Strattera (atomoxetine): Clear, Practical Info for ADHD
Looking for a non-stimulant ADHD option? Strattera (atomoxetine) works differently than stimulants and can be a good fit if stimulants caused side effects or aren’t allowed. Here’s straightforward, useful info so you can talk with your doctor and use the medicine sensibly.
How Strattera works and who it's for
Strattera is a selective norepinephrine reuptake inhibitor. That means it raises norepinephrine levels in the brain, which can improve attention and reduce impulsivity. Doctors prescribe it for children, teens, and adults with ADHD. It’s often chosen when stimulants (like methylphenidate or amphetamines) aren’t suitable, when there’s a history of substance misuse, or when daytime anxiety or tics make stimulants risky.
Don’t expect instant results. Many people notice changes in a week or two, but full benefits commonly take 4–6 weeks. If you or your child don’t feel better after a couple months, talk to the prescriber about adjusting the dose or trying something else.
Dosing basics, side effects, and safety tips
Typical adult dosing starts at 40 mg once daily for a few days, then usually increases to 80 mg daily. Some people need up to 100 mg a day. For children and teens, dosing is weight-based: doctors often start around 0.5 mg/kg/day and move toward a target of about 1.2 mg/kg/day, not to exceed the adult max. Always follow your prescriber’s exact plan.
Common side effects are decreased appetite, stomach upset, nausea, fatigue, dry mouth, and sleep trouble. Less common but important risks include increased heart rate or blood pressure, liver problems (look for jaundice or dark urine), and rare mood changes including suicidal thoughts in young people. Your doctor should check blood pressure and heart rate before and during treatment, and keep an eye on mood and behavior—especially in the first few months.
Watch drug interactions. Don’t use Strattera with MAO inhibitors. Some antidepressants like fluoxetine or paroxetine slow the enzyme that breaks down atomoxetine (CYP2D6), raising its levels. Tell your prescriber about all medications and supplements you take.
Practical tips: take Strattera in the morning to avoid insomnia, and take it with food if it upsets your stomach. If you miss a dose, take it as soon as you remember that day, but don’t double up. Keep regular check-ins with your doctor to track benefits and side effects. Never buy prescription meds from unverified online sellers—use a licensed pharmacy and get a proper prescription.
If you have questions about dosing, side effects, or interactions, ask your prescriber or pharmacist. A clear plan and regular follow-up make Strattera safer and more likely to help.
