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Strattera is a nonstimulant medication used to treat symptoms of attention deficit hyperactivity disorder (ADHD) such as hyperactivity and impulse control.
Atomoxetine is a selective norepinephrine reuptake inhibitor that increases the availability of the hormone norepinephrine by preventing pre-synaptic reabsorption. This increased availability can improve the chemical balance in your brain to improve symptoms related to ADHD.
As a nonstimulant, Strattera can help treat ADHD in those with a poor response or tolerability to psychostimulants or when another disorder is present, such as bipolar disorder.
Uses and Dosage
The dose prescribed will vary depending on the individual being treated. Always follow your doctor’s directives and read packaging labels carefully when taking any medication.
- Take daily at the same time
- Take capsules and tablets with a full glass of water
- Swallow whole
- Take with or without food
- Most take an initial dose before increasing
- Most take 40mg daily before switching to 80mg divided daily
- Adults should take no more than 100mg daily
- Children under 70kg should not take more than 1.4mg per kg daily
- You may need regular heart rate and blood pressure checks
- Store at room temperature away from moisture
Strattera may lead to some side effects while it alters the chemicals in your brain. Speak with your doctor for more information and advice regarding any symptoms you may encounter while using atomoxetine.
Common Strattera side effects:
- Nausea, vomiting
- Upset stomach, constipation
- Dry mouth
- Loss of appetite
- Mood changes, insomnia, tiredness
- Increased sweating
- Urination problems
- Impotence, trouble having an erection
Serious Side Effects
Strattera may cause some more serious side effects to develop. Stop taking this ADHD medication and contact your doctor right away if you notice any of the following symptoms:
- Painful or difficult urination
- Painful erection or one that lasts longer than 4 hours (rare)
- Signs of heart problems (chest pain, trouble breathing, feeling like you might pass out)
- Signs of psychosis (hallucinations, new behavioural issues, aggression, hostility, paranoia)
- Liver problems (stomach pain, itching, flu-like symptoms, dark urine, jaundice)
Tell your doctor about any new or worsening symptoms you encounter such as anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, aggressive, restless, depressed, or if you have suicidal thoughts.
Tell your doctor if you notice your child is not growing at a normal rate while taking Strattera.
Do not use Strattera if you are allergic to atomoxetine. Stop using this medication and call your doctor if you develop any signs of an allergic reaction.
Strattera allergy symptoms may include:
- Difficulty breathing
- Swelling of face, lips, tongue, or throat
Do not take Strattera if you have narrow-angle glaucoma, an adrenal gland tumor, heart or coronary artery disease, or high blood pressure.
Atomoxetine could lead to a stroke, heart attack, or sudden death in users with high blood pressure, heart disease, or a heart defect.
Wait 14 days before taking Strattera if you have taken an MAO inhibitor such as isocarboxazid, linezolid, methylene, blue injection, phenelzine, and others.
Atomoxetine may cause an increase or development of psychosis, especially if you have a history of mental illness such as depression or bipolar disorder. Consult with your doctor if you notice any unusual thoughts or behaviours.
To ensure this medication is safe for you to take, tell your doctor if you or someone in your family has ever had any of the following:
- Depression, bipolar disorder, psychosis
- Suicidal thoughts or actions
- Low blood pressure
- Liver disease
Atomoxetine may interact with other medications and cause adverse side effects. Tell your doctor about all the medications you take, even over the counter, vitamins, and herbal products, but especially the following:
- Asthma medication
- Blood pressure medication
- Cold or allergy medicine with a decongestant
Some young people may develop suicidal thoughts when they first start taking Strattera. Monitor changes in mood, behaviour, or symptoms, especially if you have a history of suicidal thoughts or actions.
Strattera can affect growth in children; contact your doctor if you notice your child is not growing at a normal rate while taking atomoxetine.
Avoid using or handling open or broken Strattera capsules.
Avoid driving or performing tasks that require alertness until you know how this medication affects you; Strattera may impair your reactions.
Atomoxetine’s effect on unborn and nursing babies is unknown. Consult with your doctor if you become pregnant and before you use Strattera while breastfeeding.
Strattera is not an approved treatment for anyone younger than 6 years of age.
Form and Strength
This ADHD medication is available in capsule form and as extended-release tablets.
Strattera capsule strengths:
All strengths are available in quantities of 84 while the 10, 18, 25, 40, and 80mg capsules are also available in groups of 28 and the 18mg ones in quantities of 56.
Strattera extended-release tablet strengths:
All extended-release tablets are available in quantities of 100 except for the 100mg tablets which are available in groups of 30.
What is the difference between Strattera and Adderall?
Both medications are used to treat ADHD, however Strattera contains atomoxetine as its active ingredient, whereas Adderall contains amphetamine salts. Strattera is a nonstimulant medication and is not classified as a controlled substance, meaning it should not be addictive like some stimulant drugs including Adderall.
Should I take Strattera without food?
You can take Strattera without worrying about food causing a major decrease in its efficacy. With or without food, atomoxetine is quickly absorbed into your system. This medication can also be taken at any time of the day, though it is recommended to stick to the same each day.
Atomoxetine, Attentrol, Axepta, Straterra
10mg, 18mg, 40mg, 60mg, 80mg, 100mg
28, 30, 56, 84, 90, 100
Capsule, Immediate-Release Tablet, Tablet