*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.
Using Strattera, a non-stimulant medication, to treat ADHD comes with the potential for side effects. These may range from common (nausea, dry mouth) to severe (suicidal thoughts, liver problems), and some may not experience any side effects.1
If you are considering Strattera or want to discuss your current medication treatment with a provider, online psychiatry platforms, such as Talkiatry and Brightside Health are a good place to start. Their providers offer assessments and prescription consultation, and can answer any questions you have about Strattera side effects.
Boxed Warning: Atomoxetine (Strattera) – Risk of suicidal thoughts and behavior
What Is Strattera & How Is it Used?
Strattera (atomoxetine) belongs to a class of drugs known as selective norepinephrine reuptake inhibitors (SNRIs). ADHD treatment is named for its primary use.1 The drug functions by raising norepinephrine levels in the brain, which enhances focus and lessens impulsivity and hyperactivity. Strattera is FDA-approved for use in children, adolescents, and adults with ADHD.1 Additionally, it has off-label uses, such as treating depression or binge-eating disorder.2 However, more research is still needed to determine its safety and efficacy for these purposes.
Get Personalized, Affordable ADHD Treatment
The providers on Klarity offer comprehensive, personalized ADHD treatment. From diagnosis to therapy to medication management, a Klarity provider will be there for you. And, if needed, they’re able to prescribe controlled substances, like Adderall and Concerta.
Common Side Effects of Strattera
Understanding the potential side effects of Strattera, such as insomnia and stomach upsets, is important. Being cognizant of these common Strattera side effects helps you spot any issues and take care of them when using the medicine.
Common side effects of Strattera include:*1
- Heart problems: Strattera has been associated with an increased risk of heart-related issues such as increased heart rate, high blood pressure, and palpitations.
- Insomnia: Insomnia, or difficulty sleeping, is a common side effect of Strattera, which may affect a person’s ability to get restful sleep.
- Dry mouth: Strattera can cause dry mouth, leading to discomfort and increased thirst.
- Nausea: Some individuals may experience nausea as a side effect of Strattera, which can be bothersome.
- Headache: Headaches are a common side effect that may occur while taking Strattera.
- Upset stomach: Strattera may cause stomach discomfort or upset, leading to digestive issues.
- Decreased appetite: Some people may experience a reduced appetite while on Strattera, leading to potential weight loss.
- Dizziness: Dizziness can occur as a side effect of Strattera, affecting balance and coordination.
- Mood swings: Strattera may lead to changes in mood or emotional instability in some individuals.
- Fatigue: Feelings of tiredness or fatigue are commonly reported as side effects of Strattera use.
*All medications, including Strattera, can cause side effects that can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.
Mild Side Effects of Strattera
The mild side effects of Strattera are often temporary and manageable, typically occurring as the body adjusts to the medication. It’s essential to distinguish these temporary effects from the more long-term side effects, which result from the direct action of the medication and may persist as long as a person continues to take the drug.
Mild side effects of Strattera include:*1
- Indigestion
- Xerostomia (dry mouth)
- Constipation
- Dizziness
- Fatigue
- Upset stomach
- Perspiration
*All medications, including Strattera, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.
Serious Side Effects of Strattera
These Strattera or atomoxetine adverse effects could warrant immediate medical attention. If you encounter these symptoms while on Strattera, promptly seek medical help to ensure proper evaluation and management.
Serious side effects of Strattera include:*1
- Suicidal thoughts or behavior
- Liver problems
- Cardiovascular problems
- Aggressive behavior or hostility
- Manic episodes
- Allergic reactions
- Priapism (prolonged and painful erection)
*All medications, including Strattera, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.
Strattera Side Effects in Children
If your child experiences these side effects while taking Strattera, you can ask them, “How does Strattera make you feel?” Please seek medical attention promptly to ensure proper evaluation and management.
Common side effects of Strattera affecting children include:1
- Nausea
- Dry mouth
- Insomnia
- Headache
- Decreased appetite
- Upset stomach
Get Personalized, Affordable ADHD Treatment
The providers on Klarity offer comprehensive, personalized ADHD treatment. From diagnosis to therapy to medication management, a Klarity provider will be there for you. And, if needed, they’re able to prescribe controlled substances, like Adderall and Concerta.
