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Is it safe to take Vyvanse while breastfeeding?

Understanding the Safety of Vyvanse While Breastfeeding
As more mothers navigate the complexities of managing attention deficit hyperactivity disorder (ADHD) or binge eating disorder while breastfeeding, the question of whether it is safe to take Vyvanse (lisdexamfetamine) during this period becomes increasingly pertinent. Vyvanse is a prescription medication commonly used to treat these conditions, but its implications for breastfeeding mothers and their infants warrant careful consideration.
Potential Risks to Infants
Research indicates that taking Vyvanse while breastfeeding may pose certain risks to infants. The medication can lead to serious side effects, including heart and blood vessel problems, slowed growth, and increased heart rate in breastfed children. Experts suggest that the presence of amphetamines in breast milk, although at low levels, could still affect an infant’s health. Reports have shown that while amphetamines are detectable in breast milk, the blood levels in infants are generally low, yet there are concerns about potential irritability, insomnia, and feeding difficulties.
Expert Recommendations
Given these risks, many healthcare professionals advise caution. Some experts recommend that breastfeeding mothers avoid using Vyvanse altogether, particularly if they notice any adverse effects in their infants. The consensus among medical professionals is to engage in a thorough discussion with a healthcare provider before making any decisions regarding the use of Vyvanse while breastfeeding.
Monitoring and Alternatives
For mothers who are prescribed Vyvanse and wish to continue breastfeeding, close monitoring of the infant’s behavior and health is crucial. This includes watching for signs of irritability, feeding issues, or unusual drowsiness. Additionally, healthcare providers may explore alternative treatments that pose less risk to breastfeeding infants, ensuring that mothers can manage their conditions effectively without compromising their child’s health.
Conclusion
In summary, while some mothers may be able to take Vyvanse while breastfeeding, it is essential to approach this decision with caution. The potential risks to the infant, including serious side effects, necessitate a careful evaluation of the benefits and drawbacks. Consulting with a healthcare professional is vital to ensure the safety and well-being of both mother and child.

What is a safe alternative to Vyvanse during pregnancy?

Alternative treatment options for ADHD, including bupropion and clonidine, have more evidence for safety in pregnancy; however, there is less evidence for the efficacy of these drugs in adult ADHD, and responses might vary. Risks and benefits need to be weighed for each patient when making treatment decisions.

How long should I wait to breastfeed after taking Adderall?

To minimize your infant’s exposure, you can either breastfeed or pump right before taking your dose or after the peak concentration passes. That means waiting one to two hours for immediate release and six to eight hours for extended release.

How long does ADHD medication stay in breastmilk?

Prescribed Ritalin® (methylphenidate) remains in human milk for about 21 hours after use. Prescribed Adderall® (dextroamphetamine and amphetamine) remains in human milk for over 24 hours.

When should you stop taking Vyvanse when pregnant?

If an ADHD medication’s risks outweigh its benefits, experts recommend patients either stop taking it for the first 12 weeks of pregnancy or take a different drug. “We also look for non-pharmacologic treatments for ADHD like cognitive behavioral therapy, diet, and exercise,” Dr. Mootabar says.

Can I have Vyvanse while 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.

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

Can Vyvanse affect the fetus?

There aren’t any well-controlled studies looking at the effects in human pregnancy, however. With the use of stimulants like Vyvanse while pregnant, a baby is more likely to be born prematurely and with low birth weight. It is also possible that stimulants like Vyvanse can restrict blood flow to a fetus as well.

What is a good natural substitute for Vyvanse?

Natural and non-medication alternatives to Vyvanse for ADHD symptoms include: L-Tyrosine: L-tyrosine is a molecule that makes up dopamine. Research has shown some promise using L-tyrosine for ADHD symptoms in some people. Cognitive behavioral therapy (CBT): You may find CBT for ADHD beneficial for managing symptoms.

Is Vyvanse safe during pregnancy?

It may not be safe to take Vyvanse while you’re pregnant. Vyvanse is an amphetamine and stimulant drug. Amphetamines are known to increase the risk of certain problems if taken during pregnancy, such as: preeclampsia (narrowing of blood vessels), which can restrict blood supply to the placenta and fetus.

What ADHD medicine can you take while breastfeeding?

Methylphenidate is excreted into breast milk in miniscule amounts—and no adverse effects of methylphenidate have been reported in breastfed infants. Babies must be monitored for agitation, irritability, and poor sleep, along with changes in weight and feeding.

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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