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Qelbree (viloxazine) online: non-stimulant ADHD medication

Qelbree (viloxazine hydrochloride) is a non-stimulant ADHD medication approved to treat ADHD symptoms, including inattention, hyperactivity, and impulsivity, in both adults and children aged 6 to 17. Qelbree is a beneficial option for those who are sensitive to stimulants or prefer alternative options. Take the first step toward a more focused and fulfilling life. Connect with our doctors online today and explore the possibilities that Qelbree brings to your ADHD management.*

Significantly improves ADHD symptoms Non-stimulant ADHD medication with a well-tolerated side effect profile Less likely to cause sleep disturbances
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*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy. Treatment of ADHD will depend on the individual's symptoms, age, and the severity of impact. Prescription medication is a common form of treatment for ADHD. Treatment is most effective when medication therapy is combined with behavioral strategies.

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How does Qelbree (viloxazine) work?

Qelbree belongs to a class of antidepressants called selective norepinephrine reuptake inhibitors (SNRIs). Unlike stimulant medications commonly prescribed for ADHD (attention deficit hyperactivity disorder), Qelbree does not directly affect dopamine levels. Instead, it primarily targets the reuptake of norepinephrine, a neurotransmitter or brain chemical associated with attention and focus. By acting on norepinephrine, Qelbree can enhance attention and cognitive function.

Qelbree was FDA-approved for the treatment of both children and adults in April of 2021. Qelbree is not classified as a controlled substance, making it easier to prescribe and manage as it has a low risk of abuse or overdose. The time it takes for Qelbree to take effect varies from person to person, so it’s important to schedule regular follow-up appointments with your doctor.

 

The benefits of seeing an online doctor for ADHD

Scheduling a virtual doctor visit offers a convenient and flexible solution for managing ADHD. Telemedicine provides easy access to medication management, regular monitoring, and follow-up care from the comfort of your home. Online doctor appointments are particularly beneficial for those with time management challenges, as our doctors are available on weekdays or weekends, day or night. At PlushCare, we strive to make your ADHD care efficient and comfortable.

Qelbree compared to other ADHD medications

Unlike stimulant ADHD medications, such as Adderall, Ritalin, and Vyvanse, Qelbree (viloxazine) is a non-stimulant drug. Stimulant medications like methylphenidate and amphetamine-based drugs have been the go-to treatment for ADHD for many years. They work by increasing levels of certain neurotransmitters, such as dopamine and norepinephrine, in the brain.

While effective for many, stimulant medications can cause side effects like insomnia, decreased appetite, and potential for abuse. It’s important to note that stimulants are also controlled substances and cannot be prescribed by PlushCare doctors.

As a non-stimulant, Qelbree works differently by modulating norepinephrine without acting on dopamine. Both Qelbree and stimulant medications can effectively manage ADHD symptoms. However, every individual may respond differently to a medication.

Your doctor will help you decide which medication is best for you, depending on your medical history, tolerance to side effects, and specific symptoms. If you have questions about ADHD medications, scheduling a virtual doctor's appointment with one of our board-certified primary care physicians is easy.

Qelbree vs. Strattera (atomoxetine)

Qelbree and Strattera are both non-stimulant medications for ADHD. While both Qelbree and Strattera are selective norepinephrine reuptake inhibitors, Qelbree has an extended-release mechanism, and Strattera has an immediate-release mechanism. Both medications share common side effects, such as nausea, vomiting, and tiredness. Some studies show that Qelbree may take effect sooner than Strattera, but there is still much research to be done comparing the two drugs.

Qelbree comes in an extended-release form, so it is taken just once a day. Strattera may be taken once or twice daily, depending on the recommended dose. Qelbree can be taken out of the capsule and added to pudding or applesauce, making it easier for those with trouble swallowing capsules. Strattera must be taken in capsule form.

Qelbree vs. Adderall

Adderall is a stimulant medication that is a common and extremely effective treatment for ADHD. As a stimulant, Adderall is a controlled substance that comes with a risk of abuse. Adderall contains a mixture of different forms of amphetamine and dextroamphetamine.

Qelbree, as a non-stimulant medication, can be an effective alternative for ADHD patients who are not suitable candidates for Adderall or other stimulant medications. It is important to note that our doctors do not prescribe controlled substances, such as Adderall.

Qelbree vs. Vyvanse (lisdexamfetamine)

Both drugs are effective in treating symptoms of attention deficit hyperactivity disorder. Vyvanse is a long-acting amphetamine-based stimulant, whereas Qelbree is a non-stimulant drug.

Non-stimulant ADHD medications like Qelbree are effective options when stimulant drugs aren’t a good choice. In some patients with ADHD, stimulant medications either don't work or cause intolerable side effects. Stimulant medications might also make other disorders, such as anxiety, worse. There’s also the risk of stimulant drugs being abused, which is especially concerning in patients with a history of substance abuse. Our doctors at PlushCare do not prescribe Vyvanse or other controlled substances.

