Why You Should Forget About The Need To Improve Your ADHD Medication Pregnancy
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WriterEloy
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Date24.09.13
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ADHD Medication During Pregnancy and Breastfeeding
Women with ADHD face a difficult decision regarding whether or not to stop taking ADHD medication during pregnancy and breastfeeding. There are few data on how exposure to ADHD for a long time could 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 like hearing loss or vision, febrile seizures or IQ impairment. The authors acknowledge that more high quality studies are needed.
Risk/Benefit Analysis
Women who are pregnant and take ADHD medication must weigh the benefits of taking it against the potential risks for the foetus. The doctors don't have the information to give clear advice however they can provide information about risks and benefits to aid pregnant women in making informed decisions.
A study published in Molecular Psychiatry found that women who were taking ADHD medications in early pregnancy did not have an increased risk of fetal cardiac malformations or major structural birth defects. Researchers conducted a large population-based case control study to examine the prevalence of major structural defects in infants born to mothers who took stimulants during pregnancy. Pediatric cardiologists and clinical geneticists reviewed the cases to ensure accurate case classification and to minimize the possibility of bias.
The study conducted by the researchers was not without its limitations. The researchers were not able in the beginning, to separate the effects triggered by the medication from the disorder. This limitation makes it difficult to determine whether the small differences observed in the groups that were exposed are due to medication use or confounding by comorbidities. In addition, the researchers did not look at the long-term outcomes of offspring.
The study did reveal that infants whose mothers had taken ADHD medications during pregnancy were at a slightly greater risk of being admitted to the neonatal intensive care unit (NICU) than those who whose mothers did not take any medication or had taken off their medication prior to or during pregnancy. This increase was due to central nervous system disorders, and the higher risk of admission was not found to be influenced by which stimulant medications were taken during pregnancy.
Women who took stimulant ADHD medications during pregnancy also had a higher chance of having an emergency caesarean section or having the baby was not scoring well on the Apgar scale (less than 7). These increases didn't appear to be affected by the type of medication that was used during pregnancy.
The research suggests that the risk of a small amount with the use of ADHD medications during the early stages of pregnancy may be offset by the higher benefit for both mother and child of continued treatment for the woman's condition. Physicians should discuss the issue with their patients and, if possible, assist them in developing strategies to improve their coping abilities that may minimize the negative impact of her condition on her daily functioning and relationships.
Medication Interactions
As more women than ever are being diagnosed with ADHD and treated with medication, the issue of whether to continue or stop treatment during pregnancy is a question that doctors are having to confront. The majority of these decisions are made without clear and authoritative evidence either way, so physicians must weigh what they know from their own experiences, those of other doctors, and what research suggests about the subject, along with their own judgments for each patient.
The issue of risk to infants is particularly tricky. A lot of studies on this subject are based on observations instead of controlled research and their conclusions are often contradictory. Furthermore, most studies restrict their analysis to live births, which can undervalue the serious teratogenic effects that can result in abortion or termination of the pregnancy. The study presented 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 that there is a positive correlation between ADHD medications and the possibility of certain birth defects, others have found no such relationship and the majority of studies show a neutral or even slight negative effect. Therefore, a careful risk/benefit analysis is required in every situation.
For a lot of women with ADHD who suffer from ADHD, the decision to discontinue medication is difficult if not impossible. In an article recently published in the Archives of Women's Mental Health psychologist Jennifer Russell notes that stopping ADHD medication during pregnancy can a general physician prescribe adhd medication cause depression, feelings of isolation, and family conflict for those suffering from the disorder. Additionally, the loss of medication may affect the ability to perform jobs and drive safely which are essential aspects of a normal life for many people suffering from ADHD.
She suggests that women who aren't sure whether to take the medication or discontinue it due to pregnancy, educate their family members, coworkers and acquaintances about the condition, its impact on daily functioning and the advantages of staying on the current treatment plan. In addition, educating them can help the woman feel supported in her struggle with her decision. It is important to remember that certain drugs can pass through the placenta therefore, if a patient decides to discontinue her ADHD medication during pregnancy and breastfeeding, she should be aware of the possibility that traces of the drug can be transferred to the infant.
Birth Defects and Risk of
As the use of ADHD drugs to treat symptoms of attention deficit hyperactivity disorder (ADHD) grows, so do concerns over the counter adhd medication for adults the impact that these medications could have on the fetuses. Recent research published in the journal Molecular Psychiatry has added to the body knowledge on this issue. Utilizing two huge data sets researchers were able to analyze more than 4.3 million pregnancies and see whether the use of stimulant medications increased the risk of birth defects. Although the risk overall remains low, the researchers discovered that the first-trimester exposure to ADHD medicines was associated with an increased risk of certain heart defects such as ventriculoseptal defect (VSD).
The authors of the study did not discover any link between the use of early medications and congenital anomalies such as facial deformities or club feet. The findings are in line with previous studies revealing a small but significant increase in the risk of cardiac malformations in women who started taking ADHD medications prior to pregnancy. This risk increased in the latter half of pregnancy, as many women decide to stop taking their medication.
