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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1030 to 1054 of 1242. Go back in thread:
Posted by sadmom on November 6, 2003, at 9:41:00
In reply to Re: Strattera, posted by coopac on November 5, 2003, at 18:23:21
If the whites of your eyes, are getting yellow - I think it might have something to do with the liver.
Posted by sledwards on November 6, 2003, at 15:22:53
In reply to Re: new to Strattera what to expect, posted by catman on April 30, 2003, at 23:00:33
I can say one great thing about Strattera - I was heavily dependent on Xanax - 3 milligrams for 2 1/2 years, it was controlling my life; I was able to stop the horrible Xanax curse only after a few days on Strattera (40mgs) . For this reason only, Strattera saved my life. I realize medication works differently for everyone - but for me, Strattera served as a miracle ax)....I wonder if the medical field is looking into this phenomenon. As for ADD symptoms, I can tell a difference. Now at 80 mgs. I can hop out of bed in the morning instead of waiting for Adderall to "kick in". I also have more motivation to finish tasks.
Posted by Clayton on November 6, 2003, at 15:29:21
In reply to Re: strattera side effects » bige, posted by PeggySue on October 29, 2003, at 18:47:07
You really, really need support for your norepineprine levels. Strattera is an excellant option. Remaron will also enhance norepinphrine levels by enhancing supply, not blocking reuptake. The two in combination are worth every consideration. Norepinephron support will be synergistically enhanced. The results could be profoundly positive. Remaron also enhances seratonin supply so you retain some support of that neurotransmitter and can dump the SSRI, Prozac (that did nothing for me). Remaron also facilitates sleep. Ask for the sublingual form and pop it under your tongue at bedtime. Remaron works in three days to week. Best of luck, fellow traveler.
Posted by Snowie on November 7, 2003, at 23:43:22
In reply to Re: Straterra approval., posted by MamaB on November 5, 2003, at 9:36:46
My pdoc suggested taking Strattera with food, so I was taking it at lunchtime, since I'm not much of a breakfast person, but I could take it at breakfast with chocolate milk. Someone said they take it at night because it makes them sleepy but so far I haven't noticed that side effect. It seems I'm always tired during the day. I have taken it at night just recently, but don't know if that's good or bad. Since trying Adderall, Ritalin, and now Strattera, I haven't been sleeping well at night, and wake up tired. Any suggestions as to the best time to take it? Thanks.
Snowie
Posted by toddindc on November 9, 2003, at 15:35:18
In reply to Re: Straterra approval., posted by deLane on October 9, 2003, at 17:59:44
First off, good luck on the LSAT. I'm a third year about to graduate with a terrible class rank and was diagnosed with ADD in July of this past summer. I experienced many of the same issues as you did but thought that it was "just the way I am". I've always been told I'm a under-achiever, day-dreamer, et. al only to read an ABA (American Bar Association) Journal article on Adult ADD with specific regard to a 41 year-old attorney who discovered he had it. I found a good psychiatrist who affirmed my suspicions and started me on Dexedrine. My dosage has tripled over the past five months but I have to say that it has been amazing. I was able to manage a 160 on my LSAT and can only wonder how I would have done had I known about the ADD. I'm 31 now and having a bit of trouble with being diagnosed so late in life and wondering what could have been had I known earlier. With specific regard to the Straterra, I can't help out much but it is ironic that my 61 year-old father was also just diagnosed (being prompted by my diagnosis) and is on Straterra. I have great success with the stimulants and very honestly enjoy the extra energy they have provided which certainly helps with the marathon study sessions you'll have in law school. My doctor would like me to explore other medications but with so much riding on the last year in school, I can't afford to mess things up. I've seen nothing less than a B+ since I've started my meds and am thrilled at my new found focus and the fact that I can now sit and read a case book for four hours and remember what I read. Sorry for the long post, feel free to message me privately if you'd like. I'd be happy to share my experiences in school trying to deal with ADD and meds. On a side note and to answer one of your questions, I have not been through the psychological testing for ADD, but will be doing that in January in order to receive accomodations on the Bar Exam (you have to think ahead). If your family physician will not accomodate your needs for meds, you may want to explore a psychiatrist who is more specifically trained and can provide many more medication alternatives and accomodations that your family physician is probably comfortable with. Good Luck.
