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Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.


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Is it allowed to take Amphetamine during lactation?
Is it safe for a nursing mother and a child?

A sympathomimetic drug and central nervous system stimulant, it has a similar action and uses to its isomer dextroamphetamine.It is used in the treatment of narcolepsy (Wise, 2007) and Attention Deficit Hyperactivity Disorder (ADHD), and is also used as an illegal drug (Oei, 2012; Bartu, 2009). It is excreted in breast milk, concentrating between 2 and 8 times more than in plasma (FDA, 2017; Steiner, 1984). This concentration, although it could be significant (Bartu, 2009), assumes a relative dose between 2% (Öhman, 2015) and 13.8% (FDA, 2017). In infants whose mothers were taking amphetamine as narcolepsy treatment, low plasma levels (Öhman, 2015) and urine (Steiner, 1984) were measured and no problems were observed in the clinical follow-up of these infants (Öhman, 2015; Steiner, 1984). There is little information on the impact of amphetamine abuse on the development and health of infants (Oei, 2012, Wise, 2007; Moretti, 2000), but it is known that they are more exposed to social problems, domestic violence, and lower breastfeeding rates (Oei, 2010). To minimize the risk, it is estimated that 48 hours should pass after the last amphetamine-based recreational use, before breast-feeding (Bartu, 2009). There is controversy over the possibly mild negative effect of amphetamine on prolactin (Petraglia, 1987; DeLeo, 1983), but milk production in mothers who took it therapeutically was not affected (Öhman, 2015). During breastfeeding, the therapeutic use (narcolepsy, ADHD) of amphetamine can be assessed, using the lowest possible effective dose and monitoring the occurrence of irritability, insomnia, lack of appetite and weight loss. Its use as an illegal drug is totally discouraged (Oei, 2012).

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

Comments  

+3 #3 Reviewer: Missy, 35-44 Female on Treatment for 10 years or more (Patient) 2019-02-17 05:26
It helps me to be able to concentrate on the every day activities and goals n helps me to be able to focus on one thing at a time
+3 #2 Reviewer: JLC , 55-64 on Treatment for 1 to less than 2 years (Patient) 2018-11-05 09:57
This medicine has helped me focus on the tasks that I am going to get done. I have more energy and focus that is the plus side. The negatives are stomach cramping but it is tolerable. The positive out weights the negatives.
+3 #1 Reviewer: enorth81, 35-44 on Treatment for 6 months to less than 1 year (Patient) 2018-05-14 09:22
It has worked wonders on my memory and overall focus at work and in life in general.Never experienced any side effects and have been taking 10 m.g. in the morning and 5 m.g. in the afternoon.I have been taking it for the past 6 months.I recommend on your day off not taking any medication at least one day a week.I try to not take it at least 2 days out of the week to give my body a rest it will help you in the long run with balancing your weight and appetite

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