    Building a Tolerance
Q:
"My eight-year-old 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?" 
A:
Strattera is a relatively new medication, so we know less about it than about other AD/HD medications. Some children 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 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. He is also a clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C.
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