> I noticed that bige was in his third year of law school and is taking strattera. I am trying desperately to do well on my LSAT but am having difficulty concentrating on the passages without my mind wondering. Plus, I'm having to read over the statements continuously before I can even go to an answer. I went to the Dr today and he gave me a sample to try. I'm taking my LSAT on 12/6. I was supposed to take it on 10/4 but my score wasn't high enough due to my problem. How long is this going to take to kick in and how long will I have this side effect of an upset stomach? The upset stomach is pretty bad.
> My Dr wouldn't put me on adderol because he said I would have to take numerous tests to see if I really had ADD. Did everyone else who is on this had to have a ton of tests before it was prescribed to them?
> Just curious.....
Posted by Lasagne on November 10, 2003, at 17:05:47
In reply to When is the best time to take Strattera?, posted by Snowie on November 7, 2003, at 23:43:22
Hi Snowie:
When I first started the Strattera I took it in the morning and it make me so sleepy all day long. My doctor then switched me to taking it at 7 p.m. and it helped me to sleep better at night and I was able to focus better during the day without so much drowsiness. Also, after about the 5th or 6th week I noticed a significant decrease in all the side effects. I now continue to take my 80 mgs. in the evening and I sleep well at night and I wake up feeling more energetic than I ever have. Before the Strattera I used to wake up and have an overwhelming desire to go back to bed after I got the kids off to school. Now I wake up, get moving, and get lots of things accomplished during the day. I also have found that I am able to skip my afternoon nap more often than before the Strattera.
Lasagna> My pdoc suggested taking Strattera with food, so I was taking it at lunchtime, since I'm not much of a breakfast person, but I could take it at breakfast with chocolate milk. Someone said they take it at night because it makes them sleepy but so far I haven't noticed that side effect. It seems I'm always tired during the day. I have taken it at night just recently, but don't know if that's good or bad. Since trying Adderall, Ritalin, and now Strattera, I haven't been sleeping well at night, and wake up tired. Any suggestions as to the best time to take it? Thanks.
>
> Snowie
Posted by Lasagne on November 10, 2003, at 17:23:45
In reply to Re: Straterra approval., posted by Plucky on November 4, 2003, at 17:13:52
>Answer to below post:
There is no exact test for ADD. They have evaluation survey's that they can give you to see if you fall within the range that would indicate attentional problems. If your survey showed that you were most likely ADD, then your doctor would do a evaluation which involves asking a series of questions about your life history. In the past I have found various sites on the Internet that tell you the kind of questions that you doctor should ask in an ADD evaluation. It is then from the history your doctor takes that he or she makes a full diagnosis and then decides on the best mode of treatment. Part of the problem may be with the doctor you are seeing. You may need to call around to find a family practitioner that has expertise in attentional disorders. From what I have learned there is no guarantee that a psychiatrist will be an expert in ADD/ADHD. You need to search for a doctor that has a good clientel of ADD/ADHD patients. I just happened to luck out that my family practitioner has extra training with behavioral disorders and attentional disorders. In my situation it also helped out with my diagnosis that my 3 sons were previously diagnosed with ADHD.
Good luck. Hopefully you can get all this resolved quickly so you can have the right medical treatment to get you through your tough tests.
Lasagna> I noticed that bige was in his third year of law school and is taking strattera. I am trying desperately to do well on my LSAT but am having difficulty concentrating on the passages without my mind wondering. Plus, I'm having to read over the statements continuously before I can even go to an answer. I went to the Dr today and he gave me a sample to try. I'm taking my LSAT on 12/6. I was supposed to take it on 10/4 but my score wasn't high enough due to my problem. How long is this going to take to kick in and how long will I have this side effect of an upset stomach? The upset stomach is pretty bad.
> > My Dr wouldn't put me on adderol because he said I would have to take numerous tests to see if I really had ADD. Did everyone else who is on this had to have a ton of tests before it was prescribed to them?
> > Just curious.....
>
>
> DeLane:
>
> I definitely understand your concern about your upcoming LSAT. I'm in my thirties and went back to school (pre-med) last year, but only after I was able to get myself on ADD meds.
