Indication: Strattera is approved for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children aged 6 and older, teens, and adults. Strattera should be used as part of a total treatment program for ADHD that may include counseling or other therapies.

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Side Effects

Dosing Information

Under your doctor’s guidance, your child will work up to their target dose—the amount of Strattera that is right for them. Because everyone’s situation is different, the doctor may adjust your child’s dose until it is right for them.

Starting Strattera at a low dose gives your child a chance to adjust to the medicine.

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Example treatment schedule

This is an example treatment schedule and it’s important to remember that all treatments vary. Your physician may start your child at a lower dose and adjust your child's dose so it's right for them.

For children and adolescents up to 70 kg (154 lbs):

  • Take a total daily dose of approximately 0.5 mg/kg for a minimum of 3 days
  • Then, increase to a target daily dose of 1.2 mg/kg
  • The total daily dose in children and adolescents up to 70 kg (154 lbs) should not exceed 1.4 mg/kg or 100 mg whichever is less

For children and adolescents over 70 kg (154 lbs):

  • Take a total daily dose of approximately 40 mg for a minimum of 3 days
  • Then, increase to a target daily dose of 80 mg
  • After 2 to 4 additional weeks, the dose may be increased to a maximum of 100 mg in patients who have not achieved an optimal response
  • The total daily dose in children and adolescents over 70 kg (154 lbs) should not exceed 100 mg

After your child reaches their target dose, watch for gradual progress. It is the intention that they will remain on the target dose established under their doctor’s supervision.

Strattera comes in oral capsules of 10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg, and 100 mg.

How to take it

Be sure to take Strattera exactly as directed by your child’s healthcare provider.

  • Your child should take Strattera at the same time every day
  • Strattera is taken once or twice a day
  • Do not chew, crush or open Strattera capsules. Each capsule must be swallowed whole
  • Avoid contact with a broken capsule. If your child gets any powder in their eyes, rinse well with water and call your healthcare provider
  • Strattera can be taken with or without food
  • If your child misses a dose of Strattera, he or she should take it as soon as it is remembered that day. If your child does not take Strattera for a whole day, do not double his or her dose the next day. Just skip the day that was missed
  • Don’t stop treatment of Strattera without first talking to your child’s healthcare provider
  • If your child takes too much Strattera or overdoses, call your doctor or poison control center right away, or get emergency treatment

Important Safety Information for Strattera

What is the most important information I should know about Strattera?

Suicidal thoughts and actions in children and teenagers:

Children and teenagers sometimes think about suicide, and many report trying to kill themselves. In some children and teens, Strattera increases the risk of suicidal thoughts or actions. Results from Strattera clinical studies with over 2200 child or teenage ADHD patients suggest that some children and teenagers may have a higher chance of having suicidal thoughts or actions. Although no suicides occurred in these studies, 4 out of every 1000 patients developed suicidal thoughts. Call the doctor right away if your child or teenager has thoughts of suicide or sudden changes in mood or behavior, especially at the beginning of treatment or after a change in dose. Strattera is not approved for major depressive disorder.

Tell your child/teenager’s doctor if your child/teenager has (or if there is a family history of) bipolar illness (manic-depressive illness) or suicidal thoughts or actions before starting Strattera. Call your child or teenager’s doctor right away if they develop new psychological symptoms such as abnormal thoughts/behaviors and/or extreme elevated or irritable moods while taking Strattera.

Strattera can cause liver injury in some patients. Call your doctor right away if you or your child has itching, right upper belly pain, dark urine, yellow skin or eyes, or unexplained flu-like symptoms.

Heart-related problems have been reported with Strattera. Sudden death has been reported in patients who have heart problems or heart defects. There have also been reports of stroke and heart attack in adults, and increased blood pressure and heart rate. Tell your doctor if you or your child has any heart problems, heart defects, high blood pressure, or a family history of these problems. Your doctor should check you or your child carefully for heart problems before starting Strattera. Call your doctor right away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Strattera.

Who should not take Strattera?

Strattera should not be taken if you or your child:

  • Are taking or have taken within the past 14 days an anti-depression medicine called a monoamine oxidase inhibitor or MAOI. You or your child/teenager should also not take an MAOI within 14 days of stopping Strattera. This is to avoid a life-threatening condition.
  • Have an eye problem called narrow angle glaucoma.
  • Are allergic to anything in Strattera.
  • Have or have had a rare tumor called pheochromocytoma.

What should I tell my doctor or my child’s doctor before taking Strattera?

Strattera may not be right for you or your child. Before starting Strattera, tell your doctor or your child’s doctor about all health conditions (or a family history of) including:

  • Have or had suicidal thoughts or actions
  • Heart problems, heart defects, irregular heart beat, high blood pressure, or low blood pressure
  • Mental problems, psychosis, mania, bipolar illness, or depression
  • Liver problems
  • If you or your child is pregnant, planning to become pregnant, or breastfeeding

What other important information should I know about Strattera?

Serious allergic reactions have occurred in patients taking Strattera. Call your doctor if you or your child has trouble breathing, swelling, hives, or experience other allergic reactions.

Talk to your healthcare provider if your child experiences slowing of growth (height and weight). Children should have height and weight checked often while taking Strattera, and your healthcare provider may stop Strattera treatment if a problem is found during these checkups.

Patients taking Strattera have experienced problems passing urine, including trouble starting or keeping a urine stream, and not being able to fully empty the bladder.

Erections that won't go away (priapism) have occurred rarely during treatment with Strattera. If you or your child/teenager has an erection that lasts more than 4 hours, seek medical help right away.

Strattera may affect your ability or your child’s ability to drive or operate heavy machinery. Be careful until you know how Strattera affects you or your child/teenager.

Tell your doctor about all the medicines that you or your child takes, including prescription and nonprescription medicines, vitamins, and herbal supplements. Strattera and some medicines may interact with each other and cause serious side effects. Your doctor will decide whether Strattera can be taken with other medicines.

What are the common possible side effects of Strattera?

Common side effects in children and teenagers include upset stomach, decreased appetite, nausea or vomiting, dizziness, tiredness, and mood swings.

Common side effects in adults include constipation, dry mouth, nausea, decreased appetite, dizziness, sexual side effects, and problems passing urine.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit or call 1-800-FDA-1088.

Strattera is available by prescription only.

Please see Prescribing Information, including boxed warning regarding suicidal thoughts and actions in children and teenagers, and Medication Guide.

AT Con ISI 27Sep2013