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Dr. Bob is Robert Hsiung, MD,
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Posted by fallsfall on May 26, 2003, at 12:56:05
In reply to Re: Atomoxetine (Straterra) - bi polar, posted by TenMan on May 26, 2003, at 11:33:56
The side effects seem to be less if you start small in increase the dose gradually. I started with 10mg and increased 10mg every 3 days. I did have side effects. I've been on it for 4 months now (80mg). I still have constipation, and maybe dry mouth (or is is one of the other meds I take?), but the benefits vastly outweigh any side effects. Good luck!
Posted by theo on May 26, 2003, at 16:23:26
In reply to Re: Glad To Find This Group -- Starting Straterra, posted by froggyanna on May 24, 2003, at 9:44:01
I am currently taking 10mg Lexapro and thinking about adding Strattera. Any input??
Posted by littie on May 26, 2003, at 16:36:14
In reply to Re: Atomoxetine (Straterra) - bi polar » TenMan, posted by froggyanna on May 26, 2003, at 12:45:12
I'm new to the boards and wondering what positive effects people are noticing on Strattera. I'm on Day 5 and my energy is very low and I'm very quiet and pretty irritable. What's the outcome after the wait, and how long should it be before I experience anything good--like better mood, more motivation--higher spririts?
Posted by paulk on May 27, 2003, at 11:04:47
In reply to Re: Atomoxetine (Straterra) - bi polar, posted by littie on May 26, 2003, at 16:36:14
Straterra worked well for a while but after a few months it just dosen't really make much difference. I tried increasing the dosage, but I ended up sleeping all the time and not getting anything acomplished. Has anyone else taken it for more than 3 months?
Stopping Stratterra left me feeling rather down and very hungrey for a couple of days.
Posted by teacherkris on May 27, 2003, at 11:39:03
In reply to Atomoxetine (Straterra) poop out, posted by paulk on May 27, 2003, at 11:04:47
I've been takign it since about February i think but am still levelling off the dose. I've been at 80 for about two months now but I've just finally gotten my body to accept 80 once a day rather than as a split dose. I was having problems with the once a day but it looks like that was due to Zoloft withdrawl so I went back on 25 mg Zoloft and now it's fine. I've been fairly tired this week but i'm hoping that's just my body getting used to having it once a day. My doc wants me to stabilize on 80 before we consider going up. I still think it's a million times better than any of the stims. The side effects that I never realized I had from the stims such as short tempered and easily irritated by noises etc. are all gone! My motivation is higher and I'm getting things done. I'm more organized and much much more patient! So there's my several months in update!
Posted by fallsfall on May 27, 2003, at 12:23:48
In reply to Atomoxetine (Straterra) poop out, posted by paulk on May 27, 2003, at 11:04:47
I've been taking it for 4 months. I am a little tired, but my life has been hell for the last 2 months, so it is really hard to tell what causes what. When I'm not sleeping I do have more energy than I had before Strattera. So I think it is working for me. I take it for depression.
Posted by cmcdougall on May 27, 2003, at 13:08:03
In reply to Anyone taking Strattera with SSRI's like Lexapro?, posted by theo on May 26, 2003, at 16:23:26
> I am currently taking 10mg Lexapro and thinking about adding Strattera. Any input??
I take 100mg Strattera, 20mg Lexapro, 50mg Trazodone, and 200mg Zonegran each day. I used to take Adderal and am thinking of adding a little back to tweak the Strattera. I LOVE the Strat... I am motivated, able to stay on task, less ruminating, etc, but still not able to wrap my brain around complex problems at work like I was w/ the Adderal. I hope my pdoc w/ let me enjoy the best of both. Will keep you posted.
Love and luck,
Carly
Posted by Hattree on May 28, 2003, at 9:23:59
In reply to Re: Anyone taking Strattera with SSRI's like Lexapro? » theo, posted by cmcdougall on May 27, 2003, at 13:08:03
Some people complain about Strattera wearing off in the afternoon or evening, which seems like a curious feature of a drug that takes weeks or months to reach its full effect. Wondering if those initial short-lived boosts might be side-effects in themselves.
Anyway, for those of you who have been taking Strattera practically since it came on the market, are you experiencing the late-day dips?
