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Re: I repeat, sleep wanted, please respond JohnnyB

Posted by not exactly on February 26, 2003, at 19:49:19

In reply to I repeat, sleep wanted, please respond, posted by JohnnyB on February 26, 2003, at 17:49:19

I don't think there's any magic solution here. Since the problem started when you began the Strattera, it's certainly reasonable to assume a causal relationship. So the first thing to try is completely discontinuing the Strattera. You haven't been on it long enough for withdrawal to be a concern, so there's no need to taper. It's got a relatively short half life, so the insomnia s/e should go away in a day or 2. Once your sleeping is normal (or acceptable) again and you've gotten a few good nights' sleep, then you could try the Strattera again at a significantly reduced dosage (I wouldn't start with more than 1/4 the amount that caused the intolerable insomnia). It's quite likely that you're one of the "poor metabolizers". Don't increase the dose until you're comfortable that you can handle the level of stimulation (which will hopefully diminish over time). Ramp up very slowly and see if you gain any benefit before the s/e problems recur.

If you really need to get some sleep and completely discontinuing Strattera is not providing relief fast enough, then a sedative hypnotic is the obvious short-term remedy.

- Bob


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