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Strattera Warnings
Strattera can prove to be harmful if you happen to be suffering from certain conditions. It is important that you avoid taking Strattera if you suffer from severe liver disease. You should also consult a doctor or a pharmacist for dose adjustments or special tests to make sure it is safe for you to take the drug if you happen to be suffering from the following medical conditions:
A personal or family history of suffering from blood clots / Congenital defect of the heart
A personal or family history of suffering from heart attacks / Problems in urination
A personal or family history of suffering from strokes / Liver disease
Elevated or depressed blood pressure level / Disorders of heart rhythm
A personal or family history of suffering from various mental illnesses such as depression, suicidal thoughts, bipolar disorder and psychosis.
Heart disease
STANDARD DOSAGE
Atomoxetine (brand name Strattera) is a selective norepinephrine reuptake inhibitor (SNRI). It increases norepinephrine activity in the brain which affects attention and behavior. It is thought to work by restoring the balance of certain natural substances (neurotransmitters) in the brain.
Strattera drug is considered as an integral part of therapy in attention deficit hyperactivity disorder as part of a total treatment plan which includes social, psychological and other drugs. It also helps in increasing the ability to stay focused, pay attention, concentrate and stop unnecessary actions.
Atomoxetine is a non stimulant treatment for attention deficit hyperactivity disorder. The diagnosis of attention deficit hyperactivity disorder implies the presence of hyperactive impulsive or inattentive symptoms that cause impairment and that were present before age 7 years. For surety of this disorder these symptoms should be persistent, must cause significant impairment (social or academic). The decision to prescribe drug medication treatment will depend upon severity of symptoms which is assessed by the doctor, when other treatments are insufficient.
Atomoxetine is used for both types of ADHD, impulsive as well as inattentive. In impulsive type at least six of the following should be present at least for 6 months; unable to wait for turn, difficulty with quiet activities, blurting answers, intrusiveness and excessive talking. For inattentive type a different set of six following symptoms should be looked for in a period of six months or more, these include, loss of attention, lack of sustained interest, poor listening skills, poor organization and avoidance of tasks which require mental effort. Strattera tablet may be less effective than psychostimulants for ADHD but it is also less toxic to the CNS and brain so it is a safe to drug to use for this disorder.
Strattera is also less likely to cause insomnia or we can say that people sleep better with atomoxetine comparatively. It has been considered to precipitate hypomania in patients who are having bipolar disorder. Atomoxetine is given as a combined therapy with other therapies like counseling behavior and cognitive treatment. This drug may also facilitate stroke recovery, it also has shown promise as a treatment for gambling in teenagers with attention deficit hyperactivity disorder and hoarding disorder.
It is upto your doctor who can decide what medicines you can take with strattera. It is your duty to make him know about the other medicines you are taking including prescriptions and non prescription medicines, vitamins or herbal treatments. Strattera is not approved for use by anyone younger than 6 years of age.
Atomoxetine may not be taken if you:
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SIDE EFFECTS
Atomoxetine comes in doses ranging from 10 to 100 mg. It is usually taken at a low dose for the first three days after this take higher dose for the next few weeks. The starting dose for adults is 40 mg, it may be increased to a maximum of 100 miligram. It may be taken with food or without food and should be taken as a whole and not crushed or cracked. Importantly it can be stopped without tapering the dosage.
In children who are having weight less than 70 kilograms can take maximum dose upto 100 mg packs. it can take as long as a month to give its results.
POTENTIAL DRUG INTERACTIONS
It is suggested that Strattera pill is not to be used with other medications that may prolong QT interval as this interval prolongation is being reported with strattera at therapeutic doses and in overdoses. It has been found to directly inhibit the potassium currents which may cause an arrhythmia.
A notable drug interaction is with monoamine oxidase inhibitors MAO, is that it may cause serious or fatal effects. Indirect and direct reuptake inhibitors like linezolid, selegiline, tranylcypromine, phenylephrine and isoprenaline etc.
Atomoxetine constituent Strattera tablets may interact with some other substances and produce some life threatening effects that include antihypertensives, pressor agents and albuterol.
--Have any rare swelling or cancer like pheocromocytoma;
--Have any eye disorder glaucoma (narrow angle);
--Have heart diseases;
--Have problems of blood pressure;
--Have family history of sudden death;
--Have liver impairments.
ABOUT STRATTERA GENERIC (ATOMOXETINE)
Strattera may cause suicidal ideation when first dose is taken by some people. It is also seen in patients who change the dose of atomoxetine for some purpose:
--Have history of any mental illness. If you want to make sure that this medicine is safe for you, tell your doctor if you are suffering with depression, psychosis or bipolar disorder.
--The safety is not known for unborn child, so always consult your doctor if you are trying to become pregnant.
Strattera drugs are not always right for you or your children as it can impair other functions of body. Your family and care givers should always be vigilant about changes in your mood or symptoms. You should tell your doctor about all mental and health disorder that you or your children are suffering from before starting Strattera pills. Tell your physician if your child experiences slowing of growth, height and weight as strattera may cause slowing of development. Your healthcare provider should check regularly on these parameters. Children taking this medicine may experience loss of control on urination at bedtime, including trouble in starting or keeping a urine stream or problem in complete emptiness of bladder, thus always talk to your doctor.
A rare occurring problem include priapisim that means erections of genitalia that is seen with this drug, visit your doctor right away if you or your child has an erection for more than four hours.
Patients taking this drug may suffer serious allergic reactions, troubled breathing, swelling, hives, rash or other symptoms. Investigations of the effects of atomoxetine found that treatments can cause weight gain, increase height of suicidal thoughts specifically related to this drug. Some common adverse reactions include; drowsiness dry mouth, menstrual cramps, decreased sex drive and irregular periods. Some gastrointestinal upsets are also commonly observed such as nausea, vomiting, anorexia, stomachache, constipation etc.
There are some rare side effects but they are too important as they need immediate medical care, they include:
Yellow eyes;
Liver disease;
Shortness of breath;
Heart attack or stroke;
Confusion.
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