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ADHD Medication Pregnancy
GPs are frequently asked whether women should discontinue their ADHD medication during pregnancy. A new Danish study adds to the evidence that women should not stop taking their ADHD medication during pregnancy.
The study utilized data from a nationwide prescription database to determine in-utero exposure to ADHD medications. It adjusted for a variety of confounding factors, such as the calendar year, pregnancy characteristics, socio-demographic factors maternal mental and physical health as well as the proxies for use of substances.
Attention Hyperactivity Disorder and Deficit/Hyperactivity Disorder Treatments
ADHD medication can help 70 to 80% of adults and children improve their concentration, finish tasks, strengthen their relationships with others, and perform better at work or school. The medication may be the only treatment needed or may be combined with cognitive-behavioral therapies and lifestyle modifications. The first step is finding the right dosage and medication. This can be a process of trial-and failure. It is essential to be honest and open about your symptoms, and how they affect your daily life. The more you are aware of ADHD and the treatments that work, the simpler it is to treat.
Stimulants are prescribed to treat the symptoms of ADHD, which cause difficulty in focusing to the present, planning ahead and completing tasks, as well as interrupting and fidgeting. They are available in liquid and chewable tablet forms, and people are usually prescribed between two and three times per day. They begin to work in 30 to 45 minutes, and last for 3-4 hours. These medicines can trigger unwanted side effects like stomachaches or headaches. These side effects typically subside as time passes.
Women who are expecting or planning to be pregnant should discuss their concerns with their doctor. The doctor is likely to inquire about any other medications the woman is taking, such as supplements that are available over the counter, such as vitamins and herbal supplements. Women who do not treat ADHD during pregnancy are at higher risk for a number of mental health issues, such as depression and anxiety disorders, during the postpartum time.
A recent study of over 2,000 women who were on ADHD medications, and then went on to become pregnant found that they had an increased risk of pre-eclampsia (high blood pressure and urine protein, and swelling) or having a child delivered by cesarean section, or having their babies admitted to an intensive care unit for newborns. The women also had a slightly higher chance of having a child with a central nervous system disorder.
The researchers of this study warned that the results of the study might not be applicable to all women, and that more research is required to determine the security of ADHD medication during pregnancy. The study should provide comfort to women who are worried about stopping their ADHD medication during pregnancy.
Insomnia - Medications to Treat It
There are many reasons for insomnia, including either long or short-term changes (like jet sleep or a night in a different environment), mental health issues like anxiety and depression, or physical ailments, such as the pain that comes from a chronic illness. Sleep disturbances can often improve by themselves within a month. Sometimes, however, they can become long-term issues that require changes in lifestyle and medications.
The Food and Drug Administration has approved a variety of medications that aid people in falling asleep, sleep and feel rested. These are referred to as sedative or hypnotic medicines. Some sleep medications are only available through prescription while others, such as diphenhydramine and melatonin are available over-the-counter. Many sleep medicines are classified as Category B and are safe to use during pregnancy. Other sedatives are classified in Category C, which means they could pose a risk to the baby if used for a long duration or in large doses. Your doctor can tell you which medications prescribed by your doctor are safest to use during pregnancy.
A more extensive treatment for insomnia involves cognitive behavioral therapy, also known as CBT. CBT is extremely efficient and can be adapted to pregnant women. It involves retraining negative thoughts and beliefs about sleep, changing the behaviors that interfere with sleep, and implementing relaxation techniques. This treatment can be done by a therapist or with the help of a workbook.
If underlying mood disorders are making you sleepy, treating those disorders can also help improve sleep. This is particularly true for depression and anxiety. Antidepressants such as tricyclics older than fluoxetine are extremely beneficial for depression. Anti-anxiety medication, such as Clonazepam and alprazolam are frequently prescribed to treat anxiety.
It is crucial to remember that, regardless of which medication is used, the first choice for any sleep disorder must be lifestyle changes like not drinking coffee, using the bathroom regularly and not snoring throughout the daytime. The use of medication should only be when absolutely needed and for the least amount of time possible. Only using the safest and most common medication can help reduce the chance of adverse effects for both mom and baby.
