Okay. I’m finally ready to talk about this. Only took me…what, ten months? But this is World Breastfeeding Month, and I am nothing if not on-topic. So hang in there, because this has been a long, bumpy ride.
Last July I wrote about my agonized decision not to breastfeed so that I could get back on Adderall, the only medication I had ever taken that effectively managed my ADD and depression. I have probably hinted around at the aftermath of that decision, but I haven’t really discussed it. That was deliberate. The last ten months have not been fun, and I don’t much like talking about it.
But I will talk about it because I know many other moms are in the same boat. This blog gets dozens of hits every week from search engine terms like “adderall and breastfeeding”. When I see those search terms on my Trackback section, I always say a prayer for the wisdom and peace of the woman typing it. Goodness knows they’ll need it.
So, to make a long story short: I followed through with my decision to go back on Adderall, but it’s been a rough ride. To make a short story longer: For the first few weeks of Baby Girl’s life, I happily breastfed her. She was a champion nurser, and it felt wonderful, complete to have that connection with her. The problem was, the rest of my life was falling apart.
I know that the first few weeks with a newborn are always crazy. I remember it clearly from when the Sprog was a newborn. But this was something over and above that. I had managed to cling to the stark edge of sanity while I was pregnant, but the stress of having a newborn and a 3-year-old just about sent me over the edge. I yelled at my husband and the Sprog constantly. I would get so angry that I regularly locked myself up in the bedroom closet and beat the walls with my palms just so I could get rid of all that fury and function normally. I couldn’t think straight or pay attention to anything. I couldn’t sleep when the baby slept. I couldn’t even sleep when everyone else slept, even though I was so exhausted. I regularly fantasized about grabbing my car keys and making a break for it. Anywhere, anywhere. Even so, I still couldn’t bring myself to start taking the Adderall again because I loved breastfeeding that much.
But a week after Baby Girl was born, the decision was made for me: In order to treat a hellacious UTI, I had to take an antibiotic that was contraindicated for breastfeeding. So that was that. I nursed Baby Girl for the last time that evening (or so I thought), and I tried hard to memorize everything about it. I cried the whole time, so much that her baby fuzz hair was literally wet with my tears. I let her fall asleep while nursing, and still held her against me for a long time after she broke the latch. Then I wiped my face, buttoned my shirt, and took my antibiotic.
The next morning, I put on two sports bras and took my Adderall. I felt the difference almost immediately: I felt awake, in control of myself, and totally present in a way I hadn’t felt in a long time. It was wonderful. Even with the horrendous pain in my breasts, I sailed through the day and then slept like a rock. And if I was still a little loopy emotionally, I just chalked it up to post-partum hormones.
Now buckle your seat belt, because here’s where things really got crazy.
The problem with getting people to take meds is that they feel fine after they take them, and then with all the luxury of the fully medicated, they start wondering whether they ever really needed them at all. It’s a stupid trap to fall into, and I should have known better, but I didn’t. I got to thinking that maybe all my issues were only because of post-partum hormones, and perhaps I’d be alright without the Adderall now that I had been out of the hospital for a few weeks. But all that logic was just window-dressing, pure rationalization because of my desire to breastfeed.
My breasts were killing me, and Baby Girl wasn’t doing very well on the formula. She’s allergic to cow’s milk, but the soy formula was constipating her, and we flat-out could not afford the Nutramigin or Gentlease formulas. So there were times when she would just scream and scream with her legs drawn up to her chest. And I would sit there, rocking her uselessly, and think, “Good job, Mom. I hope your mental health was worth putting your baby through this kind of pain.”
What do you do if the medication that’s helping your depression is itself the cause of another source of depression? The benefits of Adderall were undisputed, but it was tearing me apart to watch my baby hurting so much. Finally, I had had enough. I decided to relactate, that I would be fine now, and that I must have been exaggerating to myself just how bad it was for me without the Adderall. My breasts had finally gone back to normal two days before then, and I was suddenly terrified that I had missed my chance, that I’d never be able to breastfeed my baby if I didn’t start back immediately. If I was able to do it at all, that is—I’d read heartwrenching stories online from women who wanted to relactate but couldn’t.
Adderall doesn’t stick around long in the body, so I began nursing Baby Girl again the very next day. It was heaven. But I wasn’t making much if any milk, so I ate oatmeal at every meal, guzzled Mother’s Milk tea, practiced kangaroo care with Baby Girl, and pumped every minute I didn’t have the baby with me. Within one day, all my milk was back, and at its original firehose strength. Baby Girl’s gassiness cleared right up, and we were both happy. For a day or so.
And then I went crazy. Turns out the Adderall was more than just breath mints, after all. I went right back to all the full-blown nuttiness I had experienced for the first week or so of Baby Girl’s life, and this time there was no question that it was because I was off my meds. But I felt like I couldn’t stop breastfeeding again because the baby’s tummy was feeling so much better. I didn’t know what to do, and it was absolutely killing me.
Relief finally came when I took Baby Girl to the pediatrician for her check-up. I unloaded all the drama and trauma that we had been going through, and he said, “Please don’t torture yourself over this—there are a lot of things we can do to help the baby’s tummy, but Adderall is the only thing that’s helping your sanity, and she needs you more than she needs your milk.”
Those were the magic words I had needed to hear. I put the sports bras back on when I got home and took my Adderall. Then I fixed a bottle for the baby with a teaspoon of apple juice in it. Her constipation cleared up quickly after that, but she continued to be gassy and even colicky, so we switched from apple juice to dark Karo syrup, and all of a sudden everything was roses.
I felt much better about not breastfeeding that second time around, especially after my milk dried up (again). I looked on it as a very painful, but very necessary lesson. Life was much better after that, though I still didn’t feel quite right.
I only really felt back to 100% after my OB-GYN diagnosed me with a nice fat case of post-partum depression two months ago and put me on an anti-depressant to complement the Adderall. I felt ridiculous for not having seen that coming—after all, what normal person has flashbacks to a dinky little fender bender a full year later?—but I was so relieved to be free of it that I didn’t care.
So what did I take away from this? Is there some kind of neat little moral to this story? A platitude to take to heart, preferably one that neatly wraps up a blog entry? I guess so. If I have learned anything, it’s that I really do need my meds, and that I can’t feel guilty anymore about not breastfeeding. I’ve learned that you have to do what is best for everyone in the family, and when you find that magic combination, you go with it and you apologize to nobody. Because I’m through apologizing. I didn’t breastfeed my daughter, however much I might have wanted to, and I am finally okay with that.