ADHD Medication Pregnancy: 10 Things I'd Loved To Know Earlier > 자유게시판

adhd medication names Medication During Pregnancy and Breastfeeding

Women suffering from ADHD have to make a difficult choice on whether to keep or stop taking ADHD medication during pregnancy and breast-feeding. There aren't many studies on how long-term exposure may affect a pregnant fetus.

A study recently published in Molecular Psychiatry demonstrates that children exposed to ADHD medication during pregnancy do not develop neurological problems such as impaired hearing or vision, febrile seizures, or IQ impairment. The authors acknowledge that more high-quality studies are required.

Risk/Benefit Analysis

Women who are pregnant and taking ADHD medication must weigh the benefits of taking it against the potential risks to the fetus. Physicians do not have the information needed to provide clear recommendations, but they can provide information on benefits and risks that can aid pregnant women in making informed choices.

A study published in Molecular Psychiatry concluded that women who took ADHD medication during early pregnancy did not have a higher risk of fetal malformations or structural birth defects. Researchers conducted a massive population-based case control study to assess the frequency of structural defects that were major in infants who were born to mothers who took stimulants during pregnancy. Clinical geneticists and pediatric cardiologists examined the cases to ensure accurate case classification and to limit the possibility of bias.

The study conducted by the researchers was not without its limitations. The researchers were not able in the beginning to differentiate the effects of the medication from the disorder. This makes it difficult for researchers to determine if the small associations observed among the exposed groups were due to medication use or caused by the presence of comorbidities. The researchers did not examine long-term outcomes for the offspring.

The study did reveal that infants whose mothers took ADHD medication during pregnancy were at a slightly more risk of being admitted to the neonatal intensive care unit (NICU) than those who were born without any medication or taken off their medication prior to or during pregnancy. The reason for this was central nervous system-related disorders and the increased risk for admission was not found to be affected by the type of stimulant medications were used during pregnancy.

Women who took stimulant ADHD medication during pregnancy also had an increased chance of having a caesarean delivery or having a baby with an low Apgar score (less than 7). These increases did appear to be independent of the type of medication used during pregnancy.

The research suggests that the risk of a small amount with the use of ADHD medications during early pregnancy may be offset by the greater benefit for both mother and child of continuing treatment for the woman's disorder. Physicians should speak with their patients about this issue and as much as possible, assist them improve coping skills which may reduce the impact of her disorder in her daily life and relationships.

Medication Interactions

As more women than ever are being diagnosed with ADHD and being treated with medication, the dilemma of whether to keep or stop treatment during pregnancy is one that more and more physicians confront. These decisions are usually made without clear and reliable evidence. Instead, physicians must weigh their own knowledge in conjunction with the experiences of other physicians and the research that has been conducted on the subject.

The issue of risk to infants is extremely difficult. Many of the studies on this subject are based on observational evidence rather than controlled research, and their findings are often contradictory. The majority of studies restrict their analysis to live-births, which could underestimate the severity of teratogenic effects leading to terminations or abortions of pregnancy. The study that is discussed in the journal club addresses these issues by analyzing both the data from deceased and live births.

Conclusion Some studies have shown an association between ADHD medications and certain birth defects however, other studies haven't established a link. Most studies have shown that there is a neutral, or slightly negative, effect. Therefore, a careful risk/benefit assessment must be done in each case.

For a lot of women with ADHD, the decision to stop medication can be difficult, if not impossible. In fact, in an article published in Archives of Women's Mental Health psychologist Jennifer Russell notes that stopping managing adhd without medication adults medication during pregnancy can increase depression, feelings of loneliness, and family conflict for patients with ADHD. The loss of medication can affect the ability to safely drive and perform work-related tasks, which are crucial aspects of everyday life for those with ADHD.

She suggests that women who are unsure about whether to continue or discontinue medication due to their pregnancy consider educating family members, friends, and coworkers on the condition, its impact on daily functioning, and on the advantages of staying on the current treatment plan. Educating them can also make the woman feel more comfortable in her struggle with her decision. It is important to note that some drugs can pass through the placenta, so if a woman decides to discontinue her ADHD medication during pregnancy and breastfeeding, she should be aware of the possibility that traces of the drug could be passed on to the baby.

Birth Defects Risk

As the use and use of ADHD medications to treat adhd without medication adults the symptoms of attention deficit disorder hyperactivity disorder (ADHD) is increasing as does the concern about the potential effects of these drugs on the fetuses. Recent research published in the journal Molecular Psychiatry has added to the body knowledge on this subject. With two massive data sets researchers were able to look at more than 4.3 million pregnancies and determine whether stimulant medication use increased the risk of birth defects. Although the risk overall remains low, the researchers discovered that the first-trimester exposure to ADHD medications was linked to a slightly higher rate of certain heart defects like ventriculo-septal defects (VSD).

The researchers of the study could not discover any link between early use of medication and other congenital anomalies, like facial deformities, or club feet. The results are consistent with previous studies showing a small but significant increase in the risk of heart malformations among women who began taking ADHD medications prior to the birth of their child. The risk increased in the latter part of pregnancy when a large number of women began to stop taking their medication.

Women who used adhd medication names For adults best medication for anxiety depression and adhd in the first trimester of their pregnancies were also more likely to undergo caesarean sections, a low Apgar score after delivery and a baby who needed breathing assistance at birth. The researchers of the study were not able to eliminate bias due to selection because they limited their study to women who did not have any other medical conditions that could have contributed to the findings.

The researchers hope that their research will help inform the clinical decisions of physicians who encounter pregnant women. They recommend that, while discussing the benefits and risks is important however, the decision to stop or continue medication should be based on each woman's requirements and the severity of her ADHD symptoms.

The authors warn that, while stopping the medication is an option to consider, it is not recommended due to the high rate depression and other mental problems for women who are pregnant or recently gave birth. Additionally, the research suggests that women who decide to stop taking their medications are more likely to have a difficult time getting used to life without them after the birth of their baby.

Nursing

The responsibilities that come with being a new mother can be overwhelming. Women who suffer from ADHD who have to manage their symptoms while attending physician appointments and making preparations for the arrival of their child and adjusting to new household routines may face a lot of challenges. Many women decide to continue taking their ADHD medication during pregnancy.

The majority of stimulant medications are absorbed by breast milk in low quantities, so the risk for infant who is breastfeeding is low. The rate of medication exposure will differ based on dosage, frequency of administration and time of day. In addition, different medications enter the baby’s system via the gastrointestinal tract or through breast milk. The effect on the health of a newborn is not completely known.

Some doctors may stop taking stimulant medications during a woman's pregnancy due to the lack of research. This is a complicated decision for the patient, who must balance the benefits of keeping her medication with the potential dangers to the foetus. In the meantime, 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 time.

Numerous studies have demonstrated that women can continue taking their ADHD medication in a safe manner during pregnancy and breast-feeding. In response, a growing number of patients are opting to do this. They have found, in consultation with their physicians that the benefits of keeping their current medication outweigh any possible risks.

It's important for women with ADHD who are thinking of breastfeeding to seek out a specialist psychiatrist's advice prior becoming pregnant. They should discuss their medication with their doctor as well as the pros and cons for continuing treatment. This includes non-pharmacological strategies. Psychoeducation is also necessary to help pregnant women with ADHD recognize the signs and the underlying disorder. They should also be informed about treatment options and strengthen coping mechanisms. This should be a multidisciplinary effort with the GPs, obstetricians, and psychiatry. Pregnancy counseling should include discussion of a treatment plan for the mother and child, as well as monitoring for indicators of deterioration, and, if needed modifications to the medication for adhd regime.