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Post by roland on Oct 21, 2008 17:08:52 GMT
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Post by roland on Apr 8, 2009 17:49:19 GMT
Information from MHRA March 2009 re warning about Atomoxetine:
Atomoxetine: risk of psychotic or manic symptoms
Atomoxetine is associated with treatment-emergent psychotic or manic symptoms in children and adolescents without a history of such disorders. If such symptoms occur, consideration should be given to a possible causal role of atomoxetine and discontinuation of treatment
Atomoxetine (Strattera) is a selective noradrenaline reuptake inhibitor, authorised since 2004 for use in the treatment of attention-deficit/hyperactivity disorder (ADHD) as part of a comprehensive treatment regimen.
Continued case reports of possible nervous-system and psychiatric adverse effects prompted a review of data from all sources, resulting in updated information on the risk of new-onset or worsening of serious psychiatric disorders, including psychotic reactions, hallucinations, mania, and agitation. Product information for prescribers has been updated to reflect more fully the emerging safety information.
Advice for healthcare professionals:
• At normal doses, atomoxetine can be associated with treatmentemergent psychotic or manic symptoms (eg, hallucinations, delusional thinking, mania, or agitation) in children and adolescents without a history of psychotic illness or mania
• If such symptoms occur, consideration should be given to a possible causal role of atomoxetine and discontinuation of treatment
• It remains possible that atomoxetine might exacerbate pre-existing psychotic or manic symptoms
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Post by Deleted on Sept 23, 2009 22:55:43 GMT
Strattera, does exactly what it says on the tin! no side effects so far just clamer and collected
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Post by haydreamer on Apr 13, 2010 17:52:23 GMT
Hi, I having some weird side effects on day 4 of straterra,(amoxetine( could anyone suggest anyhting-its early days, but I have an important social thing coming up and feeling that people will think Im too quiet or something -although its probably in my imagination!
The most annoyances are moody, irritabliity, feeling aggressive, angry. flu-like symptons, and just apathy-like I couldn't care less- I am usually a sensitive person, so does this apathy go away? I feel unsociable also- are these normal signs, cos don't won't to be a robot. :P
The itching doesn't bother me, but I do feel calmer, alert, but tired all day.
How long will these last- I would be disappointed to stop now ???
Thanks H
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Post by Deleted on Apr 13, 2010 18:10:59 GMT
I had all this and insomnia and i did not get on with it in the end as gave it a month and went up doses but i got to fed up and felt crap...so no good news from me but others seem to go a few weeks then it settles...?
D
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Post by haydreamer on Apr 16, 2010 13:33:41 GMT
im feeling so crap on amoxetine- started 20mg on sat and now its a week tomorrow, I have never felt so drowsy, can;t drag myself of the sofa and so tired, even poor dog needs a walk-just feel so unmotivated- feel calmer but unsociable and too quiet, not like me, also apathy and flat-also felt like this on concerta last year-should i try concerta again or just go on something else-im mainly inattentive-anyone else inattentive adhd and their meds working-would love to know-cos I am really irritating my family with my 'lazyness'' !! thanks xx
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Post by Deleted on Apr 16, 2010 14:21:01 GMT
Although i suffered some of same side effects i had other issues that led me to stop these drugs - i did same as you methylphendiate inc ritalin and concerta then straterra - neither lasted long as felt rubbish
So now on (for 6mths so far) dexedrine (dexamphetamine) 15mg a day - all i can say is - i am v settled and they have made a huge difference - so i cant praise it highly enough
I am inattentive adhd only and have gone from 1hr max productivity at my desk (doing work of any type) to non stop 5-7 hrs striaght. I get more done, with high quality and vastly more motivated. I think my exp is similar to yours and others who are same as us got to Dexedrine and felt the same about it...not all, but most!
Side effects/cons of it are: decreased appetite (not as bad as concerta thought and get better after a while), irritability when it wears off, jaw clenching/grinding when it wears off and in evenings, minor sleep issues but now i am fine (take last dose around 2pm), bad taste/dry mouth (worst one at times), addictive...
And on that point - this is an issue as the resson you get it as last resort is that it is so addictive. It does raise mood level with mild euphoria type feeling when you start dose or go up a dose - this wears off as tolerence builds and you think its not working. You need drug holidays and i take mine on weekdays only and never when i am on annual leave....
