Our expert says:
Hmm. ADHD in children is still a controversial topic in some quarters, but its diagnosis and management has become reasonably clear over a number of years. ADHD in adults is less clear, though I have seen some good scientific and other studies suggesting that it is worth recognizing and treating - but there is less clear evidence and consensus on diagnosis and tratment than in other areas.
The initial response you describe to Strattera is interesting, and suggests the diagnosis was correct. But oddly short-lasting, which must be really disappointing.
I see the most common side-effects of Strattera are nausea and constipation, perhaps difficulties getting to sleep and staying asleep. I don't see the sort of major sleepiness you describe, as commonly described by those taking it. Dizziness, and some sexual problem side-effects are described, too. Interations with a range of other drugs can be problematic.
Now you say that when changed to Concerta you've had no troublesome side-effects, but have noticed no benefits, either. The fact that you did have, albeit short-lived, a good response to Strattera suggests that it should be possible to achieve a more stable good reaction of that type.
From this distance, I can't figure out where this problem lies. There might perhaps be another diagnosis at work AS WELL as the adult ADHD, though Strattera isn't generally helpful in other conditions. I think you an only return to your treating doctor for a more detailed discussion of this range of your experiences, and a review of what is most likely to be most helpful for you. I wish I had better suggestions that occur to me.
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