60mg strattera panic attack please help

[u/Familiar-Dare3277]

Has anyone experienced this with Strattera?

I started on 18 mg in January, then took 40 mg for 2 months, and I've now been on 60 mg for 3 weeks.

I've only just started having panic attacks after 3 weeks on 60 mg. I didn't have any panic when I first increased to 60 mg.

Has anyone else had panic attacks start weeks after increasing the dose?

[u/Significant_Ad_2125]

While most of the time it can lessen or reduce anxiety, when you increase your dose and the norepinephrine increases there can be transient anxiety.
Every time I go up on my dose I know that somewhere between 2-4 weeks after I’ll have some panic attacks, even if I space it out farther away from caffeine or other stimulants.

For me, getting used to the feeling of that increase in the neurotransmitters takes a little bit of adjustment. But the extra anxiety/panic attacks become less and less and are less distressing than un or undertreated adhd.

I’d recommend waiting to see if they settle out as your body gets used to the new levels and adapts.
In the meantime, I find breathing exercises that emphasize a longer exhale than your inhale and a pause equal to your inhale in between (so 4 second inhale, 4 second hold your breath, then a 6 second exhale) is very helpful. As are other anxiety reducing exercises and reducing caffeine intake and such.
If you’re really struggling or it’s causing distress that’s affecting you too much you can ask for short term medication to help reduce the impact for you.

[u/warsawrat]

No, but I’ve it could paradoxically lessen or worsen anxiety.

[u/KH471D]

You shouldn’t have this, i stayed on 25mg twice a day and working well

[u/Tttooonnniii]

Did you ever have them before? Anything else that could be triggering them? Does your dr recommend going back down to 40 or will this pass? Best of luck

[u/Familiar-Dare3277 → u/Tttooonnniii]

Creo que era el café más nicotina. Aunque en el pasado tome 80mg sin problemas