15 Of The Top ADHD Medication Pregnancy Bloggers You Must Follow
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ADHD Medication During Pregnancy and Breastfeeding
The decision to stop or continue ADHD medications during pregnancy and nursing is a challenge for women suffering from the condition. There isn't much information on how long-term exposure to these medications can affect the foetus.
A study recently published in Molecular Psychiatry demonstrates that children exposed to ADHD medication during pregnancy do not develop neurological problems like hearing loss or vision, febrile seizures or IQ impairment. The authors acknowledge the need for more high-quality research.
Risk/Benefit Analysis
Pregnant women who use ADHD medications need to balance the benefits of taking them against the potential risks to the foetus. Physicians don't have the necessary data to make unequivocal recommendations but they can provide information about the risks and benefits to assist pregnant women in making informed decisions.
A study published in Molecular Psychiatry found that women who took ADHD medications during their early pregnancy did not have a significantly increased risk of fetal heart malformations or major structural birth defects. Researchers conducted a large population-based study of case control to examine the prevalence of major structural defects in infants born to mothers who were taking stimulants during pregnancy. Pediatric cardiologists, clinical geneticists and other experts looked over the cases to make sure that the classification was accurate and to minimize any bias.
However, the study had its limitations. Most important, they were unable to separate the effects of the medication for autism and adhd from those of the underlying disorder. This limitation makes it difficult to know whether the small associations observed in the exposed groups result from medication use or confounding by comorbidities. Researchers also did not examine long-term outcomes for the offspring.
The study found that infants whose mother had taken ADHD medication during pregnancy had a slightly greater risk of being admitted to the neonatal care unit (NICU) as compared to those whose mothers did not use any medication during pregnancy or discontinued taking their medication prior to or during pregnancy. The reason for this was central nervous system disorders, and the increased risk for admission was not found to be influenced by the stimulant medications were taken during pregnancy.
Women who were taking stimulant ADHD medications during pregnancy also had a higher likelihood of having to have caesarean sections or one whose baby scored low on the Apgar scale (less than 7). These increases appear to be unrelated to the type of medication taken during pregnancy.
Researchers suggest that the small risks posed by the use of ADHD medication during pregnancies in the early stages could be offset by the greater benefits to both baby and mother of continued treatment for the woman’s disorder. Physicians should discuss the issue with their patients and, where they are able, assist them in developing strategies to improve coping skills that can lessen the negative impact of her condition on her daily functioning and relationships.
Medication Interactions
As more women than ever are diagnosed with ADHD and treated with medication, the dilemma of whether to keep or stop treatment during pregnancy is one that more and more doctors face. Often, these decisions are made without clear and authoritative evidence in either case, which means that doctors must weigh what they know about their experiences, the experiences of other doctors, and what the research suggests about the subject as well as their best judgment for each individual patient.
Particularly, the subject of potential risks for the baby can be a challenge. A lot of studies on this subject are based on observations rather than controlled research, and their conclusions are often contradictory. Most studies limit their analysis to live births, which can underestimate the teratogenic impact that can lead to abortions or terminations of pregnancy. The study that is discussed in this journal club addresses these limitations by looking at data from both live and deceased births.
The conclusion The conclusion: While certain studies have demonstrated a positive association between liquid adhd medication medications and the risk of certain birth defects, other studies have found no connection and the majority of studies demonstrate a neutral or slightly negative effect. As a result an accurate risk-benefit analysis must be done in each case.
For a lot of women with ADHD and ADD, the decision to stop medication is difficult, if not impossible. In an article published in the Archives of Women's Mental Health, psychologist Jennifer Russell notes that stopping ADHD medication during pregnancy can lead to increased depression, feelings of isolation and family conflict for those suffering from the disorder. The loss of medication for autism and adhd can also impact the ability to safely drive and complete work-related tasks, which are crucial aspects of everyday life for people with ADHD.
