ADHD Medication and Pregnancy
Psychiatrists often encounter women who are trying to conceive or are expecting and worried about the impact of their ADHD medication on their baby. There's good news: Research suggests that, on balance, it is safe to continue taking stimulant drugs during pregnancy.
The findings are based on naturalistic studies that include a large sample of first-trimester exposures.
Pregnancy
Women are excited about having a baby and expecting the baby, but they may worry about how their ADHD medication will affect their child's birth. Some physicians advise their patients to stop taking stimulant medications during pregnancy or when trying to get pregnant. Many people with ADHD require their medication in order to function and can be a struggle during this period without it.
A recent Danish study discovered that exposure to methylphenidate during the first trimester (in the form a redemption medication) did not appear to increase the risk of malformations that cause major damage when compared to the control group that didn't receive redeemed medications during the first trimester. The study used registry data from Danish databases to determine the gender of the pregnant woman and their medication history as well as whether they were treated for ADHD.
The researchers followed a total of 898 babies born to mothers who were exposed to methylphenidate or other stimulants in the initial trimester of pregnancy. They were compared to 1,270 babies in the control group who were not exposed to methylphenidate or other stimulant medications in the first trimester of pregnancy.
Both infant groups were assessed for neurodevelopmental psychiatric disorders and other neurodevelopmental disorders growth impairments, as well as fetal heart issues (such as gastroschisis, omphalocele, or transverse limb deficiency). The results revealed that babies of women who were exposed to methylphenidate in utero did not show increased rates of any of these conditions contrasted with the controls. This was true for both the first and second trimesters of pregnancy.
This is a promising finding that can be comforting to women who are pregnant and taking ADHD medication and may require or desire to continue their treatment during pregnancy. It is important to understand that this study did not assess the impact of other medications or lifestyle changes on a fetus, and that other studies have demonstrated an correlation between the use of stimulant medications and adverse pregnancy outcomes, like having a caesarean delivery, or the baby needing assistance to breathe at birth.
Breastfeeding
Many women who have ADD or ADHD find that breastfeeding is beneficial for their child even if they need to take medication to manage their symptoms. The mother and child must be well-nourished. Therefore the decision about whether to breastfeed or use ADHD medications should be formulated with the assistance from a health professional. According to the most recent guidelines and research1 women don't have to stop breastfeeding in order to take the prescribed medication. In fact, numerous studies have proven that long-term neurodevelopmental effects for the infant are minimal when the mother is taking her ADHD medications as prescribed.
Stimulants like dexamfetamine and methylphenidate, are often used to treat ADHD. They come in two forms: immediate-release, which lasts up to four hours; and extended-release that is taken every day in the morning and can last up to 16 hours. Many people with ADD or ADHD find that the most effective way to manage their symptoms is to take the extended-release medication with immediate-release pills in the evening or afternoon.
Certain medications, like Clonidine, decrease prolactin production and are incompatible with breastfeeding. Some people with ADD and ADHD do not want to stop breastfeeding for this reason, so they switch to a different stimulant. These medications are less likely have high RIDs and could be covered under the Pharmaceutical Benefits Scheme. It is crucial to speak with a GP or specialist if you are considering switching your medication during breastfeeding, pregnancy, or early postpartum. They can offer advice on the most secure medication and how to track the infant's weight and growth. The doctor or specialist can assist in referring to a psychologist or psychiatrist for further assistance. They can also refer you to a dietitian who can assist in nutrition and diet.
Postpartum
During pregnancy, women undergo enormous hormonal, physical, and emotional changes in their physical, emotional and hormonal. For some women, the transition to parenthood can bring feelings of happiness, joy and love, but also frustration and sadness, or even anxiety. This is normal and it's crucial to seek help from relatives or her doctor, as well as mental health experts if the new mom is struggling.
It's thrilling to have a baby and it can also be overwhelming but a new mom should not feel like she has to do everything on her own. Finding the balance can be difficult but you can help yourself by taking time to rest and get a good night's sleep. It is also important to attend your postpartum check-ups as they can spot any potential issues early.
Some women experience a brief bout of anxiety or depression following the birth of their child, which is known as the "baby blues." This is a common condition that tends to go away on its own in a week or so. Some people experience feelings that are more severe and last for longer. This is known as postpartum depression and is a condition that can be treated. If a woman has suffered from depression or anxiety in the past, she is more likely to develop it again after giving birth.
In certain instances women may develop postpartum psychosis that can be extremely dangerous for both the mother and the child. This is a mental health issue which should be treated as soon as possible. Treatment may include the use of medications and therapy. A therapist who has had through this illness may be particularly helpful. If the symptoms are severe electroconvulsive therapy (ECT) may be recommended.
In the case of an episode of postpartum psychiasis in a mom her doctor will likely prescribe an antipsychotic like Valproate or lithium along with an antidepressant such as citalopram. They may also recommend cognitive behavioral therapy to address the root causes. Tricyclic antidepressants, such as nortriptyline and imipramine, are often prescribed, but they can have serious adverse effects. They are typically prescribed when other medications have failed.
Adolescence
Adolescence is an important time for physical, cognitive and psychosocial development. Adolescence is a time of rapid growth in terms of cognitive, physical and psychosocial development. Adolescents develop an interest in expanding their social circles from just their family to include peers, friends and acquaintances with whom they may spend a lot of time at school or participating in other activities. Their social network may also comprise members of student groups, team sports or jobs.
As we grow older, the changes in brain structure and connectivity are influenced by increasing experience, knowledge and social demands, resulting in rapid cognitive growth. This includes improvement in selective and divided attention (the ability to focus on a variety of stimuli simultaneously) working memory, as well as long-term memory. In addition, adolescents' capacity of thinking abstractly and morally improves too.
These cognitive changes are caused by hormonal changes that cause adolescents to be more attracted by new and challenging experiences. Their hormones also cause them to seek out experiences that elevate their status in the eyes of others. This urge to explore new things can be used in a positive way, for example by participating in a school performance. adhd medication adults uk is possible to take a healthy risk, such as investigating sexuality or other risky behaviors as long as they are in a supportive and secure environment.
The differing levels of physical development can create awkward adolescent stages and feelings of self-consciousness or anxiety about the changes in their bodies. In some traditions, such as those of Aboriginal and Torres Strait Islander people, adolescents could be a time in which young people begin to establish their place in relation to their clans, families nations, ancestors, and country.
Teens' relationships with their friends can be a source of strength or conflict during this time. These relationships are important for the health of adolescents and can have a significant impact on their happiness and wellbeing. The adolescent's relationship with parents can also be a source of support, especially if they can work out family problems together in a non-confrontational way.