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I am taking 20 mg of Adderall a day (though I forget the second pill often, so only 10mg a day sometimes) and nursing a 28lb 26 month old 2-4 times a day. I started taking it a little over a month ago, and I feel like my child has become extremely irritable since around the same time. She is still eating and sleeping normally, no weight loss or anything like that, but she has become so cranky. Could it be the Adderall? I started taking it with the ok from my psychiatrist, as it was my understanding that so little would be excreted into my milk, and my daughter was nursing so few times a day, that it wouldn't really effect her.
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Dear Michiroo,
Aderall is an amphetamine and can cause symptoms of irritability, anorexia, reduced weight gain, insomnia, and hyperexcitability. Although the amount of drug that would transfer to your baby at this stage of lactation (26 months) is probably minimal, it is still possible for your baby to be reacting to the drug. My recommendation would be to see how she does when she is not exposed to the drug. Since the drug has a half-life of 6-8 hours, it would be difficult to avoid exposure. My suggestion would be to wean her and see how she does. If she continues being irritable, I would suggest you follow-up with your child's pediatrician. I hope this is helpful. If you have any further questions, please contact us at the InfantRisk Center at (806)352-2519.
Sincerely,
Maria Milla,MD
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