Qelbree vs. Ritalin

Ritalin (methylphenidate) is a type of stimulant medication for ADHD. Ritalin is an effective drug in many ADHD patients and works better in some cases than amphetamine-based ADHD treatments, such as Adderall. Our doctors at PlushCare do not prescribe controlled substances, such as Adderall and Ritalin.

Like all stimulants, Ritalin carries the potential side effects and risks of a controlled substance. As a newer non-stimulant medication, Qelbree offers an effective alternative to treat ADHD.
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Studies on Qelbree: what is the success rate of viloxazine?

Clinical studies on Qelbree showed positive results in managing symptoms associated with ADHD in both children and adults. Qelbree can be an effective part of a comprehensive treatment plan for ADHD, which may include counseling or other mental health therapies.

In children, three separate trials demonstrated improvement in challenging behaviors related to ADHD within six weeks. (1) In some cases, patients experienced reduced ADHD symptom scores as early as the first week. The studies assessed changes in ADHD symptoms, including inattention, hyperactivity, and impulsivity, over six to eight weeks, demonstrating significant symptom reduction compared to a placebo.

Physicians reported that adults who received Qelbree (viloxazine) experienced more significant improvements compared to the placebo group. Patients reported improvement each week during the trial, culminating in a 41% reduction in symptoms compared to a 32% reduction in the placebo group. (5) The randomized, placebo-controlled trial covered flexible doses between 200-600 mg per day. (6)

The studies also showed a low incidence of side effects. Notably, most side effects observed did not lead to the discontinuation of Qelbree treatment. Qelbree, available in capsule form, is not a controlled substance, and there is no evidence of its abuse. The convenient once-a-day dosing helped with patient compliance.

Qelbree and antidepressants

As a relatively new drug, Qelbree is still being studied for potential interactions with the many antidepressants that are on the market. Qelbree functions as an SNRI antidepressant, and there are added risks in combining any antidepressant drugs for mental health treatment.

 

In particular, antidepressants that belong to the class of drugs monoamine oxidase inhibitors (MAOIs), as well as certain asthma medications, should not be taken with Qelbree.

Qelbree and Lexapro (escitalopram)

Qelbree and Lexapro increase serotonin levels in the brain using different pathways. Qelbree is an SNRI, and Lexapro is an SSRI. Used together, they can cause a life-threatening condition called serotonin syndrome. Qelbree is mainly used for ADHD, while Lexapro is used as an antidepressant.

Qelbree and Prozac (fluoxetine)

Similar to Lexapro, Prozac (fluoxetine) is an SSRI commonly used as an antidepressant. While these two drugs haven’t been studied in combination, combining an SNRI drug like Qelbree with an SSRI like Prozac also carries the risk of serotonin syndrome, which can be life-threatening. While Qelbree may be prescribed with Prozac in specific cases, it’s critical to talk to your doctor about any potential drug interactions and treatment alternatives.

Qelbree dosing information and usage guidelines

Your doctor will recommend the Qelbree dosage most suitable for you. The recommended dosage of Qelbree (viloxazine extended-release) can vary based on individual factors, including age, weight, and the severity of ADHD symptoms. Qelbree is available in capsule form with different strengths, including 100 mg,150 mg, and 200 mg. The initial dose may be as low as 100 mg and can be titrated upward based on the individual's response to the medication. The maximum recommended dosage for Qelbree is 600 mg once daily.

Dosing information

Any changes to your dosage should be made under the guidance of your doctor. A Qelbree dosage chart may illustrate the titration schedule, ensuring a gradual increase to the target dose. For example, a starting dose might be 100 mg once daily, with subsequent increases (e.g., 100 mg, 150 mg, and 200 mg) over several weeks.

Instructions on how to take Qelbree

Always take Qelbree as instructed by your physician. Here are some general guidelines:  

  • Take Qelbree 1 time each day with or without food. 

  • Swallow the capsules whole. Do not cut, crush, or chew the capsules. 

  • If the capsules cannot be swallowed whole, the capsule may be opened and the entire contents sprinkled onto a teaspoonful of applesauce or pudding. Swallow all the applesauce or pudding mixture right away, without chewing, or within 2 hours of mixing with applesauce or within 15 minutes of mixing with pudding. Do not chew the applesauce or pudding mixture. Do not store the applesauce or pudding mixture.

 

 

What are the pros and cons?

Qelbree

Pros

Effectiveness in treating ADHD: Qelbree has proven effective in reducing symptoms associated with ADHD. Clinical studies have shown improvements in ADHD symptoms, including inattention, hyperactivity, and impulsivity. Non-stimulant medication: Qelbree is a non-stimulant medication, which is particularly helpful for those who are sensitive to stimulants or have contraindications that limit their use of stimulant-based ADHD medications. Reduced risk of abuse: Compared to stimulant medications commonly used to treat ADHD, Qelbree has a lower potential for abuse. This can be a critical factor in prescribing decisions, especially for patients with a history of substance abuse or concerns about the misuse of stimulants. Side effect profile: Qelbree has fewer common and less severe side effects reported compared to other ADHD medications. It’s better tolerated overall, resulting in higher compliance.

