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ADHD Medication Pregnancy GPs are often asked whether women should stop taking their ADHD medication during pregnancy. A new study from Denmark adds to the evidence that women shouldn't stop taking ADHD medication during pregnancy. The study utilized data from the nationwide prescription database to assess exposure to ADHD medications in utero. The study adjusted for a variety of confounding factors, such as the calendar year, pregnancy characteristics, socio-demographic variables, physical and mental health of the mother and proxy measures for substance use. Medications for Attention Deficit Hyperactivity Disorder ADHD medication can help 70 to 80% adults and children increase their focus, complete tasks, strengthen their relationships with others and perform better at work or school. The medication could be the only treatment required or in combination with cognitive-behavioral therapy and lifestyle changes. The first step is finding the right medication and doses. This could be a process of trial-and experience. It is essential to be open and honest about your symptoms, including how they impact your daily life. The more you know about ADHD and the treatments that work, the more simple it will be to treat. Stimulants can help treat ADHD symptoms, such as difficulty paying attention to tasks, planning and completing them that require interruption, fidgeting, or fumbling. Stimulants are available in liquid or chewable tablet form. They are typically prescribed twice to three times per every day. They begin to work within 30 to 45 minutes, and last for 3-4 hours. Some people may experience side effects, such as headaches or stomachaches, when taking these drugs. These side effects tend to disappear in time. Medications for ADHD may affect the pregnancy process and women planning to conceive or already pregnant should talk to their doctor about the symptoms and the way they are treating them. The doctor may ask about any other medications the woman is taking, such as those available over the counter, such as vitamins and herbal supplements. If left untreated, ADHD during pregnancy puts women at greater risk of developing mental health problems including anxiety and depression. A recent study of more than 2,000 women who were on ADHD medication and then got pregnant, they were found to have a slightly increased chance of developing pre-eclampsia (high blood pressure and urine protein and swelling), having a baby delivered by cesarean section, or their babies being admitted to an intensive care unit for newborns. They also had a slightly increased chance of having a baby with a central neurological disorder. The researchers of this study caution that the results are not necessarily applicable to all women and that more research needs to be conducted regarding the security of ADHD medications during pregnancy. However, they claim that this study could provide some comfort to women who were worried about removing their ADHD medication during pregnancy. Medicines for Insomnia Insomnia can result from many causes, such as life changes and mental health issues such as anxiety or depression, or physical ailments like chronic pain. Most often, sleep issues improve on their own in less than a month. Occasionally, however, they can become chronic problems that require changes in lifestyle and medications. The Food and Drug Administration has approved a range of drugs that aid in falling asleep and sleep, and feel more rested. adhd medication pregnancy are called sedative or hypnotic drugs. Certain sleep medicines are only available on prescription while others, like diphenhydramine and melatonin, are sold over-the-counter. Many sleep medicines have a Category B rating and are considered safe to use during pregnancy. Other sedating medications are in the category of C. This means they can be harmful to the baby when used for prolonged periods of time or in high doses. Your doctor can tell you which prescription drugs are safest during pregnancy. A more extensive treatment for insomnia is cognitive behavioral therapy, or CBT. This is highly efficient and can be modified for pregnant women. It involves learning to alter negative thoughts and beliefs about sleep, modifying the habits that hinder sleeping and implementing relaxation techniques. This treatment can be done by a therapist or using the help of a book. If underlying mood disorders are causing insomnia, treating those conditions can help improve sleep. This is especially applicable to anxiety and depression. Antidepressants, like fluoxetine (Prozac) or the more traditional tricyclic antidepressants can be extremely beneficial for depression. Anti-anxiety medications, such as Clonazepam and alprazolam, are often prescribed to treat anxiety. It's important to remember that, regardless of which medication is employed the best option for any sleep disorder should be lifestyle changes for example, abstaining from caffeine and frequent bathroom visits and not sleeping during the day. It is best to only use medication when it is absolutely required and for the shortest amount of time possible. Only using the most safe and common medications can help minimize the risk of side-effects for mom and baby. Depression medications The medications used to treat depression and attention deficit hyperactivity disorder (ADHD) may have different effects on the pregnancy process. Stimulants and antidepressants are generally safe for pregnant women. However, women must consult their physician prior to beginning any new medication. The majority of women suffering from depression will need an array of antidepressants, psychotherapy and other medications to recover. The medications increase the levels in the brain of specific chemicals, like norepinephrine and serotonin. These neurotransmitters regulate mood and increase alertness. The most common antidepressants include selective serotonin reuptake inhibitors (SSRIs) that are thought to be effective by blocking an enzyme that breaks down these chemicals. Examples of SSRIs include fluoxetine (Prozac), sertraline (Zoloft) and paroxetine (Paxil). ADHD is usually treated with stimulant drugs. These are believed to be effective by increasing the levels dopamine in the brain. During the first three months of pregnancy, estrogen boosts dopamine. This can reduce the symptoms of ADHD. However, when estrogen levels decrease, symptoms can flare up. It isn't easy for pregnant women with ADHD to decide whether or not they should continue taking their medication. There aren't many studies on the effects of psychiatric medication on pregnant women and their children. The decision to stop treatment can be a challenge for many people with ADHD who believe they can function well while on medication. Fortunately, a recent study published in CNS Drugs found that there were no long-term negative consequences for babies who were exposed to ADHD medication during pregnancy. This study included a review of the outcomes for more than 5,800 mothers and their babies. It was the largest study to date examining the safety of stimulant and non-stimulant ADHD medications during pregnancy. Nevertheless the researchers of this study pointed out that there are many limitations to the study, including possible outcome incorrect classification and significant attrition. Furthermore the study did not examine the short-term effects or other types of mental health problems. The authors also point out that the women who continued taking their medication throughout pregnancy and postpartum were different from the women who quit or stopped taking their medication. They were older at the time of conception and more likely to smoke and be taking other psychotropic drugs. They also had a higher likelihood to use methylphenidate - one of the types of ADHD medication. Anxiety Medications Adults with anxiety disorders often perform well on medications. The medication they take helps them reach their work and social goals as well as maintain healthy relationships and have an improved quality of life overall. When they begin to become pregnant, they are faced with the dilemma of whether to continue or stop treatment? This decision will have a major impact on the mother and any children she may have. Many doctors advise patients to quit taking psychiatric drugs when they become pregnant, or if they are nursing. This is because little is known about how psychiatric medication affects fetuses as well as babies. A large study found that women who discontinued their ADHD medication during the first trimester faced an increased risk of miscarriage or loss than women who continued take it. However the researchers did not find any higher risk of fetal heart defects in infants whose mothers discontinued their ADHD medications. Treatments for anxiety include anxiolytics and antidepressants. Antidepressants help people with anxiety by increasing levels of serotonin and norepinephrine in the brain, which helps improve mood. SSRIs are usually the first choice for antidepressant drugs used to combat anxiety. SNRIs and monoamine oxidase inhibitors (MAOIs) are alternative options. MAOIs block the actions of certain chemicals, such as noradrenaline and adrenaline, which are involved in the fight or flight response to stress. Anxiolytics, like benzodiazepines such as Xanax and Klonopin, can relieve anxiety quickly. However, they are physically addictive and are generally only prescribed for short-term use in the case of severe anxiety. For the majority of adults, stopping their medications to become pregnant isn't a reasonable solution. Reduce symptoms by changing your life style is a better alternative. A healthy diet, exercise and eliminating caffeine all contribute to reducing symptoms of anxiety. A therapist trained in treating anxiety can also be beneficial. Support groups can also help women who have had similar experiences with understanding and compassion.
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