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Strattera (Atomoxetine) Buyer and Patient Handbook in South Africa

What is Strattera? Strattera (Atomoxetine) is a non-stimulant medication approved for the treatment of attention-deficit/hyperactivity disorder (ADHD) in adults and children. It belongs to the selective norepinephrine reuptake inhibitor class and is supplied as oral capsules (pill). The product carries FDA and EMA approval and is also registered with South Africa’s Medicines Control Council (MCC).

Who Should Use Strattera?

• Children ≥ 6 years and adults diagnosed with ADHD.
• Individuals who have not responded well to stimulant therapy or who cannot tolerate stimulants.
• Patients seeking a medication with a lower potential for abuse.

How Does It Work? Strattera blocks the reabsorption of norepinephrine, increasing its level in the brain and improving attention and impulse control. Think of it as turning up the volume on the brain’s “focus” channel without the rapid “rush” that stimulants provide. It has no recognized abuse liability, but abrupt discontinuation may cause rebound symptoms.

Why Choose Strattera?

• Non-stimulant option: Useful for patients with a history of substance misuse.
• Consistent effect: Works throughout the day without the peaks and troughs of stimulants.
• Generic availability: A bio-equivalent generic atomoxetine offers a cost-effective alternative.

Off-label use (e.g., for Anxiety) should only be considered after professional consultation.

Dosage, Administration, Lifestyle and Dietary Recommendations

Recommended Dosage

• Initial: .5 mg/kg once daily (rounded to the nearest available strength).
• Typical adult dose: 40 mg once daily; may increase to 80 mg based on response.
• Available strengths: 10 mg, 18 mg, 25 mg, 40 mg capsules.

How to Take

• Swallow the capsule whole with a full glass of water.
• Can be taken with or without food; maintain the same routine each day.

Missed Dose

• Take the missed dose as soon as remembered if it is at least 6 hours before the next scheduled dose.
• Otherwise, skip it and continue with the regular schedule; do not double-dose.

Overdose

• Seek emergency medical help immediately.
• Provide details of the amount taken and time of ingestion.

Special Populations

• Elderly: Use lower starting dose; monitor blood pressure.
• Renal/hepatic impairment: Dose reduction may be required; check kidney and liver function.
• Pregnancy & lactation: Discuss risks and benefits with a healthcare professional., which can increase blood levels of Strattera.
• Alcohol does not interact directly but may worsen ADHD symptoms; limit intake.
• Maintain regular sleep patterns to support medication efficacy.

Precautions and Warnings

• Monitor blood pressure and heart rate regularly, especially during dose titration.
• May increase risk of suicidal thoughts in children and adolescents; watch for mood changes.
• Use caution in patients with narrow-angle Glaucoma or severe cardiovascular disease.

Drug Interactions

Potential Side Effects

Common Side Effects

• Dry mouth
• Decreased appetite
• Insomnia
• Nausea

Less Common Side Effects

• Dizziness
• Mood swings
• Constipation

Serious Side Effects

• Severe allergic reaction (rash, swelling, difficulty breathing) - seek urgent care
• Significant increase in blood pressure or heart rate - consult a doctor
• Suicidal thoughts - contact emergency services

Who Should Avoid This Medication?

• Patients with known hypersensitivity to atomoxetine.
• Individuals with narrow-angle glaucoma.
• Those taking potent CYP2D6 inhibitors without dose adjustment.

Storage Instructions

• Keep capsules in the original container, tightly closed.
• Store at 20-25 °C (68-77 °F); protect from moisture and light.
• Keep out of reach of children.

Strattera Alternatives

Frequently Asked Questions

How long does it take to notice an effect?

Most patients report improvement in symptoms within 1-2 weeks, with full benefit often seen after 4-6 weeks of consistent use.

Can I take Strattera with coffee?

Caffeine does not interfere with Strattera, but excessive intake may worsen anxiety or insomnia; moderate consumption is advisable.

What should I do if I feel unusually sleepy?

Report the symptom to a healthcare professional; dosage adjustment or timing changes may be needed.

Is Strattera safe for teenagers?

Yes, but close monitoring for mood changes and suicidal thoughts is essential.

Can I stop the medication abruptly?

Discontinuation should be discussed with a provider; a gradual taper is recommended to avoid rebound symptoms.

Does Strattera affect growth in children?

Minor reductions in height and weight have been observed; regular growth monitoring is recommended.

Will Strattera interact with antihypertensive drugs?

Generally no direct interaction, but blood pressure should be monitored during combined therapy.

Is a dose increase always better?

Higher doses may but also increase side-effects; dose titration should be individualized.

Glossary

• Norepinephrine reuptake inhibitor (NRI): A drug that blocks the reabsorption of norepinephrine, increasing its concentration in the brain.
• CYP2D6: A liver enzyme that metabolises many medications; its inhibition can raise drug levels.
• Rebound symptoms: Return of ADHD signs when a medication is stopped suddenly.

Disclaimer

The information provided here is for general educational purposes only and does not replace professional medical advice. Off-label use should be discussed with a qualified responsible for consulting their own clinician before starting, stopping, or changing any medication. This handbook reflects the services offered by our online pharmacy platform in South Africa and does not imply endorsement of any specific brand.