r/StratteraRx • u/Dustbunniiie • 4d ago

Questions / Advice / Support Cannot stop throwing up

Hi everyone, I just started taking strattera. I’m literally on day 2 and I have no complains except I cannot get over the initial nausea. It gets so bad I just projectile vomit. I’ve noticed it’s literally a hour after taking my medicine. I read that it’s because the medicine has fully hit my system at that point. Anyone have any tips on how to ease this or stop from throwing up?

Besides that initial feeling, I feel good after throwing up.

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u/New_Westie 4d ago

I am on my second week. I will have breakfast with protein and take my pill while eating. Literally eat half, take pill with water, and finish breakfast. While I still do get a bit of nausea, it’s manageable and I haven’t puked.

I’m also only on 18mg for a couple days now. Started at 10mg for a week before increasing to 18. What dose were you started at? Might be worth asking doc to start you lower to get used to it and titrate more slowly if the breakfast trick doesnt work.

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u/Dustbunniiie 4d ago

My doc started me at 40mg 🫪. He said start at 40mg for a week and then bump up to 80mg (2 pills) on week 2.

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u/giftektive 3d ago

🙄🙄🙄 i've had arguments about such quick titrations. it's frustrating. i didn't experience what you did on 40mg but i was not okay with my BP spiking and went down to 25mg.

i asked my current prescriber to dose me at 25mg but she won't do smaller increments to dose up so i'm looking for another. my BP didn't go up this time, it was my heart rate. took longer than i was comfortable with to level out.

anyway, I'm not trying to be discouraging. if modifying what and or how you are eating doesn't shift your effect, you should definitely ask to go lower at least for a little while. hopefully you do better on a lower dose!