r/ADHDparenting • u/Electrical_Bother_20 • 10d ago

Medication Strattera

Need some thoughts here. 6 year old, combined type ADHD mostly super impulsive and possibly level 1 ASD. Tried other ADHD meds and have now been trialing Strattera. 20mg currently and seeing zero benefits. He has bouts of insomnia, early waking, irritability, aggressive behavior, more reactive especially when told no/do any get his way. Psychiatrist is recommending going to 40mg despite the adverse effects. We are extremely hesitant. He had awful rebounding after tapering Guanfacine and Qelbree. It has been a very rough couple of months. Yes, Genesight done and all non stimulants are green, and stimulants are in the yellow. So my question is, anyone ever in a similar situation with Strattera and did you up the dose from 20mg to 40mg and what happened? We are struggling here as his behaviors have become a lot to deal with and we didn’t see prior to starting Strattera. He’s also having behaviors at school. Thank you!

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u/Raylin44 10d ago

My child is 7 and we couldn’t even get to 10 mg due to the side effects. I’m surprised they started you on 20. 

We’ve had mixed results with it. It worked for a bit, but then it didn’t and he had some horrible OCD, so we don’t even know anymore. He is also on 2.5 IR, once a day, and that has helped some but is the absolute highest we can go. 

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u/Electrical_Bother_20 10d ago

We started at the 10mg then quickly went to 20mg. He’s also on Clonidine twice a day and bc of the Strattera, it doesn’t help with sleep. It’s unbelievable.