Paxil paroxetine or Prozac fluoxetine are SSRI antidepressants that may increase the risk of serotonin syndrome when taken with Adderall. SNRI antidepressants such as Effexor venlafaxine may also pose the same risk of serotonin syndrome when taken with Adderall. Both Strattera and Adderall have a dangerous potential drug interaction with monoamine oxidase inhibitors MAOIs , such as selegiline. The combination can cause a serious, possibly fatal reaction.
Strattera or Adderall may also interact with blood pressure medicines. Taking Strattera or Adderall in combination with birth control pills may increase the risk of high blood pressure —blood pressure should be monitored. This is not a full list of drug interactions. Other drug interactions may occur.
Consult your healthcare provider for a full list of drug interactions. Strattera atomoxetine is a non-stimulant medication. It is used in the treatment of ADHD in adults and children. Strattera and Adderall are both used to treat ADHD in adults and children and Adderall is also used for narcolepsy ; however, they have many differences such as in drug class, warnings, prices, side effects, and drug interactions, as outlined above.
Also, Strattera is not a stimulant drug. Adderall is a stimulant drug. Other stimulant drugs you may have heard of include Ritalin or Concerta both contain methylphenidate and Vyvanse lisdexamfetamine. While each drug can be effective, there is no data comparing the two drugs directly. Your healthcare provider can help you decide if one of these drugs is right for you.
Because there are no adequate, well-controlled studies in pregnant women, Strattera should not be used in pregnancy unless you and your healthcare provider determine that the benefits outweigh risks. If you become pregnant while already taking Strattera or Adderall, consult your prescriber immediately for medical advice. No —neither of these medications should be mixed with alcohol. Alcohol can increase the side effects of Strattera and decrease its effectiveness. Alcohol should also be avoided when taking Adderall.
Too much alcohol can increase heart rate and blood pressure, which can be even more dangerous in combination with Adderall. It can even lead to a heart attack or stroke and increase the risk of alcohol poisoning.
Strattera can help treat ADHD symptoms. By increasing the amount of norepinephrine, Strattera can help with attention span and focus and reduce impulsive and hyperactive behavior. By increasing norepinephrine, Strattera should elevate the mood and improve concentration and other ADHD symptoms in most cases. Rarely patients may exhibit hostility, agitation, and aggressiveness while taking Strattera.
Strattera is not a stimulant like Adderall. However, Strattera does have some of the same potential side effects as Adderall and other stimulants, like a faster heartbeat or increased blood pressure.
He was taking 40 mg of Adderall XR , and it helped him focus in class. His typical day started at 10 a. Coaching had improved his study habits, but procrastination and end-of-semester cram-fests were still there.
I changed his treatment plan by adding 40 mg of atomoxetine and decreasing Adderall to 30 mg. I did this over the summer, because he was worried that his grades would fall on the new treatment plan. At his one-month visit, his rating scale symptom score dropped to 15, and his symptom score reduction shot up to 67 percent. I switched Eugene to 50 mg of lisdexamfetamine Vyvanse and continued atomoxetine 40 mg. There is only 20 mg of amphetamine in this dose of Vyvanse, so it represents a two-thirds reduction in his stimulant dosage.
When I saw Eugene at his next six-month visit, his rating scale symptom score had dropped to 12 SSR 74 , and his GPA for the fall semester went up to 3. He was able to take his medications every day. Not everyone improves as much as Heidi and Eugene. Combination therapy is often more expensive than using one medication, although stimulant dose reduction sometimes balances the cost of taking the second medication.
In addition, trials to select and fine-tune the second medication can be challenging for providers. I use atomoxetine, but other practitioners add guanfacine, bupropion, and antidepressants to a stimulant, all of which can be effective. Anthony Rostain, Professor of Psychiatry and Pediatrics at the University of Pennsylvania , and co director of the Penn Adult ADHD Treatment and Research program, for instance, says he often uses alpha- agonists, like guanfacine or clonidine, to treat children and adults.
Some prescribers may not be aware of combination therapy, and others may be uncomfortable about it, as I was initially. It is important to do a trial if you think it may help. A trial of combination therapy is not a decision to treat. Oren Mason, M. He speaks on ADHD to professional and lay audiences, is a consultant on medication safety, and a researcher. You must be logged in to post a comment. It appears JavaScript is disabled in your browser. Please enable JavaScript and refresh the page in order to complete this form.
By Oren Mason, M. Better ADHD Symptom Control through Combination Therapy In the past, when a stimulant medication gave only partial benefit at standard, FDA-approved dosages, it was common to continue titrating to higher dosage ranges.
Strattera has a black box warning for the possible increased risk of suicidal thoughts or actions in children, teens, and young adults.
Adderall has two black box warnings. The first is to highlight the potential for abuse. The second is to warn about cardiac events. If your child is having suicidal thoughts, contact the National Suicide Prevention Lifeline at for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call For more mental health resources, see our National Helpline Database.
Learn the best ways to manage stress and negativity in your life. Cleveland Clinic. Reviewed July 18, Food and Drug Administration. Updated March 27, National Alliance on Mental Illness. Atomoxetine Strattera. J Clin Psychopharmacol. Amphetamine Adderall. ADHD medications and risk of serious cardiovascular events in young and middle-aged adults. Schwartz S, Correll CU. Stimulant ADHD medication and risk for substance abuse. J Child Psychol Psychiatry. ADHD drugs and serious cardiovascular events in children and young adults.
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