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Strattera (Atomoxetine HCI)

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Old 11-03-04, 01:21 AM
jaymarc jaymarc is offline
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1st year med student about to start on strattera

hi,

I just got back from the psyc today and came back with a couple of strattera sample packs. I was diagnosed with ADD awhile ago in undergrad and I was given a prescription to adderall which worked pretty well. I started medical school this year and I tried to do it medication free (after all who wants their docs to be on amphetamines) but I have struggled a bit to keep up with my peers. But after reading through this forum I have become concerned about taking strattera because I have heard horrible thigns about its side effects. I have a very large test block in two weeks and I dont think I can afford to sit on the sidelines for a few days. I am thinking that i may need to call the doc up and ask for adderall XR and maybe wait for winter break or even thanksgiving break to start the straterra when I can afford a few mental days off. anyhow I dont know if there is anyone out there in a similar situation or I would just like to know what you guys think.
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Old 11-03-04, 03:50 PM
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I Would Want My ADD-Doc on Medication

Dear JayMarc,
. . . I started medical school this year and I tried to do it medication free (after all who wants their docs to be on amphetamines?) . . . if my doc needs amphetamines, then I want him on amphetamines! I'll bet his other patients (& wife) do, too. Wouln't you? Come on now, give yourself a break. Good luck in finding the right treatment & tear up those exams!
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Old 11-04-04, 02:39 PM
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jaymarc-

I can somewhat relate-I was just started on strattera this week but I'm only premed (currently slogging through organic chem....) just diagnosed last week-they won't put me on stimulants until I've tried strattera first

my advice is don't take it!!!!! I just called the doc back to have him do something b/c it is making me so tired-I missed all my classes this week and you really can't risk it...i feel like i'm thinking through mud as well-can't pick things up anywhere near as quickly as i was able to last week

i also second girldriver-if my doc needed to be on "speed" i'd want him on it! I'm going for the same future career as you and if i need to do it i will...

of course, this is just my experience...
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Old 11-05-04, 01:19 AM
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I was very, very sleepy after starting on Strattera, for about a week, but that passed. I had some digestive problems, too, but I upped my intake of fiber and have no more problems there. I am thirsty a lot, so I keep water with me and sip all day.

The benefits I feel greatly outweigh any downside for me. Drinking more water and eating more fiber are good habits, anyway.

Having consulted with researchers, my doctor is convinced that the best results come with Strattera at higher dosages. I take 120 mgs. every morning.
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Old 11-05-04, 02:40 AM
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Strattera is a good medication, but, in this case, it's an unknown. Yes, the side effects can be bad sometimes, but that's true with just about any med. You know Adderall works, so I would try and see if you could get another prescription for it.
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Old 11-05-04, 01:08 PM
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Congrats on beginning medical school.....I was on Strattera awhile and the side effects were so bad, I had to come off....and I was in school at the time too....(not medicine, but healthcare nonetheless and I roomed with a medical resident).....I might suggest sticking with the Adderal as it is familiar to you and seems to work for you.....and sticking with it as long as you have to be "on" and active and responsible -- and showing up everyday -- as a med student....and do as you suggest...wait on the Strattera until the time comes when you can take time to stabilize on it.......GOOD LUCK You've got lots of courage.....
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Old 11-05-04, 09:27 PM
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HI JayMarc,
I've been through med school. Dx with ADD during residency. Wish I had been on meds during med school, I think it would have been a huge help. Its hard enough to go through. I was resistant to start meds but it has been a saving grace for me. Find the med that works for you regardless if it is stimulant or not. It's a long haul, so get your ADD in check. Best of luck
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Old 11-06-04, 02:38 AM
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Wow, lots of docs and med students on here, it seems.
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Old 03-14-12, 10:33 PM
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Re: 1st year med student about to start on strattera

i asked for strattera and was given concerta instead because my psychiatrist said its effect would be negligable i am adhd with a capital H, i hope it works ok for you though i know some people do not find it very efficient but you must only go on what you feel rather than others opinions, and if its really not working go for stimulant based
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Old 03-14-12, 10:35 PM
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Re: 1st year med student about to start on strattera

ps, im a law student a different subject but equally stressful so i understand your urgency to find a med that works, i absolutely couldn't cope with my symptoms any longer....2-3hour lecture on the law of contract has me wanting to run up and down the lecture theatre creating havoc lol
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Old 03-14-12, 11:25 PM
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Re: 1st year med student about to start on strattera

Holy jumpins thread resurrections. The OP probably finished med school by now and finished a years' sabbatical to work for Howard Taft's re-election campaign.
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Old 03-15-12, 12:10 PM
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Re: 1st year med student about to start on strattera

LOL LOL LOL...This is exactly why im on adhd medication....what was that symptom of adhd....not noticing small details/making careless mistakes lol ;p sorry guys...troll moment on my behalf
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Old 03-17-13, 05:14 PM
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Re: 1st year med student about to start on strattera

For the sake of giving my experience to anyone else who may have come across this thread...

40 mgs of strattera with dexedrine is what works for me.

Strattera higher than 40 mgs and I get weird side effects along with hyper focus, the main issue was the hyper focus. However it was not enough. I take 7.5 mgs of dexedrine every couple of hours. Like 2-4 I wanna say. I'm prescribed up to 100 mgs a day of dexedrine, but I know my tolerable limits. The dexedrine does not always absorb properly in my system though. It's kind of a crap shoot really.

Doses at 10 mgs tend to cause hyper focus. I messed with adderall for a bit but meh, that stuff mostly just made me anxious.

Overall I end up at 40 mgs of dexedrine a day, there about, and 40 mgs of strattera with .1 mg of clonidine to level out any anxiety I have. Not med related anxiety, I just tend to have anxiety related to school work and tedious things.

Anyways, as far as strattera goes, if you take a dose that causes too many symptoms try going down in dose. I think docs are too gung ho about prescribing ridiculous amounts of it based on weight rather than efficacy.

Many people quit it, thinking it needs to be at the target dose rather than taking it for a 50 percent boost in treatment and then filling in the gaps with another med. To me strattera will never be an acceptable mono therapy as it only raise dopamine slightly. If it goes too high in dose you start reducing serotonin and create suicidal depressive states.

Anyways thats my response
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Old 03-18-13, 10:22 AM
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Re: 1st year med student about to start on strattera

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Originally Posted by exeter View Post
Wow, lots of docs and med students on here, it seems.
Must be an ADHD thing and not an ADD thing?

I couldn't imagine going to med school, I'd never keep up, even though I am smart enough to be a DR. I am still ADD-NOS leaning toward PI.
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