Strattera (atomoxetine) is a widely used medication for treating Attention Deficit Hyperactivity Disorder (ADHD). Unlike many other ADHD medications, Strattera is not a stimulant. This makes it a popular choice for children who either cannot tolerate or do not respond well to stimulants like Ritalin or Adderall.
This article will explore how Strattera works, why it may be the preferred option for some children, potential side effects, and how to take this medication.
Join us and grab your free copy of “Parenting ADHD Kids: 100+ Techniques & 10 Toolkits”!
How Does Strattera Work?
Strattera belongs to a class of drugs known as norepinephrine reuptake inhibitors. Norepinephrine is a neurotransmitter that is key in regulating attention and impulse control. Children with ADHD often have low levels of norepinephrine, which can lead to problems with concentration, hyperactivity, and impulsivity.
Atomoxetine, Strattera’s active ingredient, works by blocking the reuptake of norepinephrine in the brain, which increases its concentration at synapses (the connections between nerve cells). This helps improve attention, increase focus, and reduce impulsivity.
Why Is Strattera Prescribed for Children?
Strattera is often prescribed in cases where stimulants are not suitable for several reasons:
- Anxiety Disorders: Stimulants can exacerbate anxiety in children, whereas Strattera may be a safer option.
- Risk of Dependence: Stimulants like amphetamines carry a high risk of dependence and withdrawal symptoms. Strattera does not cause physical dependence, making it a preferred choice for long-term treatment.
- Side Effects of Stimulants: Some children do not tolerate the side effects of stimulants, such as insomnia, loss of appetite, or irritability. In these cases, Strattera may be a better alternative.
How to Take Strattera
Strattera is available in capsule form and is typically taken once or twice a day, depending on your doctor’s instructions. The medication can be taken with or without food, although taking it with food may reduce the risk of nausea, one of the possible side effects.
Dosage
The dosage of Strattera depends on the child’s weight and age:
- Children aged 6-12 years: The starting dose is usually 0.5 mg/kg daily. Over a few weeks, the dose may be increased to 1.2 mg/kg per day, depending on the medication’s effectiveness and tolerance.
- Adolescents aged 12-18 years: The starting dose for adolescents is also 0.5 mg/kg per day, with the possibility of increasing to a maximum of 100 mg per day, depending on body weight and clinical response.
It’s important to note that the full effects of Strattera may not be immediate. It may take several weeks before significant improvements in symptoms are noticeable.
Potential Side Effects
Like any medication, Strattera can cause side effects. While most children tolerate the medication well, the following reactions are possible:
- Nausea and Vomiting: These symptoms may occur at the start of treatment but usually subside over time. Taking the medication with food can help reduce nausea.
- Fatigue and Drowsiness: Some children may feel tired, especially during treatment’s first few weeks.
- Loss of Appetite: Although less common than stimulants, some children may experience decreased appetite.
- Increased Blood Pressure: Some children may experience a slight increase in blood pressure and heart rate.
- Suicidal Thoughts: Although extremely rare, some children, especially adolescents, may experience suicidal thoughts at the beginning of treatment. Parents need to monitor their child’s behavior closely and immediately report any concerning symptoms to their doctor.
Advantages and Disadvantages
Advantages
- No Dependence: Strattera does not cause physical dependence, making it safe for long-term use.
- Long-Lasting Effect: Unlike stimulants, which work quickly but for a limited time, Strattera provides more stable symptom control throughout the day.
- Alternative for Anxiety Disorders: Strattera may be a better choice for children with ADHD who also have anxiety disorders.
Disadvantages
- Slow Onset: Strattera takes longer to start working compared to stimulants. It may take a few weeks to see the full benefits.
- Side Effects: While side effects are less common than with stimulants, they can still occur and may be significant for some children.
- Risk of Suicidal Thoughts: Although this risk is low, it exists, especially in adolescents, and requires careful monitoring.
Withdrawal and Dependence
As mentioned earlier, Strattera does not cause physical dependence, which is a key difference from stimulants. This means that stopping the medication does not carry the same risk of severe withdrawal symptoms as with amphetamines. However, if you decide to discontinue treatment, it’s always important to do so under your doctor’s supervision to avoid any potential side effects or a worsening of ADHD symptoms.
Drug Interactions
Strattera should be used with caution if your child is taking other medications. For example, combining it with MAO inhibitors can lead to dangerously high blood pressure. It’s also important to avoid combining Strattera with drugs that increase norepinephrine levels to reduce the risk of hypertension and tachycardia.
Important Recommendations
- Regular Monitoring: Always follow your doctor’s instructions and do not change the dosage or frequency without consulting them first.
- Inform Your Doctor: Be sure to inform your doctor of any medications your child takes to avoid potential interactions.
- Monitor Behavior: Parents should monitor their child’s behavior, especially during the first few weeks of treatment, to catch any potential side effects or changes in mood.
Conclusion
Strattera is an effective medication for treating ADHD, especially for children who do not tolerate stimulants well. It offers stable symptom control without the risk of dependence, making it a preferred choice for long-term treatment. However, like any medication, Strattera requires careful management and regular monitoring to ensure its safety and effectiveness.
Important: This article is for informational purposes and is not a substitute for professional medical advice. Always consult your doctor before starting, changing, or stopping any medication. We are not responsible for any consequences that may result from the improper use or application of the information provided here. Always follow your healthcare provider’s recommendations.