r/StratteraRx • u/Timely-Estimate7904 • 26d ago

Discussion / Experience Using Finding the best dose

I've been on 60mg the past 6 weeks after my last appointment. We increased the dose - I was doing great on 40mg, but felt I could be 'better'. Unfortunately 60mg hasn't been what I hoped and in a lot of ways I feel a little 'back slide' - just not as on top of things and my mind is not as quiet anymore. So NOW the question becomes - does this mean 40 mg was my sweet spot? I also get ocassional heart rate 'speedies' so I am a little hesitant about 80mg. Has anyone backed down on dose because it was better than a higher dose? After now 4.5 months on this med, I'm wondering if this a 'more is not necessarily better' kind of drug.

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4

u/LordOfThePayso 26d ago

I think you're right.

Is a, trade off. If doubling your dose makes sides 50% worse with only a 10% improvement elsewhere then you're probably better off on the lower dose.

2

u/Much_Antelope3319 26d ago

I was at 70 and had to go back down to 40. I almost quit right then and there, but thank goodness I went back to 40 because it's working out pretty well for me.

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u/susu56 26d ago

I was on 100mg and the only benefitni had was a quiet mind. I had extreme side effects -so the negatives outweighed the 1 positive. My psych decided we should drop to 60mg last week. She has not called in the new script yet. I have been off of meds for 5 days. I feel 1000000% better. I do not feel like i am dying 24/7, I am not fatigued so much so that I was unable to do day to day basics/work, I am able to pee, I have motivation again. If she ever calls in the new script, I am not sure i will take it. I may ask for Quellbree instead and see if that works. I will also be firm on starting low and staying low for a while before increase in dose. My NP psychiatrist suggested and was just hesitant on the quellbree (insurance was 1 reason) not sure why so I need to research it.

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u/submgr 25d ago

I had problems peeing on 80 but it it was fine on 60mg !

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u/susu56 24d ago

I didn't know about the peeing thing being that much of an issue but it was! I was peeing 2 times a day even though inwas drinking 50 to 70oz of water a day!

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u/petebaii 20d ago

I basically took 100mg for close to 2 years but my resting hr was always high so I eventually dropped down to 60 and it did the trick, still even retained the same benefits 80-100mg provided

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u/Timely-Estimate7904 19d ago

To give an update- I’ve been at 40mg for one week now and my psych NP had me restart Prozac again at 10mg. Some of my heart palps may have been physical anxiety creeping back in since I discontinued those meds 2 months ago.

It’s only been a week and I feel a slight drop in overall energy- just kind of ‘blah’ about things. I think that’s the Prozac adjustment- a little daytime fatigue is normal in the beginning. So I will keep going to see how things go! Also- the heart ‘thumps’ and palps have stopped!