Is Vyvanse safe while breastfeeding?

Understanding the Safety of Vyvanse While Breastfeeding
As more mothers navigate the complexities of managing attention-deficit/hyperactivity disorder (ADHD) during the postpartum period, the question of whether Vyvanse (lisdexamfetamine) is safe to use while breastfeeding has become increasingly pertinent. This stimulant medication, commonly prescribed for ADHD, raises concerns about its potential effects on nursing infants.
Current Research and Findings
The available research on the safety of Vyvanse during breastfeeding is somewhat limited, but there are insights that can guide mothers and healthcare providers. Vyvanse is a prodrug that converts into dextroamphetamine in the body, which is the active component that affects the brain. While there is no extensive data specifically on the transfer of lisdexamfetamine into breast milk, some studies suggest that dextroamphetamine does not appear to adversely affect breastfed infants when taken in prescribed dosages.
A key point to consider is that the amount of dextroamphetamine that transfers into breast milk is relatively low. According to the Drugs and Lactation Database (LactMed), evidence indicates that the neurological development of infants is not significantly impacted by the levels of dextroamphetamine found in breast milk. However, the long-term effects of exposure to this medication through breastfeeding have not been thoroughly studied, leaving some uncertainty.
Recommendations for Nursing Mothers
Healthcare professionals often recommend that mothers using Vyvanse should monitor their infants for any unusual behavior or side effects. While the risk appears to be low, it is crucial for breastfeeding mothers to maintain open communication with their healthcare providers. This dialogue can help assess the benefits of continuing medication against any potential risks to the infant.
Additionally, timing the dose of Vyvanse can be an effective strategy. Taking the medication just after breastfeeding may minimize the infant’s exposure to the drug, as levels in breast milk peak shortly after ingestion.
Conclusion
In summary, while there is no definitive answer regarding the safety of Vyvanse during breastfeeding, current evidence suggests that it may be safe when used appropriately. Mothers should work closely with their healthcare providers to make informed decisions that prioritize both their mental health and the well-being of their infants. As research continues to evolve, staying informed will be key for nursing mothers considering the use of stimulant medications like Vyvanse.

Is it safe to take Vyvanse while pregnant?

Unfortunately, there’s no clear-cut answer. Although Vyvanse and other ADHD medications have not been proven to be safe to take during pregnancy by the FDA, they’re also not proven to be harmful. ADHD medications like Vyvanse fall into category C of pregnancy drugs as determined by the FDA.

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.

Can you breastfeed while taking Vyvanse?

Breastfeeding isn’t recommended while taking Vyvanse. If taken while breastfeeding, Vyvanse may pass into breast milk. It could also affect the way your body makes breast milk. Vyvanse may cause serious side effects in a child who is breastfed.

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.

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 Vyvanse affect fertility?

Vyvanse does not affect your ability to become pregnant, and if you discover you are pregnant you should stop taking it immediately and let your doctor know. If you are planning to become pregnant, discuss with your doctor ahead of time.

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 is Vyvanse in your system?

Vyvanse has a half-life of approximately 12 hours. This substance can test positive for amphetamine in drug screenings. On average, it takes 2.5 days for Vyvanse to leave the system, but this can vary. As reported by the manufacturer, unconverted lisdexamfetamine can generally not be measured after 8 hours.

What ADHD medicine can you take 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.

What should you not do while on Vyvanse?

Avoid drinking alcohol or taking illegal or recreational drugs while taking Vyvanse. Note that this list is not all-inclusive and includes only common medications that may interact with Vyvanse. You should refer to the prescribing information for Vyvanse for a complete list of interactions.