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ADHD Medication Pregnancy GPs are frequently asked if women should discontinue their ADHD medication while pregnant. A new study from Denmark adds to the evidence and suggests that women shouldn't do this. The study used data from the national prescription database to determine the exposure to ADHD medications in utero. The study was adjusted for a variety of variables that can cause confusion, including the calendar year as well as socio-demographic variables as well as maternal physiological and mental health and proxy measures for the use of drugs. Medications for Attention Deficit Hyperactivity Disorder ADHD medication can help 70 to 80 percent of people with the condition focus more and complete tasks, interact better with others, and increase their performance at school or at work. The medications can be used as a stand-alone treatment or in conjunction with cognitive-behavioral therapy and lifestyle modifications. The first step is to determine the right medications and doses and dosages, which could be a trial-and-error process. It is important to be honest and open about your symptoms, as well as how they affect your daily life. The more you are aware of ADHD and the treatments that work, the more simple it is to treat. Stimulants can help treat ADHD symptoms, including difficulty paying attention to tasks, planning and completing them, interrupting, and fidgeting. Stimulants come in liquid and chewable tablet forms, and typically are prescribed two to three times a day. They begin working within 30 to 45 minutes and last around 3 to 4 hours. These medications can cause unwanted side effects like stomachaches or headaches. These side effects tend to disappear over time. Medications for ADHD could affect the pregnancies process, and women who are planning to get pregnant or are already pregnant should speak to their doctor about their symptoms and how they are treating them. The doctor is likely to inquire about any other medications the woman is taking, such as prescription medications like herbal supplements and vitamins. If not treated, ADHD during pregnancy puts women at greater risk of developing mental health problems including depression and anxiety disorders. A recent study of nearly 2000 women who were taking ADHD medication and then became pregnant showed that they were at a slightly higher risk of developing pre-eclampsia. This is a condition that causes high blood pressure, high levels of protein in urine, and swelling, having their babies delivered by Cesarean birth, or being admitted to the neonatal intensive unit. These women also had a slightly increased risk of having a child with a central nervous system disorder. The researchers behind this study warn that the results are not necessarily applicable to all women, and they suggest that more research should be conducted regarding the security of ADHD medication during pregnancy. However, they claim that this study could provide comfort to many women who were concerned about discontinuing their ADHD medication during pregnancy. Treatments for Insomnia Insomnia can result from a variety of causes, such as life changes and mental health issues like anxiety or depression or physical ailments like chronic pain. Sleep disturbances are often improved on their own within a month. Occasionally, however they can develop into chronic problems that require changes in lifestyle and medications. The Food and Drug Administration has approved a variety of medications to aid people in falling asleep, remain asleep, and feel more rested. These are referred to as sedatives or hypnotics. Certain sleep medications are only available by prescription while others, like diphenhydramine and melatonin are sold over-the-counter. Many sleep medications are classified Category B and safe to use during pregnancy. Other sedative drugs fall into Category C, which means that they could pose a risk to the baby in the event of prolonged time or in high doses. Your doctor can determine which prescription drugs are the most secure during pregnancy. A more comprehensive treatment for insomnia involves cognitive behavioral therapy, or CBT. This therapy is highly effective and it can be tailored to pregnant women. It involves learning to alter unhelpful thoughts and beliefs about sleep, changing behaviors that interfere with sleep, and practicing relaxation techniques. This treatment can be done by a therapist, or by using a workbook. If mood disorders result in insomnia, treating these disorders can help improve sleep. This is especially applicable to anxiety and depression. Antidepressants, such as fluoxetine (Prozac) or the more traditional tricyclic antidepressants, are very helpful for depression. Anti-anxiety medications, such as Clonazepam and alprazolam, are often prescribed for anxiety. It's important to remember that, regardless of what medication is employed the best option for any sleep disorder should be lifestyle changes, for example, not drinking coffee and frequent bathroom visits and not snoring throughout the daytime. Only take medication if it is required and only for a short time. Using only the most common and safest medicines helps reduce the chance of adverse effects for both mom and baby. Treatments for depression The medications used to treat ADHD and depression may have different effects during pregnancy. In general, the use of stimulants and antidepressants is safe for pregnant women however, women should consult with their physician prior to beginning any new medication during pregnancy. Many women suffering from depression require an array of antidepressants, psychotherapy and other medications to recover. The medications aid in increasing the levels of certain chemicals in the brain including serotonin and norepinephrine. These are the neurotransmitters that control mood and increase alertness. Antidepressants are typically selective serotonin reuptake inhibitors (SSRIs) that are believed to work by blocking the enzyme responsible for breaking these chemicals down. SSRIs include fluoxetine (Prozac), setraline (Zoloft) as well as paroxetine and sertraline. Stimulant drugs are the most commonly employed to treat ADHD. These are believed to work by increasing the levels of dopamine in the brain. In the first trimester pregnancy, estrogen naturally increases dopamine. This can help reduce symptoms of ADHD. However, when estrogen levels decrease and symptoms begin to flare up, they can be exacerbated. It can be difficult for women who are pregnant and suffer from ADHD to decide if they should continue taking their medication. There aren't many studies on the effects of psychiatric drugs on pregnant women and their children. Many people suffering from ADHD feel that they can function well with their medication, and so stopping treatment can be difficult. A recent study published in CNS Drugs concluded that there no negative long-term effects on infants who had been exposed to ADHD medication during pregnancy. The study involved an analysis of the findings of more than 5,800 mothers and their children. It was the largest study to date examining the safety of stimulant and non-stimulant ADHD medications during pregnancy. However, the authors of this study noted that there are numerous limitations to the study, such as the possibility of inaccuracy and significant attrition. The study also failed to examine short-term outcomes, or other mental health conditions. The authors also point out that the group of women who continued taking their medication throughout pregnancy and postpartum differed from the groups who stopped or discontinued their medications. They were older at the time of conception and were more likely to smoke and be taking other psychotropic medication. They also were more likely to take methylphenidate which is a type of ADHD medication. Medicines for Anxiety Adults suffering from anxiety disorders typically perform well on medications. The medication can help them meet their social and work goals as well as maintain healthy relationships and have more satisfaction overall. When they are pregnant and are faced with a dilemma: should they continue or stop their treatment? This choice will have a significant impact on the mother and any children she may have. Many doctors advise patients to stop taking psychiatric medications when they are pregnant or if they are nursing. This is because very little is available about how psychiatric medication affects fetuses and babies. A large-scale study showed that women who stopped taking their ADHD medication within the first trimester faced a higher risk of having a miscarriage or losing a baby than women who continued to take it. However the researchers did not find any higher risk of fetal heart defects in infants whose mothers quit their ADHD medication. on the main page to treat anxiety can include anxiolytics and antidepressants. Antidepressants can ease anxiety by increasing the levels of serotonin within the brain. This can improve mood. SSRIs are usually the first choice for antidepressant drugs used to treat anxiety. SNRIs and monoamine oxidase inhibitors (MAOIs) are alternatives. MAOIs inhibit the actions of certain chemicals, including noradrenaline and adrenaline that play a role in the fight or flight response to stress. Anxiolytics, such as Benzodiazepines, like Klonopin and Xanax can relieve anxiety quickly. However, they are physically addictive and are typically only prescribed for short-term use in cases of severe anxiety. The majority of adults will continue taking their medication to become pregnant. However, reducing symptoms through lifestyle changes is. A healthy diet, exercise, and avoiding caffeine all contribute to lessening anxiety symptoms. A therapist with experience in treating anxiety can also be helpful. Additionally support groups can offer care and understanding from women who have similar experiences.