Adderall and Pregnancy

Adderall and Pregnancy

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Picture of Arooj Anjum

Arooj Anjum

Biomedical Engineer

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While Adderall works exceptionally well in improving concentration and controlling impulsive behavior, the question about the use of Adderall during pregnancy frequently surfaces. Adderall may or may not be prescribed to you during pregnancy. The authorities advise against the prescription of Adderall during pregnancy because the risks usually outweigh the benefits of the medication. However, the decision needs to be made with the help of an ob-gyn and your psychiatrist. 

 

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How Does Adderall Work?

 

Adderall is a combination of amphetamine and dextroamphetamine, both of which are central nervous system (CNS) stimulants. Adderall is prescribed for the following main reasons:

 

Category Details
Drug Class Central Nervous System Stimulant
Indications ADHD, narcolepsy
FDA Pregnancy Category Category C– Animal studies have shown adverse effects; insufficient human studies are available.
Controlled Substance Schedule II– High potential for abuse and dependence.
Usage During Pregnancy It must be used only if the benefits outweigh the potential risks; it requires medical consultation.
Alternative Options Behavioral therapies, lifestyle changes, and safer medications (as per physician guidance).

Common and Severe Side Effects of Adderall 

 

Although Adderall is an effective treatment for ADHD, it is also not free from side effects. Since Adderall is a, its side effects may be shown on the whole body. Common side effects include: 

  • Anxiety 
  • Nervousness
  • Dry mouth 
  • Increased heart rate 
  • Muscle weakness 
  • Abnormal pain
  • Weight loss 

Some severe and rare Adderall side effects may include:

  • Irregular heartbeats
  • Severe cardiovascular events 
  • Seizures
  • Blood clotting 

These symptoms require immediate medical treatment. So, if you are experiencing any of the above-mentioned side effects, talk to a healthcare provider instantly. 

 

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Is Adderall Safe During Pregnancy?

 

The U.S. Food and Drug Administration (FDA) has classified Adderall as a Category C medication. This means there isn’t enough data to ensure its safety during pregnancy due to a lack of research on humans. However, studies conducted on animals point to potential risks. Pregnant women must carefully consider the benefits of continuing Adderall against its potential threats. Unless your healthcare provider confirms, one should never self-medicate on Adderall during pregnancy. It may cause complications during pregnancy. 

Potential Risks to the Baby

 

Although there isn’t enough data on the effects of Adderall during pregnancy, the following risks came under consideration from the research works and clinical observations:

  • Premature Delivery and Low Birth Weight

Amphetamines, including Adderall, have been linked with reduced fetal growth and an increased risk of premature delivery. Amphetamines are also present in Adderall. A study suggested a small but relatively higher risk of preterm birth when stimulant medications are used during pregnancy.

  • Congenital Disabilities

While rare, the exposure to amphetamine may be connected to birth defects. There is a slightly increased chance of congenital heart defects in babies exposed to amphetamines during pregnancy.

  • Neonatal Withdrawal Syndrome

Babies who are exposed to Adderall in the womb may show withdrawal symptoms after birth. These symptoms may include agitation, trouble while feeding, and excessive crying.

Potential Risks to the Mother

 

During pregnancy, Adderall may also put the mother at risk. These effects include:

  • Increased Blood Pressure

This problem is particularly concerning for individuals who are already suffering from preeclampsia (high blood pressure from birth) or pre-existing hypertension.

  • Cardiovascular Stress

Adderall can increase heart rate, leading to problems like cardiovascular strain. It increases complications during pregnancy. 

Managing ADHD Symptoms During Pregnancy Without Adderall

 

Women with ADHD who are expecting face particular difficulties. If left untreated, ADHD can result in increased stress, trouble handling everyday responsibilities, and even safety hazards. However, non-pharmacological methods of symptom management can be very effective. 

Alternatives to Adderall During Pregnancy

 

Alternative Description Considerations
Behavioural therapy Cognitive-behavioral therapy (CBT) and other approaches to manage ADHD symptoms. Non-invasive and does not carry medication risks.
Lifestyle changes Adjustments in sleep, diet, and stress management to alleviate ADHD or narcolepsy symptoms. Safe and effective, though may not fully address symptoms in all cases.

Should You Stop Taking Adderall During Pregnancy?

 

If you are pregnant or intend to become pregnant, speak with your healthcare provider to discuss a customized plan that may include tapering off the medication or looking into alternative treatments. Stopping taking Adderall abruptly without medical guidance can cause withdrawal symptoms, such as difficulty concentrating, depression, and fatigue.

Final Thoughts

 

One should be careful while using Adderall, as the use of Adderall during pregnancy is still a concern. The pros and cons of taking the medication should always be considered. Although the use of Adderall to treat ADHD is necessary, there are other ways to lessen dependency on the drug during this crucial period. One must always speak to the healthcare provider before the use of any medication.

Medical Disclaimer:

 

At Therapy Fleet, we strive to enhance the quality of life for those dealing with mental health issues. Our licensed medical professionals meticulously research, edit, and review all content before publication. Nonetheless, this information should not replace professional medical advice, diagnosis, or treatment. For medical guidance, please consult your physician or reach out to Therapy Fleet’s qualified staff.

 

Taking care of yourself is as vital as caring for your body; both need patience, kindness, and daily attention.

 

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FAQs

1. What ADHD Medication Is Safe During Pregnancy?

 

There is less to no data that can answer this question conclusively. Adderall is not very intolerable, therefore, the decision should be made with the help of a doctor’s judgment. 

2. Can I Breastfeed While Taking Adderall?

 

Normal doses should not affect milk production. However, talk to your ob-gyn before you take any decision. They should be able to provide you with a tailored treatment.

3. Should I Stop Adderall When Pregnant?

 

It is for your gyne to decide whether it is safe to take Adderall during pregnancy or not. Quitting cold turkey is not advisable. 

4. What happens if I decide to stop taking Adderall?

 

Never stop taking Adderall abruptly. Instead, talk to a healthcare provider and consider tapering off of it. 

 

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Sources

  1. Cohen, J. M., Hernández-Díaz, S., Bateman, B. T., Park, Y., Desai, R. J., Gray, K. J., Patorno, E., Mogun, H., & Huybrechts, K. F. (2017). Placental Complications Associated With Psychostimulant Use in Pregnancy. Obstetrics & Gynecology, 130(6), 1192–1201. https://doi.org/10.1097/aog.0000000000002362
  2. FDA. (1997). Guidance for Industry Dissolution Testing of Immediate Release Solid Oral Dosage Forms. https://www.fda.gov/media/70936/download
  3. Food and Drug Administration. (2007). ADDERALL ® (CII) (MEDICATION GUIDES ATTACHED) REVISED MARCH 2007 11001191 RX ONLY AMPHETAMINES HAVE A HIGH POTENTIAL FOR ABUSE. ADMINISTRATION OF AMPHETAMINES FOR PROLONGED PERIODS OF TIME MAY LEAD TO DRUG DEPENDENCE AND MUST BE AVOIDED. PARTICULAR ATTENT. https://www.accessdata.fda.gov/drugsatfda_docs/label/2007/011522s040lbl.pdf‌

 

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