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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by hopetohelp on March 3, 2003, at 22:00:07
Just wanted to post a note to tell you that I started this drug today. I was on Prozac for years but I have not took it for 3 days because it reacts to Prozac. I am taking it for adult ADD.
Day one was not good. Took it about 10:30 am and I was so sick by noon that I thought I would have to go home. I was over the toilet waiting to throw up but I didn't. My blood felt like ice. I was very cold all day and my heart has been beating so fast and loud that it bothers me. I don't know if I should risk taking it another day.
I will but I don't want to be sick like that again. I did,snap out of it, and went on to feel better the rest of the day. The only thing still bothering me is the fast beat of my heart. I have had panic/anxiety attacks in the past and I have problems with my heart beating fast. It scares me.
Anyway, this was day one. I will let you know what tomorrow is like.
Posted by Anonne on March 3, 2003, at 23:15:36
In reply to 1st day on strattera 40mg, posted by hopetohelp on March 3, 2003, at 22:00:07
Hopetohelp,
Did you just cold turkey off of Prozac and were off of it for 3 days before you took the Strattera? That could very well be why you got so sick.
I understand that Prozac has a long half life, compared to drugs like Paxil and Zoloft and Effexor. You probably have quite a bit in your system, then.Please contact a knowledgeable psychiatrist or psychopharmacologist, or a GP if you can't afford the other two. Make sure you wean off the Prozac properly, and find out what the interaction is between Strattera and pzac.
Good luck, let us know how you do.
A.
Posted by teacherkris on March 4, 2003, at 22:22:16
In reply to 1st day on strattera 40mg, posted by hopetohelp on March 3, 2003, at 22:00:07
Hi there,
I am on zoloft and strattera. There is no negative impact, according to the data/literature, of using SSRI's with Strattera. However, starting at 40 is pretty fast. I started at 10 and am now on week 3 up to 30 mg. I get minor side effects the first day or so after I up the dose but then they pass. I had a very hard time coming off of prozac with lots of nausea so that could be part of your problem. I would definitely talk to your doctor about going down to 10 mg on the strattera and starting again slowly. Also, there's no reason to go off the Prozac if you still need it. Hope this helps. You might also want to view the other strattera thread.
Posted by Stacey fu on April 22, 2003, at 6:34:15
In reply to Re: 1st day on strattera 40mg, posted by teacherkris on March 4, 2003, at 22:22:16
> Hi there,
> I am on zoloft and strattera. There is no negative impact, according to the data/literature, of using SSRI's with Strattera. However, starting at 40 is pretty fast. I started at 10 and am now on week 3 up to 30 mg. I get minor side effects the first day or so after I up the dose but then they pass. I had a very hard time coming off of prozac with lots of nausea so that could be part of your problem. I would definitely talk to your doctor about going down to 10 mg on the strattera and starting again slowly. Also, there's no reason to go off the Prozac if you still need it. Hope this helps. You might also want to view the other strattera thread.
No, no no. Do NOT take the Prozac along with the Strattera. The two are both metabolized through the CYP2D6 cytochrome pathway of the liver, and there can be serious adverse affects if used together. Paxil and Prozac are not good choices. I would strongly suggest going to your pdoc and getting switched to another SSRI. And don't listen to suggestions of people who don't have medical knowledge.
Posted by moosh on April 22, 2003, at 9:06:13
In reply to Re: 1st day on strattera 40mg, posted by Stacey fu on April 22, 2003, at 6:34:15
> > Hi there,
> > I am on zoloft and strattera. There is no negative impact, according to the data/literature, of using SSRI's with Strattera. However, starting at 40 is pretty fast. I started at 10 and am now on week 3 up to 30 mg. I get minor side effects the first day or so after I up the dose but then they pass. I had a very hard time coming off of prozac with lots of nausea so that could be part of your problem. I would definitely talk to your doctor about going down to 10 mg on the strattera and starting again slowly. Also, there's no reason to go off the Prozac if you still need it. Hope this helps. You might also want to view the other strattera thread.
