Atomoxetine

1. What is strattera and what is it used for?
2. What should you watch out for before taking Strattera?
3. How to take Strattera?
4. What side effects are possible?

What is it used for
Strattera contains Atomoxetine and is used to treat the attention deficit /
Hyperactivity Disorder (ADHD).
It is applied at Children from 6 years,youths and adults.

It is...

1. What is strattera and what is it used for?
2. What should you watch out for before taking Strattera?
3. How to take Strattera?
4. What side effects are possible?

What is it used for
Strattera contains Atomoxetine and is used to treat the attention deficit /
Hyperactivity Disorder (ADHD).
It is applied at Children from 6 years,youths and adults.

It is used as part of a comprehensive treatment program for this condition
also non-drug measures such as counseling and behavioral therapy requires.
It is not intended for the treatment of ADHD in children under 6 years, since the effectiveness and
the safety of the drug in this patient group are unknown.
In adults, ADHD treatment with Strattera is indicated when the disease signs
are very stressful and will affect your professional or social life, and if the
ADHD signs were already present in your childhood.

How it works
Strattera increases the available amount of the messenger norepinephrine in the brain. This chemical
Substance that is also naturally produced increases attention in ADHD patients
and reduces impulsivity and hyperactivity. This medicine has been prescribed for you
to help control the symptoms caused by your ADHD. This medicine belongs
not to group of stimulants (active substances with a stimulating or stimulating effect) and
therefore has no addictive potential.
It may take a few weeks for your treatment to start taking the medicine
Significantly improve complaints.

About ADHD
Children and adolescents with ADHD find it difficult:
to sit quietly and to concentrate.

It's not their fault they can not do that. Many children and adolescents have to
make an effort to create these things. ADHD can cause problems in everyday life. For children and
Adolescents with ADHD can be hard at learning and doing homework. you
have problems with behaving appropriately at home, at school or elsewhere. ADHD
does not affect the intelligence of a child or adolescent.
Adults with ADHD have similar difficulties as affected children; this can cause problems with:
•work
•Relationships
• low self-esteem
•the education

2. What should you watch out for before taking Strattera?

Strattera must NOT be taken
-If you are allergic to atomoxetine or any of the other
Components of this medicine are.
if you have been receiving a monoamine oxidase inhibitor (MAOI) in the last 2 weeks, such as
z. As phenelzine, have taken. A MAO inhibitor is sometimes used for treatment
used by depression or other mental illness. Concurrent administration
Strattera and MAO inhibitors can cause serious, possibly life-threatening
Side effects result. You must also be at least 14 days after weaning
Strattera wait before taking a MAO inhibitor.
-if you have a specific eye disease called narrow-angle glaucoma (increased
Intraocular pressure).
-if you have serious heart problems caused by an increase in the heartbeat or
blood pressure could be worsened because Strattera could cause it.
-if you have serious blood vessel problems in your brain - such as: B.
had a stroke, a bulge and weakening at one point of your blood vessels
(Aneurysm) or have constricted or clogged blood vessels in the head.
-if you have an adrenal medullary tumor (a so-called pheochromocytoma).
Do not take Strattera if any of the above applies to you because Strattera
can aggravate these problems. If you are unsure, talk to your doctor or
Pharmacist before you take Strattera.
Warnings and Precautions
Both adults and children should take the following warnings and precautions
note.


Please talk to your doctor or pharmacist before taking Strattera if you:
Thoughts have to take their own life, or when you're about to try yourself
to take the life.
- have problems with the heart (including heart defects) or increased heart rate.
Strattera can increase your heartbeat (heart rate). It was associated with sudden death in patients
Heart defects reported.
- have high blood pressure. Strattera can increase blood pressure.
-have a low blood pressure. Strattera can cause dizziness in people with low blood pressure
or cause fainting.
Problems caused by sudden changes in your blood pressure or heartbeat.
- have a heart disease or have suffered a stroke in the past.
Have liver problems; because you might need a lower dose.
psychotic symptoms, including hallucinations (hearing voices or seeing things,
who are not there) believe in things that are not true or questionable.
-an mania (feeling overly excited, leading to unusual behavior) and on
Agitation (agitation) suffer.
- feel aggressive.
- feel angry and hostile.
- have had epilepsy or seizures in the past for some other reason.
Strattera can lead to an increase in the frequency of seizures.
- you suffer from unusual mood swings or you feel very unhappy.
- have difficult to control, repeated twitching of body parts or you as under duress
make inappropriate sounds and words.


