Monitor the breastfed infant for hypotension, drowsiness, pallor, and decreased muscle tone. Kelly Kamenetzky is a Los Angeles-based freelance writer/editor with more than a decade of experience covering the parenting and family space. We recommend infant safety and monitoring when mothers taking ADHD drugs wish to breastfeed. Use of the term father or paternal refers to a person who contributes sperm. For this reason, your doctor may recommend that you either lower your dose or stop taking your medication for a certain length of time when your baby is first born. The following excerpt is from one such study, 'Narcolepsy Treated with Racemic Amphetamine during Pregnancy and Breastfeeding': Again, the above study was on a woman who was taken an indicated and prescribed dose of Adderall (35 mg per day) by their doctor. Generally speaking, ADHD medications are approved for breastfeeding as long as you dont exceed the recommended dose {MGH Center for Womens Mental Health: Is It Safe to Take ADHD Medications While Breastfeeding?}: If possible, stay toward the lower end of the recommended dose. Ultimately our biggest issue is not that we know of the danger, but, in contrast, that we don't know enough. ADHD is a chronic condition characterized by symptoms like hyperactivity, attention difficulty, and impulsiveness. Metformin is used to treat high blood sugar levels that are caused by a type of diabetes mellitus or sugar diabetes called type 2 diabetes. One sizeable prospective study found no adverse effects in breastfed infants. "Some of the signs to look for are agitation, hyperactivity, insomnia, decreased appetite, weight change, and tremors." I'm relieved to know that my fears are all in my head! Available for Android and iOS devices. Its use as an ADHD medication is rare. [1,2], Three women 2, 5 and 14 months postpartum who had been taking immediate-release metformin 500 mg twice daily orally for at least several days were studied. With that in mind, you might be curious if it is considered safe to continue managing your ADHD with Adderall while breastfeeding. Short-Acting versus Long-Acting Medications for the Treatment of ADHD., Ornoy, Asher. As with all medications, your doctor will have to consider your overall health as well as that of your infant. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Metformin is a medication that has been used to treat type 2 diabetes, insulin-resistance in polycystic ovary syndrome (PCOS), and gestational diabetes. Atomoxetine does not have enough data to support its routine use during breastfeeding. Prescribed doses of Adderall depend on the severity of a patient's symptoms. When making a decision about medications and breastfeeding, risks1 and benefits5 should be weighed for the following: Commonly prescribed ADHD medications include: The following table shows data1 for some of the medications used for ADHD. I am NwC and currently taking 20-30mg, but docs (including pediatrician) and lactation consultants are telling me I can go up past that, especially since we are not EBF (prior breast surgery). https://mothertobaby.org/fact-sheets/paternal-exposures-pregnancy/, Battling Obesity Ahead of Pregnancy is Beautifully Individual. Transfer of metformin into human milk. While they are not as effective as stimulant medications, the effects can last up to 24-hours. Medications that increase blood sugar. 619.368.3259 % The worlds leading research center for medication safety during pregnancy and laction. Six of the women were taking an immediate-release product 500 mg three times daily and one was taking 500 mg as a sustained-release product once daily. At the very least, you should be aware of the potential side effects in infants and be on the look-out for them. %.jKW ^2[7xK+NXzCD-FyQYOn12P+w A)Y %X~#dMPcq UvK{ry2=RgdS2U [^["^f=62#zC7xHtx|"@GIMXTy((/t qFj%/Z6./:E a{O[q:z1AeX v';d.4\Gr`35lpcytRz!BMr| Irmq* =+S. Metformin concentrations in plasma and milk were measured by high performance liquid chromatography. If it represents the best treatment option for you, it is important that the nursing infant is monitored for side effects, such as insomnia, irritability, hyperactivity, and decreased appetite. Dear NewMommy. [9], A small pilot study of women with low milk supply and at least one sign of insulin resistance were randomized to receive metformin (n = 10) or placebo (n = 5). HVnF}W {tqFL VbI{fdYIp3;3n}}1_r^WK:+'*zuC5o/W"EQT9s/[} e8Y9)Z8|ueUMtU Is It Safe to Take Adderall While Breastfeeding? Adderall is habit forming and chronic use may lead to dependence. However your infant should be monitored for agitation and poor weight gain. Some evidence suggests that large doses of dextroamphetamine could lower milk supply in people who are newly breastfeeding. But check with your doctor, as the amount of insulin you need may change. For example, studies show that breastfeeding infants have a lower rate of a variety of medical conditions, including ear and respiratory tract infections, asthma, and type 2 diabetes. Monitor the infant for agitation, irritability, decreased