ADHD Medication and Pregnancy
Psychiatrists are often approached by women who are trying to have an infant or are expecting and are concerned about the negative effects of their ADHD medication. adhd medication pregnancy is that research suggests it is safe to take stimulant medications throughout the pregnancy.
The results are based on naturalistic studies that include a large sample of first-trimester exposures.
Pregnancy
Women are ecstatic about their having a baby and expecting a baby however, they are concerned about how their ADHD medication affects their child's future. These medications are known to cause negative teratogenic effects. Some doctors advise patients to discontinue their medication while trying to conceive or in the first trimester of pregnancy. However, many people suffering from ADHD require the advantages of their medication to function in daily life and may struggle without it during this period.
A recent study in Denmark discovered that the exposure to methylphenidate in the first trimester (in the form of a redeemed prescription) does not appear to increase the risk of major malformations as compared to a group that did not have prescriptions redeemed during the first trimester of pregnancy. The study used registry-based data from several Danish databases to determine the number of pregnant women and their medications prior to and during pregnancy including information about whether the woman was treated for ADHD.
Researchers observed 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 who did not receive any stimulant medication, such as methylphenidate, during the first trimester of pregnancy.
Both groups of infants were assessed for neurodevelopmental disorders of the psychiatric kind, other neurodevelopmental impairments growth impairments, fetal heart issues (such as gastroschisis, omphalocele or transverse limb deficiency). The results showed that infants born to mothers who were exposed to methylphenidate during pregnancy did not have any increased rates as compared to those who were not. This was true for both the first and second trimesters of pregnancy.
This is a promising result that can comfort pregnant women who take ADHD medication and who may wish or require treatment throughout their pregnancy. This study did not assess the impact of lifestyle changes or other medications on the pregnant fetus. Other studies have shown a link between stimulant medication and adverse pregnancy outcomes, such as a caesarean birth, or a 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 have to take medication to manage their symptoms. The mother and child must be healthy and well-nourished. Therefore, the decision whether to breastfeed or take ADHD medications should be made with the assistance of a medical professional. The most recent guidelines and evidence1 suggest women do not have to stop breastfeeding to take her prescribed medication. Multiple studies have shown that the neurodevelopmental effects on the infant's health in the long run are not significant when the mother takes her ADHD medication as prescribed.
Stimulants like dexamfetamine and methylphenidate are frequently used to treat ADHD. They are available in two forms: immediate-release which lasts up to four hours; and extended-release which is taken daily in the morning and can last up to 16 hours. Many people suffering from ADD or ADHD discover that the best way to treat their symptoms is to take an extended-release medication in the afternoon or evening and then follow it up with an immediate-release tablet.
Certain medications are not suitable for breastfeeding, such as Clonidine, which decreases prolactin levels and lowers the production of milk. Some people with ADD and ADHD aren't ready to stop breastfeeding for this reason, and so they change to a different stimulant medication. These medications are less likely contain high RIDs and may be covered under the Pharmaceutical Benefits Scheme. It is essential to talk with a GP or specialist if you are thinking of changing your medication during breastfeeding, pregnancy, or early postpartum. They can provide you with information on the most secure medication and how to track your baby's weight and growth. The doctor or specialist may also help with the referral to a psychiatrist or psychologist to receive additional assistance. They may also refer you to a dietitian for help with diet and nutrition.
Postpartum
During pregnancy, the female body undergoes massive hormonal, physical and emotional changes. For some women experiencing the transition to motherhood can bring big feelings of joy, excitement and love, but also frustration or sadness. This is normal, and it's essential to seek help from family members or her doctor and/or mental health experts if the new mom is experiencing difficulties.
It can be exciting to be a parent, but it can also be overwhelming but a new mom shouldn't feel that she must do it all alone. Finding the right balance can be challenging, but it can be made easier by allowing yourself the time to rest, taking enough sleep and eating properly. It is also important to attend your postpartum check-ups as they can spot any issues that could be present early.
The "baby blues" is the term used to describe a brief period during which some women experience depression or anxiety following the birth of their child. This is a very common occurrence, and usually disappear on its own within one or two weeks. However for some, the symptoms become more severe and last longer. This is known as postpartum depression disorder and is a condition that can be treated. If a woman has experienced anxiety or depression in the past it, she is at a higher risk of developing it again after the birth of her child.
In rare instances, women can develop postpartum psychiasis. This can be very risky for both mother and child. This is a psychiatric crisis which should be treated as soon as is possible. The treatment could include a combination of medication and therapy. A therapist with experience in this illness can be very beneficial. If the symptoms are severe, electroconvulsive (ECT) therapy is suggested.
In the event of postpartum psychiasis in a mother her doctor will likely prescribe an antipsychotic such as Valproate or lithium as well as a mood stabilizer such as citalopram. They may also recommend cognitive behavioral therapy to deal with the underlying problems. Tricyclic antidepressants, such as nortriptyline and imipramine are occasionally 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 an important period of cognitive, physical and psychosocial growth. Adolescence is a time of rapid growth in terms of physical, cognitive and psychosocial development. Adolescents begin to take an interest in expanding their social circles from just their family, to include friends, peers and acquaintances with whom they may spend a significant amount of time at school or in other activities. adhd medication ritalin could also include people from student organizations and team sports, as well as jobs.
As we grow older, the changes in brain structure and connectivity occur in conjunction with the increase in knowledge, experience, and changing social demands and results in rapid cognitive development. This includes an increase in divided and selective attention (the ability to concentrate on a variety of stimuli simultaneously) as well as working memory and long-term memory. Furthermore, the ability of adolescents to think abstractly and morally also improves.
These cognitive changes are accompanied with hormonal changes, which make adolescents more attracted by exciting and new experiences. Their hormones also cause them to seek out experiences that will increase their status in the eyes of others. This urge to try new things can be used positively, for example by participating in a school production. It can also be used to take risks that are healthy, such as engaging in sexual activities or other risky behavior, provided that they are in a safe and supportive environment.
The various rates of physical growth can create awkward adolescent stages and feelings of anxiety or self-consciousness about their body changes. In some cultures, like those of Aboriginal and Torres Strait Islander people, adolescents could be a time in which young people establish their identity with their families, clans nations, ancestors, and country.
Teens' relationships with friends can be a source of comfort or conflict during this period. The quality of these relationships is vital to the wellbeing of adolescents and is an important factor in their wellbeing and happiness. Relationships between adolescents and their parents can be an excellent source of assistance for them, especially when they are able to resolve issues in a non-confrontational fashion.