Optimizing Strattera Timing: Evening vs. Morning

When it comes to managing ADHD with Strattera, also known as Atomoxetine, the timing of when you take the medication can have a significant impact on its effectiveness and side effects. This guide aims to provide clarity on whether it's better to take Strattera at night or in the morning, helping you make an informed decision for your treatment.

Understanding Strattera’s Mechanism and Side Effects

Strattera, unlike other ADHD medications which are stimulants, works by rebalancing your brain chemistry to help manage ADHD symptoms. A common side effect reported by many users is insomnia due to the medication’s long half-life of 21.6 hours and peak levels achieved within 1-2 hours after taking it. Due to this, it is generally not recommended to take Strattera at night, as it may disrupt your sleep.

I took my first dose of Strattera yesterday at 9 am and it’s now 4:38 am, and I’ve been up off and on for the last 6 hours. I don’t recommend taking it at all ever.

In some cases, individuals are able to sleep within a few hours after taking the medication, and there is no problem taking it at night as it is a sustained-release drug that works over time. However, considering the widespread reports of insomnia and the long-lasting effects, many prefer to take it in the morning to avoid potential nighttime discomfort.

Recent Studies and Recommendations

A recent study compared the effects of morning and evening doses of Strattera for ADHD. The study found that:

Both morning and evening doses improve symptoms significantly. A morning dose was slightly more effective than an evening dose. An evening dose was significantly less likely to have adverse effects.

Based on these findings, the recommendation is that if there are no significant signs of insomnia from the morning dose, it is best to take it in the morning. However, if you experience insomnia or find it disrupts your sleep, taking the morning dose for 2-3 months and then switching to evening can be beneficial in building up the desired blood level.

Details and Personal Preference

Strattera has a 24-hour effect, meaning taking it at night or in the morning should not make a significant difference in symptom relief. It also has a lesser impact on appetite and aids in better sleep. Anecdotally, some children with ADHD and ASD have reported reduced anxiety symptoms when taking Strattera.

By personal preference, I recommend starting with a night dose for 2-3 months to allow the initial side effects, such as stomach-related issues, to dissipate while the child is asleep. After the initial side effects have worn off, switching to the morning dose can ensure a good blood level during the waking hours, as the peak blood level occurs within the first hours of the drug’s action.

It is crucial to follow the prescribed schedule and take the medication daily to achieve the desired outcome. Missing doses can lead to suboptimal treatment and diminish the therapeutic effects.

Conclusion

The choice of when to take Strattera—morning or evening—depends on individual preferences and response to the medication. Consider the potential side effects, such as insomnia, and personal comfort levels. Consulting with a healthcare professional can provide tailored advice based on your specific situation.

Keywords

Strattera, timing, ADHD, insomnia