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Does Adderall affect breast milk?

Understanding the Impact of Adderall on Breast Milk
The use of Adderall, a medication commonly prescribed for attention deficit hyperactivity disorder (ADHD), raises important questions for breastfeeding mothers regarding its safety and effects on breast milk. As the prevalence of ADHD diagnoses increases, so does the need for clarity on how such medications may impact nursing infants.
Transfer of Adderall into Breast Milk
Research indicates that Adderall, which contains amphetamine, does transfer into breast milk. While the exact levels can vary, studies have shown that amphetamines can be detected in breast milk at low concentrations. This transfer poses potential risks, as the drug may affect the infant’s neurotransmitter systems. The American Academy of Pediatrics has classified amphetamines as contraindicated during breastfeeding, primarily due to concerns about their theoretical potential to cause adverse effects in breastfed infants.
Potential Risks for Infants
The primary concerns associated with Adderall use during breastfeeding include the possibility of irritability, insomnia, and feeding difficulties in infants. Some studies suggest that while therapeutic doses may not cause significant side effects, the presence of amphetamines in breast milk could still lead to undesirable symptoms such as decreased appetite and failure to thrive in some cases . Furthermore, large doses of amphetamine might interfere with milk production, particularly in mothers who are still establishing their lactation.
Recommendations for Nursing Mothers
Given the potential risks, healthcare providers generally advise caution. While some evidence suggests that therapeutic doses of Adderall may be low-risk, it is crucial for breastfeeding mothers to consult with their healthcare providers before starting or continuing the medication. Monitoring the infant for any signs of adverse effects is also recommended if a mother is prescribed Adderall while nursing.
Conclusion
In summary, while Adderall does pass into breast milk and may pose risks to nursing infants, the extent of these risks can vary based on dosage and individual circumstances. The decision to use Adderall while breastfeeding should be made collaboratively between the mother and her healthcare provider, ensuring that both the mother’s health and the infant’s safety are prioritized.

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug Comment
Iodine High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium Breastfeeding only feasible with rigorous monitoring
Radiopharmaceuticals Contact obstetric information service
Retinoids (oral) Potential for serious adverse effects

Does Adderall affect fertilization?

Adderall isn’t recommended when you’re “on the nest,” but what about when you’re trying to conceive? Some women claim that taking Adderall has actually helped them get pregnant — but these claims aren’t supported by evidence. If anything, the research leans toward Adderall reducing your fertility.

Does Adderall affect babies?

Taking stimulants like Adderall during late pregnancy have been linked to reduced fetal growth. This can mean your baby is born smaller and/or with a smaller head size.

Does breastfeeding prevent ADHD?

Choose 1 or more: For every additional month of breastfeeding, the odds of ADHD were reduced by 8%. Children who breastfed exclusively for 6 months had lower odds of ADHD compared with those who didn’t breastfeed exclusively but breastfed longer.

Why is Zyrtec not recommended for breastfeeding?

However, caution is advised for cetirizine use while breastfeeding due to the theoretical risk of CNS depression based on limited human data and risk of decreased milk production.

Can a nurse be on Adderall?

According to the National Institutes of Mental Health, an estimated 4 to 5% of adults have ADHD and there are non-controlled substances which work for nearly all these patients. Therefore, it is a strong warning of the Boards that nurses should not take controlled substances including Adderall.

What medication dries up milk supply?

Women sometimes to ask for a tablet to stop their milk supply. This medication works best if it is taken within 12- 24 hours of your baby’s birth. The medication is not routinely prescribed in hospital due to the many side effects and health risks with this medication. The medication is called cabergoline (Dostinex®).

Is Adderall ok for breastfeeding?

Hi, thanks for your post. The most popular medications for ADHD (Vyvanse, Ritalin, Adderall, and Dexadrine) are all compatible with breastfeeding when taken as prescribed. Just watch your child for any new signs of significant insomnia, agitation, or poor weight gain.

How long does Adderall stay in your breastmilk?

Prescribed Adderall® (dextroamphetamine and amphetamine) remains in human milk for over 24 hours. Can stimulants enter human milk? Yes. If you take stimulants, your milk will have stimulants in it.

What happens if I don’t breastfeed for 3 days?

You may have some milk leak from your breasts, and your breasts may feel sore and swollen. This is called engorgement. It usually gets better after several days. Over time, your body will stop making milk if you don’t breastfeed or pump.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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