Women who took ADHD medication during the first trimester were more likely to require a caesarean birth or have a low Apgar after delivery, and have a baby that needed breathing assistance at birth. However the researchers of the study were not able to eliminate selection bias by limiting the study to women who did not have other medical issues that could be a contributing factor to these findings.
Researchers hope their research will provide doctors with information when they encounter pregnant women. They suggest that although discussing risks and benefits is important however, the decision to stop or keep treatment must be based on each woman's requirements and the severity of her ADHD symptoms.
The authors warn that, although stopping the medication is a possibility to think about, it isn't recommended due to the high rate depression and other mental disorders in women who are expecting or have recently given birth. Additionally, research suggests that women who stop taking their medications will have a difficult transitioning to life without them after the baby is born.
Nursing
It can be a stressful experience becoming a mother. Women with ADHD who have to manage their symptoms while attending doctor appointments as well as making preparations for the arrival of a child and getting used to new routines at home are often faced with a number of difficulties. This is why many women elect to continue taking their ADHD medication throughout the pregnancy.
The risk to breastfeeding infant is minimal because the majority of stimulant medication is absorbed through breast milk in low amounts. The rate of medication exposure can a doctor prescribe adhd medication without a diagnosis vary depending upon the dosage, frequency of administration and time of day. In addition, various medications enter the baby’s system through the gastrointestinal tract or through breast milk. The impact of these medications on a newborn's health is not fully known.
Due to the absence of research, some physicians may be inclined to discontinue stimulant medications during a woman's pregnancy. This is a difficult decision for the patient, who must balance the benefits of continuing her medication with the potential risks to the fetus. In the meantime, until more information is available, doctors should ask all pregnant patients about their experience with ADHD and if they plan or are taking to take medication during the perinatal period.
Numerous studies have proven that women can continue to take their ADHD medication safely during pregnancy and while breast-feeding. In response, an increasing number of patients are choosing to do so. They have discovered, in consultation with their doctors that the benefits of keeping their current medication far outweigh any risk.
Women with ADHD who are planning to breastfeed should seek advice from a specialist psychiatrist prior to becoming pregnant. They should review their medications with their physician and discuss the advantages and disadvantages of continued treatment, including non-pharmacological strategies. Psychoeducation is also needed to help pregnant women with ADHD be aware of the symptoms and underlying disorder. They should also learn about treatment options and strengthen coping with adhd Without medication mechanisms. This should involve an approach that is multidisciplinary, including the GP doctors, obstetricians and psychiatrists. The pregnancy counselling should consist of the discussion of a treatment plan for both the mother and child, and monitoring for signs of deterioration and when necessary, making adjustments to the medication regimen.
Women with ADHD face a difficult decision regarding whether or not to stop taking ADHD medication during pregnancy and breastfeeding. There are few data on how exposure to ADHD for a long time could 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 like hearing loss or vision, febrile seizures or IQ impairment. The authors acknowledge that more high quality studies are needed.
Risk/Benefit Analysis
Women who are pregnant and take ADHD medication must weigh the benefits of taking it against the potential risks for the foetus. The doctors don't have the information to give clear advice however they can provide information about risks and benefits to aid pregnant women in making informed decisions.
A study published in Molecular Psychiatry found that women who were taking ADHD medications in early pregnancy did not have an increased risk of fetal cardiac malformations or major structural birth defects. Researchers conducted a large population-based case control study to examine the prevalence of major structural defects in infants born to mothers who took stimulants during pregnancy. Pediatric cardiologists and clinical geneticists reviewed the cases to ensure accurate case classification and to minimize the possibility of bias.
The study conducted by the researchers was not without its limitations. The researchers were not able in the beginning, to separate the effects triggered by the medication from the disorder. This limitation makes it difficult to determine whether the small differences observed in the groups that were exposed are due to medication use or confounding by comorbidities. In addition, the researchers did not look at the long-term outcomes of offspring.
The study did reveal that infants whose mothers had taken ADHD medications during pregnancy were at a slightly greater risk of being admitted to the neonatal intensive care unit (NICU) than those who whose mothers did not take any medication or had taken off their medication prior to or during pregnancy. This increase was due to central nervous system disorders, and the higher risk of admission was not found to be influenced by which stimulant medications were taken during pregnancy.
Women who took stimulant ADHD medications during pregnancy also had a higher chance of having an emergency caesarean section or having the baby was not scoring well on the Apgar scale (less than 7). These increases didn't appear to be affected by the type of medication that was used during pregnancy.
The research suggests that the risk of a small amount with the use of ADHD medications during the early stages of pregnancy may be offset by the higher benefit for both mother and child of continued treatment for the woman's condition. Physicians should discuss the issue with their patients and, if possible, assist them in developing strategies to improve their coping abilities that may minimize the negative impact of her condition on her daily functioning and relationships.
Medication Interactions
As more women than ever are being diagnosed with ADHD and treated with medication, the issue of whether to continue or stop treatment during pregnancy is a question that doctors are having to confront. The majority of these decisions are made without clear and authoritative evidence either way, so physicians must weigh what they know from their own experiences, those of other doctors, and what research suggests about the subject, along with their own judgments for each patient.
