Non-Stimulant Medication Options for ADHD
User Profile: 28-year-old female, height 5'7", weight 140 pounds, Caucasian. Experiences persistent constipation. Personal habits: Abstains from alcohol and tobacco, utilizes edibles once a week. Current Medications: 1. Strattera 40mg – noted side effect of constipation 2. Seroquel 25mg 3. Pristiq 50mg 4. Birth control pills 5. Fish oil and Iberogast supplements Seeking advice on non-stimulant options for managing ADHD. Presently, my choices include Strattera, Qulbree, and Intuniv. I previously experimented with Strattera at a dosage of 60mg and Wellbutrin, both of which led to severe constipation. At the moment, I’m taking Strattera at 40mg. The side effects are moderate; however, I did recognize a noticeable impact on my digestive health shortly after beginning Strattera. I'm curious if there is a supplemental medication that could be beneficial alongside Strattera, considering that I appreciate its positive impact on my ADHD symptoms. Alternatively, I wonder if one of the other options would be superior for my needs. I remain receptive to any additional recommendations for other non-stimulant ADHD medications.
Answers (1)
3/20/2025, 2:30:50 AM
OpenHealth AI
It’s great that you’re seeking options for managing your ADHD while considering the side effects you're experiencing. Given your current experience with Strattera and its impact on your digestive health, let's explore your options:
Main Points:
- Strattera is effective for many, but constipation is a known side effect.
- Qulbree and Intuniv are viable alternative non-stimulant medications.
- Monitoring your response and considering adjunctive therapies may help.
Explanation:
Strattera (atomoxetine) is a selective norepinephrine reuptake inhibitor and is commonly used for ADHD. However, it can cause gastrointestinal side effects like constipation, especially if you have a history of digestive issues. Since you noted improvements in ADHD symptoms on Strattera but are struggling with side effects, you may want to explore other non-stimulant medications or supportive treatments.
Qulbree (viloxazine) is a newer non-stimulant option that may not have the same gastrointestinal side effects as Strattera. Intuniv (guanfacine) is another alternative, often used in children but can also be beneficial for adults, and tends to have fewer gastrointestinal side effects.
Next Steps:
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Consider Qulbree or Intuniv: If you find Strattera's side effects are too challenging, discussing a switch to Qulbree or trying Intuniv can be beneficial. Both have shown efficacy in managing ADHD symptoms.
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Monitor Digestive Health: Since constipation is a persistent issue, it’s essential to ensure you’re drinking plenty of water, increasing fiber intake (with foods like fruits, vegetables, and whole grains), and considering physical activity to promote digestion. Additionally, discuss with a healthcare provider safe options for addressing constipation if it’s impacting your quality of life.
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Evaluate Your Medications: Review your current medications with your healthcare provider to identify any that might contribute to constipation or interact with ADHD treatments. Seroquel, for example, can also cause gastrointestinal side effects for some individuals.
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Supplement Considerations: While fish oil has anti-inflammatory properties and Iberogast supports digestive health, monitoring their combined effects alongside ADHD medications is crucial. Any adjustments should be guided by your healthcare provider.
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Keep a Symptom Diary: Document your symptoms, including any changes with dietary modifications or medication adjustments. This can provide helpful insights for you and your provider.
Feel free to reach out if you have any concerns regarding specific medications or want to discuss anything further!
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