Strattera?

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January 20, 2010 at 8:13 pm #88182
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I took Ritalin up until the end of my junior year of high school. My father was rather adamant that it was a crutch, I didn’t need it, people would think badly about me if they knew, and that I not take another. Anyway, I stopped. Grades went from As to Cs and stayed that way all through college. I went from a state scholar to a mediocre student. A couple of years ago I got fed up with this and decided to try Strattera (it had been recommended highly by a fellow ADHDer). I can only describe it like Flowers for Algernon. It was like I was suddenly a genius…and I quickly spiraled into my first ever suicidal depression. Friends and family convinced me to go off of it before I did any unfixable damage. It was quite disheartening, but I was much stabler after going off the medicine. I’ve taken a low dose of Welbutrin (for depression and anxiety, the latter of which it didn’t really help at all, still worried about aliens and government collapse but wasn’t upset about it…how odd), which effects the ADHD slightly but not much.

Is there something else I could try? If I took a higher dose of Welbutrin (I’m not on anything now) might that be helpful? If I responded to Ritalin as a child would I respond well now to a lower dose?


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January 21, 2010 at 7:16 am #92101
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If Ritalin worked before it would probably work again, though don’t be surprised if you need more rather than less now that you are older and larger.

I have been using Ritalin and Wellbutrin together for years and have no complaints but if Strattera really worked so well then I wouldn’t be surprised if you and your doctor could make it succeed again and next time prevent the depression now that you are better prepared.

The depression probably came more from the ADHD than from the prescription and it’s likely that putting it together with Wellbutrin will allow you to get the full benefit of the Strattera without another crash.

As for me, I’ve been increasing my dosage of Ritalin step by step for awhile and anticipate nothing but good results.

…and as for the aliens, you can relax. They’re meek, friendly and smart enough to stay well away from the two-legged heavily-armed dragons that infest this little ball, especially the smarter, more impulsive ones like you and I. ;]


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January 26, 2010 at 12:40 am #92102
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im on strattera and for the first week or so i felt really really sad and depresssed even more, but it passed and i am now slowly increasing my dose, i felt real sick at the start too but i got passed and stuck with it. i am also on lustral and have been on that alot longer than strattera, i dont know how i would be with just strattera but for now im on both.. it seems to be going ok though it stil early days, but i wll say that yes i felt real rough for the first little while then i got past it…you could try again mybe and try gettin past the rough stage and if not then i guess its good to try somethin else, i felt dreadfull at the start but im glad i stuck wiht it.. i hope you find sometin that suits you. i have only small changes but i am on low dose still and its too early, im still impulsive forgetfull unorganised and impatience when others talk to me etc etc bu t i feel little less frustrated and abel to listen small moments at a time..small steps i guess , but i forget that most of the time and beat myself for not being able to function like others, aliens..


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January 26, 2010 at 4:25 pm #92103
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lol, the alien statement was simply to point out that I get some really weird thoughts/paranoias. I don’t even believe in aliens so it’s ironic that in my more paranoid moments that I worry about stuff like that. haha, yeah, if they do exist though, they probably stay away from the likes of us.

I was on Strattera for a month, I was depressed but ok on the lower dose, but as I started to raise is when it became very bad. Now, what feels like the issue is that these kinds of meds always throw you for a loop when you first start taking them, and I just got a new job. I can’t pull out for a month to work through the effects of medication, nor do I feel inclined to tell my employers why I would be acting so odd.

For example, last year I was taking new medications for migraines (from the same neurologist who didn’t believe I had adhd, if you read the other post) and it was like someone had taken my ADHD dial and turned it up four or five notches. Organized? Brain mouth filter? Me, aggressive? lol, yeeeaaah. I did tell people I was taking medicine then because I was offending a lot of people (it doesn’t matter if the local queen bee is a bully. Telling her will never go over well. Also, telling her enforcer that if she truly understood her own language than insults would be better delivered is not a recipe for making friends in the work place). It seemed better to air my dirty laundry than to burn any more bridges. Um, there was a lot of politics at my last school.