Talk to your doctor or pharmacist before you start treatment if any of the
The above points apply to you because Strattera can aggravate these problems. Your doctor will
Monitor how this medicine works for you.
Checkups that your doctor will do before you start taking Strattera
These tests should show if Strattera is the right medicine for you.
Your doctor will perform the following examinations:
Measuring blood pressure and heart rate (pulse) before and while taking Strattera
Measuring height and weight in children and adolescents before and during the
Taking Strattera.


Your doctor will talk to you about the following:
-any other medicines you use
- if there were sudden unexplained deaths in your family
- any other medical problems (such as heart problems) in you or someone in yours
family
It is important that you give your doctor as much information as possible. This will be up to your doctor
help decide whether Strattera is the right medicine for you. Your doctor will decide if
further studies are necessary before starting to take the medicine.
Taking Strattera with other medicines
Tell your doctor or pharmacist if you are taking, or are using, any other medicines
have taken or have recently taken any other medicines
take / apply. This also applies to non-prescription medicines. Your doctor will
decide if you can take Strattera in combination with your other medicines. In
In some cases, your doctor may need to adjust the dose or increase your dose more slowly.
Do not take Strattera together with so-called MAO inhibitors (monoamine oxidase).
Inhibitors) used to treat depression.

If you are taking other medicines, Strattera may affect the effects of these medicines
or cause side effects. If you are taking any of the following medicines, talk
With your doctor or pharmacist before taking Strattera:
Medicines that increase blood pressure or that are used to adjust blood pressure.
Medicines for depression, eg. Imipramine, venlafaxine, mirtazapine, fluoxetine and paroxetine
- Some medicines for cough and colds that contain active ingredients that reduce blood pressure
influence. It is important that you talk to your doctor or pharmacist before using such
Apply products.
- some medicines for the treatment of mental (mental) diseases
Medicines that increase the risk of seizures
- Some medicines that cause Strattera to stay in the body for longer than normal (like quinidine
and terbinafine)
Salbutamol (a medicine used to treat asthma) can be swallowed or given as an injection
administered, lead to tachycardia. However, this will not worsen your asthma.
The medicines listed below may increase your risk of arrhythmia
lead when taken together with Strattera:
Medicines used to control heart rhythm
Medicines that alter the salt concentration in the blood
Medicines for malaria prophylaxis and treatment
some antibiotics (eg erythromycin and moxifloxacin)
If you are unsure if a medicine you are using belongs to the list above,
Ask your doctor or pharmacist before taking Strattera.
pregnancy and breast feeding period.
It is not known if this medicine can harm or harm an unborn baby
Breast milk passes.
- You must not take this medicine during pregnancy, unless you
Doctor specifically advises you to do so.
- If you are breast-feeding, you must either avoid or stop taking this medicine.
If you
• are pregnant or breastfeeding,
• suspect of being pregnant or intending to become pregnant,
• plan to breastfeed your child,
ask your doctor or pharmacist for advice before taking this medicine.

3. How to take Strattera?
- Always take this medicine exactly as your doctor or pharmacist has told you.
This is usually once or twice a day (morning and late afternoon or
early evening). Ask your doctor or pharmacist if you are not sure.
- Children should not take this medicine without the help of an adult.
- If you take Strattera once a day and feel sleepy or uncomfortable, your doctor may
with you change the intake to twice a day.
-The capsules are meant to be swallowed whole and can be taken to a meal or without something
to be ingested.
-The capsules must not be opened and the contents must not be taken out of the capsules.
Strattera should only be taken in the unopened capsule and not in any other way.
- If you take the medicine at the same time each day, it will help you to
To think of taking.

