Generic Strattera (Atomoxetine)
Strattera
Strattera is prescribed to treat attention deficit hyperactivity disorder
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Product Description
Additionally, bruising is Straattera a typical symptom Sttrattera with liver damage. The following are useful guidelines to keep in mind Strrattera taking antidepressants or giving them to your child for ADHD: Always give the medication exactly as prescribed. Strrattera are other possible severe side effects specifically from Strattera. It's very important Syrattera let your doctor know about everything you are taking, including illegal drugs as Stratrera as any over-the-counter drugs, herbs, and dietary supplements. Drug Label Info. This happens almost always at night while he is in bed. For a Combined Type diagnosis, both inattentive and hyperactive-impulsive criteria must be met. Only a very small percentage of patients needed to Strattea Strattera due to side effects experienced during clinical trials. A: According to the package insert for Straterra, the usual maintenance dose for a patient age years is based on the weight of the patient. DailyMed will deliver this notification to your desktop, Web browser, or e-mail depending on the RSS Reader you select to use. STRATTERA should not be used in patients with severe cardiac or vascular disorders whose condition would be expected to deteriorate if they experience increases in blood pressure or heart rate that could be clinically important for example, 15 to 20 mm Hg in blood pressure or 20 beats per minute in heart rate [see Warnings and Precautions 5. Take Strattera exactly as prescribed by your doctor. The effectiveness of the medication was examined by a thirty item scale and an eighteen item total ADHD symptom score. The two studies were ten weeks in duration and dosages were titrated to a range of 60 mg to mg per day. Interactions with other drugs. See also: Strattera drug interactions in more detail. This contributes to some differences in interactions and side effects between these two drugs. Views Read Edit View history. Values are K i nM. Monoamine oxidase inhibitors can cause a wide variety of side effects, including dangerously increased blood pressure when combined with certain foods or medications. Is it safe for a woman who is pregnant, trying to become pregnant, or nursing to take Strattera? Call your doctor for medical Stratttera about side effects. Interference with Psychomotor Performance Patients should Stratterra instructed to use caution when driving a car or operating hazardous machinery until they are reasonably certain that their performance is not affected by atomoxetine. This means you do not have to taper off the use of Strattera if you decide to stop taking the medication. These effects were observed at plasma levels AUC 3 times and 0. CYP3A Substrate e. Escobar, and H. A doctor should monitor blood pressure of anyone on Strattera because the medication could cause it to go up. General Disorders and Administration Site Conditions. However, small changes in QTc interval cannot be excluded from the current study, because the study failed to demonstrate assay sensitivity. Archived from the original on 7 April Non-stimulant medications like Stratteraa are second-line medications. If you Strattera questions Srrattera side effects, please contact your healthcare provider. Strattera and Ritalin are prescription medications used to treat attention deficit hyperactivity disorder ADHD. Follow your doctor's instructions. A complaint of Stratttera retention or urinary hesitancy should be considered potentially related to atomoxetine. Every effort has been made to ensure that the information provided by on this page is accurate, up-to-date, and complete, but no guarantee is made to that effect. Livervia CYP2D6 [2] [3] [4]. Available published studies with atomoxetine use in pregnant women are insufficient to establish a drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes. Musculoskeletal system — Rhabdomyolysis. CYP2D6 Substrate e. Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. While taking Strattera, your doctor will need to check your progress at regular visits. Archived from the original on 7 April Due to inconsistencies between the drug labels on DailyMed and the pill images provided by RxImagewe no longer display the RxImage pill images associated with drug labels. Journal of Neurochemistry. Families and caregivers of pediatric patients being treated with STRATTERA should be alerted about the need to monitor patients for the emergence of agitation, irritability, unusual changes in behavior, and the other symptoms described above, as well as the emergence of suicidality, and to report such symptoms immediately to healthcare providers. If you have any of these side effects, call your doctor immediately. It's very important to let your doctor know about everything you are taking, including illegal drugs as well as any over-the-counter drugs, herbs, and dietary supplements. It is unknown whether the risk of suicidal ideation in pediatric patients extends to longer-term use. Creatine boosts exercise performance, helps you gain muscle, and provides many health benefits. Active ingredient: atomoxetine hydrochloride. Consideration should be given to changing the therapeutic regimen, including possibly discontinuing the medication, in patients who are experiencing emergent suicidality or symptoms that might be precursors to emerging suicidality, especially if these symptoms are severe or abrupt in Strattera, or were not part of the patient's presenting symptoms. The U. Some examples of medications in this class include methylphenidate Ritalin, Concerta, Metadate and Daytranaamphetamine and dextroamphetamine Adderalldextroamphetamine Dexedrineand lisdexamfetamine Vyvanse. Other medications that are used to treat adult ADHD include Strattera and various drugs that are classified as antidepressant medications. STRATTERA generally should not be used in children or adolescents with known serious structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, or other serious cardiac problems that may place them at increased vulnerability to its noradrenergic effects. Amoxapine Maprotiline Mianserin Mirtazapine Setiptiline. Therefore, people are less likely to abuse or become dependent on it. British Journal of Pharmacology. It is not known whether atomoxetine passes into breast milk or if it could affect a nursing baby. Overdose symptoms may include drowsiness, dizziness, stomach problems, tremors, or unusual behavior. Due to the complexity of this decision making process, your physician will need to properly evaluate your specific circumstances. Strattera 10 mg, white, capsule. However, prior to initiating treatment with STRATTERA, patients with comorbid depressive symptoms should be adequately screened to determine if they are at risk for bipolar disorder; such screening should include a detailed psychiatric history, including a family history of suicide, bipolar disorder, and depression.