>
>
> No, no no. Do NOT take the Prozac along with the Strattera. The two are both metabolized through the CYP2D6 cytochrome pathway of the liver, and there can be serious adverse affects if used together. Paxil and Prozac are not good choices. I would strongly suggest going to your pdoc and getting switched to another SSRI. And don't listen to suggestions of people who don't have medical knowledge.
>Stacey Fu,
do you know anything about taking Zoloft and Strattera together? My Psychiatrist said it was fine.
moosh
Posted by fallsfall on April 23, 2003, at 10:59:05
In reply to Re: 1st day on strattera 40mg » Stacey fu, posted by moosh on April 22, 2003, at 9:06:13
I take both Prozac and Straterra. Prozac (and Paxil and one other(?) SSRI) do impact Straterra. Other SSRIs do not. If you take Prozac, then you should consider yourself a "Poor Metabolizer" for Straterra. This means that you would need much less Straterra to get the same result. I'm thinking it is half as much, but I'd check the literature to be sure.
This said, I started slow (10mg) on Straterra and worked up 10mg every 4 days. I got to 40mg (where my pdoc was going to stop), but there was evidence that it was a really good drug for me yet there wasn't enough improvement yet. I am now at 80mg (an enormous amount for a poor metabolizer) and it is working really well. Just goes to show that everyone is different.
I had some nausea with the Straterra, but it has gone away with time. I think starting slow and working up helps control the nausea.
Posted by Stacey fu on April 23, 2003, at 14:52:40
In reply to Re: 1st day on strattera 40mg, posted by fallsfall on April 23, 2003, at 10:59:05
> I take both Prozac and Straterra. Prozac (and Paxil and one other(?) SSRI) do impact Straterra. Other SSRIs do not. If you take Prozac, then you should consider yourself a "Poor Metabolizer" for Straterra. This means that you would need much less Straterra to get the same result. I'm thinking it is half as much, but I'd check the literature to be sure.
>
> This said, I started slow (10mg) on Straterra and worked up 10mg every 4 days. I got to 40mg (where my pdoc was going to stop), but there was evidence that it was a really good drug for me yet there wasn't enough improvement yet. I am now at 80mg (an enormous amount for a poor metabolizer) and it is working really well. Just goes to show that everyone is different.
>
> I had some nausea with the Straterra, but it has gone away with time. I think starting slow and working up helps control the nausea.Wow. Are you still experiencing nausea or any other side effects? How is the Straterra controlling your symptoms at 80 mg.?
Posted by fallsfall on April 23, 2003, at 15:59:48
In reply to Re: 1st day on strattera 40mg, posted by Stacey fu on April 23, 2003, at 14:52:40
I no longer have nausea. I don't think I have other side effects, but I take so many meds that it is hard to tell.
I take it for Depression (and in particular, for a serious lack of energy/initiative/motivation). It has made an incredible difference for me. I used to be able to do 2 things in a day. Now I can do 4 or 5. I still have a ways to go, but I think that the energy is still increasing.
(To be fair, this result is due to taking both Provigil and Straterra - either drug by itself doesn't help much)
Posted by hopetohelp on April 23, 2003, at 18:45:23
In reply to Re: 1st day on strattera 40mg, posted by Stacey fu on April 23, 2003, at 14:52:40
Does your doctor monitor you since you are on both Prozac and Strattera? I don't know what I am going to do because I don't think it is good for my mental health to be off Prozac. I don't want to because I know how I am every time I stop taking it I get very moody and sad and angry. I snap at people and create confrontation. Not that the folks I confront don't deserve it.
I can't stand rude, inconsiderate, obnoxious people. I try to watch myself but without prozac I don't bite my tounge enough. Anyway,how does your doctor know if things are ok with you? Does he have to do a blood test? I am alternating taking both. But not at regular intervals.
Posted by fallsfall on April 23, 2003, at 19:31:05
In reply to Re: 1st day on strattera 40mg, posted by hopetohelp on April 23, 2003, at 18:45:23
I don't think there are blood tests for either Prozac or Straterra. In the beginning I saw my pdoc every other week. Once we got to a combination of meds that seemed good I could go a month before I saw him again. I don't know that he is checking for anything except that the meds are improving my depression. And, of course, we talk about side effects.
