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Old 06-01-10, 08:00 PM
jmcrookski jmcrookski is offline
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Post Just got off of Strattera - Now Adderall

Background: I've been on 10mg 3 time per day of IR for the past 3 days. Quit Strattera at the same time I started taking Adderall. Diagnosed with Inattentive ADD about a month ago. Strattera was first Rx perscribed and I used a sample thing from the doc's office. 28 - male - grad student - father of 3 - work full time. Beware - Long post below.
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Work was overwhelming today. There is so much to do. I came to work so excited because of the awesome weekend I had. I had so much energy over the weekend and was able to accomplish so much. I really attribute this to the Adderall that I just started taking on Friday. I thought this motivation and ability to accomplish things would carry over to work today. It did not.
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But now that I’m on Adderall, I’ve felt that I care more about life therefore I love my children and wife more than ever. One interesting effect of my non-indifference is that was less willing to put up with any irrational actions by my wife and children. Note: I was very restrained with my children and resorted entirely to verbal corrections versus a swift spanking. These verbal corrections were entirely out of love instead of annoyance and I tried hard to be constructive and offer explanations for why some actions were unacceptable. Read between the lines here and you may think I was just irratable as a side effect, before however I was just a pushover and let my wife and kids walk all over me.
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Like I said I just love more than ever - versus being indifferent. Even now I am very excited to get home and give my five year old daughter a hug and tell her I love her – She is the one that is the most difficult for us. She is very emotional, dramatic and persistent. I think this newfound 'love' is an effect of the Adderall, I just care about life more. But it could still be the strattera lingering and Adderall combined with it.
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Back to the work subject. It really was overwhelming today. I started the day off just fine and was able to focus on the task at hand but looking back, but I really didn’t come up with any definitive results of my work. I took an early lunch because I wanted to get away – grabbed a couple soft tacos and then thought I was feeling tired so also got a Diet Mtn Dew. After lunch I spent too much time reading the newspaper, but I did send out a spreadsheet for a technical team that indicated the specs I need for a product. The spreadsheet looked good and was thorough. I also completed a few other small tasks without too much trouble.
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What bugged me about today is that I’ve had a hard time formulating my sentences, recalling previous conversations, recalling action items, etc. I started to worry this being from the Strattera wearing off – now that it has been a few days since I’ve been off of it. I’ve also worried about it being the Adderall, maybe it gives me energy, but not necessarily a strong mental focus. I also wonder about whether or not I am on a correct dosage and if that would make any difference.
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When I spoke to my Dr. on Friday I mentioned that I liked Strattera because I felt sharper and like I could concentrate better, but what I disliked about it was that it didn’t provide me the motivation to start tasks that I knew I needed to start (at home or at work). Additionally, I cannot afford Strattera, it is a class III drug for my insurance making it the most expensive ($200 per month-ish)
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So we went with Adderall 10mg (I think Barr) 3 times a day. He mentioned the trick being to get the dosage right. Hopefully we can. Here’s what I really want out of my med.
  • Motivation to act on items that need to be completed
    • By nature I am a huge procrastinator
  • Mental Sharpness
    • By nature I am inattentive/distracted
  • Ability to continue to stay focused/concentrate on items at hand and multiple items at once.
    • By nature I am unable to do either of these.
  • Ability to recall things I’ve learned or need to remember for work purposed (names, appointments, assignments I’ve committed to, etc)
  • Generally feel better about myself and that I can learn and improve and become the person I want to be, which is organized on top of my game
I think with Strattera I was really able to focus and recall. I remember reading long legal documents without getting distracted or drifting off in space. That was a first for me. And then with Adderall I had so much motivation over the weekend to get things done in my life and I acted on them. Man the weekend was great, so much was accomplished – I can look back and finally say that I was not lazy over the weekend. - A first in a long, long, time.
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Part of me wonders if the great weekend was a combination of lingering Strattera and new Adderall. One other cool thing about Strattera is that I genuinely felt better about myself and that I could learn and improve so that I can become the person that I want to be.
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I should have been working but I just spent the last few hours at work just trying to understand Adderall, and its effects. Looking back I can’t tell if I’ve retained all the research I just did. There are other things I definitely should have been doing at work – things that I need to accomplish soon here at work, but I was hyperfocused on the internet trying to understand this new diagnosis of ADHD and how to treat it. - I really can't remember much about what I just read though.
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So in a nutshell the weekend on Adderall was amazing. The first day at work, not so much. Overall I liked some aspects about Strattera but it is too expensive for me to continue using it. I am wondering if there's a way to take both, but again - I cannot afford Strattera.
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Feel free to let me know your thoughts about my situation. I really would like to get some opinions - whether or not you can relate to my situation.
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Old 06-01-10, 08:24 PM
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Re: Just got off of Strattera - Now Adderall

Welcome to the ADDF, jmcrookski!

