Medically Reviewed By
Written By
Last medically reviewed : July 7, 2025
Updated On : July 7, 2025
Medically Reviewed By
Written By
Last medically reviewed : July 7, 2025
Updated On : July 7, 2025
Pregnancy is a beautiful milestone in a woman’s life. During this time, it’s essential to prioritize the safety of both mother and baby by limiting the use of certain substances and avoiding specific medications.
If you’re taking Adderall and have become pregnant, you may be wondering whether it is safe to continue using it. Currently, there are no official warnings against pregnant women using Adderall, and no conclusive evidence linking its use to adverse effects on the pregnancy when taken as directed.
However, it must be noted that a few anecdotal studies have suggested a link between Adderall use during pregnancy and an increased risk of having a baby born underweight.
In this blog, you’ll learn about the effects that Adderall has on pregnancy and discover any potential risks to you or your baby.
Adderall is a U.S. Food and Drug Administration (FDA)-approved medication for the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy.[1][2] It is a central nervous system stimulant formulated from a combination of two chemicals: amphetamine and dextroamphetamine.[1]
In individuals with narcolepsy, the use of ADHD medications like Adderall produces a stimulant effect that increases activity in the central nervous system.[3][4] This helps users avoid falling asleep in dangerous situations, such as walking or driving.
In individuals with attention deficit hyperactivity disorder, Adderall’s stimulant effect improves focus, attentiveness, and concentration.[1]
In most cases, taking Adderall during pregnancy poses no harm to a pregnant woman or her baby. The National Library of Medicine states that taking Adderall during pregnancy will not increase the risk of birth defects when taken as prescribed.[5] Additionally, they found that Adderall will not cause infertility or make it harder to get pregnant.[5]
Note: This information is specific to women who take Adderall as prescribed. It does not take into account women who abuse Adderall or take it recreationally. Similarly, these studies do not disclose whether test volunteers had pre-existing medical conditions.
Miscarriage is, unfortunately, quite common, even in women who do not take prescription medications[6]. However, a miscarriage caused by Adderall use is unlikely.[5] While abusing Adderall may increase the risk of miscarriage, there isn’t enough research to confirm this connection.
If you face a higher-than-normal risk of miscarriage, have had a previous miscarriage, or are in a high-risk pregnancy, share your concerns with your obstetrician. They might recommend an alternative ADHD treatment.
According to the National Library of Medicine, 3% to 5% of all pregnancies result in birth defects, which is known as a background risk.[7] Studies focused on women taking Adderall through every trimester of pregnancy found that there was no increased risk of birth defects.[7]
Since there aren’t any studies observing defect risks in women who misuse Adderall, it’s best to take the medication as prescribed to minimize the risks.
Most studies indicate that taking Adderall during pregnancy does not increase health risks for the mother or her unborn child. However, some research points to a possible heightened risk of preterm deliveries, slowed growth, and low birth weight in newborns.[8]
Some women may also encounter side effects while taking Adderall that may be concerning.[9] These effects include a higher-than-usual heart rate, increased blood pressure, and weight loss; however, the impact this has on the pregnancy is unknown. Contact your healthcare provider if these side effects are uncomfortable or if you’re concerned about how they are affecting your baby.
If your doctor prescribes you Adderall, despite being pregnant, he/she has determined that the benefits of taking Adderall outweigh the risks. So, there’s no need to discontinue the use of your Adderall prescription during pregnancy. However, if you were taking Adderall before becoming pregnant and have become pregnant while on it, notify your physician.
If you want to stop taking Adderall, do so only under your doctor’s guidance. They will likely recommend tapering your dose, which means gradually reducing it over time to help you avoid withdrawal symptoms that can occur after long-term use.
Yes, abruptly stopping Adderall can cause withdrawal symptoms.[10]
However, this is more common in individuals who have used Adderall long-term or at high doses. People who abuse Adderall, whether pregnant or not, may develop a tolerance to its effects, needing higher doses to achieve the same effect.[11] Unfortunately, this can lead to physical dependence, which may cause withdrawal symptoms once the drug is no longer in the user’s system.[11]
Adderall withdrawal can occur within 24 hours of quitting and can continue for many weeks.[12]
The symptoms of Adderall withdrawal include:[12]
Therapy is always an option for individuals finding it hard to cope with the effects of ADHD, especially during pregnancy. Therapy provides important coping strategies that make it easier to live with ADHD. A combination of both is often better than choosing either one.
As far as safety, both therapy and Adderall are safe approaches to ADHD treatment, though therapy has inherently fewer risks to a pregnant woman.
