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Are Amphetamine combinations safe during pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I found out that I am 4 to 5 weeks pregnant. I am looking for some information about the safety of Adderall during pregnancy. Currently, I am taking Adderall XR 15 mg, Celexa 20 mg, and Lamictal 100 15 mg per day. I have a history associated with depression, anxiety and ADHD (attention deficit hyperactivity disorder). Unfortunately, I am one of those who risk losing my job and going into a bad depression if I try to get off. There is really not much data of risks on therapeutic levels, only abuse. I am seeing my doctor (OB) next week but would really like a pharmacologist opinion. Thank you.

Answered by Dr. Amrit Agarwal

Education:

MBBS

Professional Bio:

Dr. Amrit Agarwal is a Pharmacologist who is an expert in studying drug mechanisms, interactions, side effects, and therapeutic uses to ensure safe and effective treatment. He is Skilled in experimental pharmacology, preclinical studies, and clinical trials for evaluating new drugs. He advocates evidence-based prescribing practices and monitors adverse drug reactions (ADRs) to improve patient safety. He is experienced in identifying, assessing, and preventing medication-related risks.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Tablet Adderall (combination of Dextroamphetamine and Amphetamine) affects a grown persons heart rate but you are already taking in a very low dose of 15 mg per day and usually it is prescribed in a dosage of 20-28 mg per day.

Tablet Celexa (Citalopram) falls under "category C" which means these drugs are harmful to animal fetus but there are insufficient studies to prove there harmful effects on the human fetus.

I would suggest you continue with your tablet Adderall 15mg per day, tablet Celexa 20 mg a day and tablet Lamotrigine (Lamictal) 100 mg which falls under "category c" in normal preparation and in "category D " in extended-release preparations.

Just try half tablets of each drug for three times in two days in that way you will reduce 1/4 dosage of the drug.

Be relaxed and cool in choosing any of the above options because that will affect your fetus more than any of the drug. Congrats on conceiving. Be a confident mother.

Treatment plan

Take half tablets of each drug twice a day on day one and half tablets of each drug once a day and then repeat until your next appointment.
Medically reviewed by Dr. Sneha Kannan
Published At January 13, 2016
Reviewed At May 22, 2024

Education:

MBBS

Professional Bio:

Dr. Amrit Agarwal is a Pharmacologist who is an expert in studying drug mechanisms, interactions, side effects, and therapeutic uses to ensure safe and effective treatment. He is Skilled in experimental pharmacology, preclinical studies, and clinical trials for evaluating new drugs. He advocates evidence-based prescribing practices and monitors adverse drug reactions (ADRs) to improve patient safety. He is experienced in identifying, assessing, and preventing medication-related risks.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Decision Helper
ADHD Medication Safety in Early Pregnancy Decision Helper

Considering medication safety during early pregnancy?

Seven quick, private questions help you assess potential concerns about amphetamine-based medications during early pregnancy. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

  • Evaluate your current medication use in early pregnancy.
  • Understand potential risks and benefits.
  • Prepare questions for your doctor.

For guidance only, not a diagnosis. Always consult your healthcare provider.

Education:

MBBS

Professional Bio:

Dr. Amrit Agarwal is a Pharmacologist who is an expert in studying drug mechanisms, interactions, side effects, and therapeutic uses to ensure safe and effective treatment. He is Skilled in experimental pharmacology, preclinical studies, and clinical trials for evaluating new drugs. He advocates evidence-based prescribing practices and monitors adverse drug reactions (ADRs) to improve patient safety. He is experienced in identifying, assessing, and preventing medication-related risks.

This doctor is not available for online consultations on the platform anymore.

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