Strattera

Pronunciation

Generic Name: atomoxetine (AT oh mox e teen)
Brand Names: Strattera

What is Strattera?

Strattera (atomoxetine) affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.

Strattera is used to treat attention deficit hyperactivity disorder (ADHD).

Strattera may also be used for purposes not listed in this medication guide.

Important information

You should not use Strattera if you have narrow-angle glaucoma, heart disease, high blood pressure, or a history of pheochromocytoma (tumor of the adrenal gland).

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.

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You may have suicidal thoughts or aggressive and hostile behaviors while taking Strattera. Your doctor will need to check your progress at regular visits while you are using this medicine. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Before taking this medicine

You should not use Strattera if you are allergic to atomoxetine, or if you have:

  • narrow-angle glaucoma;

  • heart disease, high blood pressure; or

  • a history of pheochromocytoma (tumor of the adrenal gland).

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.

Some ADHD medications have caused sudden death in people with serious heart problems or congenital heart defects. Tell your doctor if you have:

  • heart disease, heart rhythm disorder;

  • coronary artery disease (hardened arteries); or

  • history of heart attack.

To make sure Strattera is safe for you, tell your doctor if you have:

  • bladder obstruction or other urination problems;

  • liver disease;

  • a personal or family history of mental illness, psychosis, bipolar illness, depression, or suicide attempt; or

  • if anyone in your family has died suddenly from a heart problem.

You may have suicidal thoughts or aggressive and hostile behaviors while taking Strattera. Your doctor will need to check your progress at regular visits while you are using this medicine. Your family or other caregivers should also be alert to changes in your mood or symptoms.

FDA pregnancy category C. It is not known whether Strattera is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

See also: Pregnancy and breastfeeding warnings (in more detail)

It is not known whether atomoxetine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Long-term use of Strattera can slow a child's growth. Tell your doctor if the child using this medication is not growing or gaining weight properly.

Do not give this medicine to a child younger than 6 years old without the advice of a doctor.

How should I take Strattera?

Take Strattera exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Strattera is usually taken once daily in the morning, or two times per day in the morning and late afternoon. Follow your doctor's instructions.

Use Strattera regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not use a capsule that has been opened or accidentally broken. The medicine from inside the capsule can be dangerous if it gets in your eyes. If you must handle a broken capsule, ask your doctor or pharmacist how to safely handle and dispose of the tablet.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include drowsiness, agitation, hyperactivity, unusual behavior, stomach problems, blurred vision, dry mouth, and fast heartbeat.

What should I avoid?

Avoid using or handling an open or broken capsule. If the medicine from inside the capsule gets in your eyes, rinse them thoroughly with water and call your doctor.

Strattera may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Strattera side effects

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

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

  • confusion, hallucinations, unusual thoughts or behavior, feeling aggressive or hostile;

  • chest pain, shortness of breath, fast or uneven heartbeats;

  • a light-headed feeling, like you might pass out;

  • painful or difficult urination;

  • erection is painful or lasts longer than 4 hours (this is a rare side effect);

  • increased blood pressure--severe headache, blurred vision, buzzing in your ears, anxiety, seizure; or

  • liver problems--upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Common Strattera side effects may include:

  • nausea, vomiting, stomach pain;

  • constipation;

  • drowsiness, feeling tired;

  • dry mouth, appetite changes;

  • sleep problems (insomnia);

  • hot flashes, increased menstrual cramps; or

  • impotence, trouble having an erection.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Strattera?

Other drugs may interact with Strattera, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Where can I get more information?

  • Your pharmacist can provide more information about Strattera.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Strattera only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2014 Cerner Multum, Inc. Version: 10.01. Revision Date: 2013-12-05, 11:12:06 AM.

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