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Re: Straterra
May 19, 2003
Debbywy- I know what you are going through I've been there with my son as well. After 8 weeks on the strattera we had some positive results, but in terms of his concentration and impulsivity it just was not cutting the mustard. We went through a real difficult time from about wk # 2-5 where I think we were seeing some withdrawal effects from his stimulant that he was taking before the switch (concerta). Consider this as a possible cause for some of the "all over the map" behavior. But when at the end of 8 weeks the impulsivity was still such a problem a low dose of concerta (18 mg.) was added back in. We were seeing improvement with the strattera in other areas happier, playing more outside, less hyper-focused, and laughing-really belly laughing which had not seen from him in such a long time. So for now things are good. He's still happy and the impulsiveness is much better. The teacher reports he's doing really well in school. And she notices he is much happier and not as sulky as when he was on the higher dose of concerta without the strattera. The trade off has been an increase in his tics. (He has tourette's disorder also). He has tics whether he's taking a stimulant or not. The stimulant just makes them slightly more frequent. But they do not bother him so it is worth the trade off. This summer I want to try going without the stimulant and just using the strattera and we'll how his impulsivity does now that he has been on the strattera longer. If things get a little too hectic for you during this start up phase with the strattera you may try asking his MD if you can do a low-dose of concerta at the same time and then wean him off the concerta gradually as the strattera builds up. Give your little guy a big hug and hang in there. I hope this info helps. Good luck.
Re: Straterra
May 19, 2003
Thank you for a quick response, we see his doctor tomorrow.I will mention my concerns & ask about adding that low dose of concerta............I will close up now & give him the biggest bear hug he's had in a while. [quote]Originally posted by CMMG:
[b]Debbywy- I know what you are going through I've been there with my son as well. After 8 weeks on the strattera we had some positive results, but in terms of his concentration and impulsivity it just was not cutting the mustard. We went through a real difficult time from about wk # 2-5 where I think we were seeing some withdrawal effects from his stimulant that he was taking before the switch (concerta). Consider this as a possible cause for some of the "all over the map" behavior. But when at the end of 8 weeks the impulsivity was still such a problem a low dose of concerta (18 mg.) was added back in. We were seeing improvement with the strattera in other areas happier, playing more outside, less hyper-focused, and laughing-really belly laughing which had not seen from him in such a long time. So for now things are good. He's still happy and the impulsiveness is much better. The teacher reports he's doing really well in school. And she notices he is much happier and not as sulky as when he was on the higher dose of concerta without the strattera. The trade off has been an increase in his tics. (He has tourette's disorder also). He has tics whether he's taking a stimulant or not. The stimulant just makes them slightly more frequent. But they do not bother him so it is worth the trade off. This summer I want to try going without the stimulant and just using the strattera and we'll how his impulsivity does now that he has been on the strattera longer. If things get a little too hectic for you during this start up phase with the strattera you may try asking his MD if you can do a low-dose of concerta at the same time and then wean him off the concerta gradually as the strattera builds up. Give your little guy a big hug and hang in there. I hope this info helps. Good luck.[/b][/quote]






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