I take other drugs too (Lithium, Provigil, Synthroid, Neurontin, Sonata, Inderal, Atavan) - and I truly believe that I need them all!
Has your pdoc said that you can't take them together? Are you taking them for ADD or for Depression or for something else?
Posted by yeltom on April 25, 2003, at 21:18:33
In reply to Re: 1st day on strattera 40mg, posted by Stacey fu on April 22, 2003, at 6:34:15
Where did you get this information? My knowledgeable board-certified psychiatrist just prescribed straterra with my prozac.
> > Hi there,
> > I am on zoloft and strattera. There is no negative impact, according to the data/literature, of using SSRI's with Strattera. However, starting at 40 is pretty fast. I started at 10 and am now on week 3 up to 30 mg. I get minor side effects the first day or so after I up the dose but then they pass. I had a very hard time coming off of prozac with lots of nausea so that could be part of your problem. I would definitely talk to your doctor about going down to 10 mg on the strattera and starting again slowly. Also, there's no reason to go off the Prozac if you still need it. Hope this helps. You might also want to view the other strattera thread.
>
>
> No, no no. Do NOT take the Prozac along with the Strattera. The two are both metabolized through the CYP2D6 cytochrome pathway of the liver, and there can be serious adverse affects if used together. Paxil and Prozac are not good choices. I would strongly suggest going to your pdoc and getting switched to another SSRI. And don't listen to suggestions of people who don't have medical knowledge.
>
Posted by hopetohelp on April 27, 2003, at 11:51:13
In reply to Re: 1st day on strattera 40mg, posted by yeltom on April 25, 2003, at 21:18:33
> Where did you get this information? My knowledgeable board-certified psychiatrist just prescribed straterra with my prozac.
>
> > > Hi there,
> > > I am on zoloft and strattera. There is no negative impact, according to the data/literature, of using SSRI's with Strattera. However, starting at 40 is pretty fast. I started at 10 and am now on week 3 up to 30 mg. I get minor side effects the first day or so after I up the dose but then they pass. I had a very hard time coming off of prozac with lots of nausea so that could be part of your problem. I would definitely talk to your doctor about going down to 10 mg on the strattera and starting again slowly. Also, there's no reason to go off the Prozac if you still need it. Hope this helps. You might also want to view the other strattera thread.
> >
> >
> > No, no no. Do NOT take the Prozac along with the Strattera. The two are both metabolized through the CYP2D6 cytochrome pathway of the liver, and there can be serious adverse affects if used together. Paxil and Prozac are not good choices. I would strongly suggest going to your pdoc and getting switched to another SSRI. And don't listen to suggestions of people who don't have medical knowledge.
> >
> I don't know who posted this. Someone just sent it to me.
>
Posted by yeltom on April 27, 2003, at 12:45:46
In reply to Re: 1st day on strattera 40mg, posted by Stacey fu on April 22, 2003, at 6:34:15
> > Hi there,
> > I am on zoloft and strattera. There is no negative impact, according to the data/literature, of using SSRI's with Strattera. However, starting at 40 is pretty fast. I started at 10 and am now on week 3 up to 30 mg. I get minor side effects the first day or so after I up the dose but then they pass. I had a very hard time coming off of prozac with lots of nausea so that could be part of your problem. I would definitely talk to your doctor about going down to 10 mg on the strattera and starting again slowly. Also, there's no reason to go off the Prozac if you still need it. Hope this helps. You might also want to view the other strattera thread.
>
>
> No, no no. Do NOT take the Prozac along with the Strattera. The two are both metabolized through the CYP2D6 cytochrome pathway of the liver, and there can be serious adverse affects if used together. Paxil and Prozac are not good choices. I would strongly suggest going to your pdoc and getting switched to another SSRI. And don't listen to suggestions of people who don't have medical knowledgeStacey Fu: Where did you get this information? My knowledgeable board-certified psychiatrist just prescribed straterra with my prozac. From what I understand, there isn't a risk of serious adverse effects; you just are likely to need less Strattera.
>
This is the end of the thread.
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