>
> I did not have to undergo *any* tests to see if I really had ADD -- I just had to go over a detailed history of my symptoms with a psychiatrist. The trick, though, was to actually find a shrink who specialized in adult ADD; when I had first spoken to my PCP, and then to another shrink, both had the outdated belief that ADD is something that only affects children (and boys, at that). Being an adult who should have been diagnosed as a young girl, but never was, I essentially diagnosed myself after reading books on the subject. I then sought out an adult ADD specialist, who recognized my textbook (textbook, that is, for an inattentive woman, not a hyperactive little boy) case of ADD in about two seconds. He prescribed Adderall after our first meeting.
>
> My experience was that the Adderall worked immediately -- the best thing is that it just helps me get started doing the things I have to do. (And yes, it does help me stay focused when I'm reading) I did have trouble with the side effects at first (especially the anxiety, which seemed to increase if I took a higher dose), and as a result tried a bunch of other meds, but all had even worse side efects. So, I eventually returned to Adderall, and have now been on it for about two years. Of course, the side effects did wear off after about a month or two, but before they did, none of them actually reduced my ability to focus on reading.
>
> Six months ago, I took a three-week "drug holiday" (that term cracks me up - as if going off your meds is some sort of a vacation!), and literally spent the whole time staring off into space.
>
> If you want to try Adderall, I would encourage you to find another doc who is willing to start you on it BEFORE you have to take your LSAT -- it could help immensely. I am just starting on Straterra, so I can't offer much info to compare that med, but from everything I've read here, and from what my pdoc days, it seems to take *at least* a few weeks to take effect. Given that your LSAT is only a month away, you may find it more helpful to get going on a med that kicks in faster, so that you can actually benefit from it in time for such an important exam.
>
> One more bit of Adderall advice: I started on Adderall before they came out with either the generic version or the XR, and have tried them all now, but find only the old-fashioned, brand name, standard-release one works for me, as it allows me more control over my dosing (I can take a dose about a half-hour to an hour before a class or an exam, and it makes a huge difference in my ability to focus). Also, I found the generic formulation seemed to kick in and out much more quickly than the brand name pill -- I had symptoms similar to OD/withdrawal (anxiety and itching all over my body when it kicked in too forcefully, then sudden, incredible sleepiness as it wore off ) two or three times a day. None of that with the brand name version. My pdoc initials "brand name only" on the prescription and it doesn't cost me anything more (with insurance).
>
> Best of luck to you!
>
> Plucky
Posted by Snowie on November 10, 2003, at 18:01:46
In reply to Re: When is the best time to take Strattera? » Snowie, posted by Lasagne on November 10, 2003, at 17:05:47
Lasagne,
Thanks for responding. I got my first script of Strattera filled yesterday. I pay $8 for generic drugs, and I thought $30 for non-generic, but my insurance charged me $50 for this script for just one month. My savings: $49. My sister has gotten drugs where she saved hundreds of dollars. I don't understand it, but I won't fill it again.
Snowie
> Hi Snowie:
> When I first started the Strattera I took it in the morning and it make me so sleepy all day long. My doctor then switched me to taking it at 7 p.m. and it helped me to sleep better at night and I was able to focus better during the day without so much drowsiness. Also, after about the 5th or 6th week I noticed a significant decrease in all the side effects. I now continue to take my 80 mgs. in the evening and I sleep well at night and I wake up feeling more energetic than I ever have. Before the Strattera I used to wake up and have an overwhelming desire to go back to bed after I got the kids off to school. Now I wake up, get moving, and get lots of things accomplished during the day. I also have found that I am able to skip my afternoon nap more often than before the Strattera.
> Lasagna
Posted by pain-pal on November 10, 2003, at 23:59:52
In reply to Re: Strattera updates?, posted by MamaB on October 15, 2003, at 10:03:33
Now in my 5th month and many ajustments later I am doing great on 60 mg strattera and 20 mg rittalin at 7am and 12pm. My work is fun, I got my first award in years and was just promoted to a new job. I still strugle going to sleep on a set schedule but I wake feeling ready to go. As a 50 year old male who struggle his whole life trying to fit in, follow instrutions or stay focused I am glad I finaly found a working combination of meds that worked for me.