Common use

Strattera contains atomoxetine Hcl, which is a selective norepinephrine reuptake inhibitor of presynaptic norepinephrine vectors used to treat attention deficit hyperactivity disorder (ADHD). Manifestations of ADHD detected in more than one social environment include lack of concentration, distractibility, excessive restlessness, impulsiveness, disorganization, restlessness, and other similar conduct disorders.



Dosage and direction

Take it once or twice daily with or without food. Take the capsules whole, do not crush them and sprinkle on food. If Strattera should be canceled, it does not require a gradual reduction of the dose. The recommended initial dose in children, adolescents and adults with body weight over 70 kg is 40 mg. It should be increased to a therapeutic daily dose of 80 mg not earlier than in three days. If the symptoms do not improve the maximal daily dose of Strattera may be increased to maximal daily dose of 120 mg not earlier than 2-4 weeks after start of the treatment. Take exactly as prescribed by your doctor, do not take more of this medication than your doctor recommended.



Precautions

Inform your doctor if you have hypertension, tachycardia, cardiovascular or cerebrovascular circulation disorders, congenital heart defect, coronary artery disease, heart disease, a heart rhythm disorder, high or low blood pressure, heart attack not so long ago, or have a condition which can cause arterial hypotension. Notify your doctor if you have liver disease, high or low blood pressure, problems with urination, and also bipolar illness, mental illness, psychotic disorder, depression, or suicide attempt in history. It is not known how this medication may affect an unborn baby so Strattera should be administered to pregnant women only if a potential benefit from it use exceeds possible risks.



Contraindications

Strattera is contraindicated in the patients concomitantly treated by MAO inhibitors (Pirlindole, metralindol, Moclobemide, Nialamide) and within 14 days after the treatment with MAO was discontinued, individuals with closure-angle glaucoma, hypersensitivity to the medication.



Side effects

Adverse reactions to Strattera include allergy symptoms (hives, rash, facial swelling, edema), dry mouth, decreased appetite, nausea, upset stomach, vomiting, dizziness, tiredness, changes in mood, problems to fall asleep, dizziness, difficulty urination, and sexual side effects. More serious side effects which you should report about immediately to your doctor if they become bothersome are fast or uneven heartbeats, chest pain, shortness of breath, feeling light-headed or fainting, low fever, dark urine, clay-colored stools, jaundice, increased blood pressure, decreased urination or anuria.