Posted by paulk on May 28, 2003, at 12:10:05
In reply to ? for the strattera veterans, posted by Hattree on May 28, 2003, at 9:23:59
What I experienced was a good effect in the morning after taking the medicine, with lots of hunger in late afternoon. I also found that after a while it did less and less and taking more did not do anything except make me more tired. When I stopped taking it I go a lot of energy.
It seems to me like something builds up over time that stops it from working. If I stop for a few days it will work again. It doesn’t seem like tolerance because taking more makes it worse. What is so interesting is that after a couple of days off of it (and feeling a bit down), I start to feel energetic; just like I started taking it again and have lots of energy – even though I didn’t take anything! I’m wondering if it would be best to take it for a few days and then stop – when symptoms return take it again for a while – stop (repeat)
My guess is that a side effect appears as some metabolite builds up negating the good effects.
Posted by Ritchie on May 28, 2003, at 15:42:46
In reply to ? for the strattera veterans, posted by Hattree on May 28, 2003, at 9:23:59
> Some people complain about Strattera wearing off in the afternoon or evening, which seems like a curious feature of a drug that takes weeks or months to reach its full effect. Wondering if those initial short-lived boosts might be side-effects in themselves.
>
> Anyway, for those of you who have been taking Strattera practically since it came on the market, are you experiencing the late-day dips?---------
Yes I have the afternoon dips also, I just started to try 400 mg of Green tea. It seems to help somewhat but not the best. I don't do caffiene. I get a lot of yawning in the afternoon also. But other than that I like it.
Posted by Susannah on May 28, 2003, at 16:11:27
In reply to Glad To Find This Group -- Starting Straterra, posted by froggyanna on May 22, 2003, at 4:32:32
Does anyone have anything positive to say about treating ADHD children with Strattera? My 9 year old daughter has been taking Adderall XR 10mg/day for about a year now and I have not seen any improvement. Before Adderall XR she took regular Adderall (15mg/day bid) for about 2 years and that worked much better; however our doc insisted that we switch to a once a day formula. She took Ritalin once, very briefly, but had an increased heart rate from med and was promptly taken off. She is already very small and thin for her age, she is only 50lbs. She has trouble falling asleep at night ans is subsequently tired and irritable in the mornings.
Her therapist thinks she will do better on Strattera because he claims she is "sad" as well and this med should treat both ADHD and her sadness. I'm taking her to the psychiatrist on Monday and I am going to ask him to switch her meds. I have read boards similiar to this and only see bad things. Does anyone have anything good to say or has anyone or their child had a positive experience with Strattera?
My daughter has a relatively mild cause of ADHD, more inattentive than hyperactive although her symptoms can change in response to social situations, school, ect.
Any information would be greatly appreciated.
Posted by Hattree on May 29, 2003, at 8:16:19
In reply to Re: ? for the strattera veterans, posted by Ritchie on May 28, 2003, at 15:42:46
Posted by Hattree on May 30, 2003, at 10:38:47
In reply to Anything Good to Say about Strattera?, posted by Susannah on May 28, 2003, at 16:11:27
Posted by gouda on May 30, 2003, at 11:25:43
In reply to Anyone taking Strattera with SSRI's like Lexapro?, posted by theo on May 26, 2003, at 16:23:26
> I am currently taking 10mg Lexapro and thinking about adding Strattera. Any input??
I am taking 20 mg Celexa (which is the "older precursor version" to Lexapro - the newer and revamped version of Celexa)
Just started Strattera, yesterday @ 18 mg, I'll keep you posted .... so far:
SLEEPY! TIRED! but pdoc said this is normal! I am hopeful!
Posted by gouda on May 30, 2003, at 11:44:56
In reply to Atomoxetine (Straterra) poop out, posted by paulk on May 27, 2003, at 11:04:47
Hello all! Enjoyed reading posts!
I just started @ 18 mg, am kinda afraid about initial experience!
Got very sleepy! Knocked out for 20 hours! Dreams were short, which was kinda nice!
Starting to feel moody! I ranted over the phone to my boyfriend for 2 hours about all his flaws ... felt kinda strange and guilty about it.
Can anyone tell me what I should expect in the coming weeks?
