Treating ADHD During Breastfeeding
There is a lack of data regarding risks of stimulant and non-stimulant medication with lactation (only case reports; low quality evidence), and long-term consequences have not been studied. While some women may be able to discontinue ADHD medications during pregnancy and/or lactation without adverse effects, others may experience significant functional impairment which may lead to a loss of productivity at work or school and associated financial stressors, an exacerbation of comorbid psychiatric conditions, and psychosocial stressors affecting interpersonal relationships. The maternal cost associated with stopping stimulant treatment remains unknown. Due to the rising number of ADHD medication prescribed to women at child- bearing age, it is important to determine which medications can be considered relatively safe in pregnancy and lactation. Watch the clip below and learn more.
Is breastfeeding contraindicated in patients who are on ADHD medication?
Clip of Dr. David Goodman from presentation titled "ADHD, Female Hormones, and Menopause: The Little We Know From the Research" presented live at the 2022 NEI Synapse.
NEI Members can watch the full CME/CE lecture below.
More information on treating patients during pregnancy/postpartum:
References:
Freeman MP. Am J Psychiatry 2014;171(7):723-8. Abstract.
Kittel-Schneider S et al. Neurosci Biobehav Rev. 2021;124:63-77. Abstract.
Ornoy A. Pharm Res 2018;35(3):46. Abstract.