ADHD

Question
Posted by: David | 2010-06-01

Q.

ADHD MEDICATION QUERY

Beginning March 2010 I was diagnosed with ADHD by a Psychiatrist. I am a male 45 years of age and weighing 85 kg who doesn''''t smoke or drink. I participate and enjoy Scuba Diving.

My Medication given was Cymbalta 60 mg taken at night (for 12 months) and Straterra 25 mg taken at 07h00 in the morning. Within the first day I noticed some improvements but had to work through some side effects one being tiredness and constipation which I did. After about 3 weeks it seemed that the Straterra was not working and so the Dr moved me to Straterra 40mg.

What a change for the better. I never in my life felt so good - focussed, tasks seemed easier to do, I read my first book complete in about 40 years. It was amazing feelings but of short duration. I presume a side effect of that was I was so drowsy at work - by 11h00 I could not keep my eyes open. At 14h00 same thing and this continued for 3 weeks - strange though it was not happening everyday.

My meds was changed to Concerta 18 mg for a week, slight headache for a day was my only side effect, but what a terrible week in that i felt I was back to square one. The dosage was increased to 36mg for a week, no side effects, no results (comparing to how I felt on Straterra) and once again the meds was increased to 54 mg. I have been on 54mg for 3 days and still no difference.

Am I to hasty seeing that I have tasted a side of life I''''ve never knew existed?

Thank you

David

Expert's Reply

A.

ADHD Expert

Dear David,

Having had a taste of the other side of life, it is very understandable that you are keen to get back to it, minus the side effects.

Finding the correct medication and dosage is unfortunately often a trial and error process. Because Strattera does have the effect of making one sleepy, many opt to take it night. This does not have any effect on its efficacy.

Most people feel an immediate effect from Concerta, but to be fair two to four weeks should be given.

Although changing medications so frequently is not the ideal situation, perhaps a trial of Starttera at night would be beneficial.

Best wishes,
Delia

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

1
user comments

C.

Posted by: ADD/ADHD Expert | 2010-06-04

Dear David,

Having had a taste of the other side of life, it is very understandable that you are keen to get back to it, minus the side effects.

Finding the correct medication and dosage is unfortunately often a trial and error process. Because Strattera does have the effect of making one sleepy, many opt to take it night. This does not have any effect on its efficacy.

Most people feel an immediate effect from Concerta, but to be fair two to four weeks should be given.

Although changing medications so frequently is not the ideal situation, perhaps a trial of Starttera at night would be beneficial.

Best wishes,
Delia

Reply to ADD/ADHD Expert

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