She recommends women who are uncertain about whether to keep or stop taking medication because of their pregnancy, consider the possibility of educating friends, family members and colleagues about the condition, its effects on daily life, and the benefits of keeping the current treatment plan. It can also help a woman feel supported in her decision. It is also worth noting that certain medications can pass through the placenta, therefore, if a patient decides to discontinue her ADHD medication during pregnancy and breastfeeding, she must be aware that the effects of the drug could be transferred to the child.
Birth Defects and Risk of
As the use and abuse of adhd medication and pregnancy medications to treat the symptoms of attention deficit disorder hyperactivity disorder (ADHD) increases as does the concern about the potential effects of these drugs on fetuses. Recent research published in the journal Molecular Psychiatry has added to the body of knowledge on this topic. Researchers used two massive datasets to analyze over 4.3 million pregnant women and determine if the use of stimulant medications caused birth defects. While the overall risk remains low, the scientists did find that first-trimester exposure to ADHD medications was linked to an increased risk of specific heart defects, such as ventriculo-septal defect (VSD).
The researchers of the study didn't discover any connection between early use of medication and congenital anomalies like facial deformities, or club feet. The results are in agreement with previous studies that showed a small, but significant increase in cardiac malformations for women who began taking ADHD medication prior to the time of the birth of their child. The risk grew in the later part of pregnancy, when many women are forced to stop taking their ADHD medication.
Women who took ADHD medication in the first trimester were more likely to need a caesarean and also have an insufficient Apgar after birth and have a baby who needed help breathing after birth. However the authors of the study were unable to eliminate selection bias by limiting the study to women who did not have any other medical issues that could have contributed to the findings.
The researchers hope their research will aid in the clinical decisions of physicians who see pregnant women. They recommend that, while discussing the benefits and risks is important however, the decision to stop or maintain treatment should be based on the woman's needs and the severity of her ADHD symptoms.
The authors also caution that, while stopping the medication is an option, it is not a recommended practice because of the high incidence of depression and other mental health issues in women who are pregnant or who are recently postpartum. Further, the research suggests that women who choose to stop their medications are more likely to have difficulties getting used to life without them following the birth of their baby.
Nursing
The responsibilities that come with being a new mom can be overwhelming. Women who suffer from safest adhd medication for adults who have to deal with their symptoms while attending physician appointments, making preparations for the arrival of a baby and adjusting to new household routines may face a lot of challenges. Many women choose to continue taking their ADHD medication during pregnancy.
The majority of stimulant medications are absorbed through breast milk in very small amounts, therefore the risk for nursing infant is very low. The rate of exposure to medication can vary depending upon the dosage, frequency of administration and the time of the day. Additionally, individual medications enter the infant's system differently through the gastrointestinal tract and breast milk and the impact of this on a newborn isn't fully understood.
Due to the absence of research, some physicians might be tempted to stop taking stimulant medication during a woman's pregnancy. This is a difficult decision for the woman, who must weigh the benefits of her medication against the risks to the fetus. Until more information is available, doctors should ask all pregnant patients about their history of ADHD and if they plan or are taking to take medication during the perinatal period.
A increasing number of studies have shown that the majority of women are able to safely continue taking their ADHD medication during pregnancy and while breastfeeding. In response, an increasing number of patients are opting to do this. They have found, in consultation with their doctors, that the benefits of retaining their current medication outweigh possible risks.
It's important for women with generic adhd medications (recent post by Telearchaeology) who are thinking of breastfeeding to seek a specialist psychiatrist's guidance prior to becoming pregnant. They should discuss the medication they are taking with their physician as well as the pros and cons of continuing treatment. This includes non-pharmacological methods. Psychoeducation is also required to help women with ADHD understand their symptoms and the underlying disorder, learn about available treatments and to reinforce existing coping strategies. This should include a multidisciplinary approach, which includes the GP as well as obstetricians, psychiatry and obstetricians. Pregnancy counselling should include the discussion of a treatment plan for both the mother as well as the child, and monitoring for signs of deterioration and when necessary, making adjustments to the medication regimen.