Frequently Asked Questions (FAQ) About Strattera Side Effects
This section addresses common questions about Strattera side effects, including their duration and long-term impacts. We also compare the side effects of Strattera to Adderall, offering insights for those exploring medication options for ADHD treatment.
How Do the Side Effects of Strattera and Adderall Compare?
The side effects of Strattera and Adderall can vary due to their different active ingredients and mechanisms of action. Strattera (atomoxetine HCl) is a non-stimulant drug, with common side effects such as dry mouth and nausea. In contrast, Adderall (a combination of amphetamine salts, and a stimulant drug) can lead to side effects like decreased appetite, heart rate increase, and anxiety.3
How Long Do Strattera Side Effects Last?
The duration of Strattera side effects can vary from person to person. In most cases, mild side effects tend to subside within the first few weeks of starting the medication.1 However, severe side effects necessitate immediate medical attention and discontinuation of the drug. Individual response, dosage, and overall health can influence how long the side effects persist.
What Are the Long-term Side Effects of Strattera?
The long-term use of Strattera has been associated with potential side effects that may vary from person to person. Some individuals may experience effects on growth and weight gain, as well as changes in liver function.4 However, not everyone will encounter these issues, and many patients tolerate Strattera well over extended periods.
Is Anger Considered a Rare Side Effect of Strattera?
Such occurrences are infrequent. However, it’s essential to be vigilant, especially in individuals with pre-existing mental health conditions like depression or bipolar disorder.6
Can Strattera Cause Allergic Reactions?
Also, in some rare cases, Strattera may trigger allergic reactions.1 If you experience rash, itching, or swelling symptoms, seek immediate medical attention.
Strattera Warnings & Precautions
Be aware of Strattera’s associated warnings and precautions for safety reasons. These warnings include potential side effects, interactions with other medications, and the need for regular monitoring during treatment. If you experience any troubling symptoms, please seek prompt medical attention.
Precautions for taking Strattera include:1
- Suicidal thoughts & behavior: Strattera may make suicidal thoughts more likely, particularly in kids and teenagers. Recognize how to spot warning signs of suicide, such as worsening depression or unusual changes in behavior, and seek immediate medical attention as necessary.
- Use with alcohol: Combining Strattera with alcohol or drugs that increase serotonin levels, such as MAOIs, can lead to a potentially dangerous interaction that may result in a condition called serotonin syndrome. It is essential to avoid alcohol and inform your doctor of any medications you are taking.
- Liver problems: Strattera can cause liver problems in some individuals. Regular liver function monitoring is advised during treatment to identify any issues promptly.
- Withdrawal: Stopping Strattera suddenly can result in withdrawal symptoms such as dizziness, irritability, and fatigue. Gradual tapering under the guidance of a healthcare professional is recommended.
- Pregnancy: Strattera may not be safe during pregnancy, and its use should be discussed with a healthcare provider to weigh potential risks and benefits.
- Worsened mental health conditions: Strattera may exacerbate certain mental health conditions, such as agitation, anxiety, or manic episodes, particularly in those with pre-existing psychiatric disorders.
- Cardiovascular effects: Strattera can lead to heart rate and blood pressure changes. Individuals with heart problems or a history of heart conditions should be closely monitored while taking this medication.
Allergic Reactions
Strattera allergic reactions are unlikely but possible. Even though most people tolerate the drug well, it’s crucial to be alert for any symptoms or indications of an allergic response and to contact your healthcare practitioner as soon as possible if you do.
Allergic reactions to Strattera include:1
- Skin rash
- Itching or hives
- Swelling of the face, tongue, or throat
- Difficulty breathing or swallowing
- Severe dizziness or fainting
- Rapid or irregular heartbeat
- Unexplained fever or chills
- Severe nausea or vomiting
- Yellowing of the skin or eyes (jaundice)
- Dark-colored urine or clay-colored stools
Get medical help right away if you encounter any allergic reactions to Strattera so that you can be properly assessed and advised. Your healthcare practitioner will work with you to decide whether an alternative non-stimulant medicine is suited for you or to investigate other medication classes.
Get Personalized, Affordable ADHD Treatment
The providers on Klarity offer comprehensive, personalized ADHD treatment. From diagnosis to therapy to medication management, a Klarity provider will be there for you. And, if needed, they’re able to prescribe controlled substances, like Adderall and Concerta.
