What ADHD meds can you take while breastfeeding?

Understanding ADHD Medications and Breastfeeding
Breastfeeding mothers with Attention Deficit Hyperactivity Disorder (ADHD) often face a challenging decision regarding the use of medication. The primary concern revolves around the safety of these medications for both the mother and the nursing infant.
Stimulant vs. Non-Stimulant Medications
ADHD medications are generally categorized into two types: stimulants and non-stimulants. Stimulants, such as Adderall and Vyvanse, are the most commonly prescribed due to their effectiveness in managing ADHD symptoms. However, their use during breastfeeding is approached with caution. Research indicates that while stimulants can be taken while breastfeeding, it is often recommended to limit their use, especially for mothers with milder forms of ADHD. The amount of medication that passes into breast milk can vary significantly based on the dosage and timing of administration.
On the other hand, non-stimulant medications are generally considered safer for breastfeeding mothers. These medications, which include options like atomoxetine (Strattera), have been shown to have less impact on breast milk and, consequently, on the nursing infant. However, it is important to note that there is still limited data on the exact amounts that can pass through breast milk, and individual circumstances can vary widely.
Weighing Risks and Benefits
For many lactating mothers, the benefits of breastfeeding often outweigh the potential risks associated with taking ADHD medications. The InfantRisk Center suggests that most mothers with ADHD can safely continue their stimulant medications while breastfeeding, as the risks of untreated ADHD can also pose challenges for both the mother and child. The decision to use medication should be made in consultation with healthcare providers, who can help assess the specific needs and circumstances of the mother.
Key Considerations
When considering ADHD medications while breastfeeding, several factors come into play:
– Dosage and Timing: The amount of medication that enters breast milk is influenced by how much the mother takes and when she takes it. Taking medication right after breastfeeding may reduce the infant’s exposure.
– Individual Health Needs: Each mother’s situation is unique. Some may require more intensive management of their ADHD symptoms, while others may find that milder symptoms can be managed without medication during breastfeeding.
– Monitoring the Infant: If a mother chooses to take ADHD medication while breastfeeding, it is crucial to monitor the infant for any potential side effects or unusual behaviors.
Conclusion
In summary, while both stimulant and non-stimulant ADHD medications can be used during breastfeeding, non-stimulants are generally viewed as the safer option. Mothers should engage in open discussions with their healthcare providers to make informed decisions that prioritize both their mental health and the well-being of their child. Balancing the need for effective ADHD management with the commitment to breastfeeding is a nuanced process that requires careful consideration and professional guidance.

Can I take Concerta while breastfeeding?

An alternative medication that has a lower relative infant dose in breastmilk is methylphenidate (Ritalin or Concerta). Methylphenidate is preferred during breastfeeding as the relative infant dose is less than one percent of maternal dose but certainly dextroamphetamine may be used if doses are kept low.

How long until Adderall is out of breast milk?

Prescribed Adderall® (dextroamphetamine and amphetamine) remains in human milk for over 24 hours. Can stimulants enter human milk? Yes. If you take stimulants, your milk will have stimulants in it.

Can I have Ritalin while breastfeeding?

Based on the available data, methylphenidate appears to be compatible with breastfeeding; however, the long-term neurodevelopmental effects have not been adequately studied.

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.

Is it OK to take Vyvanse while 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.

Can I breastfeed on Strattera?

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

What ADHD meds are 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. 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

Are there any ADHD meds safe for 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.