Who has a child on Strattera?

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Nov 14, 2004
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Saw the pediatrician today and DS9 is going to begin taking Strattera tomorrow. His starting dose is 18 mg. once a day, then he will bump to 40 mg. once a day after a week. Tell me your experiences, please! The Dr. said the biggest negative he can think of is that Strattera doesn't work for about half of the kids they prescribe it for. We are going to give it about 5 weeks and see if DS responds well. :confused3
 
Im kinda *anti-meds* for a kid this age...

You sure he needs this? I mean, what does your gut say?

I know my g/f had a child on it - he lost a ton of weight yet was pretty much a lump on a log. Kinda zoned him out... now this was a co-worker, so I actually moved before he got more "stable" on it. But she was a bit freaked out about how his personality was gone, when he began taking it.

Good luck to you. :grouphug:
 
Well, I'm not thrilled with meds. BUT my child can not concentrate on anything long enough to work a task from start to finish. Homework is a nightmare. His tests show a lag in visual-motor skills. The diagnostician said this is because the same part of the brain impacted by ADD controls those skills. DS feels like he doesn't "fit in" very well at school. The other kids see him as kind of goofy and immature. He is goofy because he can't concentrate on what's going on. We have suspected ADD for awhile, but we just had him tested a couple weeks ago because it is really affecting him in school and it is starting to be a problem for him socially.

If the side effects are major we will try something different. I just think we owe it to him to try the meds instead of forcing him to continue to struggle.
 
Both my girls were put on it almost 2 years ago. It gave them stomach pain & we saw no difference. DH said STOP. Lets take another approach. We changed our diets. Found out DD9 had dairy issues. We went off dairy & alot of the ADD symtoms went away. We eat mostly orgainc when we can get it. I do not buy anthing with dyes & artfical ingredients. We buy orgainc meats. This worked for us. My kids have not missed 1 day of school this year. Last year they missed more than 10. DD 11 has no problems now at school. DD9 does have a chart to keep her on task. She get stars if she pays attention & it does work.



PS: When I told our Ped, we were stopping he said good it maybe linked to Kidney problems. Which freaked me out.
 
My children are on this, & it is not working for my DD. I was talking to a few people on this board last night, & they said Strattera has been linked to causing Psychosis. Quite a few people seems pretty alarmed by what it was doing to their children. I put a call in to my doctor to discuss what I had heard, but of course no return call yet. I am seriously thinking about switching back to a ritalyn base. I am thrilled that my children need med's either, but their grades have went from D, F to A, B, some C's. It has made quite a difference. I talked to the doc about taking them off, because of potential side effects, & she said if you needed a medication would you take it? So I guess if you look at it that way. That sounds like a high dose your DS is getting though. I want to say my childrens doses is 15mg.
 
may I ask where or who tested him? I have a friend that is going through similar issues with her DD9 and it was recommended by her teachers to put her on meds. The teachers talked to the pediatrician who then wrote a prescription (without seeing the child) but my friend is freaking out about it and does not want her on meds. I was just curious what type of professional you saw to get him diagnosed with (I am assuming) ADD
 
Well, last year when we looked into testing (based on the recommendations of his teachers) our pediatrician's office was referring patients to a couple of different psychologists. The insurance maze was SO complex and it was so close to the end of the school year that I just left it alone.

This school year has had ups and downs, but DS just isn't retaining concepts like he should be due to inattention/distractability. This is NOT just at school - we see it at home, too, and it is disruptive to his daily life.

I met with the guidance counselor and the teachers and I agreed to have him tested. This was after a night where it took FIVE HOURS for him to do his homework. I called the pediatrician and they now have a diagnostician on staff to test kids and compile the results, so it was billed to insurance through the pediatrician's office. DH & I met with the diagnostician intially to discuss why we were asking for testing and to give her the preliminary question sheet the teachers completed. She then met with DS to evaluate him. I met with her again last week to go over the results (he has moderate inattentive ADD), and today DS and I met with the pediatrician to go over options for treatment. I want to try a non-stimulant first, which is why we are looking at Strattera. We went over the side effects, and I will talk to the school nurse tomorrow to let her know DS may be showing up in the clinic. I have told DS it is CRITICAL to tell me if he feels sick or sad or angry or anything at all because we need to tell the Dr. He understands that.

