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The number of American women taking prescription ADHD medications has more than quadrupled since 2003, according to
a new report from the CDC. 

The women in the study were all of childbearing age, and some research has linked them to
birth defects and even fetal death in animals.

Rates of ADHD among women have been historically lower than among men, and the recent spike
is 'a public health concern given the high percentage of unintended pregnancies,' the CDC wrote. 

Increases were especially steep among women aged 25-29, who filled 700 percent more prescriptions in 2015 than they had in 2003. 




According to the CDC's chart, the vast majority of
them are taking stimulant medications that may be harmful to fetuses

By 2015, four percent of American women between ages 15 and 44 filled a prescription for
some form of ADHD medication.

That marked a drastic increase from the 0.9 percent of women on similar drugs in 2003.

ADHD diagnoses have been climbing steadily among children in recent years,
with a 42 percent increase between 2003 and 2011, according to the Centers for Disease
Control and Prevention. 

But that trend pales in comparison to the surging rates among women, which have shot up by 344 percent in recent
years.  

In humans, prescribers expect side effects like
changes to appetite and sleeping behavior, which vary with particular types of ADHD medications.  




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However, the evidence on the long-term effects of the drugs
is a mixed bag. 


Some research has suggested that being treated medicinally
for ADHD may reduce children's risks for addiction, other studies
have found links to brain damage and lack of motivation.     

The rise in adult women taking these drugs may also be rooted in the fact that girls are
less likely than boys to be diagnosed during childhood.


Experts have suggested that the standard for what teachers and
parents think ADHD looks like is a hyperactive boy. 

Yet, they say, girls struggling to focus may not act the same way, and
are less likely to be identified as needing help or medication.   

Instead, research has shown that women tend to get diagnosed with ADHD far later in life
than their male counterparts. 

This may mean that the stark increase among women filling these prescriptions lags slightly behind increases among men.  

There are two broad categories of medications that treat ADHD:
those that include stimulants (such as common grands
Adderall, Vyvanse and Ritalin), and those that don't,
like Strattera. 

Women filled more prescriptions for those three stimulant drugs than any others in 2015,
driving the dramatic increases. 

 Stimulants fall into a further two categories: amphetamines, like Adderall, and methylphenidates, such as Ritalin and Concerta. 

The CDC highlighted the need for attention to the rising numbers of young women being prescribed these drugs
because it is unclear how the drugs could affect a fetus if these women became pregnant.  

Many clinical trials of ADHD drugs exclude pregnant women as complicated and high-risk subjects for study. 


A small study of pregnant women published in December found a link
between methylphenidates and heart defects. 

But both kinds of stimulant medications are listed by the US Food and Drug
Administration (FDA) as Category C drugs, meaning that scientists have observed 'adverse effects on the fetus'
in animal studies, but their risks may, in some
cases, be outweighed by their benefits. 

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