The decision to stop or continue ADHD medications during pregnancy and nursing is a challenge for women suffering from the condition. There isn't much information on how long-term exposure to these medications can affect the foetus.A study recently published in Molecular Psychiatry demonstrates that children exposed to ADHD medication during pregnancy do not develop neurological problems like hearing loss or vision, febrile seizures or IQ impairment. The authors acknowledge the need for more high-quality research.
Risk/Benefit Analysis
Pregnant women who use ADHD medications need to balance the benefits of taking them against the potential risks to the foetus. Physicians don't have the necessary data to make unequivocal recommendations but they can provide information about the risks and benefits to assist pregnant women in making informed decisions.
A study published in Molecular Psychiatry found that women who took ADHD medications during their early pregnancy did not have a significantly increased risk of fetal heart malformations or major structural birth defects. Researchers conducted a large population-based study of case control to examine the prevalence of major structural defects in infants born to mothers who were taking stimulants during pregnancy. Pediatric cardiologists, clinical geneticists and other experts looked over the cases to make sure that the classification was accurate and to minimize any bias.
However, the study had its limitations. Most important, they were unable to separate the effects of the medication for autism and adhd from those of the underlying disorder. This limitation makes it difficult to know whether the small associations observed in the exposed groups result from medication use or confounding by comorbidities. Researchers also did not examine long-term outcomes for the offspring.
The study found that infants whose mother had taken ADHD medication during pregnancy had a slightly greater risk of being admitted to the neonatal care unit (NICU) as compared to those whose mothers did not use any medication during pregnancy or discontinued taking their medication prior to or during pregnancy. The reason for this was central nervous system disorders, and the increased risk for admission was not found to be influenced by the stimulant medications were taken during pregnancy.
Women who were taking stimulant ADHD medications during pregnancy also had a higher likelihood of having to have caesarean sections or one whose baby scored low on the Apgar scale (less than 7). These increases appear to be unrelated to the type of medication taken during pregnancy.
Researchers suggest that the small risks posed by the use of ADHD medication during pregnancies in the early stages could be offset by the greater benefits to both baby and mother of continued treatment for the woman’s disorder. Physicians should discuss the issue with their patients and, where they are able, assist them in developing strategies to improve coping skills that can lessen the negative impact of her condition on her daily functioning and relationships.
Medication Interactions
As more women than ever are diagnosed with ADHD and treated with medication, the dilemma of whether to keep or stop treatment during pregnancy is one that more and more doctors face. Often, these decisions are made without clear and authoritative evidence in either case, which means that doctors must weigh what they know about their experiences, the experiences of other doctors, and what the research suggests about the subject as well as their best judgment for each individual patient.
Particularly, the subject of potential risks for the baby can be a challenge. A lot of studies on this subject are based on observations rather than controlled research, and their conclusions are often contradictory. Most studies limit their analysis to live births, which can underestimate the teratogenic impact that can lead to abortions or terminations of pregnancy. The study that is discussed in this journal club addresses these limitations by looking at data from both live and deceased births.
The conclusion The conclusion: While certain studies have demonstrated a positive association between liquid adhd medication medications and the risk of certain birth defects, other studies have found no connection and the majority of studies demonstrate a neutral or slightly negative effect. As a result an accurate risk-benefit analysis must be done in each case.
For a lot of women with ADHD and ADD, the decision to stop medication is difficult, if not impossible. In an article published in the Archives of Women's Mental Health, psychologist Jennifer Russell notes that stopping ADHD medication during pregnancy can lead to increased depression, feelings of isolation and family conflict for those suffering from the disorder. The loss of medication for autism and adhd can also impact the ability to safely drive and complete work-related tasks, which are crucial aspects of everyday life for people with ADHD.