Anyway, those experiences taught me that good meds can backfire so I am cautious to take them now. I can do my job, I’m just an underachiever who sticks with year-to-year contracts.

I guess I’m just worried that if I go back on meds I’ll end up getting fired before the good stuff starts happening.


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January 27, 2010 at 1:13 am #92104
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I suggest you push your therapist on the issue of other conditions (co-morbid?) you may have. From my reading and from personal anecdotes, I understand that an undiagnosed bipolar depression can manifest under ADD medications. Just to be sure — it’s not uncommon for a physician to miss something like this.


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March 9, 2010 at 7:11 pm #92105
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I have just recently started on Strattera , and I have been having quite a bit of difficulty adjusting. I have ADD and was diagnosed with it at the age of 45. I was on Ritalin and concerta for a year and I found it to be too much or I felt jacked up. My doctor has me on 40 mg and I feel extremely sluggish but not as ramped up as I was on the concerta. I was encouraged by chips statements and I hope at the end of the month I will have the better sense that this is helpful


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March 9, 2010 at 7:49 pm #92106
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Ok everybody , i am going to see my GP on Thursday about ADHD , any insight, i am very nervous .

I just do not know how he is going to react .

I am going to take my wife just for back up .

Please let me know what to expect .


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March 9, 2010 at 8:48 pm #92107
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Clive,

It depends very much on your doctor. My GP isn’t that well versed in ADHD, and he had me referred to a psychiatrist for assessment, who then prescribed the Strattera to me. Bringing your wife is a good idea, by the way, I did the same thing.

Doctors aren’t much on judgment, as far as I’ve experienced, anyway. He/she got into medicine to help people, not to scare, intimidate, pooh-pooh, or cast aspersions on your concerns.

I actually have my own (rather icky, sorry) Stattera question. I’m also on Wellbutrin. The daily doses of each are 60mg Strattera, and 300mg Wellbutrin XL. I had constipation issues before when I was only on Wellbutrin, but coupled with the Strattera, I’m lucky if I get a movement every 4-5 days, and then only with the help of Docusate and senna laxative. It is horrible. Frankly, I don’t like that part at all. When that day of the week comes I’m miserable with cramps and whatnot. Does anybody else experience this? If so, other than the usual bits about fibre, good diet, and exercise (I’m getting enough of all 3, thank you) did you do anything else to counteract the constipation issue?


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March 24, 2010 at 12:37 am #92108
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Side effects of Straterra…

So I juststarted Straterra in addition to the wellbutrin I have been taking for over a year now. I am 47 years old and have never hd these types of problems but as soon as I started with the Straterra I now have what they call urinary hesitancy and the much dreaded Erectile dysfunction. Will these side effects pass? I have been on Straterra now for 2 weeks and although my mind has never been this clear and positive, I have to admit the side effects have taken much of the joy out of this for me. Please tell me this will pass in time.


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March 24, 2010 at 2:40 am #92109
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I started taking Strattera a couple of years ago. I had a rough first month (headaches, sluggishness, hard time sleeping) but once it kicked in it was awesome. It helps control the impulsivity and doesn’t seem to have any physical side effects for me. Additionally, it helps with my low level anxiety. The downside is something you will all recognize. I’m used to this scenario: I have something that needs to be done, when the ‘pressure’ reaches a certain level, the focus kicks in and I get ‘in the zone’ and get ‘er done. With Strattera I don’t ever hit that pressure wall (like I said – helps with anxiety) so by the time the focus adrenaline kicks in, I’m WAY late starting. But hey, I don’t seem to get too anxious about being late any more either.


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March 24, 2010 at 3:14 am #92110
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Oldman – I have the urinary hesitancy for about 4-6 hours after taking it in the morning – the first urination after lunch can be incredibly drawn out, and often is rather uncomfortable, if not slightly painful. ED isn’t as much of an issue as is the premature release issues that I’m now experiencing. I’ve been on it since January. Couple that with the constipation issues and it hasn’t been a fun ride. I pretty much have to chew gum or have mints in my mouth every hour or so too as I have such a dry mouth now. Keep me posted on how your doing, and I will do the same, please! I’m also nearly your age – 45. How much of each are you taking? I’m on Strat 60mg/day, and 300mg of Wellbutrin XL/day as well.

