Attention-Deficit/Hyperactivity Disorder Medication Prescription Claims Among Privately Insured Women Aged 15-44 Years - United States, 2003-2015
- PMID: 29346342
- PMCID: PMC5772805
- DOI: 10.15585/mmwr.mm6702a3
Attention-Deficit/Hyperactivity Disorder Medication Prescription Claims Among Privately Insured Women Aged 15-44 Years - United States, 2003-2015
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that affects individuals across the lifespan. ADHD medication use among pregnant women is increasing (1), but consensus about the safety of ADHD medication use during pregnancy is lacking. Given that nearly half of U.S. pregnancies are unintended (2), and early pregnancy is a critical period for fetal development, examining trends in ADHD medication prescriptions among reproductive-aged women is important to quantify the population at risk for potential exposure. CDC used the Truven Health MarketScan Commercial Database* for the period 2003-2015 to estimate the percentage of women aged 15-44 years with private employer-sponsored insurance who filled prescriptions for ADHD medications each year. The percentage of reproductive-aged women who filled at least one ADHD medication prescription increased 344% from 2003 (0.9% of women) to 2015 (4.0% of women). In 2015, the most frequently filled medications were mixed amphetamine salts, lisdexamfetamine, and methylphenidate. Prescribing ADHD medications to reproductive-aged women is increasingly common; additional research on ADHD medication safety during pregnancy is warranted to inform women and their health care providers about any potential risks associated with ADHD medication exposure before and during pregnancy.
Conflict of interest statement
No conflicts of interest were reported.
Figures
Similar articles
-
Antidepressant Prescription Claims Among Reproductive-Aged Women With Private Employer-Sponsored Insurance - United States 2008-2013.MMWR Morb Mortal Wkly Rep. 2016 Jan 29;65(3):41-6. doi: 10.15585/mmwr.mm6503a1. MMWR Morb Mortal Wkly Rep. 2016. PMID: 26821271
-
Vital Signs: National and State-Specific Patterns of Attention Deficit/Hyperactivity Disorder Treatment Among Insured Children Aged 2-5 Years - United States, 2008-2014.MMWR Morb Mortal Wkly Rep. 2016 May 6;65(17):443-50. doi: 10.15585/mmwr.mm6517e1. MMWR Morb Mortal Wkly Rep. 2016. PMID: 27149047
-
Impact of 3-tier formularies on drug treatment of attention-deficit/hyperactivity disorder in children.Arch Gen Psychiatry. 2005 Apr;62(4):435-41. doi: 10.1001/archpsyc.62.4.435. Arch Gen Psychiatry. 2005. PMID: 15809411 Free PMC article.
-
Attention-Deficit Hyperactivity Disorder: Clinical Considerations for Women.J Midwifery Womens Health. 2017 Nov;62(6):684-695. doi: 10.1111/jmwh.12671. Epub 2017 Nov 21. J Midwifery Womens Health. 2017. PMID: 29160614 Review.
-
Attention-deficit-hyperactivity disorder: an update.Pharmacotherapy. 2009 Jun;29(6):656-79. doi: 10.1592/phco.29.6.656. Pharmacotherapy. 2009. PMID: 19476419 Review.
Cited by
-
Impact of COVID-19 pandemic on prescription stimulant use among children and youth: a population-based study.Eur Child Adolesc Psychiatry. 2024 Aug;33(8):2669-2680. doi: 10.1007/s00787-023-02346-x. Epub 2024 Jan 5. Eur Child Adolesc Psychiatry. 2024. PMID: 38180538 Free PMC article.
-
Assessment of Stimulant Use and Cardiovascular Event Risks Among Older Adults.JAMA Netw Open. 2021 Oct 1;4(10):e2130795. doi: 10.1001/jamanetworkopen.2021.30795. JAMA Netw Open. 2021. PMID: 34694389 Free PMC article.
-
In utero exposure to methylphenidate, amphetamines and atomoxetine and offspring neurodevelopmental disorders - a population-based cohort study and meta-analysis.Mol Psychiatry. 2025 Sep;30(9):3885-3894. doi: 10.1038/s41380-025-02968-4. Epub 2025 Mar 27. Mol Psychiatry. 2025. PMID: 40148550 Free PMC article.
-
Safety profiles of methylphenidate, amphetamine, and atomoxetine: analysis of spontaneous reports submitted to the food and drug administration adverse event reporting system.Front Pharmacol. 2023 Aug 14;14:1208456. doi: 10.3389/fphar.2023.1208456. eCollection 2023. Front Pharmacol. 2023. PMID: 37645441 Free PMC article.
-
Quantification of ADHD medication in biological fluids of pregnant and breastfeeding women with liquid chromatography: a comprehensive review.Front Public Health. 2024 Aug 7;12:1437328. doi: 10.3389/fpubh.2024.1437328. eCollection 2024. Front Public Health. 2024. PMID: 39171321 Free PMC article. Review.
References
-
- Huybrechts KF, Bröms G, Christensen LB, et al. Association between methylphenidate and amphetamine use in pregnancy and risk of congenital malformations: a cohort study from the International Pregnancy Safety Study consortium. JAMA Psychiatry 2017. Epub December 13, 2017. 10.1001/jamapsychiatry.2017.3644 - DOI - PMC - PubMed
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical