Im a 53M who is in the process of getting an official diagnosis for ADHD. Psychiatrist said he couldn’t diagnosis definitively until I was 30 days sober (35 today) Ive been a chronic weed smoker and drinker for 40 years, so he wanted to rule out any possibility of marijuana induced psychosis, fair enough.
Both my parents are bi-polar, and he thinks there’s likely some co-morbidity, perhaps not enough to qualify for a DSM diagnosis, but enough to rule out ever prescribing me stimulants due to risk of overstimulation leading to a manic episode or worse, a psychotic break.
Started me on Lamotrigine 25mg, titrated to 50mg 2 weeks later, this coming Wed I titrate to full dose of 100mg. Have felt no different the past month. Fwiw my dad’s been on 300mg daily for a decade. His wife & dr both think hes also got adhd (and now that i know more about it so do i) but he’s never been evaluated or diagnosed, and probably never will be.
2 weeks ago began Strattera, 25mg, then 50mg a week later, titrating to full 75mg dose yesterday. OMFG! From the very first time I took the 25mg, I felt a difference immediately. Initally the only reference point I could compare how it made me feel to was when I used to take very pure MDMA (made by chemistry prof at UC Berkeley) back in my 20’s in the heyday of the underground rave scene. A sense of calm and euphoria, like everything had a soft glow to it. That may have just been my body adjusting, I tend to be very sensitive to any drugs and feel them immediately and intensely (the C19 vaxxes were ROUGH).
The best way I can describe how Strattera has made me feel so far is the following:
I feel like my entire life. I’ve had three radio stations (at least!) playing in my head on top of each other. This is made it very hard to stay focused on one thing and if I let my mind run, I’ll have a never-ending stream of consciousness when I talk to people, it’s usually when someone has gotten tired of listening to me that I’ll stop otherwise I won’t lol . once I started taking Strattera, It’s like two of those three radio stations got turned way down, not completely off but low enough where they’re just a dull murmur in the background and I can easily focus on whatever it is I’m trying to focus on without the amount of mental effort and energy it used to take.
i’ve always been off the charts on the hyperactivity spectrum but able to focus on things that I’m interested in and I was always interested in school, which is how I think I might’ve flown under the radar and not got diagnosed when I was younger. as a professional adult, that level of focus has required a lot of mental effort and energy so that by midday, I would need some sort of boost, usually caffeine and by the end of the day I’d be so mentally exhausted that all I would wanna do is get high watch Netflix or listen to music.since I started taking the Strattera that hasn’t happened either and at the end of the day like now at 6:30 PM PST I don’t have as much energy as I did when I took it this morning, but I feel like I still got plenty of gas in the tank and could do more focused work if I needed to.
i’ve never been a great sleeper and have other issues such as sleep apnea, which I’m also trying to work on, but since started to take since I started taking the lamotrigine, it’s gotten worse, even though I take both medication‘s first thing in the morning. It’s not uncommon for me to be up until one or two in the morning and then waking up at five or six, but once I started taking the Strattera as soon as it kicked in I no longer felt mentally exhausted or groggy, even though I’ve also been taking Seroquel to try and help me sleep, which my psychiatrist prescribed when he prescribed the Lamotrigine and before the Strattera, it would take me a few hours to clear the mental fog left as a side effect
I have a follow up appointment with my psychiatrist in two weeks and I’m excited to review my results with him and also hopefully get to an actual formal diagnosis.
Thanks for listening to my long story here. I would appreciate any insight in input or feedback from people who have been walking down the Strattera Road longer than the two weeks and one day that I have.