Strattera, The New ADHD Medication
By Jeannine Virtue
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The newest ADHD medication Strattera (atomoxetine) is expected to hit the
pharmacy shelves this month to much ado. What separates Strattera (atomoxetine)
from the rest of the ADHD medications pack is that Strattera (atomoxetine) is
the first non-stimulant medication FDA-approved for Attention Deficit Disorder.
Strattera (atomoxetine) is not a controlled substance under the Controlled
Substance Act, which translates to the convenience of phone-in refills and less
prescription hassles at the pharmacy.
Strattera (atomoxetine) is an oral capsule prescribed in a once or twice daily
dose, which also eliminates the need for school children to medicate during the
school day. And, Strattera (atomoxetine) is the only ADHD medication
FDA-approved for adults.
But before you knock on your doctor's door asking for a prescription, there are
a few things you should know about this new ADHD medication.
Although Strattera (atomoxetine) is a non-stimulant ADHD medication, it still
poses many side effects consistent with the side effects of other ADHD
medications - and a few new ones that adults might find less than pleasant.
Common Strattera (atomoxetine) Side Effects include (but not limited to):
_ Problems sleeping/Insomnia
_ Dry mouth
_ Decreased appetite
_ Weight loss
_ Upset stomach
_ Constipation
_ Nausea and/or vomiting
_ Dizziness
_ Tiredness
_ Mood swings
_ Ear infection
_ Influenza
_ Irritability
Sexual side effects (in adults studied):
_ Decreased libido
_ Ejaculatory problems
_ Impotence
_ Urination problems
_ Painful menstrual periods
The following, though rare, have also been reported:
_ Strattera (atomoxetine) can cause potentially serious allergic reactions.
Strattera (atomoxetine) can increase heart rate and blood pressure. Strattera (atomoxetine)
can also worsen the conditions of high blood pressure and heart disease.
Strattera (atomoxetine) should not be taken at the same time as, or within two
weeks of taking, a monoamine oxidase inhibitor. Patients with narrow angle
glaucoma should not take Strattera (atomoxetine).
You should alert the prescribing physician of the following condition before
beginning Strattera (atomoxetine);
_ Current or past depression, psychosis or other mental conditions
_ Alcohol or drug abuse
_ Heart disease
_ High blood pressure
_ Epilepsy or seizure disorders
_ Liver disease or kidney disease
_ Pregnancy, nursing or plans to become pregnant
Strattera (atomoxetine) makers Eli Lilly and Company conducted six
placebo-controlled studies in children, adolescents and adults for FDA
submission. Early studies suggest that the potential of abuse is lower with
Strattera (atomoxetine) and side effects may not be as pronounced as with other
ADHD medications.
Two of the trials also tested Strattera's effectiveness against methylphenidate
and stated that preliminary evidence indicates comparable effects between
atomoxetine (Strattera) and methylphenidate (Ritalin). Researchers did, however,
state that larger, double-blind studies are needed to better compare the drugs
against each other.
We do expect Strattera (atomoxetine) to become one of the forerunners in ADHD
medication, with millions of children on this new drug in a short amount of
time. Although Strattera (atomoxetine) sounds like a good choice - as ADHD
medications go - the Attention Deficit Disorder Help Center takes a wary
position until further testing is completed and analyzed. It is important to
note that this new ADHD medication is new, with the tests for effectiveness
lasting between six and 10 weeks and the safety of this drug only tested for
about one year.
The short-term studies showed that Strattera (atomoxetine) increased the heart
rate and blood pressure in children. The long-term effects of increased heart
rate and blood pressure are still unknown. Children fell below their height and
weight growth curves on the longer-term study and again, it is still unknown
whether this will have an affect on adult height. Also of concern are the side
effects to sexual functioning reported in adult and how that will affect
children whose sexual organs are still developing. In all fairness, this side
effect likely would not surface for Ritalin, Adderall or other ADHD medications
since those are for children. Since Strattera (atomoxetine) will also be
marketed as an adult prescription, clinical tests were done on adults, which
then unearthed sexual side effects.
Our last concern deals with verbiage on the Strattera (atomoxetine) web site.
The following is an excerpt from the www.strattera.com FAQ page;
"15. Is there a cure for ADHD? Like other chronic disorders, ADHD is not
curable. Some patients have a remission of the disease, and may lead productive
adolescent and adult lives...."
Eli Lilly and Company knows better and we question why the web site classified
Attention Deficit Disorder as a "disease," and one that people "have a
remission" from. Attention Deficit Disorder is NOT a "disease." In fact,
Attention Deficit Disorder was not even a "disorder" until 1980 by the American
Psychiatric Association classified it as such. Furthermore, people do not "have
a remission" from Attention Deficit Disorder, though many children with
Attention Deficit Disorder lead productive adolescent and adult lives.
About the Author
Jeannine Virtue is a freelance journalist and mother of an Attention Deficit
Disorder son. Visit the Attention Deficit Disorder Help Center at
www.add-adhd-help-center.com for effective drug-free alternatives to
ADHD medications.
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