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ADHD Medication Pregnancy Doctors are often asked if women should cease taking their ADHD medication during pregnancy. A new study from Denmark adds to the evidence and suggests that women should not do this. The study utilized data from a nationwide prescription database to measure the exposure of in-utero babies to ADHD medications. It adjusted for a number of confounding factors, such as the calendar year, pregnancy-related characteristics, socio-demographic factors, physical and mental health of mothers as well as the proxies for use of substances. Attention Deficit/Hyperactivity Disorder Medications ADHD medication can aid 70 to 80% of adults and children improve their concentration, finish tasks, enhance their relationships with others and perform better at work or in school. The medications may be the only treatment required or combined with cognitive-behavioral therapy and lifestyle changes. The first step is to find the right medication and doses. It can be a process of trial-and failure. It is important to be honest about your symptoms and how they have affected your life. The more you and your doctor know about the best treatment options more straightforward it is to manage your ADHD. Stimulants can be used to manage ADHD symptoms, including difficulties in paying attention to tasks, planning and completing them that require interruption, fidgeting, or fumbling. Stimulants are available in chewable or liquid tablet form. They are usually prescribed between two and three times a day. They begin to work within 30 to 45 minutes and last for about 3 to 4 hours. There are some side effects, such as headaches or stomachaches, when taking these medications. These side effects usually dissipate in time. The use of medications for ADHD can affect the pregnancy process, and women who are planning to become pregnant or are pregnant should speak to their doctor about their symptoms and how they are treating them. The doctor will likely ask about any other medications the woman is taking, such as supplements that are available over the counter, such as herbal supplements and vitamins. If not treated, ADHD in pregnancy puts women at greater risk of developing mental health issues including depression and anxiety disorders. A recent study of over 2500 women who had taken ADHD medication and then became pregnant found that they were at an increased risk of preeclampsia, which is a condition that causes high blood pressure, protein levels in urine, and swelling. having their babies delivered via cesarean, or being admitted to the neonatal intensive unit. The women also had an increased risk of having a baby with a central neurological disorder. The researchers behind this study caution that the findings aren't necessarily applicable to all women, and they suggest that more research should be conducted regarding the security of ADHD medications during pregnancy. The study should provide comfort to women who are concerned about stopping their ADHD medication during pregnancy. Medications for Insomnia Insomnia can be caused by various factors, including life changes and mental health issues such as anxiety or depression, or physical ailments like chronic pain. In most cases, sleep problems improve on their own within less than a month. However, occasionally they can develop into chronic problems that require lifestyle changes and medications. The Food and Drug Administration has approved several medications that aid people in falling asleep, remain asleep, and feel more rested. These are known as sedatives or hypnotic drugs. Certain sleep medicines are only available on prescription while others, like diphenhydramine and melatonin are available over-the counter. Many sleep medicines are classified as in Category B and are safe to use while pregnant. Other sedating drugs are in Category C, which means they may pose some risks to the baby if used for a long duration or in large doses. Your doctor will be able to tell you which prescription drugs are the most secure during pregnancy. A more comprehensive treatment for insomnia involves cognitive behavioral therapy, or CBT. This is highly effective and can be adapted for pregnant women. It involves retraining negative thoughts and beliefs about sleep, adjusting the habits that hinder sleeping and implementing relaxation techniques. This therapy can be carried out by a therapist, or by using a workbook. If mood disorders result in insomnia, treating these conditions can help improve sleep. This is particularly relevant for anxiety and depression. Antidepressants, like fluoxetine (Prozac) or the more traditional tricyclic antidepressants, are extremely beneficial for depression. Anti-anxiety medications, such as alprazolam or clonazepam, are often prescribed to treat anxiety. It is important to keep in mind that lifestyle changes are the most effective method to treat any sleep disorder, no matter the medications used. This includes abstaining from caffeine, using the bathroom frequently, and not sleeping. It is best