Cons

  • Possible adverse effects: Qelbree, like any medication, may be associated with both mild and severe side effects, including the risk of suicidal thoughts or ideation in rare cases. There are reports of increased heart rate and blood pressure, especially in children under the age of 18, and in-person cardiology evaluation may be needed if worrisome symptoms occur. 

  • Cost and insurance coverage: The cost of Qelbree and the availability of insurance coverage may present challenges depending on your insurance provider. Discuss affordability concerns with your doctor, as they may prescribe alternatives or have other solutions. Qelbree remains brand-name-only, without a generic alternative, and the cash price can be more than $300 a month without insurance. With insurance and manufacturer's coupons, the monthly cost can be as low as $20 a month. To determine if your insurance helps cover the cost of Qelbree, check with your insurance plan. 

  • Limited long-term data: Qelbree is a relatively new medication, so there is limited long-term efficacy and safety data available. The ongoing monitoring and data collection are essential to further understand its potential effects over an extended period.

Qelbree FAQs

How long does Qelbree stay in your system?

The elimination half-life, meaning the time it takes for half of the concentration of the drug to leave your body, of Qelbree is approximately 12 hours. However, individual variations may influence how long it stays in your system.

How long does it take Qelbree to work?

Most patients notice an improvement in symptoms within the first week, while the full therapeutic effect may take up to six weeks. Not all ADHD patients improve with Qelbree, so stay in close touch with your doctor with regular follow-up visits.

Does Qelbree give you energy?

Qelbree is not typically associated with providing a stimulant-like increase in energy. Its primary function is to help manage symptoms of ADHD.

Does Qelbree make you tired?

Fatigue or drowsiness is listed as a potential side effect of Qelbree. If you experience excessive tiredness, talk to your doctor.

Does Qelbree help with anxiety?

Qelbree is not specifically prescribed for treating anxiety. You should speak to your doctor about treatment options for anxiety medications.

Can you just stop taking Qelbree?

Stopping Qelbree abruptly without your doctor’s guidance is not recommended. It’s important to slow or stop the medication under the guidance of your doctor to manage potential withdrawal effects or recurrence of symptoms.

How to get Qelbree online

How It Works Step 1
Step 1

Book an appointment to discuss Qelbree.

Book a same day appointment from anywhere.
How It Works Step 2
Step 2

Talk to your doctor online about your ADHD symptoms.

Visit with a doctor on your smartphone or computer.
How It Works Step 3
Step 3

Pick up your Qelbree medication, if prescribed.

Prescriptions are provided at the doctor's discretion. We can send prescriptions to any local pharmacy. 

Qelbree pricing details

To get a new prescription or refill on your Qelbree prescription, join our monthly membership.

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Paying with insurance

Membership

16.99

First month free

+

Visits

Copay

Visit price with insurance

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua...
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Sources:

PlushCare is dedicated to providing you with accurate and trustworthy health information.

  1. Qelbree. "Results with Qelbree" Accessed on December 17, 2023 at https://www.qelbree.com/pediatrics/adhd-treatment-with-qelbree 

  2. National Center for Biotechnology Information. “Viloxazine for the Treatment of Attention Deficit Hyperactivity Disorder” Accessed on December 17, 2023 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9501833 

  3. FDA. Accessed on December 17, 2023 at https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/211964s003lbl.pdf 

  4. Frontiers. Accessed on December 17, 2023 at https://www.frontiersin.org/articles/10.3389/fpsyt.2021.789982/full 

  5. Qelbree: "ADHD Treatment with Qelbree." Accessed on December 17, 2023, at https://www.qelbree.com/adults/adhd-treatment-with-qelbree.  

  6. National Center for Biotechnology Information. Accessed on December 17, 2023 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328182/32 

  7. National Center for Biotechnology Information. Accessed on December 17, 2023 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374479/ 

  8. AAFP. “Viloxazine (Qelbree) for ADHD” Accessed on December 17, 2023 at https://www.aafp.org/pubs/afp/issues/2023/0300/steps-viloxazine-adhd.html 

  9. Dailymed. Accessed on December 17, 2023 at https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm 

  10. National Center for Biotechnology Information. Accessed on December 17, 2023 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680847/ 

  11. National Center for Biotechnology Information. Accessed on December 17, 2023 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328182/ 

  12. National Center for Biotechnology Information. Accessed on December 17, 2023 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9501833/ 

  13. National Center for Biotechnology Information. Accessed on December 17, 2023 at https://www.ncbi.nlm.nih.gov/books/NBK576423/ 

  14. National Center for Biotechnology Information. Accessed on December 17, 2023 at https://www.ncbi.nlm.nih.gov/books/NBK576423/#:~:text=Viloxazine 

  15. Frontiers. Accessed on December 17, 2023 at https://www.frontiersin.org/articles/10.3389/fphar.2022.1066988/full 



PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.