What ADHD medications are safe while breastfeeding?

Understanding ADHD Medications and Breastfeeding
For mothers diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD), the decision to continue medication while breastfeeding can be fraught with concern. The primary consideration is balancing the benefits of effective ADHD management against the potential risks to the nursing infant.
Stimulant Medications: A Common Choice
Stimulant medications, such as methylphenidate (found in brands like Ritalin and Concerta) and amphetamine (including Adderall and Vyvanse), are the most commonly prescribed treatments for ADHD. Research indicates that for most lactating mothers, the benefits of breastfeeding generally outweigh the risks associated with the use of these medications. This is particularly true for those who require ongoing treatment for their ADHD symptoms.
While some mothers may feel apprehensive about the transfer of these medications into breast milk, studies suggest that the amounts that do pass through are typically low. For instance, a nursing mother taking extended-release methylphenidate has been documented to have minimal impact on her breastfed infant.
Weighing Risks and Benefits
The decision to use ADHD medications while breastfeeding is not straightforward. Mothers must consider several factors, including the severity of their ADHD symptoms, the potential impact on their ability to care for their child, and the health implications for the infant. The stress and challenges of managing ADHD symptoms can significantly affect a mother’s well-being and her ability to bond with her baby.
Experts recommend that mothers discuss their specific situations with healthcare providers to make informed decisions. In many cases, the benefits of treating ADHD symptoms can lead to better overall outcomes for both mother and child, as untreated ADHD can lead to difficulties in parenting and increased stress.
Alternatives and Considerations
For mothers who may be hesitant to use stimulant medications, there are non-stimulant options available, such as atomoxetine (Strattera). However, the safety profile of these alternatives during breastfeeding is less well-studied, and mothers should consult their healthcare providers to explore these options.
Ultimately, the consensus among healthcare professionals is that most women with ADHD can safely continue their medications while breastfeeding, provided they are monitored closely. The key is to maintain open communication with healthcare providers to ensure both the mother’s and infant’s health are prioritized.
Conclusion
In summary, while the use of ADHD medications during breastfeeding raises valid concerns, the prevailing view is that the benefits of managing ADHD symptoms often outweigh the risks associated with medication transfer through breast milk. Each mother’s situation is unique, and decisions should be made collaboratively with healthcare professionals to ensure the best outcomes for both mother and child.

Can I breastfeed on Strattera?

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

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.

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

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.

What ADHD meds can you take while pregnant?

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.

What ADHD meds 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 is the difference between Adderall and Vyvanse?

The key difference between Vyvanse and Adderall is how they work: Vyvanse remains inactive until the body metabolizes it, taking effect within 1 hour and lasting 8-14 hours. Adderall, acts faster, with IR peaking within 3 hours and XR lasting up to 12 hours.

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.

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.