Drug interaction

This medication cannot be co-administered with MAO inhibitors, a break between the last MAO inhibitors intake such as Nardil (phenelzine sulfate) and Parnate (tranylcypromine sulfate) and administration of Strattera should be at least 14 days long. Fluoxetine (Prozac), paroxetine (Paxil), quinidine, may incrase blood levels of Strattera due to inhibition of the liver enzyme that eliminates atomoxetine from the body. Inform your doctor about all medications and herbal products you use including albuterol (Proventil, Ventolin), bupropion (Wellbutrin, Zyban), cimetidine (Tagamet), amiodarone (Cordarone, Pacerone), celecoxib (Celebrex), methadone (Methadose, Dolophine), quinidine (Quinidex, Cardioquin, Quinaglute), doxorubicin (Adriamycin), ranitidine (Zantac), terbinafine (Lamisil), metoclopramide (Reglan), ritonavir (Norvir).



Missed dose

If you forgot to take your dose in time, please do it as soon as you remember. But do not take if it is too late or time for your next dose is in a short while. Do not take double doses of this medication or extra doses of it. Take your usually dose next day in the same regularly time.



Overdose

The majority of reported Strattera overdose effects were moderate. They included tachycardia and dry mouth, convulsions, hyperactivity, behavioral disorders, drowsiness or agitation, stomach upset, mydriasis (an excessive dilation of the pupil), blurred vision, drowsiness, and fast heartbeat.



Storage

Store at room temperature between 20-25 C (68-77 F). Store away from moisture, heat, and sunlight. It is not recommended to store in a bathroom and places available for children.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

Antibiotics

Antibiotics is one of most prescribed group of medications. Antibiotics are antibacterial (antimicrobial agents) that kills bacteria(bactericidal) or stop the growth of the bacteria(bacteriostatic action).

Antibiotics are used to treat bacterial infections and are not indicated for the viral infections. Currently there is a big variety of antibiotics available. All the antibiotics are divided into two main groups according to the action mechanism:

  • Antibiotics with bactericidal action(penicillins, cephalosporins, aminoglycoside)
  • Antibacterial with bacteriostatic action(macrolides, tetracyclines)

Penicillins and cephalospororins are the most prescribed group of antibiotics. They belong to half-synthetic beta lactam antibiotics. These antibiotics work by inhibiting the enzymes responsible for the production of peptidoglycan. Peptidoglycan is a biopolimer that is a main structural component of the bacterial cell wall. The blockage of peptidoglycan synthesis leads to the lysis of the microorganisms.

Another group of preparations are aminoglycosides. However, these antibiotics are prescribed in rare cases. The most of aminoglycosides possesses nephrotoxicity, ototoxicity and cab cause neuromuscular blockage. Bactericidal action of aminoglycosides is related to the interfering with the synthesis of proteins on the ribisomes in the microbial cells. When aminoglycosides are used with penicillins and cephalosporins the sinergism against gram-positive and gram-negative microorganisms is observed.

Among all bacteriostatic antibiotics macrolides and tetracyclines are the most indicated groups. Therapeutic effect of macrolides is associated with inhibiting the synthesis of proteins on the ribosomes in the microbial cell. As usual macrolides exert bacteriostatic action, however in high amounts are able to exert bactericidal action on some microorganisms. Besides antibacterial action, some macrolides possesses immunomodulatory and anti-inflammatory action.

Another group of bacteriostatic antibiotics are used less frequently as many microorganisms became resistant to the this type of antibiotics. Bacteriostatic effect of the tetracyclines is associated with inhibiting the synthesis of proteins. Tetracycline are indicated in clamydia infections, rickettsial disease, some zoonosis, severe acne.

Antibiotics are indicated and used only in the cases of the bacteria is sensitive to the antibiotics. There some specific tests like antibiogram that will help to determine the right antibiotic and corresponding dose.