JQ – I had the headaches and sleeplessness too, but they diminished. Just make sure to take the pill on rising every morning – couple times I’ve forgot and taken it when I realized my error mid-afternoon – and didn’t sleep until 3am either time.

Spoke to my GP last week about maybe switching, but I have a history of alcohol abuse, and he’s hesitant to switch me to a stimulant instead. Didn’t think much of my argument that I drank BECAUSE of my ADHD, and it calmed me down – which I still think is true – in school I drank when writing essays so I could focus, then proofread the next day when sober. Weird system, but it worked to a degree.


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April 1, 2010 at 12:32 pm #92111
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hey JQ and WALt, i am on strattera and at a low dose still at the moment 25mg and 50mg of lustral (antidepressant) it tool wihe to get past headches and initial sideeffects then when ok for bit but recently hit a suciadal depression-

have you ever experienced this???

my doctor said that as things are being sloewd down i am going to feel things alot more so this is expecteed and try stick with them but i feel this is too much and will suggest next week if i try another type of med .

i too have been in recovery for alcahol and drug abuse and i am clean for the past 6 and half years, so stimulant drugs were a concern to my doctor, but if this horrble dark depression doesnt go then i really do want to stop strattera,i am open to try stimulants meds, i dont want to go down the path of abuse again and i have no motivation to do that either so i hope that if stimulant meds are tried that it will give me some quality of life that i have never experienced -because adhd and depression my life has been a constant struggle to say the least and now that i have been diagnosed i just pray for some sort of relief and bein able to get trhough life acheivin the simple things that i find so hard to do!!

i am also scared of what i have read about strattera sein as it is such a new med too and it seems the bad reviews outway the good ones, would you let me know how you get on with stratter and what your doctor suggest as an altrnative if you cant take stimulat meds. hope you are well,

i am glad of this site!! as verry few people know i have adhd, they kinow i talk lots from topic to topic and hyper as can be! and dont focus on what they are sayin but dont know of my diagnosis as i am not able for the negatvie responses (my family wont even except it even though they spent years piontin out all my adhd traits!!!!!) so its good to hear otheres in the same boat as mysellf!! thanks for your posts!!


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April 1, 2010 at 12:37 pm #92112
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MArk, i just saw your post.. how is strattera workin for you now? i hit a verry bad low so i upped my anitdeepressants and see if this helps if not then i will come off the strattera, my doctor had said i bound to feel things more for a while but i hope this will pass.. there seems to be lots of reivews highlightin the depression with strattera intake so im not sure how this will turn out, i will stick with it another little whiel and see, especially as things did get better after the first initial adjusting to it.. i hope things have workede out with you? it seems bit of a rollercoaster with meds but there seems to be some encouraging results on these posts, so myb it just takes bit of time and tweeking?!


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April 6, 2010 at 3:37 am #92113
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Remember atomoxetine (Strattera) is very closely related to fluoxetine (Prozac) which accounts for some of the side effect that people are talking about (emotional mood swings, erectile dysfunction, suicidal ideation, headaches, nausea) but the noradrenaline action of the med also causes the bladder retention (which is good if you are a bed wetter but bad if you are over 40).

By the way, you can take a stimulant and Strattera together and get the benefit of both. You can also take Antidepressants (except Prozac or Paxil) with Strattera.

The side effects are manageable but it does take a long time to work. You may not even notice the changes it is so slow.


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April 6, 2010 at 8:42 am #92114
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thank you doctor J ! it good to hear to that it takes a while to work so mayb i will stick with for longer to see.. thats true that i haredly notice any changes yet and i been on them for few months now and this was giving me more reason to come off them, but if its common knowlegde that they take long time to work then its worth sticking with it i guess, thankyou..


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April 7, 2010 at 12:54 am #92115
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Dr. J.

