Help with Adderall and Pregnancy

Updated on November 01, 2008
J.B. asks from Columbia, MD
9 answers

Hi, my best friend wants to start a family with her husband, but she is on some very strong medications and is looking for advice from any other moms who have experienced this. SHe currently takes Wellbutrin and Adderall, and while she is weaning herself off the Wellbutrin, she's terrified to stop the Adderall. She is extremely ADD (or ADHD), and has very very serious problems focusing when she doesn't take it. (I can attest to that). She is currently a sales exec for a newspaper, and is dependent upon Adderall to focus during work and help stay motivated. She knows that during pregnancy and while breastfeeding she can't take Adderall, and should wean herself from it 6 months before getting pregnant. In short, she's afraid of the consequences- not performing at work, inability to focus, and possibly a major change in her personality. She's especially afraid of the mood swings and hormonal imbalances during pregnancy, bc she's already so off-balance. Her doctor hasn't been that helpful- so I thought i'd appeal to mamasource. Has anyone dealt with this kind of thing? Do you have any suggestions I could give her? SHe's quite torn up about this. THANK YOU!

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So What Happened?

Hi evewryone- thanks so much for responding. I told her to see her doctor, which she did yesterday. they gave her the "golden rule" (so to speak) that she should lower the dose, but if she cannot remain a functioning member of society, she needs to stay on something. She's just terrified of the chance that it might harm the baby. She's made an appointment with a new OB to see if that makes a difference in the recommendations. Thanks again, i appreciate the help!

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L.R.

answers from Washington DC on

This is about much more than "Adderall and preganancy." Before she does anything else, she needs a new doctor NOW (preferably one with lots of experience with these drugs) and she also needs a supportive ob/gyn who will work with that new doctor closely and directly. If she is "weaning herself off Wellbutrin" without a doctor's close supervision she could be setting herself up for serious problems. Mamas are a big support but are not medical professionals and there are a host of medical issues here with which she deserves the best possible help. If her meds are that important to her work, she may want to consider really sitting down with her husband and doctor and working out whether, when and how to take time off work to get pregnant and have the pregnancy. And she already knows that the consequences could be "a major change in her personality" that could affect her marriage, the friendships that give her support, etc. All the more reason to get serious professionals lined up before she takes herself off any meds and to be totally up front with her new doctors. She has a terrific and supportive friend in YOU and maybe you can help her get the professional backing she needs. And her husband must be on board too, and there for the doctor visits, so she alone doesn't hear the advice -- she will be worried and worked up and it's good to have another pair of ears there! Good luck. You're a great friend.

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C.J.

answers from Washington DC on

i second the advice to find a new doctor. she should definitely be making med changes under the supervision of a psychiatrist and an OB. usually they will, with input from the patient, weigh the risk of not taking the medication with the risk of taking it. i took two cat C meds while pregnant because if i didn't take them i would have endangered myself and the baby much more. i was taking a cat D med but when i found out i was pregnant we (me and my 2 doctors) changed it to a 'safer' one. none of them are totally safe because they don't test on pregnant women (naturally). i do encourage her to look into a drug registry because then she will be helping research the effects of the drugs for the next generation.

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E.T.

answers from Washington DC on

If her doctor hasn't been much help, then she needs a different doctor. She needs a good OB and likely a psychiatrist familiar with pregnancy related issues.

This is not a question for a mother board. She needs medical advice from a professional. If she does experience problems with weaning her from the Adderall, hopefully the doctor can find another drug that will limit the impact that will not harm her anticipated baby.

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P.K.

answers from Norfolk on

Encourage better diet! Have her add Omega 3 to her diet.
http://borntoexplore.org/omega.htm

Most doctors are not educated in this, do an online study!
I highly recommend taking Expecta during pregnancy and before too. http://www.expectalipil.com/ WAL-Mart sells it!
Write anytime!!
God Bless

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D.T.

answers from Washington DC on

I sure wouldn't feel right giving anyone advice when you're talking about mixing medication with pregnancy. I would tell your friend to either get a new doctor or maybe go and visit a pharmacist to ask these questions. The first would be my first choice. Best of luck to her.

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B.W.

answers from Washington DC on

I agree with those that have stated that she needs to get a new more supportive doctor. There maybe something else that she can take. From personal perspective I am also very ADHD and take strattera. I don't know if it is okay while pregnant, but I chose to go off it. My ADHD & depression was fine during pregnancy. It was amazing. I was much more organized and with it during this time. It was like the hormones were calming to me. May not be true for all, but I did just fine. But a more supportive doctor with some alternative suggestions would be nice.

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S.J.

answers from Washington DC on

I agree with Erin. This is definitely not a question for mothers to answer. TRAINED medical physicians would be the best and only people that could answer this for you; not so called internet doctors. This is too risky and by far much too serious to just take advice from ANYONE. Seeing more than one doctor and getting their advice would be the only way to go for your friend. Good Luck....

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R.H.

answers from Norfolk on

She should ask her doctor. I do know most medications have a medication she can take that will at least help with the symptoms and won't harm a baby. But she has to ask they won't provide the information. They want her to try to get off Adderall if they suggest an out first no one would even try. good luck

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S.S.

answers from Washington DC on

Hi,
I am bipolar and add. My moods can get extremely bad but when it came to having a baby I did what I had to so I could have a baby. I take lamiktal and affexor but while I was pregnant the only thing I took was Celexa. It helped with depression. I would suggest she see another DR. and see what she can do so she can have a baby but the thing is if she has add that severe then it is really going to be difficult for to even have a baby. If she is not wanting to take the chance of coming off her meds. then she may not be able to have a baby. You have to sacrifice somethings to have other things that are important to you. She really has a tough decision to make. I wish her the best of luck. I am bipolar I and my moods are awful if I don't have my meds but during pregnancy I don't recall them being so bad.
She just needs to do what is best for her at this point.

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