Buy Strattera
Strattera

0.61
A non-stimulant medication used to treat ADHD in children and adults to help focus and control impulsivity.


Ingredient
Category
Availability
In Stock
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Alternative/Local Brand
Atomoxetine
Active Ingredient(s)
Atomoxetine
Primary Category
ADHD Treatment
Therapeutic Class
Nervous system, Psychoanaleptics, Centrally acting sympathomimetics
Pharmacological Class
Selective norepinephrine reuptake inhibitor
Indications
Attention Deficit Hyperactivity Disorder (ADHD)
Contraindications
Narrow-angle glaucoma, Severe heart disease, Phaeochromocytoma
Minor Side Effects
Dry mouth, Decreased appetite, Upset stomach
Moderate Side Effects
Drowsiness, Dizziness, Increased heart rate
Serious Side Effects
Suicidal thoughts, Liver injury, Seizures, Chest pain
Dosage Forms
Capsule, Oral solution
Administration Route
Oral
Mechanism of Action
Atomoxetine increases the amount of noradrenaline in the brain, which helps improve attention and decrease impulsivity in patients with ADHD.
Prescription Status
Rx
Manufacturer
Eli Lilly
Patient Summary
A non-stimulant medication used to treat ADHD in children and adults to help focus and control impulsivity.
Onset Time
1 to 4 weeks for full effect
Duration
24 hours
Storage Instructions
Store at room temperature.
Drug Interactions
MAOIs, Fluoxetine, Salbutamol, Paroxetine
Age Restrictions
Children aged 6 and over and adults
Pregnancy Use
Should not be used unless benefits outweigh risks to the foetus.
Alternative Drugs
Methylphenidate, Lisdexamfetamine, Guanfacine

Strattera: Atomoxetine Overview

Strattera contains atomoxetine as its active component. It is classified as a neurologic medication and is available in pill form in strengths of 10 mg, 18 mg, 25 mg, and 40 mg. In Hong Kong, Strattera is a prescription-only product regulated by the Department of Health under the Pharmacy and Poisons Ordinance.

How Strattera Works in the Body

Atomoxetine is a selective norepinephrine reuptake inhibitor (NRI). By blocking the norepinephrine transporter, it increases the concentration of norepinephrine in synaptic clefts, especially in brain regions that regulate attention and impulse control. The enhanced norepinephrine signaling helps reduce the core symptoms of attention-deficit/hyperactivity disorder (ADHD).

Key pharmacologic points:

  • Onset: Clinical effects typically begin within 1-2 weeks, with maximal benefit observed after 4-6 weeks.
  • Peak plasma concentration: 1-2 hours after oral administration.
  • Metabolism: Primarily via the liver enzyme CYP2D6; genetic variations can affect drug levels.
  • Elimination: Mostly renal excretion of metabolites; unchanged drug is minimal.

Conditions Treated with Strattera

Strattera is FDA- and EMA-approved for the treatment of ADHD in children, adolescents, and adults. In Hong Kong, the same indication is recognized by the local regulatory authority. It is prescribed for patients who require a non-stimulant option, particularly when stimulant therapy is unsuitable or not tolerated.

Typical patient profile:

  • Individuals aged 6 years and older diagnosed with ADHD.
  • Patients seeking a medication with a lower potential for abuse.

Patient Suitability and Contraindications

Who Should Use Strattera?

  • Patients with a confirmed ADHD diagnosis who do not have contraindicated cardiac or ophthalmic conditions.
  • Individuals who can attend regular monitoring for blood pressure, heart rate, and mood changes.

Absolute Contraindications

  • Known hypersensitivity to atomoxetine or any inactive ingredient.
  • Narrow-angle glaucoma.
  • Use of monoamine oxidase inhibitors (MAOIs) within 14 days.

Relative Contraindications

  • Severe cardiovascular disease (e.g., uncontrolled hypertension, recent myocardial infarction).
  • Pheochromocytoma.
  • Significant hepatic impairment.
  • Renal impairment requiring dose adjustment.

Special Populations

  • Pregnancy & lactation: Animal studies show risk; human data are limited. Use only if the potential benefit justifies the risk.
  • Elderly: Start at the lower end of the dosing range and monitor closely for cardiovascular effects.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Nausea - often transient and may lessen with continued use.
  • Decreased appetite - monitor weight, especially in children.
  • Dry mouth - stay hydrated and consider sugar-free lozenges.
  • Insomnia - avoid dosing close to bedtime.
  • Dizziness - rise slowly from sitting or lying positions.

Serious Adverse Events

  • Suicidal thoughts: Particularly in children and adolescents; monitor mood and behavior.
  • Liver injury: Rare but possible; watch for jaundice or unexplained fatigue.
  • Cardiovascular events: Hypertension, tachycardia, and rare cases of severe arrhythmia. Seek immediate medical attention for chest pain or palpitations.