His initial dosage should be 15 mg. but it doesn't come in that dosage - it is 10 or 18. They are capsules so they can't be split. His secondary dosage should be 35 mg. so the Dr. gave us 4 weeks worth of the 40 mg. He is still within the range of "do not exceed 1.4 mg. per kg per day". And if it doesn't work or has side effects we will stop.

I think ADD is like anything else - if there is effective treatment for my child's diagnosis then I want to try it. If he had depression we would use meds to treat that. I don't think this is all that different.
 
jackskellingtongirl ~
thanks for the info. My friend's pediatrician did not even meet with her in person or refer her to a diagnostician...seemed weird to me. I think my friend has her DD going to a group that is running a study of some kind. I think she is totally against meds at this point. I am with you....if meds are what helps, then by all means use them, but I do understnad her wanting to explore all options first. I have a DD that needs to take antidepressants and they do make a difference ~ at least for her. Wishing you and your DS all the best
 
jackskellingtonsgirl said:
Well, last year when we looked into testing (based on the recommendations of his teachers) our pediatrician's office was referring patients to a couple of different psychologists. The insurance maze was SO complex and it was so close to the end of the school year that I just left it alone.

This school year has had ups and downs, but DS just isn't retaining concepts like he should be due to inattention/distractability. This is NOT just at school - we see it at home, too, and it is disruptive to his daily life.

I met with the guidance counselor and the teachers and I agreed to have him tested. This was after a night where it took FIVE HOURS for him to do his homework. I called the pediatrician and they now have a diagnostician on staff to test kids and compile the results, so it was billed to insurance through the pediatrician's office. DH & I met with the diagnostician intially to discuss why we were asking for testing and to give her the preliminary question sheet the teachers completed. She then met with DS to evaluate him. I met with her again last week to go over the results (he has moderate inattentive ADD), and today DS and I met with the pediatrician to go over options for treatment. I want to try a non-stimulant first, which is why we are looking at Strattera. We went over the side effects, and I will talk to the school nurse tomorrow to let her know DS may be showing up in the clinic. I have told DS it is CRITICAL to tell me if he feels sick or sad or angry or anything at all because we need to tell the Dr. He understands that.

His initial dosage should be 15 mg. but it doesn't come in that dosage - it is 10 or 18. They are capsules so they can't be split. His secondary dosage should be 35 mg. so the Dr. gave us 4 weeks worth of the 40 mg. He is still within the range of "do not exceed 1.4 mg. per kg per day". And if it doesn't work or has side effects we will stop.

I think ADD is like anything else - if there is effective treatment for my child's diagnosis then I want to try it. If he had depression we would use meds to treat that. I don't think this is all that different.

You need to do what you need to do.

I do have some tricks you can try with or without medicine. ADD people do well with deadlines. With homework tasks, use the timer on the Microwave.
Say we have 10 min for this task. This really works for my DD.

ADD people can complete task they enjoy. So add a bonus for getting a task done. 5 stars is prize.

Breakdown cleaning a bedroom to Go pick-up all your shoes, then say go pick up all the cars. Then say go put away books.

Good Luck
 
We have tried giving DS deadlines with little success. His teachers agree that a reward system just isn't very effective with him. We do try to give instructions in simple steps so he doesn't get overwhelmed.

I did a search of previous threads last night and it seems like the kids who have problems usually have stomache pain. In some cases there have been severe reactions such as psychosis, but I don't think those cases invlove kids with JUST inattentive ADD. Obviously there are some kids who had no side effects, but the Strattera didn't make any difference in their ADD. THEN, last but not least, there are kids who don't have side effects and the meds DO make a difference. So we'll see.

DS took his first capsule this morning. Next week he is on Spring Break so he will be with me or DH the whole time and we can watch him carefully. Hopefully he will respond well. If not, we'll pursue other options.
 
Personally, my children have no experience with Strattera. Their doctor has tried many patients on it and says he is showing little success with it. In the few people that it works for, I guess it does okay, but most of his patients are not doing well on it. Since my kids were on the stimulant meds already and were both doing very well, he saw no need to make changes--especially changing to a drug that had an overall low success rate.

My co-workers 16 year old son was on Strattera for a year. He did not do overly well in school on it and had to go to summer school. He also complained of stomach discomfort for a few hours a day.

This is all I know about it. It couldn't hurt to give it a try, I suppose.
 
Our pediatrician is pretty laid back. Most of the time his advice is to just keep an eye on things and see. He did say their practice had stopped prescribing Strattera for awhile simply because of the low rate of success. But DS is tiny for his age and doesn't eat much as it is. I think a stimulant med would be a problem as far as slowing his growth and decreasing his appetite.

If the Strattera doesn't work we will try a stimulant based med - hopefully a low dose - and see how that goes. I have a feeling by the time we get it sorted out the school year will be over! But as long as we can find a solution before DS starts 5th grade I think we'll be OK.
 
Jack, you have my sympathies. My DS19 has had ADD all his life. Been on and off meds.Strattera didn't work for him. Other meds worked for awhile, then he's have some kind of problem. I so understand the homework thing--DS was so overwhelmed with his thoughts, so distractable. He was homeschooled most of this life just so we could control his environment(graduated last sumer). He's such a bright kid, but he has a terrible time concentrating. These poor kids with ADHD have so many obstacles in their lives. And it affects everything, not just school.

Good luck with your meds. :wizard:
 
So here we are, Day 3. So far nothing bad has happened!
DS was tired the first day, but I think he was tired for reasons unrelated to the medication. Remember, this medication takes about 3 WEEKS to make a difference in ADD symptoms. So DH goes to pick DS up from school yesterday and his teacher says she thinks he is doing better already. After TWO doses? Talk about the placebo effect! Not in DS, but in the TEACHER! She knew he started meds on Tuesday and BOOM! she sees a difference on Wednesday! Miraculous! But we still don't see a difference at home. Maybe after he has actually been taking the medication long enough for it to be effective we will see a change. ;)
 
Actually, I wouldn't be surprised if there were some effects very early on. Strattera is not all that different from an SSRI or Wellbutrin. While it takes weeks to get the full, therapeutic effect, many, many people feel the effects immediately.
 
I guess I found it funny because the teacher who claims to see a difference is VERY pro-medication. She was certain that DS would be a completely different child as soon as we put him on meds. Seems like a bit of a self-fulfilling prophecy. If he truly IS doing better at school already, after only two days on a half dose, then I am thrilled. But it does seem a little odd.
 
We tried my son on Stratera. That dosage seems correct from what I remember. My pediatrician prescribed it because I was concerned about the lack of weight gain with Adderall. He only left him on the Adderall for about a week before taking him off of that. It did not go well at all. He couldn't focus for anything. I work in psychiatry but mainly with adlults. I do know people who specialize in kids. When I talked with my favorite child and adolescent psychiatrist, he said that Stratera would not work for hyperactivity. (My DS was doing stuff like fidgeting constantly in his desk - which drives his teacher crazy.) It takes about a month for Stratera to get into the system which is why they usually keep you on the Adderall for that long. (and we were only on it for a week!) Anyway, we ended up sticking with Adderall but taking name brand instead of generic. We are working on some sleep issues to but the appetite has improved. Stratera is supposed to be a good medication for ADD - just not ADHD.
 
Atomoxetine (Strattera) is the only NARI (NorAdrenaline Reuptake Inhibitor) available in America and is often seen as Reboxetine's (Edronax's) little brother, Reboxetine being a full blown anti-depressant not currently available to the USA.

Atomoxetine (Strattera) is a first line drug for the treatment of ADD/ADHD for adults and children; other uses (such as a treatment for Depression, Panic/Anxiety & Bipolar Disorder) are off label and have not been fully assessed yet.

