r/StratteraRx

50mg (2x25mg) as next step one week after start or waiting for 40mg?

I started with 25mg (in the morning) 4 days ago, coming from Vyvanse. Just a few side-effects like a dray mouth and tiredness. Feels like it already improved/stabalized my adhd-symptoms a little bit.

My doctor said, if everything is fine, I can increase after 1 week to 50mg (2x25mg). We will meet again 4 weeks after start.

My question is, should I wait with upping dose, that I can ask for 40mg as next step, or should I move to 50mg after first week if everything is fine?

I thought that missing 40mg could be bad, because 40mg could be the right dosage and probably I could not stay at 50mg for longer, because I think it's just meant to be a step next to 60mg.

My other questions would be, If you say do the 50mg step, splitting dose to 2x25mg?

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u/PsychologicalRing160 — 15 hours ago

Weight Gain After Ending Straterra?

Thank you everyone for answering my questions about if Straterra also caused excessive sweating/inability to regulate body temperature and constipation. I’ve stopped taking the med after being on it for around 6 months. I’m sad because it worked well for me and I always have extreme side effects to meds.

I want to ask, has anyone experienced rapid weight gain after stopping the med? I gained 8 pounds in less than 2 weeks without any major activity or diet changes. I do have lots of other health things going on (iron infusions and possible GI issues) but I also have been eating better and walking more. I was expecting to at least lose a pound or two not gain more! I’m wondering if it’s a meds issue…

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I'm 90% sure I just double dosed 80mg atomoxetine for 160mg total. Do I need medical attention?

Hey guys. I've been on 80mg atomoxetine for about 2 months now. I'm like 80% sure I just accidentally took my pill for the second time tonight while not thinking much about it. As soon as I took it I realized I already remembered taking it once. I ran to the bathroom and tried to throw it up but couldn't.

I know Adam oxygen is more about the effective levels in your bloodstream and chemical levels changing over time long-term. However, I'm wondering if this one-time dose will hurt me. It would be 160mf which is way over the max of 100.

Do I need to go to the emergency room or contact the emergency line at my psychiatrist office?

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u/BalledSack — 2 days ago

Strattera and side effects

Recently I started atomoxetine 40mg after being diagnosed with ADHD. I'm having a few side effects. I've seen posts that I'm wondering if there's any other suggestions besides what's typically post. One, is it knocks my ass out for hours. Which is great because I'll start taking it at night in replace of my nightly nyquil, but I'm tired all day. Then I wake up, and my heart is pounding through my chest for a while. Eventually it goes away. The biggest problem is the constipation. I started miralax to help but I know it can take a few days. I'm trying to drink a lot of water. But I cannot increase my fiber intake. I have an extremely sensitive stomach and eating things with high fiber will quite literally put me in the hospital with the issues. I've experienced this before. I'm only on week one of the medication, so I'm wondering, has this gone away for people? And also, what have you done to help get rid of the constipation?

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u/xRandom066x — 1 day ago

Pharmacogenomics Testing and Strattera

Sharing in case it helps others:

I’ve been on varying doses of strattera for the last 3 years with great success. I recently started tapering down from my top dose at 60mg to 40mg to 25mg (as my partner and I have been thinking of starting a family). I noticed zero negative side effects during taper (1 month long each step down). On my final month, my psychiatrist had me do 25mg every other day and that was a mistake. Though 25mg is a very low dose, on every other day I had horrible norepinephrine thrash (irritability, negative thoughts, poor reaction time including while driving) forcing me to go back to 25mg daily. I have stayed here.

As part of this process I have done Pharmacogenomics testing. What I learned (amongst other factors like hereditary cancer risk) was that I am what’s called an intermediate metabolizer of the main enzyme strattera acts on - which means my body processes it slower than the average patient.

I recently met with a new OB specific psychiatrist who said the Pharmacogenomics

Testing results were extremely helpful in determining why I felt so horrible on every other day even at 25mg - as it acts more like 40mg in my system… and helped me develop a custom treatment plan.

If you’re struggling on your strattera dose, it might be worth getting this testing done to inform your treatment - it can also tell you key info about how you might metabolize other psychiatric medications too! Sending all the best to those on the journey!

