10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80mg, 100 mg
name: atomoxetine (AT oh mox e teen)
All FDA warnings are at
the end of this fact sheet. Please review before taking this
is Strattera® and what does it treat?
is a prescription medication that is used to treat individuals with
attention-deficit hyperactivity disorder (ADHD).
of ADHD interfere with an individual’s ability to function at
school or work or in social settings and include:
(e.g., making careless mistakes, losing things necessary for tasks)
(e.g., inability to sit still)
(e.g., interrupting or intruding on others)
is less common in adults. A person may have severe inattention
without hyperactivity or impulsivity.
is used in addition to non-medication treatments to manage ADHD
is the most important information I should know about Strattera®?
may take several weeks before you notice the full benefits of this
medication. It is important to continue taking atomoxetine as
directed, even if you do not notice immediate improvement.
there specific concerns about Strattera® and pregnancy?
you are planning on becoming pregnant, notify your healthcare
provider to best manage your medications. People living with ADHD
who wish to become pregnant face important decisions. Untreated ADHD
has risks for the fetus as well as the mother. It is important to
discuss the risks and benefits of treatment with your doctor and
breastfeeding, caution is advised since it is not know if atomoxetine
passes into human breast milk.
should I discuss with my healthcare provider before taking
of your condition that bother you the most
you have thoughts of suicide or harming yourself
you experience side effects from your medications, discuss them with
your provider. Some side effects pass with time, but others may
require changes in the medication.
other psychiatric or medical problems you have, including heart
other medications you are currently taking (including over the
counter products, herbal and nutritional supplements) and any
medication allergies you have
non-medication treatment you are receiving, such as talk therapy or
substance abuse treatment. Your provider can explain how these
different treatments work with the medication.
you are pregnant, plan to become pregnant, or are breast-feeding
you drink alcohol or use drugs
should I take Strattera®?
is usually taken 1 to 2 times per day with or without food.
dose usually ranges from 20 mg to 100 mg. Only your healthcare
provider can determine the correct dose for you.
should be swallowed whole, not crushed or chewed.
a calendar, pillbox, alarm clock, or cell phone alert to help you
remember to take your medication. You may also ask a family member
or friend to remind you or check in with you to be sure you are
taking you medication.
happens if I miss a dose of Strattera®?
you miss a dose of atomoxetine, take
it as soon as you remember, unless it is closer to the time of your
next dose. Discuss this with your healthcare provider. Do not
double your next dose or take more than what is prescribed.
should I avoid while taking Strattera®?
drinking alcohol or using illegal drugs while you are taking this
medication. They may decrease the benefits (e.g., worsen your
condition) and increase adverse effects (e.g., sedation) of the
happens if I overdose with Strattera®?
an overdose occurs call your doctor or 911. You may need urgent
medical care. You may also contact the poison control center at
specific treatment to reverse the effects of atomoxetine does not
are the possible side effects of Strattera®?
stomach, nausea, vomiting, decreased appetite, constipation, dry
sleepy, sluggish or weak during the day, trouble sleeping at night
libido or sexual side effects
cycle changes, urinary retention, hot flushes, sweating, severe
fatigue, irritability or mood swings
a painful prolonged erection has been reported in child, adolescent
and adult males
heart rate and blood pressure
of switching to hypomania and mania, particularly in individuals
with bipolar disorder
there any risks for taking Strattera® for long periods of time?
are no known problems associated with long term use of atomoxetine
other medications interact with Strattera®?
should not be taken with or within 2 weeks of monoamine oxidase
inhibitors (MAOIs), which are usually used to treat depression.
These include phenelzine (Nardil®),
antibiotic linezolid (Zyvox®)
should be avoided as well because it may act similar to a MAOI.
Taking atomoxetine with or within 2 weeks of MAOIs drugs similar to
MAOIs can result in dangerously high blood pressure that can lead to
following medications may increase the levels and effects of atomoxetine
for asthma/difficulty breathing (e.g. albuterol) can increase the
risk of high blood pressure and rapid heart rate (tachycardia) when
of atomoxetine’s possible effect on blood pressure it should be
cautiously used with other medications that increase or decrease
long does it take for Strattera® to work?
may take 4 - 8 weeks to get the maximum benefit once the right dose
is determined. However, improvements in some symptoms may occur
by the College of Psychiatric and Neurologic Pharmacists
of Black Box Warning:
Thoughts or Actions
Depression and certain
other psychiatric disorders are themselves associated with increases
in the risk of suicide.
short-term studies, atomoxetine increased the risk of suicidality in
children, adolescents, and young adults when compared to placebo.
should be closely monitored for suicidality (suicidal thinking and
behavior), worsening of symptoms, or changes in behavior.
and caregivers should be advised of the need for close observation
and communication with the prescriber.
Ideation in Children and Adults
short-term studies, an increased risk of suicidal ideation was seen
in children or adolescents treated with atomoxetine for ADHD.
When choosing this medication, this risk must be balanced with the
potential benefits. Patients should be closely monitored for
suicidality (suicidal thinking and behavior), worsening of symptoms,
or changes in behavior. Families and caregivers should be advised of
the need for close observation and communication with the