I wanted to better understand if these side effects you mentioned like bladder retention and ED will go away over time or if these side effects will be permanent as long as I take Strattera. I have been told by my GP that the benefits may take time but he was unclear as to what to expect in terms of these miserable side effects. I have been asked to continue with Strattera for a couple of months but I was hoping to hear these side effects would go away over time as my body adapts to the meds – any insights would be greatly appreciated.


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April 8, 2010 at 5:47 pm #92116
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Dr. J,

Thank you for mentioning that you can take Stimulants and Strattera together. I have been on med’s for a year now and I started on Dexedrine. It worked great and I could really focus on things. The only bad was that there was definitely an edge of implusivity. My doctor also perscribed Strattera, and that took care of the implusitivity. I have had continued side effects of the Strattera, including bladder retention issues, erectile dysfunction and pre-mature ejaculation. This has been going on since I started taking the Strattera.

I have done a lot of reading about the generic Dexedrine Tablets from Teva and many of those who take them, myself included, sense that they changed the formula somewhat. I know that by law, that they have to have a certain amount of the active ingrediant, but they don’t have to have the same inactive ingrediants, hence the difference from the brand name. The overall opinion is the the generics seem “dirty” or they just don’t work as well as they once did in the past. I brought this up to my doctor and requested to try the GSK brand name spanules. So instead of taking, 2 x 5 mg tablets 3 x per day, I now take 1 one 10 mg spanule 2 x per day. I’m only a few days into taking the brand name spanules, but WOW, I can tell a big difference. I am trying them without the Strattera and so far the implusivity edge that I had with the generic tablets is not there.

Dr. J, can you tell us what your experience has been with your patients and to the differences between the generic and brand name medications?

Thank you in advance.


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June 29, 2010 at 2:08 pm #92117
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I currently take 10 mill of adderalonce daily – sometimes every other day and it works great. My only concern is that it tends to elevate my blood pressure – I am 45 male – > I was considering alternatives thnat woulkd work that don’t have adverse effects on B P. I treid welbutrin ata low dose for 10 days and it did not work wel – made me feel nervous, anxiius, foggy, jumpy and agressive.

My doctor suggested stratera – but honestly – being AD and impatient – I don’t kniw if I want to suffer through side effects for a couple of months to see if it works – as I have something that works great – Adderal- but am just concerned about B P.

Any general suggestions – should I stick with what works – Adderal – even though I have B P concerns – or try Stratera?


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July 16, 2010 at 10:18 pm #92118
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Hi all. i started medication about two years ago. They have me on Adderall, fluoxetine, Strattera. Side effects for the most part are not there but I seemed to have a bout with dizziness when I first started Strattera. From what I understand some can get dizzy from it and some don’t. Well I did but i have to tell you, when they took me off of it, I noticed the difference in a short time. Remember I went 47 years with out medications and then when i started taking them I noticed how much they helped. So for now I’m going to start taken the Strattera again up to a dose of 80 mg. ( sorry, no time to retype it out again) I copied this statement from my first time posting in the side effects thread. LOL.. Be right back I need more Cake. Been craving chocolate so much as of late. LOL


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August 19, 2010 at 3:32 am #92119
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All the meds will effect the heart BAM123. If U have prior risk factors, check with your doctor or cardiologist. Regarding taking time……lifestyle changes will take time. Don’t look for instant cures. Look for long term repair of a life of misperceptions.

Hope the cake was good.

Always speak to your doctor before making any changes to medications. Dr. Jain provides advice generically and not for any one person. Advice does not constitute a therapeutic relationship or promise of care. Please consult the privacy policy for more information.