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u/Winter-Investment888 — 2 days ago

4 hours in, I feel awful

Hi everyone today is day 1, 40mg I’m 4 hours in and I have been so tired. I took a nap and shower and felt like I was going to tip over. Even when I’m sitting I feel like I am going to tip over. I seem very quiet. I feel almost like I’m high or something I can’t explain it but it doesn’t feel good. I also feel very cold. Is this normal or my body telling me this isn’t for me?

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u/Express-Return-1014 — 2 days ago

My success so far

I replied to someone else’s post with this info but thought it would make for a good post as well.

I'm about two weeks on the 40mg dosage, before that I did a titration period of lower doses for 2 weeks, so in total it's been about a month. So far the only side effects have been more sweating, more drowsiness and a few headaches. I'm coming off a bad cold so while I was sick I was down and out. I set aside yesterday to go to the gym, work on stuff for uni, wash the bedsheets and wash a few dishes.

Got up yesterday and started off well, cleaned and changed the bedsheets (which is something I usually struggle with) and then crashed the rest of the day because I was feeling suddenly tired. I was feeling upset by the time bed time came around, but decided that's just how the day went and started getting ready for bed.

As I started doing that, I thought it would be good to move a couple things in the sink so that doing dishes another day would be easier... then I did a bunch of dishes... and also put away all the (ambient) groceries that had been sitting in bags in the kitchen floor for a couple weeks, cleared up all the rubbish from the kitchen, bathroom, bedroom and toilet, AND had a shower.

The kitchen went from being an absolute mess in every aspect, to only needing to do some more dishes for it to be complete done.

What's even better is that I'm ONLY able to do things when there's some external motivation, like a housing inspection or guests or something, but I was able to JUST DO THINGS BECAUSE THEY NEEDED TO BE DONE. Mind blowing stuff I tell you. I really hope this stays consistent because if I can keep up with this trajectory it will genuinely be life changing.

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u/theGongoozler42 — 22 hours ago

How do I know it’s working?

Hey y’all, I’m on Strattera 40 MG. It’s been two weeks now so far I’ve felt slightly more emotionally numb I feel like I’m paying a little bit more attention but I’m worried it’s placebo. How do I know if it’s working or not?

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u/Professional-You-4 — 2 days ago

Dose too high?

I’ve been on 40mg for 1.5 months and upped it to 60 mg. Since then, I’ve been on 60 mg for 17 days. I’m really confused if I’m still in an adjustment period, if the dose is too high, or this is normal.

On 40mg I felt motivated but it was inconsistent day-to-day and didn’t last very long, which is why I was recommended to up my dose.

Now on 60mg, I feel emotionally numb. While I can sit and do tasks much longer, the quality of my work seems worse. Everything I read feels like mush and my brain processing feels way slower than it should.

Any thoughts?

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u/Accomplished-Rub8544 — 2 days ago

Atomo 40 mg / Food Addiction

Hello!

I’m on day 12 with Atomoexetin. I’m F28, ADHD and unfortunately food addict and binge eater.

Since the first dose I felt food noise where better and I didn’t craved as much food as I do when I’m unmedicated. I was really happy.

Then my Luteal started and sugar craving come back but it wasn’t that bad like unmedicated.

I start bleeding tomorrow and today I was eating a lot and I’m now Little Bit afraid if the Appetit loss effect is gone. I’m so afraid about it, because these food problems follow me since I’m a kid!

Beginning of May we will increase the dose to 60 mg.

Anyone who experienced that food noise suppression/food addiction got better when they get to the medication? I mean is there hope that it will improve in a few weeks, because the med needs 6 weeks for therapeutic use.

I eat high protein and healthy and I really need some success story’s and weight loss story’s… some experiences!

Thank you

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u/Confident-Drama6821 — 2 days ago

Strattera + other Rx

Healthy Female age 57. Curious if anyone has taken Wellbutrin and Strattera at the same time? My Psych said these combined were not a problem. Feel I am taking so many mental health meds as I take Wellbutrin and Duloxetin and hesitant to add a third? My ADD is at its highest right now for various reasons so feel I need something for better focus. I cannot do stimulants, so this seemed like an option. My mental health is optional right now so hesitant to get off Wellbutrin or Duloxetine. Appreciate any insights. Though there a lot of negative posts here about Strattera, I know several people my age who have had great results with it.