Posted by sadmom on November 11, 2003, at 9:42:28
In reply to Re: Strattera updates?, posted by pain-pal on November 10, 2003, at 23:59:52
Strattera makes me sweat. But it also calms me. I take 40mg at 9am when I get to work. Then it seems to wear off after 5 hrs, so I take another 40mg at 2pm. I am taking it for depression related attention problems. I am also taking 30mg Remeron at night. This is the closest I've felt to normal in 4 yrs, after trying numerous antidepressants/combos. However I do seem to be having mood swings. And when I get depressed for a couple of days a week, it is quite bad and I have to take Xanax so I'm not continually crying. I don't know if this is a result of the Strattera, because mood swings is listed as a side effect.
Posted by zeugma on November 11, 2003, at 12:13:08
In reply to Re: Strattera updates?, posted by sadmom on November 11, 2003, at 9:42:28
I find that meds that work on norepinephrine increase emotionality (hence the mood swings). For example, when I'm depressed I always feel like crying, but can't because my emotional expression is blocked. When on a noradrenergic drug, the emotions flow more freely, making it easier to express them (whether negative or positive). I consider this part of the 'normalizing' effect of these drugs. The drawback is that for people with bipolar tendencies the increased emotions can precipitate a manic episode.
Posted by Lasagne on November 11, 2003, at 12:31:07
In reply to Re: Strattera updates?, posted by sadmom on November 11, 2003, at 9:42:28
Dear Sad Mom:
It sounds like you may have a bipolar disorder that coexists with your attentional problems. You might want to consider talking to your doctor for a trial of Zyprexa. My 11 year old son takes Strattera, Adderal XR, Celexa, and Zyprexa. Prior to the Zyprexa my son was having huge mood swings where he would get very combative and then at other moments he would be crying his eyes out. The doctor started him on a very small dose of the Zyprexa and it was amazing how much it calmed the rollercoaster ride down. It is a very good mood stabilizer that doesn't involve routine blood testing like some of the other mood stabilizer's out there. It's very difficult treating attentional problems when bipolar disorder coexists with it. SSRI's and stimulants can aggrivate the bipolar and throw a person into a manic episode, especially if the patient is not taking a mood stabilizer concurrently. > If my son could function well enough to get through his school work on the Strattera alone I really think that alot of these emotional upheavels could have been avoided. During the summer he functioned well on the Strattera alone for his ADHD, but once school started he couldn't focus well enough to get through all his school work in one day without adding the Adderall back to the mix. As for the sweats, I got that side effect too when I began the Strattera. It took me about 6 weeks for that to go away.
Good luck, LasagnaStrattera makes me sweat. But it also calms me. I take 40mg at 9am when I get to work. Then it seems to wear off after 5 hrs, so I take another 40mg at 2pm. I am taking it for depression related attention problems. I am also taking 30mg Remeron at night. This is the closest I've felt to normal in 4 yrs, after trying numerous antidepressants/combos. However I do seem to be having mood swings. And when I get depressed for a couple of days a week, it is quite bad and I have to take Xanax so I'm not continually crying. I don't know if this is a result of the Strattera, because mood swings is listed as a side effect.
Posted by bcabare on November 11, 2003, at 13:15:23
In reply to Re: Strattera updates?, posted by pain-pal on November 10, 2003, at 23:59:52
This is the first time in decades that I have felt comfortable and confident. I really appreciate Strattera for that. This is also the first time in many years that I _HAVEN'T_ been on a mood stabilizer. I originaly was diagnosed as being Bi-polar. My symptoms aren't totally in line with typically ADD, but the book "What does everyone else know that I don't" caused me to consider that I might be ADD. Mainly this was due to being so focused that you miss the social cues that later cause you interpersonal problems. My pdoc agrees that my original bipolar diagnosis (not his) was wrong. As to side effects: lots of itching, nausea, sleepy. But career-wise, I have progressed so much in the last four months -- everyone has commented on my new-found abilites and are now deferring to me in group projects.
Posted by lessismore on November 11, 2003, at 13:33:08
In reply to Re: When is the best time to take Strattera? » Lasagne, posted by Snowie on November 10, 2003, at 18:01:46
I don't have insurance, and pay $180 a month for my Strattera. I don't have a regular job or a lot of money, but the Strattera makes things so much better that it's worth it to me. I would pay for the Strattera before the mortgage.
Posted by lessismore on November 11, 2003, at 13:38:23
In reply to Re: Strattera updates? » sadmom, posted by zeugma on November 11, 2003, at 12:13:08
I like the idea that the S. is "normalizing". I have always hated to show my emotions, and find I am more likely to cry at something sad, or yell about something that makes me angry (appropriately, I think), since I started the S.
