The Myths And Facts Behind ADHD Medication And Pregnancy
ADHD Medication and Pregnancy
Psychiatrists frequently encounter women who are trying to conceive or are expecting and worried about the effects of their ADHD medication on their baby. The good news is that Research suggests that, in the end it is safe to continue taking stimulant medications during pregnancy.
The findings are based upon naturalistic studies which included an abundance of first-trimester presentations.
Pregnancy
Women are ecstatic about their having a baby and expecting babies however, they are concerned about the way their ADHD medication will affect their child's birth. Stimulant medications are known to have negative teratogenic effects. Some doctors recommend that patients stop taking their medication when trying to conceive or in the first trimester of pregnancy. Many people suffering from ADHD require medication to function, and they may have difficulty during this period without it.
A recent study from Denmark discovered that the exposure to methylphenidate during the first trimester (in the form of a prescription that has been redeemed) does not appear to increase the risk of major malformations when compared to a group of control subjects without redeemed prescriptions in the first trimester of pregnancy. The study utilized registry-based data from several Danish databases to determine the number of pregnant women and their medication history before and during pregnancy, including information on whether the woman was treated for ADHD.
Researchers followed 898 babies whose mothers were exposed to methylphenidate and other stimulants in the first trimester. They were compared with 1,270 babies in the control group and did not receive methylphenidate or any other stimulant medication in the first three months of pregnancy.
Both groups of babies were examined for neurodevelopmental psychiatric disorders and other neurodevelopmental disorders, growth impairments, and fetal heart defects (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 compared with those who were not. This was the case for both the first and second trimesters of pregnancy.
This is a good news finding that can be comforting to women who are pregnant and taking ADHD medication and may require or desire to continue their treatment throughout pregnancy. It is important to remember that this study did not examine the impact of other medications or lifestyle changes on a fetus and that other studies have revealed an correlation between the use of stimulant medications and adverse outcomes during pregnancy, for example having a caesarean birth or the baby needing support to breathe upon the time of birth.
Breastfeeding
Even if women suffering from ADD or ADHD require medication to control their symptoms, they find that breastfeeding helps their baby. It is important that the mother and child are well-nourished. Therefore, the decision to breastfeed or take ADHD medication should be taken in consultation with a medical professional. The most recent guidelines and evidence1 suggest that women do not have to discontinue breastfeeding to take her prescribed medication. Numerous studies have proven that long-term neurodevelopmental effects on the baby are not significant if the mother takes her ADHD medications as prescribed.
Stimulants such as dexamfetamine and methylphenidate, are often used to treat ADHD. They are available in immediate-release form that lasts up to 4 hours, and extended-release versions that are taken every day in the morning. They can last for up to 16 hours. Many people with ADD or ADHD discover that the best way to manage their symptoms is to take an extended-release medication in the afternoon or evening and then follow it up with a tablet that is immediate-release.
Certain medications, such as Clonidine, decrease prolactin production and are not compatible with breastfeeding. Some people suffering from ADD and ADHD aren't ready to stop nursing due to this reason, so they change to a different stimulant medication. These medications have lower RIDs and are more likely to be covered by the Pharmaceutical Benefits Scheme. It is crucial to speak with a GP or a specialist if are thinking of changing your medication during your pregnancy, breastfeeding or postpartum. adhd medication for adults uk can provide you with information on the most secure medications and ways to monitor your baby's weight and growth. The doctor or specialist may assist with referral to a psychologist or psychiatrist to receive additional assistance. They can also refer to a dietitian to assist with managing nutrition and diet.
Postpartum
During pregnancy the female body experiences immense emotional, physical and hormonal changes. For some women, the transition to parenthood can bring big feelings of happiness, joy and love, but also frustration and sadness, or even anxiety. This is normal and it is important that the new mother gets help from family members, her health care provider, and/or an expert in mental health when she is struggling.
adhd medication adults uk of a child can be exciting and overwhelming, however there's no reason mothers should feel that she has to do it on her own. Finding the balance can be difficult however, you can assist yourself by taking time to rest and get a good night's sleep. You should also go to your postpartum check-ups since they can detect any potential issues early.
Some women experience a brief period of depression or anxiety following the birth of their child. This is often referred to as the "baby blues." This is a very common occurrence, and usually go away on its own within one or two weeks. Certain people experience symptoms that are more severe and last for longer. This is known as postpartum depressive disorder and is treatable. If a woman had depression or anxiety in the past and is at a higher risk to develop the condition again after giving birth.
In some cases, a woman can suffer from postpartum psychosis, which can be extremely dangerous for both the mother and child. This is a psychiatric crisis which should be treated as soon as possible. Treatment may include the use of medications and therapy. A therapist who has lived experiences with this condition can be extremely helpful. If the symptoms are severe electroconvulsive (ECT) therapy is recommended.
If there is postpartum psychiasis that affects a mother, her doctor will likely prescribe an antipsychotic such as lithium or Valproate along with an antidepressant such as citalopram. They may also recommend cognitive behavioral therapy to treat the underlying problems. Tricyclic antidepressants such as nortriptyline or imipramine are often used but they can have adverse side effects that are difficult to manage and are generally only prescribed if other medications haven't worked.
Adolescence
Adolescence is a crucial period for 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 attracted to expanding their social circle beyond just their family to include peers, friends and acquaintances with whom they spend significant time at school or in other activities. Their social networks also may include people from team sports, student organizations or even jobs.
As we grow older, the changes in brain connectivity and structure interact with increasing knowledge, experience and social demands, resulting in rapid cognitive development. This includes improvements in selective and divided focus (the ability to concentrate on different things at the same time) and working memory and long-term memories. Furthermore, the ability of adolescents of thinking abstractly and morally also improves.
These cognitive changes are coupled with hormonal changes that make teenagers more attracted to new and exciting experiences. The hormones in their bodies also trigger them to look for experiences that elevate their status in the eyes of others. The desire to explore new experiences can be used in a positive way, for example by participating in a school play. It is also a way to take a healthy risk, such as investigating sexuality or other risk-taking behaviours as long as they are in a supportive and secure environment.
The various rates of physical growth can cause awkward stages in adolescence and feelings of anxiety or self-consciousness about their body changes. In certain traditions, such as those of Aboriginal and Torres Strait Islander people, adolescence might be a time where young people establish their identity with their clans, families and nations, as well as their ancestors, tribes, and their country.
Relationships between teens and friends could be a source for support or conflict. These relationships are essential for the health of adolescents and can be a major influence on their happiness and well-being. The adolescent's relationship with parents can also be a source of comfort, particularly if they can work out family problems together in a non-confrontational manner.