Building a Tolerance


"My son did well on Strattera for six months, but then his symptoms returned. His psychiatrist recently upped his dose - but that just made him very sleepy. Is he building up a tolerance to Strattera?"

Dr. Larry Silver specializes in treating children with attention deficit disorder (ADHD).

Strattera is a relatively new medication, so we know less about it than about other AD/HD medications. Some people do seem to adjust to a dose, as your son did. When this happens, a slight increase in the dose will usually work, so it might be worth waiting a few weeks to see if the sleepiness decreases. Discuss the problem with his psychiatrist.

Larry Silver, M.D., is clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C. and director of training in child and adolescent psychiatry at Georgetown University School of Medicine. He is a former acting director and deputy director of the National Institute of Mental Health, as well as the author of Dr. Larry Silver's Advice to Parents on AD/HD and The Misunderstood Child: Understanding and Coping with Your Child's Learning Disabilities.
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