Strattera (Atomoxetine)
Class and Catgegory
Before you buy Strattera (Atomoxetine) online, read common information about the medication.
Chemical class: Selective norepinephrine reuptake inhibitor
Therapeutic class: Anti-ADHD agent
Pregnancy category: C
Drug Indications and Dosages
Before purchase Strattera (Atomoxetine) online , you must read how it works.
To treat attention deficit hyperactivity disorder (ADHD)
Capsules
Adults and children weighing 70 kg (154 lb) or less. Initial: 0.5 mg/kg daily, increased after at least 3 days to 1.2 mg/kg daily given either as a single dose in the morning or in evenly divided doses morning and late afternoon or early evening, as needed. Maximum: 1.4 mg/kg or 100 mg daily, whichever is less.
Adults and children weighing more than 70 kg. Initial: 40 mg daily, increased after at least 3 days to 80 mg daily given either as a single dose in the morning or in evenly divided doses morning and late afternoon or early evening. After 2 to 4 additional wk, dosage may be increased to 100 mg daily if optimal response hasn't been achieved. Maximum: 100 mg daily.
Dosage Adjustment
For patients with moderate (Child-Pugh Class B) hepatic impairment, dosage reduced by 50%. For patients with severe (Child-Pugh Class C) hepatic impairment, dosage reduced by 75%. For patients weighing 70 kg or less and taking strong CYP2D6 inhibitors, such as paroxetine, fluoxetine, or quinidine, initial dosage of 0.5 mg/kg daily should be increased to 1.2 mg/kg daily only if symptoms fail to improve after 4 wk. For patients weighing more than 70 kg and taking strong CYP2D6 inhibitors, initial dosage of 40 mg daily should be increased to 80 mg daily only if symptoms fail to improve after 4 wk.
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Contraindications of Drug
Read contraindications if you want cheap Strattera (Atomoxetine) online.
Angle-closure glaucoma, hypersensitivity to atomoxetine or its components, use within 14 days of MAO inhibitor therapy
Generic Drug Interactions
Drugs
albuterol and other beta2 agonists: May potentiate action of albuterol and other beta2 agonists on cardiovascular system CYP2D6
inhibitors (such as fluoxetine, paroxetine, and quinidine): Increased blood atomoxetine level
MAO inhibitors: Possibly induced hypertensive crisis
pressor agents: Possibly altered blood pressure
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Drugs Adverse Reactions
Central Nervous System: Aggressiveness, anxiety, chills, crying, depression, dizziness, early morning awakening, fatigue, headache, hostility, insomnia, irritability, lethargy, mood changes, paresthesia, peripheral coldness, pyrexia, rigors, sedation, seizures, sleep disturbance, somnolence, stroke, suicidal ideation (children and adolescents), syncope, tremor, unusual dreams
Cardiovascular: Chest pain, hypertension, orthostatic hypotension, MI, palpitations, QT-interval prolongation, Raynaud's phenomenon, tachycardia
Eyes, Ears, Nose, And Throat: Conjunctivitis, dry mouth, ear infection, mydriasis, nasal congestion, nasopharyngitis, pharyngitis, rhinorrhea, sinus congestion
Endocrine: Hot flashes
Gastrointestinal: Abdominal pain (upper), anorexia, constipation, diarrhea, elevated liver function test results, flatulence, gastroenteritis (viral), indigestion, nausea, severe hepatic dysfunction, vomiting
Genitourinary: Decreased libido, dysmenorrhea, dysuria, ejaculation disorders, erectile dysfunction, impotence, male pelvic pain, menstrual irregularities, orgasm abnormality, priapism, prostatitis, urinary hesitancy, urine retention
Musculoskeletal: Arthralgia, back pain, myalgia
Respiratory: Cough, upper respiratory tract infection
Skin: Dermatitis, diaphoresis, pruritus, rash, urticaria
Other: Angioedema, influenza, weight loss
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Nursing Considerations for Generic Drugs
• Use atomoxetine cautiously in patients with cerebrovascular or CV disease (especially hypertension or tachycardia) because drug may increase blood pressure and heart rate. Also use cautiously in those prone to orthostatic hypotension and those with serious structural cardiac abnormlities, cardiomyopathy, serious heart rhythm abnormalities, or other serious cardiac problems because drug may increase risk of sudden death from these conditions.
WARNING Monitor children and adolescents closely for evidence of suicidal thinking and behavior as well as for psychotic or manic symptoms such as hallucinations, delusional thinking, or mania because atomoxetine increases the risk of suicidal ideation and the onset of psychotic or manic symptoms in these age-groups.
• Obtain baseline blood pressure and heart rate before starting therapy. Monitor patient's vital signs after dosage increases and periodically during therapy.
• Monitor patient closely for allergic reactions. If these occur, notify prescriber.
• Monitor child's or adolescent's growth and weight. Expect to interrupt therapy, as prescribed, if patient isn't growing or gaining weight appropriately.
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