If you’re pregnant and currently taking Adderall, but are concerned about its effects on you or your baby, you may want to try an alternative treatment. Abruptly quitting Adderall may not be an option.
Alternatives to Adderall for pregnant women include bupropion and clonidine.[13]
The effects Adderall has on male fertility are unknown. Unfortunately, there isn’t any information regarding the health of a baby born to a man who takes Adderall regularly. Mother-to-Baby states that men taking Adderall are not likely to have a baby born with birth defects.[14]
If you’re concerned about how Adderall use will affect you and your unborn baby, you should inform your obstetrician. However, it is not advisable to alter your scheduled dosing in any way.
If you have a substance use disorder that makes it hard to stop using Adderall despite the risks it poses to yourself and your unborn child, we can help.
At Engage Wellness Acton, we provide a range of science-backed services proven to help you overcome drug cravings and lower your risk of relapsing after abstinence. These services are available at both inpatient and outpatient levels of care for your convenience.
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Some studies have linked Adderall to low birth weight.
ADHD stands for attention deficit hyperactivity disorder, which is a condition that causes individuals to have trouble concentrating and controlling their impulses.
The effects of withdrawal on newborn babies are unknown. However, withdrawal can increase the risk of developing serious and sometimes life-threatening complications. These complications may affect your pregnancy. If you are worried about the risks of taking Adderall or other ADHD medications such as Ritalin, speak to your physician about non-stimulant medications that can offer symptomatic relief.
Adderall addiction is a risk for anyone who uses the medication in a way other than prescribed. To minimize your risk, take the medication only as directed.
To date, there aren’t any studies revealing an increase in birth defects or malformations linked to men using stimulant medications like Adderall.
Pregnant women with ADHD may be prescribed Adderall as a viable treatment option due to its beneficial effects on the symptoms of ADHD. This includes improving bouts of inattention and impulsivity. However, some women may wonder if the use of Adderall outweighs the possible risks it could pose to the baby. Luckily, when used as directed, the effects of Adderall do not extend to the baby in utero.
[1] National Library of Medicine. (2023 May 23) Dextroamphetamine-Amphetamine. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK507808/ on 2025 May 12.
[2] National Institute of Mental Health. (2025 Jan) Attention-Deficit Hyperactivity Disorder. Retrieved from https://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd#hts-intro on 2025 May 12.
[3] National Heart, Lung and Blood Institute. (2025 Mar 5). Narcolepsy. Retrieved from https://www.nhlbi.nih.gov/health/narcolepsy on 2025 May 12.
[4] Stat Pearls. (2022 Oct 10) Anatomy, Central Nervous System. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK542179/ on 2025 May 12.
[5] National Library of Medicine. (2023 Nov). Dextroamphetamine-Amphetamine (Adderall). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK603254/ on 2025 May 12.
[6] National Library of Medicine. (2022 Jun 27). Miscarriages. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30422585/ on 2025 May 12.
[7] National Library of Medicine. (2023 Nov). Critical Periods of Development. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK582659/ on 2025 May 13.
[8] MGH Center for Women’s Mental Health. (2023 Oct 11). Neurodevelopmental Outcomes in Infants Exposed During Pregnancy to ADHD Medications. Retrieved from https://womensmentalhealth.org/posts/infants-exposed-to-adhd-medications/ on 2025 May 13.
[9] Drugs.com. (2024 Aug 8). Adderall Side Effects. Retrieved from https://www.drugs.com/sfx/adderall-side-effects.html on 2025 May 12.
[10] Drugs.com. (2024 Apr 9). How Long Does Adderall Withdrawal Last? Retrieved from https://www.drugs.com/medical-answers/long-adderall-withdrawal-3572393/ on 2025 May 13.
[11] National Institute on Drug Abuse. (2020 Jul). Drugs and the Brain. Retrieved from https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain on 2025 Jun 24.
[12] Drugs.com. (2024 Apr 9). How Long Does Adderall Withdrawal Last? Retrieved from https://www.drugs.com/medical-answers/long-adderall-withdrawal-3572393/ on 2025 Jun 24.
[13] Drugs.com (2024 Apr 23). Bupropion. Retrieved from https://www.drugs.com/bupropion.html on 2025 May 13.
[14] Mother to Baby. (2023 Dec 1). Dextroamphetamine-Amphetamine (Adderall). Retrieved from https://mothertobaby.org/fact-sheets/dextroamphetamine-amphetamine-adderall/ on 2025 May 13.