When do you use SNRIs or norepinephrine reuptake inhibitors (e.g., atomoxetine) for the treatment of ADHD?  

Diversion of stimulants is a concern. However, patients with ADHD symptoms who have a robust response to stimulants are motivated to continue treatment and to ensure compliance. I have not found SNRIs, SSRIs, or bupropion effective for ADHD but agree that they may be indicated for comorbid anxiety a...

For my adult patient population, I tend to prescribe generic versions of Adderall, initially. I screen and carefully evaluate for potential addiction concerns, reliability in taking the medications regularly and as directed, and taking the appropriate safety precautions in keeping the medications sa...

I do not use SNRIs for ADHD and I don't see an indication for this. However, the use of Wellbutrin in conjunction with an SSRI may be a reasonable combination for folks with anxiety and attentional symptoms that do not resolve with adequate anxiety treatment.

Strattera is a great and underused medication, as is guanfacine and Wellbutrin and imipramine. The key with atomoxetine is to realize it takes awhile to reach efficacy, it has to be at the right dose, and the effect is not as obvious, as it develops over time. With the stimulant shortage, I started ...

I find that patients like the increased energy as well as the sense of wellbeing and confidence they experience on Adderall. Even patients without ADHD experience the mood and energy effects.  It is too reinforcing a medication and not necessarily for the right reasons. I don't make it my first...