What is ato-moxe-tine stand for anyway? All I know is that this is NOT an amphetamine, which is a good thing.
Posted by bookgurl99 on May 30, 2003, at 12:05:48
In reply to I am a Newbie on Strattera: need support!, posted by gouda on May 30, 2003, at 11:44:56
were short, which was kinda nice!
>
> Starting to feel moody! I ranted over the phone to my boyfriend for 2 hours about all his flaws ... felt kinda strange and guilty about it.My pdoc said this is due to _too much_ dopamine. Maybe you want to lower your dose?
Posted by littie on May 30, 2003, at 12:30:20
In reply to Keep the Strattera updates coming! (nm), posted by Hattree on May 30, 2003, at 10:38:47
Let's just say, I feel okay. Not great, but not depressed. I was really beginning to have trouble getting to sleep and staying asleep but my doctor gave me some trazadone and I slept for eight straight hours last night. As far as staying on task goes, I think I'm better--much better. I don't have that I-can't-deal-with-the-laundry feeling anymore. I was hoping to feel more "up" from this drug, but I've only been on it a couple of weeks so time will tell. Just started 80 mg a week ago. I have ADD but can't take any stimulants because of a long-ago substance abuse problem. Pity. Stimulants used to be my drug of choice, because they solved all the problems I have being a citizen of the world.
Posted by gouda on May 30, 2003, at 12:52:58
In reply to Re: I am a Newbie on Strattera: need support!, posted by bookgurl99 on May 30, 2003, at 12:05:48
> were short, which was kinda nice!
> >
> > Starting to feel moody! I ranted over the phone to my boyfriend for 2 hours about all his flaws ... felt kinda strange and guilty about it.
>
> My pdoc said this is due to _too much_ dopamine. Maybe you want to lower your dose?
>
>Thank you for your post, I will make sure to sure to ask about "too much dopamine" to my pdoc next visit! ...
I thought Strattera is only supposed to affect "nonepinephrine"? How does dopamine come into play as well?
Posted by teacherkris on May 30, 2003, at 13:02:15
In reply to Re: I am a Newbie on Strattera: need support!, posted by gouda on May 30, 2003, at 12:52:58
I know I'm repeating myself but just in case you haven't read the old posts I say hang in there with the side effects and go up as slowly as possible. I started at 10 mg for a week and added 10 mg each week until I got to 80. I am now doing great with 80 1x a day. The first few weeks were rough. My students, i teach middle school, definitely had to suffer through my extreme irritability and tiredness. The first few days the tiredness was the worst and I slept a lot! I was worried and ready to give up many times during the whole process but in retrospect I'm glad he made me go up so slowly. I seemed to get the side effects back for one or two days each time they raised the dose but now it's fine. I currently take 80 mg once a day along with 25 mg of Zoloft.
Posted by gouda on May 30, 2003, at 13:16:34
In reply to Re: I am a Newbie on Strattera: need support!, posted by teacherkris on May 30, 2003, at 13:02:15
Thanks teacherkris for your reply! ... (its so hard to go through every past thread, not very organized, so I must not have read your past post)
Wow, my pdoc started me on "18 mg - 1st four days, then 25 mg - 2 week" Starter PACK ! You started on 10 mg (which I now wish I had) ... I am very sensitive to medicine, so I don't understand why he started me on 18 mg.
I am glad you told me about your irritability and sleepiness. Poor students!
I'm still very tired after 20 hours of sleep. I totally want to conk out! This is kinda a scary experience for me b/c it feels like I'm am having the flu without the high temperature.
Posted by Susannah on May 30, 2003, at 13:51:38
In reply to Re: I am a Newbie on Strattera: need support!, posted by gouda on May 30, 2003, at 13:16:34
Does anyone have anything positive to say about treating ADHD children with Strattera? My 9 year old daughter has been taking Adderall XR 10mg/day for about a year now and I have not seen any improvement. Before Adderall XR she took regular Adderall (15mg/day bid) for about 2 years and that worked much better; however our doc insisted that we switch to a once a day formula. She took Ritalin once, very briefly, but had an increased heart rate from med and was promptly taken off. She is already very small and thin for her age, she is only 50lbs. She has trouble falling asleep at night ans is subsequently tired and irritable in the mornings.