Loads to tell you about my exp that may help on using this drug and other such things - so message me if you need/want info
D
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Post by haydreamer on Apr 16, 2010 16:26:27 GMT
ive pmed u-thanks for info:)
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Post by Deleted on Sept 19, 2010 19:25:55 GMT
Has anyone else had water retention from this? My stomach looks like I'm pregnant. Does this calm down?
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Post by Deleted on Mar 22, 2011 16:24:35 GMT
I use a mixture of Ritalin and Strattera. 30mg Ritalin, 60mg Strattera.
I tried both on their own but found they had different benefits. Ritalin helps maintain attention and Strattera helps direct attention. Ritalin increases your "band width" so that in social situations you can maintain a converstion without losing your thread all the time. Strattera stops me being drawn to the innappropriate. Maybe I am not as fun to be with but at least I feel happier in my skin.
It took me about a year to get the dose of strattera right at 60mg.
When I started mixing I found there was a combined effect ( my resting pulse was about 100 ! ), so I would recommend starting at a lower dose of each than you would take as individual meds and build up.
Not a perfect solution but as close as I think I am likely to get with medication.
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Post by Deleted on Mar 22, 2011 16:41:01 GMT
I did that for a bit. But then I stopped again. I cannot deal with the side effects of strattera at all.
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Post by sherry on Mar 22, 2011 21:01:53 GMT
I am on Strattera, 40mg twice per day. I have suffered only one side effect, feeling a bit low, but then that could be the same as being less hyper and calmer. Having been hyper for 43 years, not being so could be a bit depressing. I did like the happy, hyper me, but not the consequences. High one minute low the next, so I suppose being on a flat plateau has got to be better? Never thought of combining stimulants with none stimulents, interesting.
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Post by goosey on Mar 22, 2011 21:20:49 GMT
Interesting that you're on Strattera sherry I'm waiting until my Easter Hols until I change meds. Will be easier without the stress of daily lectures or placement. I'm hoping that it helps my concentration.
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Post by sherry on Mar 22, 2011 21:35:51 GMT
Why is that Goosey?
To be fair it seems that we all respond to different meds in different ways, so it's just trial and error for all of us, I am afraid.
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Post by goosey on Mar 22, 2011 22:01:40 GMT
There's lots on this forum about stimulants, not much on Atomoxetine, so didn't think many were on it, or that maybe it isn't very effective.
.....and because we chose the same career ;D
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Post by sherry on Mar 22, 2011 22:10:22 GMT
Ah ha,
I found the stimulants sent me to sleep, well almost, not good in our job really. Straterra I reckon only calms us down thats it. One of the kids I work with is a lot calmer, but still a psycho, sad really Straterra was promising at the start.
It is worth people who have sucess stories regarding meds sharing them with the rest of us.
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Post by Deleted on Mar 23, 2011 20:40:41 GMT
I suspect we do not get a good deal in the UK.
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Post by goosey on May 12, 2011 17:41:11 GMT
Strattera isn't for me. After reaching the 80mg max dose....all it did was make me feel really lethargic and my brain felt 'switched off'. Not good with exams and assignments looming So back to stimulants for me. Been trying MPH IR, seems to be much better, so will discuss this with my psych tomorrow. Cross fingers for me....Mr Beardy-man doesn't agree with medicating for adhd....so it's quite a tactical meeting. If he doesn't agree with my suggestion..... I might show him some of my childhood hyperactivity traits ;D
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Post by seahorse on May 12, 2011 18:02:13 GMT
Everything crossed for you, goosey!
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Post by goosey on May 12, 2011 19:35:08 GMT
Cheers horsey.....my temper tantrums are 2nd to none.....so listen out around 1.30pm....you might here me ;D
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Post by goosey on May 13, 2011 16:51:31 GMT
Well....that was my last appointment with Mr Beardy man. He made me feel so shit that he can shove his services up his tah-hoola (am trying to be dignified on this thread!) He refused to even talk about Dexedrine and told me he was 'doing everything by the book'. So no phonecall to the QMC for advice, it would be in writing so taking 2 weeks minimum. His timing with exams looming is impeccable I have a script for a months supply of Concerta, think my tears of frustration did that for me ! After 10 mins of angry thinking time, I called the surgery I asked to be referred back to the QMC for a med review and to another psych (hopefully w/o a beard !) that has perhaps read the NICE guidelines or has some basic knowledge of ADHD. So, my anger and frustration was replaced by assertiveness....get in !!
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Post by seahorse on May 13, 2011 19:27:35 GMT
Grrr... I hope his services have pointy bits on (for when he shoves them up his tah-hoola!)
