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After much searching and family stress in trying to get Strattera into my 6 year old son who has a feeding disorder and out of control ADHD, I have found an alternative solution. He can't swallow a pill and eats only an extremely limited selection of foods. (Only two of his foods are possibilities for putting medication in.) Since Strattera is extremely bitter, I pretty much couldn't disguise it enough to get it past him in any food. At the 25mg and 40mg dosages, I could sort of hide it, but we absolutely could not get 60mg into him in any food! It seemed that he was tolerating the medicine well and been having more good days at school so I was extremely dissapointed that our program was being derailed because we couldn't get the medication into him. The pharmacy we use said they couldn't make it a flavored liquid unless it was already in that form from the manufacturer. So I found a compounding pharmacy and discussed my problem with them. At first they said they could make it into a liquid and I asked could they make it into a patch because I didn't have much hope in any flavoring being able to disguise the bitter taste. The compounding pharmacy lab then said they had made it into a transdermal gel for some of their clients. I immediately felt a renewed since of hope! My son weighs almost 70 lbs and was on 60mg orally, but was initially stepped down to 40mg transdermally. He has been on it for almost a year and we are convinced we are seeing much improvement in his behavior. Our compounding pharmacy also makes the mood stabilizer Valproic Acid he takes in conjunction with Strattera into a suppository since we couldn't get that in him by oral routes either. So for you parents out there that need an alternative form of this medication, a transdermal gel might be the answer. This is a new frontier as far as the transdermal delivery of this particular medication as not much information is out there on it.

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Q: Are there any alternatives to Strattera capsules such as a liquid or breaking the capsules for a child who has problems swallowing them?
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