What ADHD medication can be taken while breastfeeding?

ADHD Medication and Breastfeeding: What You Need to Know
Navigating the complexities of managing Attention-Deficit/Hyperactivity Disorder (ADHD) while breastfeeding can be a daunting task for new mothers. The decision to continue medication during this period involves weighing the benefits of treatment against potential risks to the infant.
Understanding the Risks and Benefits
For many lactating mothers diagnosed with ADHD, the benefits of breastfeeding often outweigh the risks associated with taking stimulant medications, which are the most commonly prescribed treatments for ADHD. According to the InfantRisk Center, few patients require management that would contraindicate breastfeeding, suggesting that many women can safely continue their medication while nursing.
However, the classification of these medications in terms of safety during breastfeeding is nuanced. Most ADHD medications fall into the L3 category, which is described as “Moderately Safe.” This classification indicates that while there are no controlled studies specifically involving breastfeeding women, the potential risks to a breastfed infant are considered possible but not definitively harmful.
Specific Medications
Among the various ADHD medications, methylphenidate (often sold under brand names like Concerta) and amphetamine-based medications (such as Adderall) are frequently discussed. Research indicates that Adderall is generally considered safe for breastfeeding mothers. It is important to note that the medication does pass into breast milk, but the levels are typically low enough that they are unlikely to cause significant effects in the infant.
Methylphenidate has also been studied in breastfeeding contexts. A case report highlighted a mother taking extended-release methylphenidate, with milk samples taken after dosing showing that the medication levels in breast milk were manageable. This suggests that while some transfer occurs, it may not pose a substantial risk to the nursing infant.
Making the Decision
The decision to take ADHD medication while breastfeeding should be made collaboratively between the mother and her healthcare provider. Factors to consider include the severity of the mother’s ADHD symptoms, the potential impact on her ability to care for her child, and the overall health of the infant. As noted by the MGH Center for Women’s Mental Health, the balance between managing ADHD effectively and ensuring the safety of the breastfeeding relationship is crucial.
Mothers are encouraged to monitor their infants for any unusual behaviors or symptoms if they choose to continue medication. Open communication with healthcare providers can help in adjusting dosages or exploring alternative treatments if necessary.
Conclusion
In summary, while there are considerations to keep in mind, many mothers with ADHD can safely continue their medication while breastfeeding. The key is to work closely with healthcare professionals to ensure both the mother’s and infant’s health are prioritized. With the right support and information, mothers can navigate this challenging period with confidence.

Can I breastfeed on Strattera?

It’s unknown whether Strattera is safe to take during pregnancy and breastfeeding.

Is Vyvanse safe for breastfeeding?

It’s not recommended to take Vyvanse while you’re breastfeeding. Vyvanse may pass into breast milk and may also interfere with the production of breast milk. Vyvanse may cause serious side effects in a child who is breastfed. Examples include serious heart and blood vessel problems, slowed growth, and fast heart rate.

What can I take for ADHD 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.

Can I take Concerta while breastfeeding?

Summary of Use during Lactation
In dosages prescribed for medical indications, limited evidence indicates that methylphenidate levels in milk are very low and not detectable in infant serum. If methylphenidate is required by the mother, it is not a reason to discontinue breastfeeding.

Is Adderall ok while breastfeeding?

In general, it’s important to be very cautious with Adderall while breastfeeding and to keep in mind that the drug does pass into breast milk.

Is Concerta ok to take while breastfeeding?

Methylphenidate passes into breast milk in small amounts. When taken as prescribed, methylphenidate is not expected to cause problems for a nursing infant. There are reports on 5 nursing infants exposed to methylphenidate through breastmilk.

Is wellbutrin for anxiety or ADHD?

Technically, the use of Wellbutrin to treat ADHD is what’s called an “off-label” use. Officially, it is only approved by the FDA to treat depression, bipolar disorder, and as a smoking cessation aid. But doctors also sometimes recommend it to help with symptoms of anxiety and ADHD.

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.

What adhd medication is safe 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.

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.