Strattera for a month would not have had a huge effect -- it generally takes 6-10 weeks to really come to full effect.

Meds can help, but they will probably not do all those things you'd like them to.

In my experience (Strattera 100 mg/day for 6 months) the med helps quiet the excessive mental chatter, alleviates anxiety and depression.

But then again, I might want to add a little Adderall on top of the Strattera.
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Old 06-03-10, 05:55 PM
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Re: Just got off of Strattera - Now Adderall

Congratulations on getting off Strattera!

Generics are made overseas if you insist on taking it, however.
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Old 06-03-10, 06:02 PM
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Re: Just got off of Strattera - Now Adderall

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Originally Posted by Naussicaa View Post
Congratulations on getting off Strattera!
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Originally Posted by Naussicaa View Post
Strattera is horrible (IMO).
What was the problem with Strattera for you?

It's the first thing to really work for me in 16 years.
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Old 06-04-10, 11:20 AM
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Re: Just got off of Strattera - Now Adderall

I don't really have a problem with it personally (never had it), but a few of my friends did, and it never worked very well. I'm glad it worked for you though!

It gave one anger issues and its extremely depressing to lose a friend due to anger issues, all from a drug. He gets seroquel and antidepressants too, I'm convinced that the Strattera made him depressed and angry when I tried to explain it to him (since he got those symptoms after the Strattera) he just got angry and I have almost no contact with him anymore.

Other people who have tried it don't like it since it didn't work, or taking it everyday was a hassle. I like Adderall/Dexedrine because I like taking days off when I'm not doing anything, since I'm happier with less meds inside my body.
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Old 07-31-10, 02:50 AM
Jeremy89 Jeremy89 is offline
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Re: Just got off of Strattera - Now Adderall

Just quit Strattera myself. I had been on it since 7th grade- started at 25mg and was most recently on 80mg. Same thing as the OP- it just didn't seem to be working anymore. I was diagnosed in 6th grade and couldn't swallow pills, so I was on Adderall. Once I learned how to swallow pills, my MD insisted on switching me to Strattera- at the time, it was the newest med available, and he recommended it for its non-stimulant properties. It worked great for the past 9 years, but I think my body has become so used to it, it just doesn't work anymore.

Anyway, day 3 on Adderall- my current MD recommended starting 30mg XR and we can adjust the dosage from there. I feel like hell!!! The first day I went back to work having started the Adderall, I got fired! Now I can't blame the medication completely, BUT had I been more focused, I probably would have gone through the proper channels to complete a task, and might still have a job today (granted I couldn't stand it there- this is really a blessing in disguise).

And that is just the beginning of my symptoms. I haven't eaten much since beginning the Adderall (with Strattera at least I ate a lot-it just metabolized fast). The night I got fired, I was up until 2am, unable to sleep (took the med around 7a that morning)- I couldn't tell myself to stop worrying about getting a job. Now most likely the insomnia was partially due to the stress of losing my job, but I had to remind myself I AM taking a stimulant after all. Finally I got out of bed and got online to apply for jobs. I did this for 3 hours until 5am- at that point, I was finally hungry enough to have a couple cookies before my body forced me to get some sleep. I had been up for 23 hours at that point. What a horrible night!!

The following days haven't been any easier- I've been going through crazy mood swings with severe depression at times. I didn't want to be at home, I didn't want to go to my parent's house, I was considering quitting school, but couldn't think of any job that would make me happy. I even apologized to my dog for being such a sh*tty "father" because I was keeping him up late and confusing him!! Also I haven't been able to eat much no matter how hungry I am. I feel like a prisoner in my own body. I know I need the calories, and my stomach physically feels empty (because it is) but as soon as I see or smell food, I literally have to force myself to consume it.

On top of all these symptoms is the fact that I don't think this is helping my ADHD at all!! I feel scattered, can't form sentences, have muscle "tics", and generally just don't feel like my normal self. I'm hoping that its a combination of:
A- stress from my situation, which will eventually pass, or
B- my body adjusting to this type of medication again

How long should I give it to work? My doc said 2 months, but I can't live like this for that long.

Also, I'm wondering if anyone has used Strattera and Adderall together? I'm thinking maybe a 60 or 80mg Strattera with a 5 or 10mg Adderall in the AM might work well. The Strattera worked well as a Norepinephrine reuptake inhibitor, and I understand that's how Adderall works, in addition to being a dopamine reuptake inhibitor. Perhaps the small dosage of Adderall would cover the symptoms the Strattera wasn't helping?

Thanks for listening, as well as any replies!!

Jeremy
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