Could I continue ADHD medication while trying to conceive?

Question

Hello doctor,

I’m a thirty-two-year-old lady who was diagnosed with ADHD last year. My concentration and overall mood have greatly improved since starting stimulant medication. As I prepare for pregnancy, I have many questions about the possible effects of ADHD and its treatment on conception, pregnancy, and early parenthood.

Specifically, do I need to stop taking my ADHD meds while trying to conceive? I also wonder what the hormonal changes of pregnancy would do to ADHD symptoms, and make them perhaps harder to treat.

I’m also concerned about the postpartum period and how ADHD might affect my ability to deal with the demands and challenges of being a new mom. Since ADHD might have a genetic component, I’d like to know how likely it is that my child will inherit it and if I should be worried about that.

Finally, I would like to know if untreated ADHD can affect maternal bonding, parenting, or the entire transition to motherhood.

Please advise.

Answer 1

Hi,

Welcome to icliniq.com.

Thank you for sharing your concerns.

Available evidence on the effects of most stimulant drugs used to treat attention-deficit/hyperactivity disorder (ADHD) (example, methylphenidate and amphetamine-based treatments) on the developing fetus remains limited, and hence these medications are not considered fully established as safe to use during pregnancy.

For this reason, many women prefer to decrease or stop these drugs when they are attempting to conceive and throughout pregnancy. However, this decision should always be made in consultation with your healthcare physician, carefully weighing the benefits of symptom control against potential hazards.

Depending on the situation, there are times when non-stimulant choices are appropriate, such as some antidepressants.

Having a baby can sometimes make ADHD feel more difficult. That’s because your body changes during pregnancy and looking after a new baby can be tiring and emotional. It can be even more difficult when you go off your ADHD medicine. You can make it easier by having a simple routine each day, with small and easy tasks, and getting help from family and friends.

ADHD has a hereditary component, so you might be more likely to pass on a susceptibility to the disorder to your child. Genetics is only part of the story. Environmental factors and early diagnosis and intervention can play a significant role in the management and progression of symptoms.

If you do not treat ADHD, you may have problems with organization, forgetfulness, tension, and routine. During the postpartum period, common sleep deprivation and new responsibilities can exacerbate these problems, sometimes affecting the adjustment to motherhood.

The good news is that by being aware of these possible problems, by getting help from your health care team early, and by getting support from your husband or partner, family, and friends, you can make a positive difference and keep a good connection with your baby.

I hope this answers your questions.

Thank you.