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u/freshairprettyplease — 2 days ago

Strattera helps some

What do you do when strattera helps some symptoms but not all? I’ve been on strattera for 2 months. I’ve been at 60mg for one month. It has helped lower anxiety and rumination a lot. I have noticed big improvement especially with social anxiety. It lowered emotional eating and food noise. My brain is quieter.

It has not helped with motivation or initiation. I still fell task paralysis, overwhelmed and don’t know where to start on task. I still hyper focus and do deep dives on random topics when I should be working.

I have my next psych appointment on 4/24. Anyone been in this situation? What is most likely to help? Increasing strattera, adding stimulant, or stopping strattera and trying new med.

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u/Tallieanna38 — 3 days ago

Does the depression and flatness go away?

I’ve been on Strattera for 3 weeks now, 2 weeks on 25mg and 1 week on 40mg and I’m still feeling pretty flat. It’s like my mood is constantly the same and I don’t feel excited or happy about anything anymore. My depression and anxiety have also been much worse even though I take this alongside fluoxetine 20mg. Also have no motivation to do anything except work and housework which sucks.

Does the flat/depressed feeling on Strattera go away the longer you’re on it?

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u/mangopie97 — 3 days ago

Not sure wether to move to 40mg

Hey peoples. I’m about 30 days on straterra 25mg and wow it’s helped me. I’m super stimulant sensitive so this was our option and at first I didn’t think it would work but wow I can’t believe I’ve been living the past 23 years with my head so loud all the time. My adhd manifests more in my emotional regulation and flooding and this has like almost completely quieted my brain. But I’m starting to feel the past few days that I’m not feeling as much and my anxiety that was alleviated from this is kind of coming back? Like it’s not horrible it’s way more manageable than before but I wonder if I could be benefitting more from this bc I’m at such a low dose.

That being said, has anyone moved from 25 to 40 and felt positive changes? It’s like I’m scared to move in case it doesn’t work for me lol and ruin the progress I’ve made.

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u/Coldpillowpls — 3 days ago

First day taking it

Hello!

Today is my first day taking this medication, and I was SO sleepy!! I accidentally took a nap and slept for like 4 hours. Is it safe for me to take Zzzquil tonight to get back on track? I already know I'm gonna be up all night if I don't

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u/ginger_princess2009 — 3 days ago

40mg->60mg side effects

Hello all,

A couple weeks ago I got prescribed 40mg Straterra and it worked wonderfully with little to no side effects. Eventually the good effects wore off and I felt like I wasn't able to concentrate. I was moved up to 60mg and after taking it last night I was so tired and slept so long and have been drowsy all day. Does this go away? (20M btw)

Also I usually take it at like 8pm. I am considering taking it earlier at 6pm to avoid the drowsiness the next day.

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u/Excellent_Rough9439 — 2 days ago

Reflux Worse

I had started a higher dose weeks ago and coincidentally acid reflux has gotten worse. I was dealing with something causing me coughing but I can’t stand it. I can’t sleep. I take it with food. I’ve been to ENT and GI.

My reflux is mainly post-nasal so bad that even sitting up doesn’t help. Been coughing like crazy. I was also blaming GLP1 for this because I got off months ago. I thought it caused my reflux but idk anymore.

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u/FoodieTech — 3 days ago

Self-medicating advice

So, I am currently on a waiting list for an appointment to get assessed, but it’s gonna be a very long time, and I really want to get some relief now. It’s possible to buy grey market atomoxetine where I am, and I think I’m going to go this route while I wait. Does anyone have experience with these, know what to expect, what I should be tracking to be safe, etc?

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u/lfletcherc — 1 day ago

Straterra used for POTS fatigue.

hello everyone,

I have been on Atomoxetine (off label) since December 2024 for POTS fatigue. I do not have any diagnosed mental health ailments or ADHD. at first, it seemed the straterra really gave me an energy boost. I started 10mg 2x a day and am now up to 25mg 2x a day. I have noticed over the last few months that the Straterra is starting to cause (worsening) nausea for me and no longer is affective in helping with my fatigue. I am not interested in going up a dose due to the nausea and want to come off of it completely. I do not see my autonomics team until June but I’m wanting to stop it now.

i was hoping to connect with someone else who has been on this for POTS and has come off of it (cold turkey) and what to expect.

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u/PrettyMuchTofu — 7 hours ago