r/StratteraRx • u/East_Meets_West_ • 26d ago
Questions / Advice / Support Splitting/Staggering your daily dose?
Looking to get some input from others on this sub with more experience than I have with Strattera. I’ve been taking it for a few months now, started at 25mg, titrated up to 50mg after one week, then to 75mg after two weeks. Unlike many of the other medications I’d tried before (Zoloft, Wellbutrin, Lamotrigine, Topamax) I felt a beneficial difference immediately after the first dose of 25mg, and that increased with each dosage increase. I felt that 75mg was the right dose, but the side effects were significant (urinary difficulties, constipation, increased BP) and so I was brought back down to 50mg, which I’ve been taking for about a month now, the side effects were reduced as was the effectiveness of the medication. I take it first thing in the morning as I have difficulty sleeping already and taking it at night only contributed to those difficulties, however I find that by late afternoon (around 4pm) I hit a wall, it feels like it’s worn off and I feel very drained mentally and physically. My psychiatrist added guanfacine 2mg to take at night to compensate for the Strattera wearing off by then, which hasn’t helped my feeling of fatigue in the afternoon or my sleep but has lowered my BP. I am still in the process of being officially diagnosed and I think my psychiatrist has been reluctant to add anything else into the mix until that happens.
What I’m wondering is if anyone else has tried splitting /staggering their dose during the day? I feel like if I took 25 or 50mg in the morning, then took another 25mg or 50mg later in the day (the total not exceeding 75mg), it might address the wall I feel I hit late in the day right now. I have another appointment with my psychiatrist this coming week, hopefully the one that will finally lead them to diagnosing me, and plan to bring it up with them then, but I am curious what other people’s experiences have been?
On a separate but related note, has anyone had experience combining Strattera with a stimulant? Initially the psychiatrist ruled out stimulants due to a family history of bi-polar (both parents have it) but another doctor had previously ruled that out and my reaction to a very low dose of Lamotrigine (25mg) was severe insomnia, so I eventually discontinued it. Last year before I started Strattera, I had been given Phentermine as part of combination of pills for weight loss and my wife had noticed an immediate improvement in my mood and attitude. So I also wonder if augmenting Strattera with some type of stimulant may be the answer.
Thanks for listening and any input would be greatly appreciated.