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ADHD Medication Pregnancy
Doctors are often asked if women should stop their ADHD medication during pregnancy. A new study from Denmark adds to the evidence and suggests that women shouldn't take this step.
The study used data from the national prescription database to determine the exposure to ADHD medications during utero. It adjusted for a variety of confounding factors, such as the calendar year, pregnancy-related characteristics, socio-demographic variables, maternal mental and physical health and proxy measures for substance use.
Attention Hyperactivity Disorder and Deficit/Hyperactivity Disorder Treatments
ADHD medication can help 70 to 80% of adults and children who suffer from the condition are able to focus better, finish tasks, get along better with others, and increase their performance at work or school. The medications can be used alone or in combination with cognitive-behavioral treatments and lifestyle modifications. The first step is to determine the right dosage and medication, which can be an experiment. It is important to be honest and open about your symptoms, including how they affect your life. The more you know about ADHD and the treatment options that work, the easier it is to treat.
Stimulants are used to manage the symptoms of ADHD that cause difficulties in paying attention, planning ahead and finishing tasks, as well as interrupting and fidgeting. The stimulants are available in liquid or chewable tablet forms, and are usually prescribed between two and three times per every day. They begin to work within 30 to 45 minutes and last for 3 to 4 hours. These medications can cause adverse effects, such as headaches or stomachaches. These side effects tend to diminish over time.
The use of medications for ADHD may affect the pregnancy process and women planning to get pregnant or are already pregnant should speak to their doctor about the symptoms and how they are treating them. The doctor will likely inquire about any other medications the woman is taking, including prescription medications like vitamins and herbal supplements. If not treated, ADHD in pregnancy can put women at higher risk of developing mental health problems including anxiety and depression.
A recent study of more than 2500 women who were taking ADHD medication and then got pregnant found that they had a slightly increased risk of having pre-eclampsia (high blood pressure and urine protein, and swelling), having a baby born via cesarean section or their babies being admitted to a neonatal intensive care unit. The women also had an increased risk of having a baby with a central neurological disorder.
The researchers of this study warned that the results of the study might not be applicable to all women and that further research is required to determine the security of ADHD medication during pregnancy. However, they claim that this study could provide comfort to many women who were concerned about removing their ADHD medication during pregnancy.
Medications for Insomnia
There are a variety of reasons that can cause insomnia, which could be due to short or long term life changes (like jet sleep or a night in a strange environment), mental health issues like anxiety and depression, or physical ailments, like the pain that comes from a chronic illness. Sleep disturbances are often improved on their own within a month. But, occasionally, they develop into more serious and require to be treated through lifestyle changes and medications.
The Food and Drug Administration has approved a number of medications that can aid people in falling asleep, stay asleep, and feel more rested. These are referred to as sedative or hypnotic medicines. Some sleep medications are only available by prescription, while others, such as diphenhydramine and melatonin, are sold over-the-counter. Many sleep medicines have a Category B rating and are safe to use during pregnancy. Other sedative drugs fall into Category C, which means that they could pose risks to the baby in the event of prolonged time or in high doses. Your doctor can tell you which prescription drugs are safest to use during pregnancy.
Cognitive behavioral therapy (CBT) is an effective treatment for insomnia. CBT is extremely effective and it is a great option for pregnant women. It involves learning to change unhelpful beliefs and thoughts about sleep, changing behaviors which interfere with sleep, and practicing relaxation techniques. This treatment can be done through a therapist, or a workbook.
If mood disorders cause insomnia, treating these disorders can improve sleep. This is especially true for anxiety and depression. Antidepressants, such as fluoxetine or older tricyclics can be extremely beneficial in treating depression. Anti-anxiety medication, such as clonazepam or alprazolam are usually prescribed for anxiety.