Drug Interactions

  • Major: Strong CYP2D6 inhibitors (e.g., paroxetine, fluoxetine) can raise atomoxetine levels, increasing the risk of side effects. Dose reduction may be necessary.
  • Moderate: Antihypertensive agents may have additive blood-pressure-lowering effects; monitor hemodynamics.
  • Pharmacodynamic: Co-administration with other serotonergic agents may increase the risk of serotonin syndrome, although the risk is low.

Food and Lifestyle Interactions

  • Strattera can be taken with or without food; a high-fat meal may slightly delay absorption but does not affect overall efficacy.
  • No known alcohol restriction, but excessive alcohol can worsen central nervous system side effects.
  • Caution when operating machinery or driving until the individual’s response to the medication is known.

How to Take Strattera

  • Standard dosing: Initiate at 0.5 mg/kg once daily. After 3 days, the dose may be increased to 1.2 mg/kg once daily, based on clinical response and tolerability. The maximum recommended dose is 1.4 mg/kg, not to exceed 100 mg per day. Refer to the available tablet strengths (10 mg, 18 mg, 25 mg, 40 mg) to achieve the prescribed amount.
  • Renal or hepatic impairment: Dose adjustments are recommended; a healthcare provider will determine the appropriate regimen.
  • Administration: Swallow the pill whole with water. Do not crush, chew, or split the tablet unless instructed.
  • Missed dose: Take the missed dose as soon as remembered if it is at least 6 hours before the next scheduled dose; otherwise, skip the missed dose and continue with the regular schedule. Do not double the dose.
  • Overdose: Symptoms may include excessive sedation, tachycardia, or seizures. Seek emergency medical care; supportive care and monitoring are the mainstays of treatment. No specific antidote exists.
  • Discontinuation: Gradual tapering is advisable to minimize potential rebound of ADHD symptoms; follow the prescriber’s tapering plan.

Monitoring and Follow-Up

  • Baseline and periodic assessment of blood pressure and heart rate.
  • Liver function tests at baseline and as clinically indicated, especially if the patient reports jaundice or unexplained fatigue.
  • Mood monitoring: Observe for emergence of suicidal thoughts, especially during the first 3 months of therapy.
  • Growth parameters in pediatric patients; monitor weight and height regularly.

Storage and Handling

  • Store at room temperature (20 °C - 25 °C) away from moisture and direct sunlight.
  • Keep the pill bottle tightly closed and out of reach of children.
  • Do not use the medication after the expiration date printed on the packaging.

Medication-Specific Glossary

Norepinephrine Reuptake Inhibitor (NRI)
A class of drugs that block the reabsorption of norepinephrine into neurons, increasing its availability in the brain.
CYP2D6
A liver enzyme that metabolizes many medications, including atomoxetine; genetic variations can lead to “poor” or “ultra-rapid” metabolism.
Therapeutic Window
The dosage range in which a drug provides clinical benefit without unacceptable side effects.

Medical Disclaimer

This article provides educational information about Strattera and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Strattera FAQ

Can Strattera be taken with other ADHD medications?

Atomoxetine may be combined with stimulants in certain cases, but the combination increases the risk of cardiovascular side effects and requires close supervision by a prescriber.

What should I do if I miss a dose while traveling across time zones?

Take the missed dose as soon as you remember if it is still at least 6 hours before the next scheduled dose. Otherwise, skip the missed dose and resume the regular dosing schedule, adjusting the timing to align with local day-night cycles.

Are there any visual changes associated with Strattera?

Rarely, patients report blurred vision or difficulty focusing. If visual disturbances persist, seek evaluation, as they could signal narrow-angle glaucoma, a contraindicated condition.

How does Strattera compare to stimulant ADHD treatments?

Strattera is a non-stimulant and has a lower abuse potential. Its onset of action is slower, and it does not produce the same immediate “focus boost” typical of stimulants. Both classes are effective, but individual response varies.

Is there a need for regular blood testing while on Strattera?

Routine liver function tests are advisable if the patient has pre-existing liver disease or develops symptoms suggestive of hepatic injury. Otherwise, standard monitoring focuses on blood pressure, heart rate, and mood.

Can Strattera affect blood sugar levels?

Atomoxetine may cause mild changes in appetite, which can indirectly influence glucose control. Patients with diabetes should monitor blood sugar more closely when initiating therapy.

What imprint codes identify genuine Strattera tablets?

In Hong Kong, authentic Strattera pills bear the imprint “STRATTERA [Strength]” along with a specific batch number. If the appearance differs, confirm authenticity with a pharmacist.

Does Strattera require special disposal?

Unused tablets should be discarded at a pharmacy’s drug-take-back program or according to local waste-management guidelines to prevent accidental ingestion.

Can Strattera be used by pilots or other safety-critical professionals?

Regulatory agencies generally require medical certification for individuals in safety-critical roles. Strattera’s side-effect profile (e.g., dizziness, visual changes) may necessitate temporary restriction until stability is confirmed.

Why is the 40 mg tablet strength available if typical doses are higher?

The 40 mg tablet allows flexible dosing increments, especially for patients requiring gradual titration or those with lower body weight. Combining tablets of different strengths helps reach the prescribed total daily dose without excess tablets.

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