Hi Jacobsen:

I know you won't want to hear this, but you've got to stop smoking. Continuing to smoke can pose serious health risks to your baby and his/her developing organs - it can also impact his sleep patterns and ability to nurse as an infant. The research on that topic is clear.

What's less clear is the impact of ADHD medication on a developing fetus. ADHD expert Larry Silver says...

"While there is no solid research that proves whether any of the ADHD medications, stimulants or antidepressants, have an impact on the fetus during pregnancy, the FDA and pharmaceutical manufacturers advise that you not take these medications during pregnancy or while trying for pregnancy. It is generally advised that you discontinue any inessential medication while you're pregnant or nursing, as they may show up in your milk."

Other experts agree that going off of ADHD medication while pregnant is the best-case scenario. But you shouldn't have to make that decision yourself - you need a new doctor who specializes in ADHD and can help you figure out the treatment plan that makes most sense for you.

A doctor who know about alternative ADHD treatments like fish oil, nutrition, exercise, etc. and who can assess the benefits and risks of medication for you.

ADDitude offers a directory of ADHD professionals that might help and so do organizations like CHADD

I hope this helps!

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