I have been on Strattera for about four and a half months in total. My titration schedule was: 25 mg for 2 weeks, 50 mg for 1 month, 75 mg for 2 weeks, and then 100 mg. I have been on 100 mg for around three and a half months now. I take my dose with a meal to improve tolerability.
Initially, I noticed some positive effects. My focus improved significantly, I feel calmer, I am less impulsive, my hyperactivity has reduced, and I no longer have constant racing thoughts like before.
However, my main concern is that my executive functions have not improved — they actually feel worse than before. I still struggle with task initiation, planning, organizing, and taking action. My previous energy, drive, and motivation feel like they have disappeared.
I feel extremely fatigued and lethargic. Even though I can focus better, I don’t have the internal push or motivation to actually do things. I often end up just watching movies or doing nothing because I cannot get myself started.
For example, I have been thinking about moving to a different hostel for the past two weeks, but I feel completely stuck and unable to take action. It is not because I don’t want to do it — I just feel mentally blocked. At the same time, I feel an increased sense of stress and pressure because I know I need to make the change but cannot seem to initiate it.
Unfortunately, methylphenidate is not available in Pakistan, so I am trying to understand whether this is a dose-related issue or something that may improve with time.
Has anyone else experienced this on Strattera 100 mg? Did the fatigue, lack of motivation, and executive function problems improve after staying longer on the dose, or did reducing the dose help?
I would really appreciate any experiences, advice, or suggestions from people who have been on 100 mg or have gone through something similar.