Safety in Lactation: Drugs for ADHD

Additional information relating to breastfeeding

To be used in conjunction with individual drug entries for specific information and guidance.

The use of drugs for attention deficit hyperactivity disorder (ADHD) in adults (off-label in some cases) is likely to be limited in breastfeeding mothers.

Methylphenidate is the preferred drug for ADHD, although the evidence for safety in breastfeeding is limited.

The preferred drug is methylphenidate for ADHD. Infants should be monitored for symptoms of CNS stimulation, although these may be difficult to detect. High doses may interfere with lactation, although this is not confirmed in practice.

AtomoxetineDexamfetamineGuanfacineLisdexamfetamineMental health and illnessMethylphenidateObstetrics and gynaecologyPaediatric and neonatal medicineSafety in Lactation