It is crucial to remember that regardless of the medication is employed, the first choice for any sleep disorder must be lifestyle changes such as abstaining from caffeine, using the bathroom regularly, and not napping during the daytime. Only take medication if it is absolutely necessary and only for a short period of time. Using only the most common and safest medications helps minimize the chance of adverse effects for both the mother and baby.
adhd medication names used to treat ADHD and depression could have different effects during pregnancy. The stimulants and antidepressants are generally safe for pregnant women. However, women must consult their physician prior to beginning any new medication.
Many women suffering from depression need an antidepressant combination psychotherapy, psychotherapy, and other medications to recover. The medications increase the levels in the brain of certain chemicals, like norepinephrine and serotonin. These neurotransmitters regulate mood as well as increase alertness. The most common antidepressants include selective serotonin Reuptake inhibitors (SSRIs) that are thought to block an enzyme that breaks down these chemicals. SSRIs include fluoxetine (Prozac), setraline (Zoloft) as well as paroxetine and sertraline.
Stimulant medications are most commonly used for ADHD. These medications are thought to work by increasing dopamine levels in the brain. In the initial three months of pregnancy, estrogen levels increase dopamine. This helps to reduce symptoms of ADHD however, when the amount of estrogen decreases, symptoms flare-ups are possible.
Pregnant people with ADHD have a difficult decision to make regarding whether they should continue taking their medication. There aren't many studies that examine the effects of psychiatric medication on pregnant women and their babies. Stopping treatment can be difficult for many with ADHD who feel they can perform well while taking medication.
A recent study published in CNS drugs showed that babies exposed to ADHD medication during pregnancy did not experience any long-term adverse side effects. This study included a review of the outcomes for over 5,800 mothers and their children. This was the largest study ever conducted to determine the safety of stimulant ADHD medications and non-stimulant ADHD medication during pregnancy.
Nevertheless, the researchers of this study pointed out that there are a number of limitations to this study, including the possibility of outcome misclassification and substantial attrition. In addition the study did not focus on short-term outcomes or other types of mental health problems. The authors also point out that the group of women who continued to take their medication throughout pregnancy and postpartum differed from those who ceased or ceased their medication. They were older when they conceived and more likely to smoke and also take other psychotropic medications. They were also more likely to take methylphenidate, a type of ADHD medication.
Medicines for Anxiety
Adults with anxiety disorders often have a good time taking medication. Taking the medication helps them reach their work and social goals, maintain healthy relationships and enjoy an improved quality of life overall. When they become pregnant, they face a difficult dilemma whether to continue to take the medication or stop? The decision has far-reaching effects on the mother and any children she may later have. Many doctors advise their patients to stop their medication when they become pregnant or nursing, since little is known about effects of psychiatric medications on babies or fetuses.
A large study found that a woman's decision quit ADHD medication in the first trimester was linked to greater rates of termination (lost or miscarriage) than women who continued their medications. However the researchers did not find any increase in the risk of fetal cardiac defects in infants whose mothers stopped taking their ADHD medication.
Antidepressants and axiolytics are two drugs that can be used to combat anxiety. Antidepressants help people with anxiety by increasing levels of serotonin and norepinephrine within the brain, which help boost mood. SSRIs are generally the first choice of antidepressant medication used to combat anxiety. SNRIs are a second option, and monoamine oxidase inhibitors MAOIs are another alternative. MAOIs block the action of certain chemicals, such as noradrenaline and adrenaline that are involved in the fight or flight response to stress.
Anxiolytics, such as benzodiazepines like Xanax and Klonopin can reduce anxiety swiftly. However they are physically addictive and are typically only prescribed to treat short-term symptoms of extreme anxiety.
For most adults, stopping their medications to get pregnant is not a reasonable solution. However, reducing symptoms by lifestyle changes is. Exercise, a healthy diet, and avoiding caffeine all contribute to lessening anxiety symptoms. A therapist who is specially trained to treat anxiety could be very helpful. Support groups can provide women who have had similar experiences with compassion and understanding.