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October 16, 2010 at 2:30 pm #92120
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I started taking Strattera about 6 weeks ago starting at 10 mg daily and working up. After 2 weeks at 60 mg, I noticed something different with me, but couldn’t put a finger on it. My Doc then moved me to 80mg and after 4 days at this level the change was instant. I woke up after an 8 hour sleep, did my regular routine, (get dressed, breakfast, coffee, work) and as soon as I got to work it was like I was hit by a lightning bolt. My head was focused on work. I knew what I was going to be doing in 10 minutes. I could walk across the shop and know why I was there when I got there. Physically, I feel like I have consumed a number of pots of coffee but without the jitters. The energy and determination to do stuff is there. Since this time, I’ve noticed that I wake up when the alarm goes off. (No more hitting the snooze button). Talking to people I don’t know on the phone is less draining. I used to wake up from a sound sleep, and my mind would race for an hour or so thinking about bills that I couldn’t pay. Gone. The only “bad” side affect so far are when I urinate it feels as though I have some urine left inside (there isn’t) and I’m loosing some weight (I eat the same, but my pants are getting bigger:).

The best way I know to sum it all up: That fire that my many past employers have been trying to light under my @55 has been lit!


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December 16, 2010 at 10:55 am #92121
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I am on 40mg Prozac and 40mg Strattera. What say, Dr. J? A bad combo of meds? I’ve not been diagnosed yet. My GP and psychiatrist are suspicious of ADD and/or bi-polar and/or brain injury. The GP started me on the Prozac earlier this year after an accident, and the psychiatrist introduced the Straterra.

I’m still not able to stay on task as well as I wish I could. But my rage has disappeared. And my drinking is down. However, I think the Straterra is causing me to bite the insides of my cheeks and the sides of my tongue. As well, I believe it is allowing me to act out my dreams (at least with my hands and feet). I have a second session with the psychiatrist at the end of the month.

Side effects I’ve noticed about Strattera – besides the diminished sleep paralysis and involuntary self-cannibalism – are very dry mouth, upset digestive system, and burning in my lower esophagus. I’m trying to quell the latter with famotidine tablets and half a dozen Tums with calcium, something my body needs anyway… to no avail. I’m fearful it might affect my vocal chords and I’m just now starting rehearsals for a part in a musical.

Regarding aliens, I don’t fear them. Rather, I used to fear for the inalienable rights being trampled upon by the U.S. Federal Government. But, now with the meds, I can reason that I can always flee to Canada.

By the way, neither of the meds has done anything to allay the anxiety I feel when I see misspelled words such as, say, the word “seperated” which I see below this Reply posting box.

Written tongue-still-in-cheek. Hopefully.


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December 18, 2010 at 5:59 am #92122
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I’ve been diagnosed with major depression, bi-polar rapid, and ADD, not much HD but maybe the bi-polar mania boughts are really adHd? About 5-6 years ago I started getting treated for moderate hypertension. I am now on Cardivelol, and Micardis/HCT. My BP is really well controlled – heck I measure out like a marathon runner now! So, here’s my problem…

My ADD symptoms are out of control. Inablility to maintain attention with anxiety and a strong futile hopelessness in a strong but general way (making sense….?). A few years back I was scribed Strattera and Wellbutrin. This combo worked really well. I found I was feeling well, and I could really focus at work and concentrate. My boss even noticed that. This I know by his recent exclaimations to me that I used to be so great at “x” or “y”, what has happened. Of course I can’t tell or say because my low self esteem and defeatist attitude simply says — YOU ARE SO RIGHT… sucks.

So — I digress. After being on the combo of Strattera and wellbutrin for many months, I had a small siezure at work. I work in a large plant, and during a ride back to the office in a cart, I thought my boss was rudely poking me in the face. I was having what the neurologist called “alien hand syndrome”… ;-) NO REALLY. Has nothing to do with aliens, just that you think someone else’s hand is slapping you up… SO – my BP shot up, I nearly fainted, I couldn’t hear people talking to me, yet the “alien” part was saying things while I was saying other things. Tunnel visioin and a ride in an ambulance later, cat scan, eeg, NOTHING. NO TIA event, nada. All well again.

SO — my dilema is can I ever take a medication to rid me of or level me to the “playing field” as RG talks about (LOVE THE VIDS RICK). I am so distracted and scattered.. I have to, must do something. Dr. J if you chime in it is appreciated, but with this long story I see how the ADD/HD diagnoses is very very hard.

I just want to get back to my life.


