Attention deficit hyperactivity disorder (ADHD) is a behavioral disorder involving hyperactivity, inattentiveness, or impulsivity. ADHD treatments include behavioral therapy and medications.
Strattera (atomoxetine) is an oral medication that healthcare providers may prescribe to treat the disorder. While atomoxetine may be an effective treatment, it does come with side effects such as dry mouth, mood changes, and appetite loss. Learn more about Strattera for ADHD.
Atomoxetine, also known by the brand name Strattera, may be prescribed as part of a person's ADHD treatment regimen. Most people take atomoxetine capsules by mouth once or twice a day. The U.S. Food and Drug Administration (FDA) approved Strattera for ADHD symptoms in adults and children over 6 years old in 2002 then approved the first generic versions of the drug in 2017.
Atomoxetine is a selective norepinephrine reuptake inhibitor (SNRI). SNRIs work to treat ADHD and other mental health conditions by increasing the available amount of norepinephrine in the brain. Norepinephrine is a neurotransmitter and hormone that helps you stay alert and maintain control in high-stress situations. People with ADHD have been found to have low levels of norepinephrine on average.
Benefits
Studies have found that atomoxetine is safe and effective for most people with ADHD. In fact, one study indicated that Strattera could reduce ADHD symptoms by about 25% within less than a month. It can also be helpful for individuals who have ADHD and common co-occurring mental health conditions like:
- Bipolar disorder
- Depression
- Obsessive-compulsive disorder (OCD)
In addition to treating key ADHD symptoms like inattentiveness, Strattera has been found to improve quality of life and decrease emotional instability among both children and adults with ADHD. One Strattera review indicated that around 50% of adults with ADHD continued to experience these positive effects six months after they stopped taking the drug.
Side Effects
Most of the reported side effects were mild in clinical trials for atomoxetine. Less common Strattera side effects may include high blood pressure, liver problems, and a racing heart. However, some of the most common atomoxetine side effects for adults include:
- Constipation
- Difficulty urinating
- Dizziness
- Dry mouth
- Nausea
- Lowered appetite
- Sexual side effects, such as erectile dysfunction
Children may also experience nausea and a low appetite. Other side effects in children include dizziness, moodiness, and tiredness.
The most prescribed medications for ADHD are stimulants. Stimulants, such as Adderall (dextroamphetamine and amphetamine) and Ritalin (methylphenidate), work to treat ADHD symptoms by increasing central nervous system activity.
Strattera is a nonstimulant, which means it works to improve alertness and focus without speeding up your brain activity. However, it's not the only nonstimulant available. Tenex (guanfacine) is another common nonstimulant used to treat ADHD.
Many people prefer taking stimulants for ADHD because they work more quickly, often within an hour, and are somewhat more effective in managing symptoms. However, the effects of nonstimulants last longer—up to 24 hours.
ADHD stimulants come with several possible side effects, such as high blood pressure and tachycardia, which is a fast heart rate. To reduce their risk of cardiovascular problems, people with preexisting heart conditions may choose to take nonstimulant medications instead.
Adderall and other stimulants are also frequently misused. People with ADHD who have a history of substance abuse often take nonstimulant medications to avoid the possibility of addiction or overdose.
Risks and Warnings
Before taking atomoxetine, let a healthcare provider know if you're pregnant or planning to become pregnant. You should also talk to a healthcare provider about any other medications you're taking. For example, if you're taking any monoamine oxidase inhibitors (MAOIs)—such as Marplan (isocarboxazid) or Nardil (phenelzine)—a provider will most likely tell you not to take Strattera.
In rare cases, atomoxetine may increase the risk of suicidal thoughts among adolescents and children taking this medication. Youth who start the medication should be closely monitored. If you, your child, or someone you know experiences thoughts of suicide while taking Strattera, seek medical help right away.
It can be difficult to deal with the symptoms of ADHD, but there are many effective treatments available. Strattera, a nonstimulant medication, is safe and effective overall for both children and adults with ADHD.
However, it can cause side effects like nausea, dizziness, sexual side effects, and reduced appetite. Talk to a healthcare provider if you're interested in trying Strattera to manage your ADHD symptoms and improve your quality of life.
Frequently Asked Questions
Is Strattera as strong as Adderall?
Yes—its effects can last up to 24 hours. Still, research has found that stimulants, like Adderall, are higher in effectiveness for treating ADHD compared to Straterra.
Why do people not like Strattera?
Strattera takes longer to work compared to stimulants that can work immediately to reduce symptoms.
Does Strattera make you gain weight?
No. Strattera has weight loss rather than weight gain as a side effect.
