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Re: Use of Adderall in pregnancy From: DoctorJoe@aol.com Wed Mar 28 17:43:47 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: Antibiotic prophylaxis" Previous message: JSBowpat@aol.com: "Use of Adderall in pregnancy" Maybe in reply to: JSBowpat@aol.com: "Use of Adderall in pregnancy" Next in thread: Meenan, Anna: "Re: Use of Adderall in pregnancy" Reply: Meenan, Anna: "Re: Use of Adderall in pregnancy" In a message dated 3/28/07 6:15:35 PM, JSBowpat@aol.com writes: > Have any listers dealt with patients who have used Adderall for ADHD > management during pregnancy?  We have never seen this before, and now have 2 > patients who have had this prescribed by their FPs and PAs.  The patients are > currently in their third trimester, and are not interested in weaning off the > meds.  Any input would be appreciated. > Adderall is a mixture of amphetamine and dextroamphetamine. It's Category C in pregnancy and not recommended for nursing mothers. What you're dealing with is SPEED. It has the same effect as any adrenergic drug, given the dosage and chronicity. Chronic adrenergic agonism should (theoretically) lead to IUGR and fetal neurological developmental effects. It is a given that people on Adderall or Ritalin or other forms of amphetamine drugs will NOT like to get off of it, for the same reason Cocaine addicts don't want to quit. You feel much better (more powerful? more alive?) with the drug. I have to say that I think the Dx of ADHD, esp. in adults, is highly overblown and simply gives patients license to enjoy "speed" and all that means. Of course, it sounds like you're a little late in the story here, if they're near term. And I can guarantee you if you give them the choice of quit the speed or you can't breastfeed, they'll run out and buy formula. Joe P. Next message: Raymond Stephen: "Re: Antibiotic prophylaxis" Previous message: JSBowpat@aol.com: "Use of Adderall in pregnancy" Maybe in reply to: JSBowpat@aol.com: "Use of Adderall in pregnancy" Next in thread: Meenan, Anna: "Re: Use of Adderall in pregnancy" Reply: Meenan, Anna: "Re: Use of Adderall in pregnancy"

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