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ADHD Medication and Pregnancy Psychiatrists are often approached by women who are trying to get the birth of a child or are pregnant, and are concerned about the negative effects of their ADHD medication. There is good news: Research suggests that, on balance it is safe to continue taking stimulant medications during pregnancy. The results are based on naturalistic studies with a large sample of first-trimester exposures. Pregnancy Women are thrilled about the pregnancy and the birth of the baby However, they might be concerned about the way their ADHD medication affects their child's future. The stimulant medications are known to cause negative teratogenic effects. Some doctors recommend that patients stop taking their medication while trying to conceive or during the first trimester of pregnancy. However, many people with ADHD require the benefits of their medication in order to perform in everyday life and may struggle without it during this time. A recent Danish study discovered that exposure to methylphenidate within the first trimester (in the form of a redemption medication) did not seem to increase the risk of malformations that cause major damage in comparison to the control group who did not receive redeemed medication during the first trimester. adhd medications utilized registry data from Danish databases to identify pregnant woman and their medication history, including whether they were treated for ADHD. Researchers followed 898 babies whose mothers had been exposed to methylphenidate as well as other stimulants during the first trimester. They were compared to 1,270 babies in the control group that did not receive any stimulant medication, such as methylphenidate, in the first trimester pregnancy. Both groups of infants were subjected to a comprehensive assessment for abnormalities in the fetal heart like gastroschisis or the omphalocele. The results revealed that infants born to mothers who were exposed to methylphenidate during pregnancy didn't show any increased rates when 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 could be a source of comfort for pregnant women who take ADHD medication and who may wish or need to continue their treatment throughout pregnancy. It is important to remember that the study did not evaluate the impact of other medications or lifestyle changes on a fetus and other studies have revealed an association between stimulant medication use and adverse pregnancy outcomes, like having a caesarean delivery, or the baby needing support to breathe at the time of birth. Breastfeeding Even if women suffering from ADD or ADHD need to take medication to control their symptoms, they realize that breastfeeding benefits their baby. The mother and child must be healthy and well-nourished. Therefore the decision about whether to breastfeed or use ADHD medications should be formulated with the assistance from a health professional. The most recent recommendations and evidence1 suggest that women do not have to stop breastfeeding to take her prescribed medications. Numerous studies have demonstrated that the neurodevelopmental effects on an infant's long-term health are minimal when a mother is taking her ADHD medication as prescribed. Stimulants are the most common treatment for ADHD and include methylphenidate (with brand names Ritalin and Concerta) and dexamfetamine (brand name Vyvanse). They are available in two forms: immediate-release, that lasts for up to four hours; and extended release, that is taken every day in the morning, and can last up to sixteen hours. Many people who have ADD or ADHD find that the most effective way to combat their symptoms is to take an extended-release medication by taking an immediate-release pill in the evening or in the afternoon. Some medications are not suitable for breastfeeding, like clonidine, a drug that reduces prolactin levels and lowers the production of milk. Certain people suffering from ADD and ADHD do not want to stop nursing due to this reason, and so they choose to switch to a different stimulant medication. These medications have lower RIDs and are more likely to 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 pregnancy, breastfeeding or postpartum. They can give advice on the safest medication and how to monitor the infant's weight and growth. They can also refer you to a psychiatrist or psychologist to provide additional assistance. They may also refer you to dietitians to assist in managing diet and nutrition. Postpartum During pregnancy, women undergo massive physical, hormonal, and emotional changes. For some women experiencing the transition to motherhood can bring big feelings of joy, excitement and love, but also anger, sadness or anxiety. This is normal and it is crucial that the mother receives help from family members, her health care provider, and/or a mental health professional if she is experiencing difficulties. Having a baby can be exciting and overwhelming, but there's no reason mothers should feel like she must do it by herself. Finding the right balance can be challenging, but it can be helped by allowing yourself time to relax, sleeping enough and eating properly. It is also crucial to schedule your postpartum checkups since they will be able to spot any potential problems early on. The "baby blues" is the term used to describe a brief time in which some women experience depression or anxiety following the birth of their baby. This is a very common occurrence, and usually disappear in about a week or two. However for some, the feelings become much more serious and last for longer. This is referred to as postpartum depression, and is a treatable illness. If a woman has suffered from anxiety or depression in the past it is more likely to experience the condition again after giving birth. In some cases women may develop postpartum psychosis that is very dangerous for the mother and child. This is a mental health issue that needs to be addressed promptly. Treatment could consist of the use of medications and therapy. A therapist with through this illness may be particularly helpful. If the symptoms are severe, electroconvulsive (ECT) therapy may be recommended. In the event of an episode of postpartum psychiasis in a mother, her doctor is likely to prescribe an antipsychotic medication such as lithium or Valproate as well as a mood stabilizer such as citalopram. They might also suggest cognitive behavioral therapy to deal with the root causes. Tricyclic antidepressants like imipramine and nortriptyline, are sometimes prescribed but can have serious adverse effects. They are typically prescribed after other drugs have failed. Adolescence Adolescence is a crucial period of cognitive, physical and psychosocial development. It is a time of transition from dependency on parents to a sense of independence when making decisions and taking action in the world around them. Adolescents begin to consider expanding their social circle beyond their immediate family to include their peers, friends, and acquaintances. Their social circle could also include members of student organizations, team sports or jobs. In adolescence, the biological changes in brain structure and connectivity interact with increased experience, knowledge and the changing demands of society to produce rapid cognitive growth. This includes improvements in selective and divided focus (the ability to concentrate on different stimuli at the same time) as well as working memory and long-term memory. In addition, adolescents' capacity of thinking abstractly and morally also improves. These cognitive changes are accompanied by hormonal changes that make teenagers more attracted to new and exciting experiences. Their hormones also force them to look for experiences that will raise their status above other people. This drive toward new experiences can be used to gain positive results, such as by taking part in an upcoming school play or getting involved in a community service activity. It is also a good way to take healthy risks for example, like exploring sexual activities or other risky behaviors, provided that they are in a secure and supportive environment. Varying rates of physical development may cause awkward stages of appearance during adolescence, and also feelings of self-consciousness and anxiety about the changes in their bodies. In certain cultures, like those of Aboriginal or Torres Strait Islander, adolescence is a time when young people are able to establish their identity within their clans, families and their countries and their ancestors as well as their country. The relationships between teens and their friends can either be a source of support or conflict. adhd uk medication of these relationships is vital to the wellbeing of adolescents and can be an important element in their happiness and wellbeing. Relationships between adolescents and their parents can be a great source of support for them, particularly when they can work out problems in a non-confrontational way.
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