Posted by loolot on November 11, 2003, at 13:48:13
In reply to Re: Strattera updates?, posted by lessismore on November 11, 2003, at 13:38:23
I am just about to up my dosage to 40mg because 18 doesnt work anymore. Does this keep happening? Will my adrenal system keep adjusting to this med until it just stops? I worry about that.
Has anyone been on one dosage of straterra for a while?
Posted by bcabare on November 11, 2003, at 14:50:38
In reply to When is the best time to take Strattera?, posted by Snowie on November 7, 2003, at 23:43:22
I am often very tired, which these postings seem to confirm for a person taking S in the morning. However, when I took it at night, it appeared to not be as effective the following evening, so I went back to a morning dose. I think I will next try a dinner dose or twice/day smaller doses.
Posted by bcabare on November 11, 2003, at 15:11:38
In reply to Re: strattera side effects, posted by bige on October 11, 2003, at 12:02:13
Somewhat glad to see others having hot flashes; I thought I was going through menopause. (I take between 100 and 120 mg/morning with 40mg prozac)
Posted by MamaB on November 11, 2003, at 15:54:53
In reply to Re: strattera side effects, posted by bcabare on November 11, 2003, at 15:11:38
> Somewhat glad to see others having hot flashes; I thought I was going through menopause. (I take between 100 and 120 mg/morning with 40mg prozac)
Boy an I glad to know I wasn't imagining the hot flashes! My psychiatrist still doesn't believe me
but they were very real!
Posted by bcabare on November 11, 2003, at 17:54:28
In reply to Re: Strattera updates?, posted by Mid- Life Crisis on October 15, 2003, at 23:58:33
Make sure you have an IEP filed at the school. My daughter was often singled out. Her actions warranted her being singled out at times, but not _ALL_ of the time. So when she was expelled for using drugs, and the drug dealer simply suspended, then I knew this wasn't right. Her mood disorders made her make more enemies of the teachers than allies. Had I filed an IEP stating her handicap, I might have saved a lot of frustration.
It wasn't until after two suicide attempts that I placed her in a group home to get help. After three years of hell, she is still a *big* handful. But she is alive and looking forward to graduating from an alternative school on the "B" plan and eventually going to school for interior design. When she was 14-16, I did have her on meds for being bi-polar, OCD, ODD, etc. Now at 17, I wish I could get her to use Strattera, which has been a Godsend to me.
> Frustrted Mom,
> My 15 yr. old son was also previously on Adderall (XR and the generic short-acting type) before trying Strattera. I'm at wit's end, because he gets in trouble for "disruptive" behavior, which the school labels disruptive even if it's only shaking his head when the teacher is talking and he tells me even the kids in his class accuse the teacher of not liking my son (and he CAN be trying, because he's the class clown type.) Believe it or not, this is an alternative high school which has loads of ADHD kids in it, and so lots of my son's friends are also ADHD. However, the teachers at this school seem to understand very little about ADHD. (Ironically, the school is sponsoring a local therapist presentation in a couple of weeks for parents entitled "What Parents Need to Know About ADHD Children". I wish this school would also consider one for the teachers as well! Sorry to vent!)
> Anyhow, Adderall made my son's normally sweet (for a 15 year old boy) temperament angry and oppositional...not like him. On Strattera, he just seems out of it so far, and says it makes him feel wierd, though I think some is the drowsiness. Only thing left to try after this is Wellbutrin, but that would not seem to address his problems, as he has no depression.
Posted by Lasagne on November 12, 2003, at 21:39:49
In reply to Re: Strattera -does it wear off?, posted by loolot on November 11, 2003, at 13:48:13
>Reply to below post:
I have been on 80 mgs. of Strattera since last May and I haven't had to adjust my dose once. Eighteen mgs. seems like a very low dose and quite possibly wasn't the right dose to begin with. Yet, since Strattera has a lot of side effects in the beginning the doctors are now starting people on lower doses and then working up to the optimal dose which I believe is based on your body weight. I think it is still a little early to know if your body will become resistant to Strattera, thus indicating a higher and higher dose over time. From my personal experience with Prozac (an SSRI), I have been on the same dose for years now and it's effectiveness has remained the same. Since Strattera is somewhat similar to the SSRI's, we can only hope that it will behave the same over time instead of becoming less and less effective like the traditional stimulants like Ritalin and Adderall.