to only use medication when it is absolutely necessary and for the shortest amount of time that is possible. Only using the safest and most common medication can help reduce the chance of adverse effects for mom and baby. Depression medications The drugs used to treat ADHD and depression may have different effects during pregnancy. Generally, the use of antidepressants and stimulants is safe for pregnant women, although women should check with their physician prior to starting any new medication during pregnancy. The majority of people suffering from depression use a combination of medications, including antidepressants and psychotherapy to recover. The medications increase the levels in the brain of specific chemicals, including norepinephrine and serotonin. These neurotransmitters regulate mood and improve alertness. The most popular antidepressants include selective serotonin reuptake inhibitors (SSRIs) that are believed to block an enzyme that breaks down these chemicals. SSRIs include fluoxetine (Prozac), setraline (Zoloft) as well as paroxetine and sertraline. ADHD is usually treated with stimulant drugs. These drugs are believed to be effective by increasing dopamine levels in the brain. During the first trimester of pregnancy estrogen naturally increases dopamine. This can help reduce the symptoms of ADHD, but when the level of estrogen decreases, symptom flare-ups may occur. It can be difficult for pregnant women with ADHD to decide if they should continue taking their medication. This is due to the fact that there aren't many studies on the effects of psychiatric medications on pregnant women and their babies. Many people suffering from ADHD believe that they are able to be successful with their medication, and so stopping treatment can be challenging. Fortunately, a recent study published in CNS Drugs concluded that there were no long-term negative consequences for babies who were exposed to ADHD medication during pregnancy. The study involved a retrospective review of the findings of more than 5,800 mothers and their children. It was the largest study to date looking at the safety of non-stimulant and stimulant ADHD medications during pregnancy. Nevertheless the authors of this study acknowledged that there are many limitations to this study, including the possibility of outcome misclassification and substantial attrition. Furthermore, medication for inattentive adhd did not focus on short-term outcomes or other mental health conditions. The authors also point out that the group of women who continued to take their medication throughout pregnancy and postpartum was different from the groups who stopped or discontinued their medications. They were older at the time of conception and were more likely to smoke and be taking other psychotropic medication. They also were more likely to take methylphenidate which is one of the types of ADHD medication. Medicines for Anxiety Adults suffering from anxiety disorders usually function well on medication. They can achieve their social and work goals and maintain healthy relationships taking the medication. When they become pregnant, they are faced with a dilemma whether to continue their treatment or stop? This choice will have a significant impact on the mother and any children she may have. Many doctors recommend that patients stop taking psychiatric medication when they are pregnant or if they are nursing. This is due to the fact that very little is available about how psychiatric medication affects fetuses as well as babies. A large-scale study showed that women's decision to discontinue ADHD medication in the first trimester was linked to greater rates of termination (lost or miscarriage) than women who continued to take their medication. Researchers discovered that babies born to mothers who stopped taking ADHD medication did not have a higher risk of fetal defects. Antidepressants and axiolytics are two drugs that can be used to treat anxiety. Antidepressants assist people suffering from anxiety by increasing levels of serotonin and norepinephrine in the brain, which helps boost mood. SSRIs are the most popular antidepressant medications prescribed to combat anxiety. SNRIs and monoamine oxidase inhibitors (MAOIs) are alternatives. MAOIs block the action of certain chemicals, such as noradrenaline and adrenaline that play a role in the fight or flight response to stress. Anxiolytics, such as Benzodiazepines, like Klonopin and Xanax can relieve anxiety quickly. They are physically addictive, and are usually prescribed for short-term use when extreme anxiety is present. For most adults, stopping their medications to get pregnant is not an acceptable solution. Reduce symptoms by changing your lifestyle is the best option. Making sure you get enough rest and exercise and eating a healthy diet, and staying away from caffeine can all help to reduce the symptoms of anxiety. A therapist with experience in the treatment of anxiety may also be helpful. Support groups can also help women who have experienced similar issues with understanding and compassion.