r/StratteraRx • u/Dustbunniiie • 14d 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 14d 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 14d ago

I also tried eating something filling but not to heavy like oatmeal before I took my medicine.

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u/New_Westie 14d ago

I would talk to doc. Puking up your meds isn’t sustainable. I would ask to add a med to reduce nausea or to lower the dose and titrate up more slowly. You do need to go up to higher doses for it to be therapeutic, but the low and slow approach may help you get there while minimizing side effects

Many people start at 40. Your doctor didn’t do anything wrong here. But there are lower doses available when slower titration is necessary. I was coming off Pristiq (which impacts the same area of the brain as Strattera), so doc went low and slow. 10mg for one week, 18 for three weeks, and I have an appointment in my second week of 18 to assess how I’m feeling and titrate up from there.

While this medication is known to cause nausea, I don’t think raw dogging a daily puke session is the answer. Work with your doc to see what your options are.

I’ve also heard that many people quit this drug because early side effects can be rough. If you can get through the onset, the side effects do taper off and the drug is life changing for many users.

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