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December 21, 2010 at 1:14 am #92123
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OK – this thread needs some freshening… me – I knew I was ADD somehow, but recent events and the show proved it to me.

So – I started adderal today. ER/XR in the morning and a fast acting if needed afternoon. I’m not going with Staterra because of the issues I mentioned 2 days ago. I hope I don’t have any kind of seizure with Adderal, but I am on the lowest dose I think.

Any words of encouragement will be eaten up!


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December 21, 2010 at 1:15 am #92124
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OMG – I posted the last two times…. I’ll stop that now so someone chimme in!


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December 21, 2010 at 5:08 pm #92125
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hey all, sorry to jump on my own line here, but in college I tried Strattera and it was horrible for me. Idk if it exists, but I’m more of a lethargic ADDer (its why my parents never got me tested till college, thought I was just lazy) and I found that Strattera might be better for someone a bit more hyperactive so I ceased use. I’ve been reading through and there are so many medication names thrown out on these forums. I have anxiety and get more easily depressed, but those are more of high lows with the mood swings and stuff. Does anyone have any suggestion for medication? I am so sick and tired of not being what I know I can be at work and in life, and I feel bad for getting upset at my boyfriend for the littlest things. Its so easy to try to stop yourself and breathe and remind yourself whats causing this, but I’m ready to take the next step. TIRED OF LIVING LIKE THIS! haha thanks guys!


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December 22, 2010 at 5:25 am #92126
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No apologies! When I was on Straterra, I actually did find some good focus and improvement. But — for me it was the wellbutrin/straterra combo that set off something wierd in my head, hence the hemispherical siezure (that’s one thing they called it). There are a bunch of different meds, but it seems that they are grouped into 3 catagorys. Please do your own research cause I ain’t no doctor. But — aren’t they amphetamines (basic), Methylphenidate (concerta) and straterra? As for what I can read about the conccerta is simply a precursor to amphetamines and a formulation that makes it “unabusable”, having to pass through your GI tract before becoming amphetamines in your blood stream, hence if you inject or snort it nothing happens. Unlike adderal and ritalin which can be abused. Straterra well, it’s unique? So – what good did that do other than blog on your question? Probably nuttin. BUT — and the big point is your last comment. TIRED OF LIVING LIKE THIS!? Yes – - you realize you hit the sweet spot with that question! I’m on my 2nd day of Adderal, and it’s a little heady. I slept like crap last night waking up every hour like clock work and night sweats.. (sorry, yuk). However I feel like I am in control and had a few good lucid moments, concentration better, didn’t feel the need to step on conversations. I am also in consultation with a behavior conselor to get a handle on it. Try everything but hang in there!


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December 24, 2010 at 10:40 am #92127
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I have been taking 300 mg of Wellbutrin XR for awhile now and started last week taking Strattera. I just moved up to 40 mg. It has only been a week but I already feel a slight concentration change. Not major. I have developed some insomnia where I can go to sleep for a couple hours. 2 or 3. Then I wake up and I can’t go back to sleep. Also dealing with the ED.


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December 31, 2010 at 11:07 am #92128
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I have taken straterra for a few years, off and on, I was on it for one year and went off to get pregnant; which i did not a big difference. When i was breast feeding I went on Ridalin (generic) becasue of the way it connects to the milk its safer- but it didnt work as well as straterra. I got back on straterra like 8 months ago and its been good, when im on it I sometimes think “I dont need meds” but if I miss it one day I can then tell that I need it. I’ve also started to do Yoga and its helped as well. Im into natural cures and help so someday I hope to be off meds altogether but for now I want to maintain focus at work and with my relationships.I never seem to see alot of post about moms and add so I wanted to just talk a little about it. Thanks


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July 21, 2011 at 4:41 am #92129
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I was diagnosed with ADD a couple months ago and my doctor started me on straterra. I hated it. True my focus did improve, however i would get motion sickness from reading. Also, if i didnt eat enough in the morning (who has time?) I’d get nauseous and sick. Im a university student and although my grades went up, I couldnt handle the side effects.


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