How much should you take
Children (from 6 years and older) or teenagers:
Your doctor will tell you how much Strattera you should take each day. He will give that amount to your
Calculate weight accordingly. At the beginning of treatment, your doctor will usually give you less
Prescribe the dose before adding the amount of Strattera you are to take, according to your weight
will adjust:
- body weight up to 70 kg: start of Strattera treatment with a total daily dose of 0.5
mg per kg of body weight for at least 7 days. Your doctor may then decide to dose this up
to increase the recommended daily dose during the long-term treatment of about 1.2 mg per kg.
- body weight over 70 kg: start of Strattera treatment with a total daily dose of
40 mg for at least 7 days. Your doctor may then decide to dose this to the recommended one
Daily dose during the long-term treatment of 80 mg. The maximum recommended
The daily dose that your doctor will prescribe is 100 mg.

Adults:
Treatment with Strattera should be taken with a total daily dose of 40 mg for at least 7 days
to be started. Your doctor may then decide to reduce this dose to the recommended daily allowance of
Increase 80 to 100 mg. The maximum recommended daily dose that your doctor will prescribe
is 100 mg.
If you have problems with the liver, the doctor may prescribe a lower dosage.
If you take more Strattera than you should
Notify your doctor or nearest emergency room immediately and inform
Tell her how many capsules you have taken. The most common complaints in the
Related to overdoses are gastrointestinal problems, drowsiness,
Dizziness, tremors and behavioral problems.
If you forget to take Strattera
If you forget to take a dose, you must make up for it as soon as possible. you
You may not take more than your total daily dose over a period of 24 hours.
Do not take in twice the amount if you forget to take the previous dose.
If you stop taking Strattera
If you stop taking Strattera, it usually has no side effects, however
Your ADHD symptoms may recur. You should talk to your doctor before taking the
Stop treatment.

What your doctor will do during treatment with Strattera
Your doctor will do some research
-before taking it for the first time to make sure Strattera is safe and useful for you.
- after taking at least every 6 months, possibly more often.
These examinations are also carried out at each dose change and include:
-detecting height and weight in children and adolescents
-the measurement of blood pressure and pulse
-determining if you have problems while taking Strattera or if it is
Have worsened side effects

Long-term treatment
You do not have to take Strattera all your life. If you Strattera for more than a year
Your doctor will review your treatment to determine if you still have the medicine
need.
If you have any further questions on the use of this medicine, ask your doctor
or pharmacist.

4. What side effects are possible?
Like all medicines, this medicine may cause side effects, although not
must occur to everyone. Although some patients experience side effects, most find
Patients that Strattera helps them. Your doctor will talk to you about these side effects.
Some side effects can be serious.
If you are one of the following
Side effects notice, go to a doctor immediately.

Occasionally
 (may affect up to 1 in 100 patients)
- finding or presence of a very fast heartbeat or arrhythmia
Thoughts or feelings of wanting to kill oneself
Aggressiveness
Feel anger and hostility
Mood or mood swings
- serious allergic reactions with signs of
-Swells on the face or neck
Difficulty breathing
Hives (small raised and itchy skin - wheals)
-spasmics
-Psychotic symptoms including hallucinations (such as hearing voices or seeing things,
who are not there) believe in things that are not true or questionable
Children and adolescents under the age of 18 are at increased risk for side effects such as:
Thoughts or feelings of wanting to take one's life (can be up to 1 in 100 patients
affect)
Mood or mood changes (may affect up to 1 in 10 patients)
Adults have a lower risk
  (may affect up to 1 in 1,000 patients)
for side effects like:
-spasmics
-Psychotic symptoms including hallucinations (such as hearing voices or seeing things,
who are not there) believe in things that are not true or questionable

Rare (may affect up to 1 in 1,000 patients)
-liverdamage
You must stop taking Strattera and contact your doctor immediately
notify you when you experience the following:
dark urine
- yellowish skin or yellowish eyes
-(painful abdominal wall tension)
- nausea for no apparent reason
- tiredness
- itching
- flu-like symptoms

Effect on growth
At the beginning of treatment with Strattera, some children showed decreased growth (weight and height).
In the course of a long-term treatment, however, weight and height were similar to the age group.
Therefore, the doctor will observe the weight and height of children during treatment.
If the child does not grow as expected or does not gain weight, the doctor may take the dose
adjust or decide to sell Strattera for a period of time.

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