Ask the Experts

Mixing Medications: Stimulants and Nonstimulants

“My son was prescribed Strattera. We didn’t see much effect after two months, so our doctor prescribed a stimulant, saying my son should take both from now on. Is this safe?”

Strattera often takes several weeks to start working. Doctors may prescribe both medications when switching from a stimulant to Strattera, then taper off the stimulant as the Strattera begins to work. Taking the two together during an adjustment period is quite common and is safe. However, it is not the usual practice to use both a stimulant and Strattera over the long term. Two months should be enough time to see an effect. If it’s clear that Strattera is not working, it would be better to try something else instead of that medication, not in addition to it.

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  1. I’m currently taking Strattera, and have been for over there weeks. I’ve noticed some symptom relief (better impulse control, less anxiety), but all still having problems concentrating and completing tasks. Mostly reports at work, I’ve also noticed that I am still extremely tired in the afternoons. I was diagnosed about 6 months ago, and have been on Concerta, then switched to Vyvanse as it lasts longer than the Concerta. I felt that Concerta worked better for me than Vyvanse, but just didn’t last long enough.
    Anyone else have similar problems with these medications?
    I’ve thought about speaking to my doctor about adding a stimulant to help with my other symptoms.

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