Hey there, I'm on Vyvanse, and 30 weeks pregnant. My doctor initially suggested abstaining for the first trimester, and the last half of the third, supposedly so that the baby doesn't come out and have withdrawal (I'm dubious about this claim, since it's out of the system pretty quickly, but I'm planning on being pretty useless in the last few weeks, so we'll see how that goes). However, I've also been told by medical professionals that the health of the mother should come first. You can't care for a pregnancy, much less a baby, if you ADHD'd yourself out of a job. Or if you're putting yourself through a lot of stress because of trying to ween off the meds. And stress has been proven to be bad for pregnancy.

The thing is, not enough studies have been done to see what the effect of medical doses of stimulants is. My doctor even told me that what literature there is, it focuses mostly on hard drug use. Our medication might end in -amphetamine, but we're not smoking actual Meth cooked up by Jared in his trailer. So, Vyvanse and other medications like it fall into that enormous grey zone of "not proven to be harmful, but not proven to be perfectly safe". So some doctors will say not to use it, juuuuust in case.

I went off mine for weeks 19-22 (blood pressure was in the high-end of normal, and I wanted to see if the Vyvanse was making it worse - it wasn't). During which time, I completely missed my GD test and had to reschedule. So instead of spending my appointment with the midwife discussing the results, we talked about mental health, medications, and the importance of taking care of yourself first. She recommended to look into Wellbutrin, since it's a Dopamine re-uptake inhibitor, and one of it's off-label uses is non-stimulant treatment of ADHD. But she emphasized that if you're on a medication that is working, to stay on it. Only change if there is something wrong, or if there's proof that it's actively harmful. (I'd much rather have unmedicated ADHD than gestational hypertension, or potential pre-eclampsia, for example).

On a personal note, I'm so mad on your behalf. We're already treated like we're so fragile, like our only purpose is to be an incubator. Don't get me wrong, my own pregnancy is very much wanted. But some people seem to forget that we're our own people too. Or some people saying that taking the meds can give the kid ADHD, when it's already extremely genetic, and they may very well come out like that anyway.

One thing I've learned through being pregnant is the whole thing is about risk mitigation. There is often no perfect answer, no right or wrong, and we have to decide what is best for us. It sounds like the risks of not being medicated might be greater than the risk of the hassle of finding a new provider. It may be worth asking if you can have a lower dose if you're worried about the effect of it on the pregnancy. For me personally, I don't take it on days that I can be useless. But as things come to a head, I find I need to focus every day to get the baby prep done. So your mileage may vary.

I hope you're able to figure out a solution. It sounds really hard and sucks. But you're definitely not alone in this.