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Expectant and Postpartum Moms
Reply to "Adderall and breastfeeding?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]WTF - no! I say this as someone who just weaned so I could go back on my Adderall XR prescription. I consulted with a high-risk OB and OB specialist in meds and a psychiatrist. All were ok with a low-dose of anti-depressant, based on the cost-benefit analysis (but interestingly, not comfortable with Wellbutrin) and most definitely not OK with Adderall. If you need Adderall that bad, take it and go ahead and use formula. Formula isn't going to hurt your baby but taking AMPHETAMINES could definitely harm your baby. Adderall is amphetamines, you know, like cocaine. Why would you want your baby to ingest that? Just buy some formula!!![/quote] Cocaine is not an amphetamine and you clearly do not know what high risk OBs and psychiatrists do. Neither category of doctor is the one to consult about the effects of medications on breastfeeding and no doctor would categorically rule out adderall when there are virtually no studies making blanket conclusions possible. The advice has to be tailored to each circumstance and is not as black and white as it would be if you were asking whether you can put your baby in the trunk of the car. Damn. A lot of dumb people around these parts.[/quote] Uh, yeah, I actually do know what they do, and the specialist's background was in pharmacology and the developing fetus (we consulted her before I was pregnant to help decide what drugs would be safe to take during pregnancy and breastfeeding). We paid a hefty sum of $, out of pocket for the consultation because we were actually pretty concerned about the health of our future child and with mom's health. And I never said any of the three doctors categorically ruled it out, just that they didn't recommend it. Although I doubt my psychiatrist would have written the script to a nursing mother. We made the decision to forego the Adderall because it is an amphetamine that stimulates the central nervous system and I didn't want to expose my baby to that in utero or through breastfeeding when other options were available. And you're right, amphetamines (Adderall's generic name is "amphetamine salts" ) are NOT cocaine but guess what - amphetamines/Adderall have a longer half-life than cocaine, which means they take longer to clear your body, which increases the risk of transmission through your milk (whatever % comes through). You seem pretty determined to take amphetamines while you nurse your baby. Good for you. If you're that determined to avoid perfectly healthy formula in exchange for amphetamine-tainted and caffeine-soaked breastmilk, well, I guess we should nominate you for lactivist of the year. [/quote] Are you suggesting it's healthier to BF while snorting lines of Coke than while taking adderall? If not I'm not sure what cocaine has to do with any of this.[/quote] Maybe neither one is good while BF? Sort of like saying that beer is a better choice than whiskey...reality is neither is good to consume while bfing.[/quote] I don't think anyone is arguing that adderall benefits breastfed babies. The very limited research just doesn't show it harms them and I was wondering about anecdotal experiences.[/quote] PP whose psychiatrist did the research here - I hear you. No anecdotal experience, since we haven't tried it yet. Half of me feels like it doesn't hurt to try, the other half feels nervous exposing my baby to such a stimulant. Does anyone know, if I went the pump and dump route, how long should I wait for it to clear? I take regular, not extended release, and it usually feels out of my system after 3.5-4 hours. For PPs who say wean, I like to nurse, she's a great eater, and it's convenient, free, etc. Per my doctor, I'm not convinced it's medically necessary to wean, and if so, if it's worth losing the breastfeeding relationship. It's a hard decision![/quote]
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