated treatments that may help reduce symptoms and improve functioning during this time.
Can I continue taking medication during the eighth trimester?
Many women who take ADHD medication decide to continue taking them throughout pregnancy and breastfeeding. This may be due to the intensity of their symptoms and the impact they have on their work functioning, quality of life, or course of comorbid disorders.
The use of medication for a long time can enhance functioning in the postpartum period and decrease psychiatric comorbidity, such as depression. It can also improve family functioning and reduce distress for both infants and mothers.
Numerous studies have demonstrated the low risk of adverse effects from medication exposure during pregnancy. More research is needed to examine the timing of exposure during critical times for the growth of fetus (e.g. the first trimester). Women might also want to consider alternatives to ADHD meds, such as EndeavorOTC. These alternative treatments are evidence-based and clinically proven to work safely during pregnancy.