Her therapist thinks she will do better on Strattera because he claims she is "sad" as well and this med should treat both ADHD and her sadness. I'm taking her to the psychiatrist on Monday and I am going to ask him to switch her meds. I have read boards similiar to this and only see bad things. Does anyone have anything good to say or has anyone or their child had a positive experience with Strattera?
My daughter has a relatively mild cause of ADHD, more inattentive than hyperactive although her symptoms can change in response to social situations, school, ect.
Any information would be greatly appreciated.
Posted by theo on May 30, 2003, at 15:07:03
In reply to Re: Anyone taking Strattera with SSRI's like Lexapro?, posted by gouda on May 30, 2003, at 11:25:43
Thank you, keep me posted. I see my doc this Monday and I'm going to probably be getting some samples of Strattera to add to my daily Lexapro.
Posted by Angel1 on May 31, 2003, at 18:38:19
In reply to Keep the Strattera updates coming! (nm), posted by Hattree on May 30, 2003, at 10:38:47
I think Strattera sucks. I took 40mg for 3 days and that was enough for me. It increased my appetite and made me really sleepy.....more so than I usually am, which is too much already. I went back to good old ritilan which I take as needed. This is my opinion and experience with Strattera. no good.
Posted by zeugma on May 31, 2003, at 19:52:26
In reply to Keep the Strattera updates coming! (nm), posted by Hattree on May 30, 2003, at 10:38:47
Halfway through week 3 on Strattera,and very happy with the subtle changes that have taken place. Strattera defintely has a stimulating quality to it (at least as I experience it). I feel like I have to expend less energy *forcing* myself to pay attention to what's in front of me, and in consequence feel that my performance in the workplace is getting much better. Plus I'm less drained by every little task I have to do, and it's such a relief not feeling I have to conserve every ounce of available energy for stayong *on top* of myself. ADHD, for me, has been a disorder of the self that has been absolutely crippling. I was first diagnosed in 1980, when I was twelve, and the subsequent lack of treatment made for a series of ever-worsening disasters, culminating in total academic failure and subsequent hospitalization for severe depression. Now that I feel that the depression is under control, I am hopeful that strattera will help with this core problem.
This is how I'd say Strattera compares with TCA's: no sedative component to Strattera, and possibly a stronger anxiolytic component. Maybe this is because it targets the Executive Function part of the brain more effectively than older drugs. I was very skeptical that Strattera would improve on nortriptyline but it does seem like there is some effect that promotes clarity of thought more than the nortrip. Again, that could just be the lack of sedative effect, but it feels like something more is going on.
Currently I am taking 40 mg in the morning (along with 75 mg nortriptyline at night and 10 mg buspirone tid). I will call my pdoc on Monday to let him know how I am doing on this dose. I am so happy with the results on Strattera that i am thinking about lowering the dosage of nortriptyline while raising that of Strattera. The only thing i would worry about would be a return of insomnia on a lower dose of nortrip. Maybe i could substitute a lower dose of amitriptyline at night for the nortriptyline as it is much more sedative?
Posted by MomofBoys on May 31, 2003, at 23:00:26
In reply to Re: Keep the Strattera updates coming!, posted by zeugma on May 31, 2003, at 19:52:26
I was begun on 40 mg Strattera back in March. I didn't double my dose as I was supposed to after two weeks, thus I stayed on the 40 for six weeks. I was then seen again and did double the dose up to 80 mg.
At 40 mgs, I found morning doses made me extremely tired and nighttime doses kept me awake, however i preferred to use Strattera at nite with xanax or benadryl for sleep. When I went to 80 mgs at bedtime, this did not change and my early morning rising increased but it was a good thing! I was able to get up and work effectively and concentrate better on my work (i work at home on the computer). What a wonderful thing! However, come late morning/early afternoon i was dead tired and could do no more.
I like these effects that Strattera has given me but I will be starting Ritalin during the daytime soon to counteract these effects and be productive the entire day long, not just early morning. I had a trial of the Ritalin and found it to be a wonderful combo so I will take it regularly.
It's been a long time since I've been able to be functional and accomplish so much during my days. I feel human again!
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