How to Manage Side Effects
Communication with your doctor is vital for managing Strattera’s side effects. They can change the dosage or offer advice on coping mechanisms. Discuss potential substitutes or supportive therapies if side symptoms recur or become bothersome.
Drowsiness
This is a common side effect of Strattera and may affect individuals differently. It can lead to reduced alertness, affecting daily activities and potentially causing safety concerns. To manage drowsiness, consider taking the medication at bedtime to minimize its daily impact.7
Nausea & Vomiting
While not everyone experiences these side effects, it can be distressing, not to mention inconvenient. To manage nausea and vomiting, try taking Strattera with food or snacks. Staying well-hydrated and avoiding large meals before taking the medication can also help reduce these symptoms.8
Dry Mouth
A dry mouthfeel is another potential side effect of Strattera, which can be uncomfortable. To manage it, sip water frequently and use sugar-free lozenges or gum to promote saliva production. Avoiding caffeine and alcohol can also help alleviate dry mouth symptoms.
Headache
Some people have headaches as a side effect of Strattera. If you experience it, rest, hydration, and over-the-counter pain relievers may provide relief.10
Remember, side effects can vary for each person, and this list may not cover all possibilities. It’s essential to discuss potential side effects with your doctor before starting Strattera to make an informed decision about your treatment. Direct communication with your healthcare provider can address concerns and tailor the medication plan to suit your health needs.
Questions to Ask Your Healthcare Provider About Strattera Side Effects
Always discuss your concerns about using this medication with your doctor, psychiatrist, and therapist. Inquire about common side effects, how to manage them, and any potential long-term effects. Ask about drug interactions and whether pre-existing conditions may exacerbate side effects. Additionally, explore online psychiatry services if you need to change prescribers, as this can provide convenient access to professional guidance.
Questions to ask your care team about Strattera’s side effects include:
- How long will it take for me to adjust to taking Strattera?
- Am I at risk for more severe side effects if I already take medication for ADHD or other mental health conditions?
- Will having a drug or alcohol addiction in the past make me more prone to dependency?
- What Strattera dosage results in the fewest adverse effects?
- Are there drugs I am taking that could have negative interactions?
- What time should I get in touch with you if I’m having side effects?
- Should I share anything with my therapist regarding this new medication?
- Can you provide more information about the potential long-term side effects of Strattera?
- Are there any specific lifestyle changes or precautions I should take to minimize side effects?
- How will we monitor and manage any side effects that may arise during treatment?
- How do I compare different ADHD medications, such as Qelbree vs Strattera?
In My Experience
In daily practice, I emphasize the importance of candid discussions between patients and their healthcare providers regarding Strattera’s side effects. Addressing any hardships or concerns from medication usage can lead to more effective management. ADHD treatments, like Strattera, can provide viable options for individuals facing the disorder. However, each patient’s response to the medication may vary, necessitating personalized adjustments in dosage or consideration of alternative drugs.
Don’t give up hope. Your ADHD can be helped with professional help and support. You deserve to hear supportive words from healthcare professionals like me, acknowledging your challenges and reassuring you that these struggles are not your fault. Know that effective treatment options are available, and taking these medicines within a treatment plan can be empowering. Remember to seek professional help and support. It’s the best form of self-care, in my opinion. You aren’t alone on your mental health journey, and With the right guidance, your condition is very much manageable.
Additional Resources
To help our readers take the next step in their mental health journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy is compensated for marketing by the companies included below.
Personalized, Affordable ADHD Treatment
Klarity Health – The providers on Klarity offer comprehensive, personalized ADHD treatment. From diagnosis to therapy to medication management, a Klarity provider will be there for you. And, if needed, they’re able to prescribe controlled substances, like Adderall and Concerta. Visit Klarity Health
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Best Online Psychiatry Services
Online psychiatry, sometimes called telepsychiatry, platforms offer medication management by phone, video, or secure messaging for a variety of mental health conditions. In some cases, online psychiatry may be more affordable than seeing an in-person provider. Mental health treatment has expanded to include many online psychiatry and therapy services. With so many choices, it can feel overwhelming to find the one that is right for you.