She recommends women who are uncertain about whether to keep or stop taking medication because of their pregnancy, consider the possibility of educating friends, family members and colleagues about the condition, its effects on daily life, and the benefits of keeping the current treatment plan. It can also help a woman feel supported in her decision. It is also worth noting that certain medications can pass through the placenta, therefore, if a patient decides to discontinue her ADHD medication during pregnancy and breastfeeding, she must be aware that the effects of the drug could be transferred to the child.
Birth Defects and Risk of
As the use and abuse of adhd medication and pregnancy medications to treat the symptoms of attention deficit disorder hyperactivity disorder (ADHD) increases as does the concern about the potential effects of these drugs on fetuses. Recent research published in the journal Molecular Psychiatry has added to the body of knowledge on this topic. Researchers used two massive datasets to analyze over 4.3 million pregnant women and determine if the use of stimulant medications caused birth defects. While the overall risk remains low, the scientists did find that first-trimester exposure to ADHD medications was linked to an increased risk of specific heart defects, such as ventriculo-septal defect (VSD).
The researchers of the study didn't discover any connection between early use of medication and congenital anomalies like facial deformities, or club feet. The results are in agreement with previous studies that showed a small, but significant increase in cardiac malformations for women who began taking ADHD medication prior to the time of the birth of their child. The risk grew in the later part of pregnancy, when many women are forced to stop taking their ADHD medication.
Women who took ADHD medication in the first trimester were more likely to need a caesarean and also have an insufficient Apgar after birth and have a baby who needed help breathing after birth. However the authors of the study were unable to eliminate selection bias by limiting the study to women who did not have any other medical issues that could have contributed to the findings.
The researchers hope their research will aid in the clinical decisions of physicians who see pregnant women. They recommend that, while discussing the benefits and risks is important however, the decision to stop or maintain treatment should be based on the woman's needs and the severity of her ADHD symptoms.
The authors also caution that, while stopping the medication is an option, it is not a recommended practice because of the high incidence of depression and other mental health issues in women who are pregnant or who are recently postpartum. Further, the research suggests that women who choose to stop their medications are more likely to have difficulties getting used to life without them following the birth of their baby.
Nursing
The responsibilities that come with being a new mom can be overwhelming. Women who suffer from safest adhd medication for adults who have to deal with their symptoms while attending physician appointments, making preparations for the arrival of a baby and adjusting to new household routines may face a lot of challenges. Many women choose to continue taking their ADHD medication during pregnancy.
The majority of stimulant medications are absorbed through breast milk in very small amounts, therefore the risk for nursing infant is very low. The rate of exposure to medication can vary depending upon the dosage, frequency of administration and the time of the day. Additionally, individual medications enter the infant's system differently through the gastrointestinal tract and breast milk and the impact of this on a newborn isn't fully understood.
Due to the absence of research, some physicians might be tempted to stop taking stimulant medication during a woman's pregnancy. This is a difficult decision for the woman, who must weigh the benefits of her medication against the risks to the fetus. Until more information is available, doctors should ask all pregnant patients about their history of ADHD and if they plan or are taking to take medication during the perinatal period.
A increasing number of studies have shown that the majority of women are able to safely continue taking their ADHD medication during pregnancy and while breastfeeding. In response, an increasing number of patients are opting to do this. They have found, in consultation with their doctors, that the benefits of retaining their current medication outweigh possible risks.
It's important for women with generic adhd medications (recent post by Telearchaeology) who are thinking of breastfeeding to seek a specialist psychiatrist's guidance prior to becoming pregnant. They should discuss the medication they are taking with their physician as well as the pros and cons of continuing treatment. This includes non-pharmacological methods. Psychoeducation is also required to help women with ADHD understand their symptoms and the underlying disorder, learn about available treatments and to reinforce existing coping strategies. This should include a multidisciplinary approach, which includes the GP as well as obstetricians, psychiatry and obstetricians. Pregnancy counselling should include the discussion of a treatment plan for both the mother as well as the child, and monitoring for signs of deterioration and when necessary, making adjustments to the medication regimen.
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