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Strattera (Atomoxetine)

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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).

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About Strattera (Atomoxetine):

Product Type: Other

Brand name: Strattera Generic name: Atomoxetine What is atomoxetine? Atomoxetine affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Atomoxetine is used to treat attention deficit hyperactivity disorder (ADHD). Atomoxetine may also be used for other purposes not listed in this medication guide. What is the most important information I should know about atomoxetine? Do not use atomoxetine if you have used an MAO inhibitor such as isocarboxazid (Marplan) tranylcypromine (Parnate) phenelzine (Nardil) rasagiline (Azilect) or selegiline (Eldepryl Emsam) within the past 14 days. Serious life-threatening side effects can occur if you use atomoxetine before the MAO inhibitor has cleared from your body. Do not use this medication if you are allergic to atomoxetine or if you have glaucoma. Some ADHD medicines have caused sudden death in children and adolescents with serious heart problems or congenital heart defects. Tell your doctor if you have any heart problems. You may have suicidal thoughts or behavior while taking atomoxetine. Watch for symptoms of depression unusual behavior or thoughts of hurting yourself. Your doctor may need to check you at regular visits while you are taking this medication. In addition to you watching for changes in your mood or behavior your family or caregivers should be alert to changes in your mood or symptoms. Do not use an open or broken capsule. If the medicine from inside the capsule gets into your eyes rinse thoroughly with water and call your doctor. Atomoxetine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. What should I discuss with my healthcare provider before taking atomoxetine? Do not use this medication if you are allergic to atomoxetine or if you have glaucoma. Do not take atomoxetine if you have used an MAO inhibitor such as isocarboxazid (Marplan) tranylcypromine (Parnate) phenelzine (Nardil) rasagiline (Azilect) or selegiline (Eldepryl Emsam) within the past 14 days. Serious life-threatening side effects can occur if you use atomoxetine before the MAO inhibitor has cleared from your body. Some ADHD medicines have caused sudden death in children and adolescents with serious heart problems or congenital heart defects. Before using atomoxetine tell your doctor if you are allergic to any drugs or if you have: • a congenital heart defect; • heart disease a heart rhythm disorder or recent heart attack; • coronary artery disease; • a history of stroke blood clots or heart attack; • high or low blood pressure; • liver disease; • problems with urination; • a personal or family history of mental illness psychotic disorder bipolar illness depression or suicide attempt; or • if anyone in your family has died suddenly from a heart problem. If you have any of these conditions you may need a dose adjustment or special tests to safely take atomoxetine. You may have suicidal thoughts or behavior while taking atomoxetine. Watch for symptoms of depression unusual behavior or thoughts of hurting yourself. Your doctor may need to check you at regular visits while you are taking this medication. In addition to you watching for changes in your mood or behavior your family or caregivers should be alert to changes in your mood or symptoms. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether atomoxetine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Atomoxetine is not meant for long-term use. Because ADHD may be a long-term condition especially in children and young adults your doctor may recommend another ADHD medication after you stop taking atomoxetine. Long-term use of atomoxetine 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 atomoxetine to a child younger than 6 years old without the advice of a doctor. How should I take atomoxetine? Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. Follow the directions on your prescription label. Take this medicine with a full glass of water. Atomoxetine is usually taken once daily but it may be taken in the morning and late afternoon. Follow your doctor's instructions. It is important to use atomoxetine 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 atomoxetine at room temperature away from moisture and heat. What happens if I miss a dose? Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose. Take the medication only one time per day. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include drowsiness agitation hyperactivity unusual behavior stomach problems blurred vision dry mouth and fast heartbeat. What should I avoid while taking atomoxetine? 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. Atomoxetine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Atomoxetine side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Stop taking atomoxetine and call your doctor at once if you have a serious side effect such as: • chest pain shortness of breath fast or uneven heartbeats; • feeling light-headed or fainting; • unusual thoughts or behavior aggression hallucinations (seeing things that are not there); • increased blood pressure (severe headache blurred vision trouble concentrating chest pain numbness seizure); or • urinating less than usual or not at all. Less serious side effects may include: • feeling irritable; • feeling dizzy or drowsy; • nausea vomiting stomach pain loss of appetite constipation; • cough dry mouth; • skin rash or itching; • sleep problems (insomnia); • increased menstrual cramps; or • impotence loss of interest in sex or trouble having an orgasm. This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. What other drugs will affect atomoxetine? Before taking atomoxetine tell your doctor if you are using any of the following drugs: • albuterol (Proventil Ventolin); • amiodarone (Cordarone Pacerone); • bupropion (Wellbutrin Zyban); • celecoxib (Celebrex); • cimetidine (Tagamet); • doxorubicin (Adriamycin); • methadone (Dolophine Methadose); • metoclopramide (Reglan); • quinidine (Cardioquin Quinaglute Quinidex); • ritonavir (Norvir); • ranitidine (Zantac); • terbinafine (Lamisil); • antidepressants such as citalopram (Celexa) clomipramine (Anafranil); escitalopram (Lexapro) fluoxetine (Prozac Sarafem) fluvoxamine (Luvox) paroxetine (Paxil) or sertraline (Zoloft); or • antihistamines or sleep medicine such as diphenhydramine (Benadryl Unisom and others) or chlorpheniramine (Chlor-Trimeton and others). This list is not complete and there may be other drugs that can interact with atomoxetine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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Without the proper drug elimination procedure it may take up to two years before Arava is at sufficiently low levels in the body so as to reduce the risk of harm to an unborn baby. It is not known whether Arava imposes an increased risk of fetal harm when taken by a man. Men wishing to father a child while taking Arava should discuss their options with their doctor. • It is not known whether Arava passes into breast milk. There is a potential for serious side effects in a nursing baby from Arava. Do not take Arava if you are breast-feeding a baby. How should I take Arava? • Take Arava exactly as directed by your doctor. If you do not understand these instructions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Arava can be taken with or without food or milk. • It is important to take Arava regularly to get the most benefit. • Your doctor may want you to have blood tests or other medical evaluations while taking Arava to monitor side effects and progress. • Store Arava at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and only take your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • Symptoms of a Arava overdose may include diarrhea abdominal pain blood problems and liver problems. 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Continue to take Arava and talk to your doctor if you experience headache; increased blood pressure; muscle aches; nausea; diarrhea; or hair loss. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Arava? • Before taking Arava tell your doctor if you are taking any of the following drugs: cholestyramine (Questran Prevalite LoCHOLEST); methotrexate (Rheumatrex); or rifampin (Rifadin Rimactane). • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Arava. 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