Atomoxetine (Strattera) is chemically unrelated to SSRIs, SSNaRIs, TCAs, MAOIs, RIMAs, et al; it is ONLY comparable to Reboxetine.

I quote a review of the drug (Atomoxetine (Strattera)):

I love Strattera! When it works, it really works! Far less likely to trigger mania in the bipolar or seizures in the epileptic than most antidepressants. Either is still possible, it's just that the odds are higher (i.e. the events are less likely).
Source: Crazy Meds

The drug works on NorAdrenaline as opposed to Serotonin and Dopamine and has a "wake up" effect - it's basically a stimulant. If it works, you'll be more focused and more alert. If it fails, chances are it'll do nadda.

As with most psychiatric drugs, an instant result is usually the case but with the full effect not kicking in until you are many weeks down the line, meaning that potential problems can sometimes only emerge after a period of treatment.

I'm not sure what I think of giving psychiatric drugs readily to pre-teenage children - there is evidence that suggests that many psychiatric drugs cause harm in kids.

I'm also slightly wary of NARIs - I was on a heavy dose of Reboxetine at one time and the stimulant robbed me of my sleep, made me edgy, over-engaged and generally strange. Still, not everyone's the same.



Rich::
 
jackskellingtonsgirl said:
I guess I found it funny because the teacher who claims to see a difference is VERY pro-medication. ...Seems like a bit of a self-fulfilling prophecy.

::yes:: Don't know if the meds will/are working, but I definitely think this teacher may be seeing something that isn't there (to validate her own claims).
 
Well, my son takes Ritalin for severe ADHD, diagnosed at age 7 by a Licensed Professional Counselor, reviewed by his pediatrician. He did not start meds until the second six weeks of second grade. He had made no friends, was sinking quickly with grades, behavior was getting in his way, he was in trouble at home, hours and hours for just a little bit of homework..................we started him on Ritalin, and it did not take weeks. You could see the difference in one day, by day 8, it was the same as day 3, and not quite enough........it wore off too quickly..........upped the dosage to his maximum for his weight, and there it's been ever since. He's made the A honor roll ever since, has great friends, teachers say he's helpful, cooperative, respectful, and nearly always does what he should (it did not change his WHOLE personality, though I must say he is way more subdued than we are used to, so it does make us think something's wrong with him when we see him on meds!

He was switched to Strattera in 3rd grade, as it was new and the dr. thought it would be good for him, as it was a whole day dose instead of the Ritalin wearing off, having to take again and wait for it to kick in.........he was having some behavior issues during lunch when his meds were worn off. Strattera was awful! He cried and carried on for hours every night. He wouldn't know why he was crying. About 3 weeks in, he told me he wanted to "disappear", and I called the dr. right away. He said he was pulling all of his patients off the drug as all the reports he was getting were similar. Recently, they linked Strattera to depression and suicidal thoughts in children. We are glad he doesn't take it anymore, and doubt if we'll change his meds again due to this experience and how well he does with Ritalin, and it's long-standing safety rate.

Every child is different, and I have met some parents who swear by Strattera, but you asked for my experience!

Edited after reading some other posts to add: We had noticed these symptoms from preschool age, as I have a brother who has ADD and wasn't diagnosed until college. His behaviors were so similar (it does have a familial connection). However, we waited to medicate until it became obvious he wasn't able to conform his behavior to expectations in school, and wasn't able to perform to the best of his abilities. We also tried all the other touted methods, including increasing exercise, decreasing television and video games, increasing sleep, using reward and consequence systems, and changing diet. None of those did the trick. The ritalin did. He doesn't take it outside of school, and we do have behaviors we have to work around, but we know how to help him and we can tolerate him more easily than in a school environment. Sure, it'd be nice if school could work around it, but they don't, and so he needs all the help we can give him, just as if he had any other medical condition. It is a medical condition, actually a physical difference has been determined in the shapes of their brains.

By the by, he was given a series of IQ tests this year. One was inadvertently given during the time his meds were worn off. It was 40 IQ points lower than the other two!
 












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