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Vyvanse and Clonidine

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  • Vyvanse and Clonidine

    Hi there, thank you for this service! My psychiatrist has prescribed me 30mg Vyvanse for ADHD and 100mcg of clonidine in the evenings. ( Clonidine to assist sleep as I struggle to wind down to sleep after taking Vyvanse) - I do find taking half dose (50mcg) or even 25mcg enough to help me get to sleep. He has advised I feed my 4 month old previously expressed milk or formula when I take these medications. My own reading suggests that this amount of Vyvanse and Clonidine would be ok to continue breastfeeding? Just looking for some information I can take to my doctor to discuss, as I would love to not have to express milk or give formula if I don’t need to. Thank you

  • #2
    Based on available data, the dosages you are on are likely compatible with full breastfeeding. Do you have the MommyMeds app? It provides easy access to our lactation safety data, and you may find it helpful to review the information together with your provider during your appointment. We have an article to help navigate these conversations: [url]https://infantrisk.com/content/collaborative-approach-how-talk-your-provider-about-medications-and-breastfeeding[/url]

    Here are additional links to LactMed, another high-quality, evidence-based resource:

    Vyvanse: [url]https://www.ncbi.nlm.nih.gov/books/NBK501628/[/url]
    Clonidine: [url]https://www.ncbi.nlm.nih.gov/books/NBK501741/[/url]

    If you decide to proceed with full breastfeeding, it’s reasonable to monitor your baby for any unexpected symptoms such as excessive fussiness or irritability, poor feeding or appetite changes, unusual movements or jitteriness, and sleep disruption or unusual drowsiness.

    Let us know if you have additional questions. ​

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