Glad you managed to convert the anger and frustration into assertiveness!
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Post by ChaosLily on Jul 28, 2011 23:41:27 GMT
I've just been prescribed this after a less than happy experience with Concerta XL & mph IR. I ended up spending all day curled up in a corner of the room too sad, unmotivated and anxious to do anything really. I took myself off it, got an appointment with the psych and I feel myself again. As in I'm annoying the shit out of everyone who comes into contact with me. Happy days, at least I'm not crying all the time. So now I'm staring at the prescription reluctant as hell to fill it. After the Concerta XL experience I'm really concerned I'll end up the same way. I've been started on 20mg/day for 2 weeks then up to 40mg. It was thanks to posts on this site that I realised what I was feeling was drug related rather than me melting down even further, so thank you all
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Post by kakema on Jul 29, 2011 6:17:57 GMT
Hope the Stratt works for you, CLil - we need you back to your old self!! There's always dex if not... Be strong!
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Post by ChaosLily on Jul 29, 2011 10:18:25 GMT
Thank you! My psych has never EVER prescribed dex. Looking at the info he has, the front line treatment is mph, then second line treatments are atomoxetine and then dex. He wanted to put me on antidepressants - good idea I thought. Give me a drug to counter the side effects of another. ARGHHHH!!!!! Actually I think he was looking at comorbid thingys.
Right, well the prescription can sit on my desk for a little while longer - I'm off bike rallying! Enjoy your adventures this weekend!
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Post by mccutcheon on Dec 14, 2011 14:22:22 GMT
Well, after a three week stint with Ritalin I've now been on Strattera for about four weeks. It's a bumpy ride but it's looking good so far. I thought I'd give a quick rundown of how it's been for me. I started off with 20mg/day and had a pretty immediate reaction. Softer than with the Ritalin, but definitely improvements with concentration and restlessness. So we went up to 40mg and I was still good. Then I took 80mg for two days and got more nauseous than I ever was in my whole life! I ended up vomiting by choice just so I'd get it out of my system. Unfortunately going back down to 40mg didn't make the nausea go away and I spent the first half of each day feeling like shit. My doctor said the nausea is my brain getting used to the chems but to go back down because maybe I don't even need that much. I took a two day med break to let my system settle down and now I've been on 25mg/day for about 6 days. That seems to work quite well, the nausea is gone on most days, so I'm going to stick with that amount for now. My pdoc has already said that he's going to tell me how I can enhance the effects of the Strattera by taking Omega3 - so I'm looking forward to that option
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Post by Deleted on Dec 15, 2011 15:00:40 GMT
Thats interesting does omega 3 enhance atamoxtines effects then? cause Ill start taking it again if it does. Strattera did make me feel terribly sick and really first for a few hours in morning for first 5 months but it did wear off.
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Post by Deleted on Dec 15, 2011 15:03:27 GMT
Why did they take you off ritalin, for, they put me on it once for week, but Ill never know if it worked as they were weaning me off citalopram at same time. Stupid pychi told me to just stop taking it, never again. Hence why changed pychi.
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Post by ChaosLily on Apr 29, 2012 22:12:43 GMT
I'm still on the Strattera - so far I'm calm to the point of horizontal! It's making me so very tired and there's been a few times I've not even dared to drive. I'm also 'disappearing into my own head' if you know what I mean. Sometimes I feel like I could just daydream my life away.
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Post by Deleted on Jun 27, 2012 8:30:25 GMT
I know this is kind of a dead thread... But I've been on 40mg of Strattera for the 2 months and I've noticed a massive improvement in a few aspects of my life.
I have severe social anxiety and stimulant medication made it a lot worse. My ADHD improved with stimulant medication, but the increase in anxiety just wasn't worth it for me. I'd just switched problems.
After talking to my dr about it, he suggested strattera which could also help with my anxiety apparently.
It takes a while to build up in your system, about 3 weeks before you notice anything. For me It's not like stimulant medication with an instant fix for 4 hours. It's sort of like a gradual realisation that I'm not as fidgety, I'm listening to people talk, I'm finishing projects and feeling less stressed.
As for side effects, I found sleeping was easy... It's staying a sleep for the first month that's the problem. I'd wake up at about 4am every morning and not be able to fall back to sleep. I wasn't tired so for me this wasn't a problem because I'd just start my day early (It's summer and it's pretty light at 4am).
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