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Thread: Adderoll for ADHD while breast feeding

  1. #1

    Adderoll for ADHD while breast feeding

    I have ADHD and was taking adderoll before becoming pregnant. I am off the medication now, but need it desperately for school.

    I am willing to postpone taking the meds, but will be likely to cut short breastfeeding, if I cannot do both....

    Is it safe to take the medication and breastfeed?

  2. #2
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    Adderall

    Dear Rochelle,
    Adderall (Dextroamphetamine) is a potent and long-acting amphetamine. It transfers avidly into milk and should be used with caution by a breastfeeding mom. Since it is a powerful CNS stimulant, the infant needs to be monitored closely for the following symptoms: insomnia, irritability, anorexia, reduced weight gain, or poor sleep patterns. Methylphenidate (Ritalin) is probably preferred for use while breastfeeding. Hope this is helpful.
    Sincerely,
    Maria Milla, MD
    InfantRisk Center

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    Hi,

    I'm breastfeeding a 28 lb 2 year old 2-4 times a day for five minutes max each nursing session. I am currently taking 20 mg of Adderall a day total, sometimes only 10 mg because I often forget to take my second dose. How likely is it that she is getting enough Adderall to effect her mood? She has been more moody lately since I've cut back on her nursing, but she's also 2 years and old and she's always been a very high needs, spirited child.

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    Michiroo:

    In this case, the relative infant dose is probably going to be quite low, since the volume of milk you are producing and giving the infant is probably quite low. By 2 years of age, the infant has developed a pretty good metabolism and the because the volume of milk tends to decline over time, the dose transferred is often low by 2 years.

    I'd suggest your infants irritability is something else.

    Tom Hale Ph.D.

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    McKenzie:

    About 2-7 percent of the moms dose of Adderall (dextroamphetamine), gets to the infant via milk. Each infant would have to be evaluated independently for side effects such as insomnia, poor sleeping habits, poor appetite(anorexia), and agitation. Interestingly, it is probably safer to use after 5-6 months, than it is early postnatally, as the infant have metabolize and excrete whatever drug is in milk much more effectively at 6 months. I'd suggest you discuss this with your doctor and pediatrician.

    I do not know any providers in the Madison area, sorry. If your doctor is good, I'd stick with him/her.

    Tom Hale Ph.D.

  6. #6
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    Adderall and one year old.

    I have a 13 month old and he is still nursing 1-3 times during the day (morning nap, afternoon, before bed). Then he wakes up around 11pm to nurse and once more during the night. I tried dexedrine before pregnancy but had to stop. I had good reaction to it although wore off quickly. My psychiatrist would like me to try Adderall when I feel it is safe to do so with the nursing, if he reduces his feeds, or weans.

    I am wondering if he does get a majority of nutrition from foods, and trying Goat's milk etc-and I try to reduce the feedings during the day to outside of medication time (ie/ first thing in morning, and just before bed) and nursing at nighttime-how much of the medication might he get and what to watch for? I am uneasy still with trying while breastfeeding but feel desperate to do so and do not want to wean him entirely.

  7. #7
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    Adderall

    Dear equilibrium,
    Adderall or Dextroamphetamine apparently transfers into milk avidly. Of the 6 infants studied thus far, no untoward effects have been reported in any infant. If you are going to breastfeed while taking this medication, the dose should be kept low, and your baby should be monitored for agitation, and poor weight gain. An alternate drug would be Methylphenidate (Ritalin) for which we have more data. Since your baby is older and your milk supply is probably also decreasing, the amount transferred to the baby is probably going to be low and will likely not bother him. I would recommend you take the medicine right after breastfeeding and that way you minimize exposure. If you have any questions, call the InfantRisk Center at 806-352-2519. I hope this helps.
    Sincerely,
    Maria Milla, MD
    InfantRisk Center

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    Southsidemom:

    Certainly some of the Adderall will enter milk (1.8% - 6.9% of maternal dose), but if your infant is not showing any signs of stimulation or weight loss, then I would not be concerned about this therapy.

    We now know, that the mother's mental health is incredibly important to the neurobehavioural development of the infant, and in most instances, poor maternal health is much riskier than most of these drugs.

    I'd suggest you continue your med and breastfeeding.

    Tom Hale Ph.D.

  9. #9
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    Dear Dr.Hale,

    I have a healthy full term 4 month old. I am breast feeding him 3 times a day -morning- right before bed -and the 3am feeding. He gets formula the rest of the day. I would like to go back on my adderall my normal dose was 5-10 mg of the xr at 8am. I was wondering if I should wean my son or continue to nurse the 3 times a day. I do not want to hurt his development due to my medicine. I know you are the only source for this and was wondering your opinion. I could go on the ir if that is necessary. Thank you.

  10. #10
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    T2012M:

    Using the 5-10 mg XR formulation, I'd suggest you be cautious with the last two feedings. The XR formulation produces rather sustained levels for up to 24 hours, hence the infant might get some dextroamphetamine at Bedtime and at less again at 3 AM. I really doubt it will be enough to cause insomnia, but it could.

    I'd suggest you try it and simply observe your infant for insomnia and excitement. If he doesn't sleep at night, you know the problem. Also, another side effect may be anorexia, they simply don't want to eat and could loose some weight.

    Tom Hale Ph.D.

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