Good luck. Hopefully a higher dose will work out for you and you won't have to keep adjusting it.
Lasagna
I am just about to up my dosage to 40mg because 18 doesnt work anymore. Does this keep happening? Will my adrenal system keep adjusting to this med until it just stops? I worry about that.
> Has anyone been on one dosage of straterra for a while?
Posted by Lasagne on November 12, 2003, at 21:43:23
In reply to Re: strattera side effects, posted by bcabare on November 11, 2003, at 15:11:38
> Hang in there. The hot flashes are very obnoxious in the beginning, but after a while it should calm down and completely go away. I believe that problem went away around my 6th week on the Strattera.
Lasagna
Somewhat glad to see others having hot flashes; I thought I was going through menopause. (I take between 100 and 120 mg/morning with 40mg prozac)
Posted by Lasagne on November 12, 2003, at 21:45:59
In reply to Re: strattera side effects, posted by MamaB on November 11, 2003, at 15:54:53
Oh, you think the hot flashes are bad, try extreme scalp itch with no apparent scalp condition. I complained about this to my doctor and he didn't believe me that I thought it was due to the Strattera and then I read other posts on this web-site of people experiencing the same thing. So don't assume your doctor knows everything.
Lasagna
> > Somewhat glad to see others having hot flashes; I thought I was going through menopause. (I take between 100 and 120 mg/morning with 40mg prozac)
>
> Boy an I glad to know I wasn't imagining the hot flashes! My psychiatrist still doesn't believe me
> but they were very real!
Posted by loolot on November 12, 2003, at 22:18:20
In reply to Re: Strattera -does it wear off? » loolot, posted by Lasagne on November 12, 2003, at 21:39:49
Yet, since Strattera has a lot of side effects in the beginning the doctors are now starting people on lower doses and then working up to the optimal dose which I believe is based on your body weight. I think it is still a little early to know if your body will become resistant to Strattera, thus indicating a higher and higher dose over time. From my personal experience with Prozac (an SSRI), I have been on the same dose for years now and it's effectiveness has remained the same. Since Strattera is somewhat similar to the SSRI's, we can only hope that it will behave the same over time instead of becoming less and less effective like the traditional stimulants like Ritalin and Adderall.
Thanks so much for the reply! I think the reason I worry is because I was on wellbutrin and it wore off, and I could tell that a lot of the poop-out which effected me physically was norepinephrine depletion. I developed worse asthma and allergies, etc.
So now I worry the same thing will happen with straterra. How is straterra similar to ssri's? Does it block reuptake of NE? I know it doesnt work on seratonin, right?
Posted by Mila S on November 12, 2003, at 22:54:15
In reply to Re: Strattera, posted by lessismore on November 5, 2003, at 19:30:15
I went on strattera several weeks ago. At first it seemed to be helping. However, I noticed that when I miss a dose or two or reduce the dose, I become severely depressed. I have experienced this sort of depression before but in recent years it has not been this bad. However, since I started the strattera, it has come back albeit only when I miss or change (reduce) the dose. It seems as if I have become dependent(not in the addictive sense) on the strattera such that not taking it causes this severe reaction.
It is not helping me all that much when I do take it. So I am not sure if I should keep taking it given the reaction I have when I miss a dose. Also I find that missing a dose or changing doses causes severe sleepiness as well.
I'm afraid to stop it altogether as I become so terribly depressed. Yet it seems that I need to get it out of my system altogether if I want these negative reactions to stop. I went up to 100 mg a day. Presently I have reduced the dose to 60 mg a day and I feel worse then I did before I ever started it.
Anyone else have this experience? Some folks mentioned mood swings. Perhaps this is what is happening to me. However the severity of the depression experienced seems to be something more then mere mood swings occurring as a side effect. And the fact that it happens when I miss a dose indicates that is not just a matter of a side effect but some kind of severe withdrawal effect.
I'm not sure whether I should get off it completely and suffer through the severe depression or keep taking the drug at my maximum dose. I also noticed getting severely depressed when I was first on 60 mg and would miss a dose.
Any advice would be much appreciated.
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