Strattera

By Medically reviewed by hellodoktor

Generic Name: Strattera Brand Name(s): Generics only. No brands available.

Uses

What is Strattera® (atomoxetine) used for?

Strattera® is commonly used for treating attention deficit hyperactivity disorder (ADHD) as part of a total treatment plan, including psychological, social, and other treatments.

It can help raise the ability to pay attention, concentrate, stay focused, and stop fidgeting. Strattera® is believed to work by restoring the balance of certain natural substances (neurotransmitters) in the brain.

How should I take Strattera® (atomoxetine)?

Take Strattera® with or without food as exactly prescribed and directed by your doctor, usually 1 to 2 times a day. The first dose is usually taken when you wake up in the morning. If a second dose is prescribed, take it as directed by your doctor, usually in the late afternoon/early evening. Taking this medication late in the day may cause trouble sleeping (insomnia).

Swallow the capsules whole. Do not crush, chew, or open the capsules.

You should not use Strattera® if you have narrow-angle glaucoma, an adrenal gland tumor, heart disease or coronary artery disease, or moderate to severe high blood pressure.

If the capsule is accidentally opened or broken, avoid contact with the powder and wash away any loose powder as soon as possible with water.

How do I store Strattera® (atomoxetine)?

Strattera® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Strattera® in the bathroom or the freezer. There may be different brands of Strattera® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Strattera® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Strattera® (atomoxetine)?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of Strattera® or other medications.
  • You have any other illnesses, disorders, or medical conditions.

Do not use Strattera® if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

You should not use Strattera® if you have:

  • Moderate to severe high blood pressure
  • Heart disease or coronary artery disease (hardened arteries)
  • Narrow-angle glaucoma
  • Pheochromocytoma (tumor of the adrenal gland)

Strattera® has caused sudden death in certain people. Tell your doctor if you have:

  • Heart problems or a congenital heart defect
  • High blood pressure
  • A family history of heart disease or sudden death

Some young people have thoughts about suicide when first taking Strattera®, or whenever the dose is changed. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using this medication during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking this medication. This medication is pregnancy risk category C, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from Strattera® (atomoxetine)?

Get emergency medical help if you have signs of an allergic reaction to Strattera®: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Strattera® can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Stop using this medicine and call your doctor at once if you have:

  • Chest pain, trouble breathing, feeling like you might pass out
  • Hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia
  • Painful or difficult urination
  • Erection is painful or lasts longer than 4 hours (this is a rare side effect)
  • Liver problems – nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)

Common side effects may include:

  • Nausea, vomiting, upset stomach, constipation
  • Dry mouth, loss of appetite
  • Mood changes, feeling tired
  • Dizziness
  • Impotence, trouble having an erection

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Strattera® (atomoxetine)?

Strattera® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Strattera® (atomoxetine)?

Strattera® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Strattera® (atomoxetine)?

Strattera® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Health conditions that may interact with this drug are:

  • Cardiac Disease
  • Glaucoma
  • Hypertension
  • Liver Disease
  • Seizure Disorders
  • Psychiatric Disorders
  • Renal Dysfunction
  • Urinary Retention

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using this medication.

What is the dose of Strattera® (atomoxetine) for an adult?

For Attention Deficit Disorder:

40 mg once a day the morning. Alternatively, the dose may be administered as 20 mg orally twice a day, in the morning and late afternoon/early evening.

The dose may be increased after a minimum of three days to a target total daily dose of approximately 80 mg administered as either a single daily dose in the morning or as evenly divided doses in the morning and late afternoon/early evening.

There are no data to support increased effectiveness at higher doses.

What is the dose of Strattera® (atomoxetine) for a child?

Strattera® is not approved for use by anyone younger than 6 years old.

Age 6 years and older and up to 70 kg body weight: 0.5 mg/kg once a day in the morning. Alternatively, the dose may be administered as 0.25 mg/kg orally twice a day, in the morning and late afternoon/early evening.

The dose may then be increased after a minimum of three days to a target total daily dose of approximately 1.2 mg/kg administered either as a single daily dose in the morning or as evenly divided doses in the morning and late afternoon/early evening.

Age 6 years and older and over 70 kg body weight: 40 mg once a day the morning. Alternatively, the dose may be administered as 20 mg orally twice a day, in the morning and late afternoon/early evening.

The dose may be increased after a minimum of three days to a target total daily dose of approximately 80 mg administered as either a single daily dose in the morning or as evenly divided doses in the morning and late afternoon/early evening.

After two to four weeks, the dose may be increased to a maximum of 100 mg in patients who have not received optimal response.

How is Strattera® (atomoxetine) available?

Strattera® is available in the following dosage forms and strengths:

  • Capsule: atomoxetine hydrochloride 10mg

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Strattera®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Review Date: August 1, 2017 | Last Modified: September 12, 2019

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