Depression medications
The drugs used to treat depression and attention deficit hyperactivity disorder (ADHD) may have different effects on the process of pregnancy. Antidepressants and stimulants are generally safe for pregnant women. However, Iampsychiatry should consult with their physician prior to starting any new medication.
The majority of women suffering from depression will need a combination of antidepressants, psychotherapy and other medications to recover. The drugs increase the levels in the brain of specific chemicals, including serotonin and norepinephrine. These are neurotransmitters that regulate mood and increase alertness. Antidepressants are most commonly selective serotonin reuptake inhibitors (SSRIs), believed to block the enzyme responsible for breaking these chemicals down. SSRIs include fluoxetine (Prozac) setraline (Zoloft), paroxetine, and sertraline.
Stimulant medications are most commonly used to treat ADHD. These are believed to be effective by increasing levels of dopamine in the brain. During the first trimester of pregnancy estrogen naturally increases dopamine. This can reduce symptoms of ADHD. However, when estrogen levels decrease the symptoms can become more severe.
Pregnant people with ADHD are faced with a difficult decision to make regarding whether or not they should continue their medication. There are few studies on the effects of psychiatric drugs on pregnant women and their babies. The decision to stop treatment can be a challenge for many people suffering from ADHD who believe they are able to perform well while taking medication.
A study that was recently published in CNS drugs showed that babies exposed to ADHD medication while pregnant did not suffer any long-term adverse side effects. This study included a review of the results for more than 5,800 mothers with their children. This was the largest study ever conducted to determine the safety of stimulant ADHD medications and non-stimulant ADHD medication during pregnancy.
However, the authors of this study acknowledged that there are numerous issues with this study, including the possibility of outcome incorrect classification and significant attrition. Furthermore, the study did not look at short-term outcomes or other types of mental health problems. The authors also highlight the difference in the women who continued to take their medication throughout pregnancy and postpartum and those who stopped or stopped it. They were older when they were born and more likely to smoke and take other psychotropic drugs. They were also more likely to use methylphenidate, a specific type of ADHD medication.
Anxiety Medications
Adults with anxiety disorders typically perform well when taking medication. The medication can help them achieve work and social goals to maintain healthy relationships and have more satisfaction overall. When they become pregnant they are faced with a dilemma: Should they continue to take the medication or stop? This choice will have a significant impact on the mother and any children she may have. Many doctors advise their patients to cease their medications when they become pregnant or nursing, because little is known about the effects of psychiatric drugs on fetuses or babies.
A large study revealed that women who discontinued their ADHD medication in the first trimester were at an increased risk of miscarriage or loss than women who continued take the medication. However, the researchers found no increased risk of fetal heart defects in infants whose mothers quit their ADHD medications.
Antidepressants and axiolytics are two medications that can be used to combat anxiety. Antidepressants aid people suffering from anxiety by increasing the levels of serotonin as well as norepinephrine in the brain, which helps boost mood. SSRIs are the most commonly used antidepressant drugs prescribed to treat anxiety. SNRIs and monoamine oxidase inhibitors (MAOIs) are alternative options. MAOIs block the actions of certain chemicals such as adrenaline and noradrenaline that are involved in the fight-or-flight response to stress.
Anxiolytics, like benzodiazepines like Xanax and Klonopin can help relieve anxiety quickly. They are physically addictive, and are typically prescribed for short-term use when extreme anxiety is present.
For the majority of adults, stopping their medication to get pregnant is not an acceptable solution. However, reducing symptoms with lifestyle changes is. Exercise, a healthy diet and abstaining from caffeine are all key to reducing symptoms of anxiety. A therapist who is trained in treating anxiety may also be helpful. Support groups can provide women who have had similar experiences with understanding and compassion.
Here's my website: https://www.iampsychiatry.com/adult-adhd-medication
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