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How does Adderall affect a breastfed baby?

Understanding Adderall and Its Effects on Breastfed Babies
Adderall, a medication commonly prescribed for attention deficit hyperactivity disorder (ADHD) and narcolepsy, raises important questions regarding its safety for breastfeeding mothers and their infants. As more parents navigate the complexities of managing ADHD while caring for a newborn, understanding the implications of Adderall use during breastfeeding becomes crucial.
How Adderall Affects Breastfeeding
Research indicates that Adderall is generally considered safe for breastfeeding mothers. When taken in normal prescribed dosages, the amount of the drug that passes into breast milk is relatively small. Experts suggest that this minimal transfer is unlikely to cause serious side effects in breastfed infants. However, caution is advised, as some potential risks have been identified.
Potential Risks for Infants
While the transfer of Adderall into breast milk is limited, there are still concerns regarding its effects on babies. Healthcare providers have noted that exposure to Adderall through breast milk can lead to undesirable symptoms in infants. These may include decreased milk production in mothers, as well as symptoms such as restlessness, insomnia, loss of appetite, and even failure to thrive in babies . These effects underscore the importance of monitoring both the mother and the infant when the mother is on this medication.
Monitoring and Recommendations
For breastfeeding mothers prescribed Adderall, it is essential to maintain open communication with healthcare providers. Regular monitoring of the infant’s behavior, feeding patterns, and weight gain is recommended to ensure that any adverse effects are promptly addressed. If any concerning symptoms arise, such as irritability or poor sleep, it may be necessary to reassess the medication regimen.
Conclusion
In summary, while Adderall can be safely used by breastfeeding mothers under medical supervision, it is not without risks. The potential for side effects in infants necessitates careful monitoring and a collaborative approach between the mother and her healthcare team. As with any medication, the benefits must be weighed against the risks, ensuring that both mother and baby remain healthy and thriving.

Can Adderall cause birth defects during pregnancy?

Available evidence for amphetamines suggests no increased risk of malformations with use of therapeutic doses, and inadvertent exposure during pregnancy is unlikely to be harmful. Exposed infants might have slightly lower birth weights, but the clinical relevance of this is unclear.

What is a safe alternative to Adderall while pregnant?

This includes medications such as Wellbutrin (bupropion), Effexor XR (venlafaxine), Intuniv (guanfacine), Strattera (atomoxetine), and Qelbree (viloxazine). All of these drugs work differently than Adderall and may provide safer pregnancy outcomes.

Which drugs cannot be taken when breastfeeding?

ANSWER: Only a few drugs pose a clinically significant risk to breastfed babies. In general, antineoplastics, drugs of abuse, some anticonvulsants, ergot alkaloids, and radiopharmaceuticals should not be taken, and levels of amiodarone, cyclosporine, and lithium should be monitored.

How long do drugs stay in breastmilk?

A breastfeeding plan
If you do use drugs such as amphetamines or heroin as a one-off, you will need to express your breast milk in the 24 hours afterwards and throw it away before you breastfeed again. After using drugs, it is not safe for you to care for or breastfeed your baby.

Can postpartum make ADHD worse?

Postpartum is associated with a dramatic drop in estrogen and progesterone levels, which can decrease dopamine levels and influence serotonin levels (Antoniou et al., 2021). These changes can heighten ADHD symptoms of forgetfulness, inattention, impulsivity, and emotion fluctuations.

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.

Does Adderall in breastmilk affect babies?

Adderall or Dextroamphetamine apparently transfers into milk avidly. Of the 6 infants studied thus far, no untoward effects have been reported in any infant. If you are going to breastfeed while taking this medication, the dose should be kept low, and your baby should be monitored for agitation, and poor weight gain.

Can Adderall cause chromosomal abnormalities?

Thus, earlier reported findings regarding the potential for MPH to induce chromosomal changes associated with increased risk for cancer in pediatric patients with ADHD were not replicated. Our results add to a growing body of evidence that therapeutic levels of MPH do not induce chromosomal damage in humans.

Can you be an RN if you have ADHD?

It’s easy to understand how these traits could hinder you as you strive to create a successful career. Fortunately, many nurses with ADHD have learned to manage their symptoms and thrive in their fields!

How long should I wait to breastfeed after drinking?

Not drinking alcohol is the safest option for breastfeeding mothers. However, moderate alcohol consumption, meaning up to one standard drink in a day, is not known to be harmful to the infant. To be safest, the mother can wait at least 2 hours after a single drink before nursing.

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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