ADHD Medication and Pregnancy
Psychiatrists frequently encounter women who are trying to conceive or who are pregnant and worried about the impact of their ADHD medication on their child. There's good news: Research suggests that, on balance it is safe to continue taking stimulant drugs during pregnancy.
The research is based on naturalistic studies that comprised an abundance of first-trimester expository sessions.
Pregnancy
Pregnancy and a new baby are exciting times for women, but some women are concerned about the effect of their ADHD medication on their unborn child. Some doctors advise their patients to quit taking stimulant medication during pregnancy or when trying to conceive. Many people suffering from ADHD need their medication to function and may struggle during this period without it.
A recent Danish study discovered that exposure to methylphenidate in the first trimester (in the form a redeemable medication) did not seem to increase the risk of malformations that cause major damage when compared with the control group who didn't receive redeemed medications during the first trimester. The study utilized registry data from Danish databases to identify pregnant woman and their medication history, including whether they were treated for ADHD.
The researchers followed a total of 898 babies born to mothers who were exposed to methylphenidate and other stimulants in the first trimester of pregnancy. They were compared with 1,270 babies who were part of the control group and did not receive methylphenidate or any other stimulant medication in the first three months of pregnancy.
Both groups of infants were subjected to a comprehensive assessment for abnormalities in the fetal heart, such as gastroschisis or Omphalocele. The results revealed that infants born to mothers who were exposed to methylphenidate in pregnancy did not show any increased rates when contrasted with controls. 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 might need or desire to continue their treatment throughout pregnancy. This study did not evaluate the effects of lifestyle changes or other medications on the pregnant fetus. Other studies have shown that there is a link between stimulant medications and adverse pregnancy outcomes such as a caesarean birth, or the baby needing assistance to breathe during birth.
Breastfeeding
Many women who have ADD or ADHD discover that breastfeeding is beneficial for their child, even when they need to take medication to manage their symptoms. The mother and child should be well-nourished. Therefore the decision to breastfeed or take ADHD medications should be made with the help of a medical professional. According to the most current recommendations and evidence1 that a woman does not need to stop breastfeeding to take the prescribed medication. Multiple studies have shown that the neurodevelopmental effects on the infant's long-term health are minimal when the mother takes her ADHD medication as prescribed.
Stimulants are among the most popular treatment for ADHD, including methylphenidate (with brand names Ritalin and Concerta) and dexamfetamine (brand name Vyvanse). They are available in immediate-release form, which lasts for up to four hours, and extended-release forms that are taken once a day in the morning and may last up to 16 hours. Many people who have ADD or ADHD find that the best way to manage their symptoms is to take an extended-release medication with an immediate-release pill in the evening or in the afternoon.
Some medications, such as Clonidine, can reduce prolactin levels and are incompatible with breastfeeding. Some people suffering from ADD or ADHD are not able to stop breastfeeding for this reason and choose to switch their medication to an alternative stimulant or a non-stimulant, like guanfacine or atomoxetine. These medications are less likely to contain high RIDs, and they may be covered under the Pharmaceutical Benefits Scheme. If you are thinking about changing your medication during pregnancy or nursing it is essential to speak with an GP or a specialist. They can give you information on the most secure medications and ways to monitor your infant's growth and weight. They can also refer you psychologists or psychiatrists for further assistance. They may also refer you to a dietitian for assistance with nutrition and diet.
Postpartum
During pregnancy, women undergo massive physical, hormonal, and emotional changes. The transition to motherhood can be a time of great excitement, joy, and affection, but also anger, anxiety, or sadness for some women. This is normal and it is essential that the mother receives support from loved ones and her health care provider, and/or a mental health professional if she is experiencing difficulties.
The birth of a child can be thrilling and overwhelming, but there is no reason why a new mother should feel that she's all alone. Finding the balance isn't easy, but you can help yourself by taking time to rest and sleep well. You should also go to your postpartum check-ups, as they can spot any issues that could be present early.
Some women experience a brief period of depression or anxiety following the birth of their child, which is known as the "baby blues." This is a very common condition and will usually disappear in one or two weeks. Some people experience feelings that are more intense and last longer. This is known as postpartum depression and is a treatable illness. If a woman suffered from anxiety or depression in the past it is more likely to experience it again after giving birth.
In rare instances, a woman may develop postpartum psychiasis. This can be very risky for both mother and child. This is a mental health issue that should be treated as soon as is possible. Treatment can consist of an amalgamation of medication and therapy. A therapist who has lived experience with this illness can be particularly helpful. If the symptoms are severe electroconvulsive therapy (ECT) may be recommended.
If there is postpartum psychiasis in a mother her doctor is likely to prescribe an antipsychotic like lithium or Valproate as well as an antidepressant such as citalopram. They may also recommend a course of cognitive behavioural therapy to treat the underlying issues. Tricyclic antidepressants, such as imipramine or nortriptyline are sometimes used but they can have adverse side effects that are difficult to manage and are generally only prescribed if other medications have not worked.
Adolescence
Adolescence is an important period of cognitive, physical and psychosocial development. It requires a transition from dependency on parents to independence in making decisions and acting in the world around them. Adolescents are attracted to expanding their social circles from just their family, to include peers, friends and acquaintances with whom they may spend a significant amount of time at school or participating in other activities. Their social network may also include people from student organizations as well as team sports or jobs.
During adolescence the biological changes in brain connectivity and structure occur in conjunction with the increase in knowledge, experience, and changing social demands and results in rapid cognitive growth. This includes improvements in divided and selective attention (the ability to concentrate on multiple stimuli at once) working memory, as well as long-term memory. Additionally the ability of adolescents to think abstractly and morally increases.
These cognitive changes are coupled with hormonal changes that make adolescents more attracted by new and challenging experiences. Their hormones also force them to seek out experiences that make them more attractive to other people. This urge to try new things can be utilized in a positive way such as by taking part in a school play. It is also possible to take risks that are healthy, such as exploring sexual activity or other risky behavior when they are in a safe and supportive environment.
Variable levels of physical development could result in awkward phases of appearance during adolescence, as well as feelings of self-consciousness and anxiety about the changes in their bodies. In some cultures, such as those of Aboriginal and Torres Strait Islander people, the adolescent years can be a time in which young people begin to establish their place in relation to their clans, families nations, ancestors, and their country.
adhd medication list between teens and friends could be a source of support or conflict. The quality of these relationships is crucial to the health of adolescents and can be an important element in their wellbeing and happiness. The adolescent's relationship with parents can also be a source of comfort, particularly when they are able to resolve family problems together in a non-confrontational manner.