The issue of risk to infants is particularly tricky. A lot of studies on this subject are based on observations instead of controlled research and their conclusions are often contradictory. Furthermore, most studies restrict their analysis to live births, which can undervalue the serious teratogenic effects that can result in abortion or termination of the pregnancy. The study presented 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 that there is a positive correlation between ADHD medications and the possibility of certain birth defects, others have found no such relationship and the majority of studies show a neutral or even slight negative effect. Therefore, a careful risk/benefit analysis is required in every situation.
For a lot of women with ADHD who suffer from ADHD, the decision to discontinue medication is difficult if not impossible. In an article recently published in the Archives of Women's Mental Health psychologist Jennifer Russell notes that stopping ADHD medication during pregnancy can a general physician prescribe adhd medication cause depression, feelings of isolation, and family conflict for those suffering from the disorder. Additionally, the loss of medication may affect the ability to perform jobs and drive safely which are essential aspects of a normal life for many people suffering from ADHD.
She suggests that women who aren't sure whether to take the medication or discontinue it due to pregnancy, educate their family members, coworkers and acquaintances about the condition, its impact on daily functioning and the advantages of staying on the current treatment plan. In addition, educating them can help the woman feel supported in her struggle with her decision. It is important to remember that certain drugs can pass through the placenta therefore, if a patient decides to discontinue her ADHD medication during pregnancy and breastfeeding, she should be aware of the possibility that traces of the drug can be transferred to the infant.
Birth Defects and Risk of
As the use of ADHD drugs to treat symptoms of attention deficit hyperactivity disorder (ADHD) grows, so do concerns over the counter adhd medication for adults the impact that these medications could have on the fetuses. Recent research published in the journal Molecular Psychiatry has added to the body knowledge on this issue. Utilizing two huge data sets researchers were able to analyze more than 4.3 million pregnancies and see whether the use of stimulant medications increased the risk of birth defects. Although the risk overall remains low, the researchers discovered that the first-trimester exposure to ADHD medicines was associated with an increased risk of certain heart defects such as ventriculoseptal defect (VSD).
The authors of the study did not discover any link between the use of early medications and congenital anomalies such as facial deformities or club feet. The findings are in line with previous studies revealing a small but significant increase in the risk of cardiac malformations in women who started taking ADHD medications prior to pregnancy. This risk increased in the latter half of pregnancy, as many women decide to stop taking their medication.
Women who took ADHD medication during the first trimester were more likely to require a caesarean birth or have a low Apgar after delivery, and have a baby that needed breathing assistance at birth. However the researchers of the study were not able to eliminate selection bias by limiting the study to women who did not have other medical issues that could be a contributing factor to these findings.
Researchers hope their research will provide doctors with information when they encounter pregnant women. They suggest that although discussing risks and benefits is important however, the decision to stop or keep treatment must be based on each woman's requirements and the severity of her ADHD symptoms.
The authors warn that, although stopping the medication is a possibility to think about, it isn't recommended due to the high rate depression and other mental disorders in women who are expecting or have recently given birth. Additionally, research suggests that women who stop taking their medications will have a difficult transitioning to life without them after the baby is born.
Nursing
It can be a stressful experience becoming a mother. Women with ADHD who have to manage their symptoms while attending doctor appointments as well as making preparations for the arrival of a child and getting used to new routines at home are often faced with a number of difficulties. This is why many women elect to continue taking their ADHD medication throughout the pregnancy.
The risk to breastfeeding infant is minimal because the majority of stimulant medication is absorbed through breast milk in low amounts. The rate of medication exposure can a doctor prescribe adhd medication without a diagnosis vary depending upon the dosage, frequency of administration and time of day. In addition, various medications enter the baby’s system through the gastrointestinal tract or through breast milk. The impact of these medications on a newborn's health is not fully known.
Due to the absence of research, some physicians may be inclined to discontinue stimulant medications during a woman's pregnancy. This is a difficult decision for the patient, who must balance the benefits of continuing her medication with the potential risks to the fetus. In the meantime, until more information is available, doctors should ask all pregnant patients about their experience with ADHD and if they plan or are taking to take medication during the perinatal period.
Numerous studies have proven that women can continue to take their ADHD medication safely during pregnancy and while breast-feeding. In response, an increasing number of patients are choosing to do so. They have discovered, in consultation with their doctors that the benefits of keeping their current medication far outweigh any risk.
Women with ADHD who are planning to breastfeed should seek advice from a specialist psychiatrist prior to becoming pregnant. They should review their medications with their physician and discuss the advantages and disadvantages of continued treatment, including non-pharmacological strategies. Psychoeducation is also needed to help pregnant women with ADHD be aware of the symptoms and underlying disorder. They should also learn about treatment options and strengthen coping with adhd Without medication mechanisms. This should involve an approach that is multidisciplinary, including the GP doctors, obstetricians and psychiatrists. The pregnancy counselling should consist of the discussion of a treatment plan for both the mother and child, and monitoring for signs of deterioration and when necessary, making adjustments to the medication regimen.