There any safe alternatives for straterra during pregnancy, or are all the add meds about the same in pregnancy?

Possibly. Straterra is a class c drug which means it has shown to be a risk in animal studies (or no animal studies have been completed) but not enough information exists regarding human studies. It is best to not take certain medications during the 1st trimester. All medications should be reviewed with your OB physician - preferably before you are actually pregnant. Many other add meds are also class c.