sleep, poor feeding, and poor weight gain. Adderall is present in the breast milk when taken by nursing mothers. This time frame has been shown with multiple amphetamine-type drugs, including mixed amphetamine salts, dextroamphetamine, and methamphetamine. Clonidine has RID from 0.9% to 7.1%.1 Clonidine can cause decreased milk production by reducing prolactin secretion.8 Because this reduction varies, clonidine may still be compatible with breastfeeding if the infant is able to get 150mL/kg/day.1 Note that clonidine cannot be immediately discontinued. For more information about diabetes during pregnancy, please see the MotherToBaby fact sheet on Gestational Diabetes at https://mothertobaby.org/fact-sheets/diabetes-pregnancy/. Thanks Rachelle32! While there are no known effects of Adderall on a breastfeeding baby, there is also limited research in this area, so there are possible unknown risks. Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. However the few that are available give us a good look into safety concerns. In tests done on breast milk, the amount of ADHD medication found in breast milk was directly proportionate to levels found in the mothers bloodstream. If concerned about the formulation, monitor the breastfed infant for symptoms.3. Sinita E, Coghill D. The use of stimulant medications for non-core aspects of ADHD and in other disorders. Wilens, et al. We comply with the HONcode standard for trustworthy health information. Thanks for contacting us! I'm so sorry to hear about your struggles since a young age. https://mothertobaby.org/fact-sheets/diabetes-pregnancy/. One study suggested that The FDA-approved prescribing information for Adderall states this succinctly: The American Academy of Pediatrics also states that amphetamines should not be used in breastfeeding mothers in most situations due to the potential side effects in infants, including: Also, amphetamines (particularly dextroamphetamine) have been shown to decrease milk production in breastfeeding mothers. By Kelly Kamenetzky According to the AAP, health care providers should weigh the risks and benefits when prescribing medications to breastfeeding mothers by considering the zp But it is important to remember that just because a medication was approved for use during pregnancy does not mean it is safe to use while breastfeeding. You can also connect with Dr. Brian Staiger on LinkedIn. 944 0 obj <>/Filter/FlateDecode/ID[<5DE602AAC35C854F918988CBDCCF760E>]/Index[928 28]/Info 927 0 R/Length 92/Prev 222931/Root 929 0 R/Size 956/Type/XRef/W[1 3 1]>>stream Nonstimulants These medications are newer and were first used in 2003. Adderall can be detected in the blood of infants who nurse from mothers that take Adderall. Adderall (dextroamphetamine-amphetamine) is one of the most commonly prescribed medications to treat the disorder, and the number of women between 15 and 44 who filled a prescription for Adderall rose a whopping 344% between 2003 and 2015. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The only bad effects I have had are from the met. Most data suggests that a breastfeeding infant could potentially be exposed to between 2% and 13.8% of the maternal dosage of Adderall. The use of metformin through delivery has been linked with a chance of hypoglycemia (low blood sugar) in the baby. The most common adverse effect is gastrointestinal upset. "If someone was on Adderall during pregnancy, theoretically the risk is slightly lower. and may reduce milk supply, particularly prior to established lactation. If Adderall is used while breastfeeding, be sure to monitor the infant for possible effects. If you are taking Adderall on a daily basis, it would be prudent to separate dosing from feeding as long as possible. You may be able to time taking your medication around when you breastfeed your baby. Six women had milk levels that varied little over 24 hours and averaged 270 mcg/L. Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. The average milk metformin levels were estimated to be 410 mcg/L. Two of the infants also had normal Denver Developmental Screening tests. Transfer of metformin into human milk. %%EOF Potential Benefits of Adderall While Breastfeeding, What You Need to Know About the Adderall Shortage, How to Rebuild or Increase Your Breast Milk Supply. If you feel you need more or less, talk to your provider. Metformin was undetectable (<5 mcg/L) in the serum of the 2 infants (extent of nursing not stated) aged 2 and 14 months in whom it was measured. Breastfeeding does not interfere with the infants immune response to most routine immunizations (eg, diphtheria and tetanus toxoids and acellular pertussis vaccine, You should also know how to treat hypoglycemia if you start to experience symptoms, as discussed above. LactMed is a registered trademark of the U.S. Department of Health and Human Services. Breastfeeding is the gold standard of infant nutrition and provides unmatched health benefits for both mother and infant. 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