Atomoxetine (Strattera) for attention deficit hyperactivity disorder

Examples

Generic Name	Brand Name
atomoxetine	Strattera

How It Works

Atomoxetine (Strattera) strengthens the chemical signals between brain cells and also increases certain brain chemicals, called neurotransmitters, to improve concentration. It is not a stimulant.

Why It Is Used

Atomoxetine is used to treat attention deficit hyperactivity disorder (ADHD) in children, teens, and adults.

It is sometimes recommended instead of stimulant medications, such as amphetamine (examples include Dexedrine or Adderall) and methylphenidate (examples include Ritalin, Concerta, Metadate CD, or Focalin) for people who have bothersome side effects from those medications.

For example, about 10% to 35% of people with ADHD also have tics, such as spasms of the muscles of the face (facial tic), clearing the throat, sniffing, and excessive blinking. Stimulant medications for ADHD may make tics worse. Recent research found that atomoxetine did not make tics worse.¹

How Well It Works

Several studies have shown atomoxetine to effectively control the symptoms of ADHD in children and adults.²

Atomoxetine does not start working as quickly as stimulant medications. Reports suggest that full effects are often not seen until the person has been taking atomoxetine regularly for at least 3 or 4 weeks.

Side Effects

Possible side effects include:

• Decreased appetite.
• Upset stomach.
• Nausea or vomiting.
• Dizziness.
• Tiredness.
• Mood swings.

Growth is sometimes slowed in children taking atomoxetine, but it is not known if this delay is permanent.

FDA Advisory. The U.S. Food and Drug Administration (FDA) has issued an advisory on Strattera. It suggests that parents and other caregivers closely watch for warning signs of suicide in children and teens taking this medicine.³ The FDA does not recommend that people stop using this medicine, but to watch for warning signs of suicide in those using it.

It is important for parents to be honest with their child about the possible risks and benefits of the medicine. Talk to your child about whether he or she is having any suicidal thoughts. Tell your child to come to you if he or she has suicidal thoughts in the future.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

Atomoxetine can be taken once or twice a day.

Atomoxetine may be an alternative for those people who have bothersome side effects from stimulants, such as nervousness, irritability, or tics.

Atomoxetine is more convenient than stimulant medications because you can obtain prescription refills over the phone.

Unlike stimulant medications, atomoxetine does not have the potential for abuse.

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Author:	Sabra L. Katz-Wise	Last Updated: May 31, 2006
Medical Review:	Michael J. Sexton, MD - Pediatrics Mina Dulcan, MD - Child and Adolescent Psychiatry
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