Patients who develop exertional chest pain, unexplained syncope, or other manifestations suggestive of cardiac disease during atomoxetine therapy should undergo prompt cardiac evaluation. Breslow-Day test but is included in the table because of pharmacologic plausibility. Monitor patients beginning treatment for ADHD for the appearance or worsening of aggressive behavior or hostility. lexapro malls
National Library of Medicine and Drugs. Priapism defined as painful and nonpainful penile erection lasting more than 4 hours have been reported in pediatric and adult patients treated with stimulants. The erection usually resolves when the drug is stopped. Prompt medical attention is required in the event of suspected priapism. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs including any herbal medicines or supplements or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.
Use with caution. The effects may be increased because of slower removal of the medicine from the body. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Although this is not conclusive evidence that STRATTERA causes aggressive behavior or hostility, these behaviors were more frequently observed in clinical trials among children, adolescents, and adults treated with STRATTERA compared to placebo. It's important to work with a doctor to find the best solution for your child.
Most events were mild to moderate. Monitor pediatric patients closely for clinical worsening, suicidal ideation or behaviors, or unusual changes in behavior, particularly during the first few months of therapy and following dosage adjustment. Taking MAO inhibitors with this medication may cause a serious possibly fatal drug interaction. Avoid taking MAO inhibitors isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication.
Both Strattera and Adderall are effective for ADHD; however, Strattera is not a stimulant which means it is not likely to be abused or cause dependence, tolerance, or withdrawal symptoms on discontinuation. Strattera may be better tolerated than Adderall and its main side effects include drowsiness and mild appetite suppression. Both may affect the heart and slow growth rate in children, Adderall probably to a greater extent. Strattera is more expensive than Adderall and may increase the risk of thoughts of suicide in children and adolescents. Studies have shown that individual responses to ADHD medications vary, and up to 15% of people will respond to one drug but not to another. Therefore it is worthwhile trying a different type of ADHD medication if one treatment is found to be ineffective. In two post-marketing, double-blind, placebo-controlled trials, it has been demonstrated that treating patients with ADHD and comorbid anxiety disorders with STRATTERA does not worsen their anxiety. Minimal affinity for other noradrenergic receptors or for other neurotransmitter transporters or receptors. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Methylphenidate may cause serious heart or blood vessel problems. This may be more likely in patients who have a family history of heart disease. Check with your doctor right away if you or your child has chest pain, shortness of breath, fainting, or a fast, irregular heartbeat while using this medicine. There was not sufficient exposure of ethnic groups other than Caucasian to allow exploration of differences in these subgroups. Standard high-fat meal decreases rate but not extent of absorption in adults. Abdominal pain includes the terms: abdominal pain upper, abdominal pain, stomach discomfort, abdominal discomfort, epigastric discomfort. Atomoxetine HCl was negative in a battery of genotoxicity studies that included a reverse assay an in vitro mouse assay, a chromosomal aberration test in Chinese hamster ovary cells, an unscheduled DNA synthesis test in rat hepatocytes, and an in vivo micronucleus test in mice. However, there was a slight increase in the percentage of Chinese hamster ovary cells with diplochromosomes, suggesting endoreduplication numerical aberration. Importance of informing patients of other important precautionary information. 1 See Cautions.
Ethnic origin did not influence atomoxetine disposition except that PMs are more common in Caucasians. To lessen the chance of dizziness, get up slowly from a sitting or lying position. An Authorized Generic version of Strattera has been approved. An Authorized Generic is a prescription drug that is produced by a brand company under a New Drug Application NDA and marketed as a generic under a private label. It is identical to the branded product in appearance, and unlike a generic, the Authorized Generic has exactly the same inactive ingredients. Methylphenidate may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Dose is based on body weight and must be determined by your doctor. Important: The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, blogs, or WebMD Answers are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. To help prevent trouble with sleeping, take the last dose of the short-acting tablets before 6 PM, unless your doctor gives you a different time. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Hg. The blood pressure effects could be clinically important in some PM patients. Syncope was not reported during short-term child and adolescent placebo-controlled ADHD registration studies. STRATTERA should be used with caution in any condition that may patients to hypotension, or conditions associated with abrupt heart rate or blood pressure changes. 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? Do not take other medicines unless they have been discussed with your doctor. travatan
Your doctor may adjust your dose as needed. However, the dose is usually not more than 60 mg per day. Christopher Kratochvil, MD, a child and adolescent at University of Nebraska Medical Center in Omaha. What other important information should I know about Strattera? STRATTERA dose was not superior to placebo. Eli Lilly and Company. Disclaimer: Every effort has been made to ensure that the information provided by Multum, Truven Health Analytics, Inc. Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Strattera is to be used only by the patient for whom it is prescribed. Do not share it with other people. is online dapoxetine safe dapoxetine
Increased risk of suicidal thinking observed in a pooled analysis of short-term clinical trials in children and adolescents with ADHD. 1 17 See Pediatric Use under Cautions. Treatment plans may include special education programs, psychological intervention, and drug treatment. Learn as much as you can about the options and talk them over with your child's provider so you can make the best plan for your child. Note: Fraudulent online pharmacies may attempt to sell an illegal generic version of Strattera. These medications may be counterfeit and potentially unsafe. If you purchase medications online, be sure you are buying from a reputable and valid online pharmacy. Ask your health care provider for advice if you are unsure about the online purchase of any medication. STRATTERA can cause liver injury in some patients. Methylphenidate may be habit forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. ADHD symptoms were statistically significantly improved on STRATTERA compared with placebo, as measured on the ADHDRS scale. This study shows that STRATTERA is effective when administered once daily in the morning. Keep all regular medical and laboratory appointments. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Marketed by: Lilly USA, LLC Indianapolis, IN 46285, USA. Revised: May 2017. proventil for daily use
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Growth followed a similar pattern in both extensive and poor metabolizers EMs, PMs. 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. This list is not complete. Other drugs may interact with methylphenidate, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Data on the long-term effects of STRATTERA on growth come from open-label studies, and weight and height changes are compared to normative population data. In general, the weight and height gain of pediatric patients treated with STRATTERA lags behind that predicted by normative population data for about the first 9-12 months of treatment. Atomoxetine did not cause clinically important inhibition or induction of cytochrome P450 enzymes, including CYP1A2, CYP3A, CYP2D6, and CYP2C9. Absolute bioavailability is 63% in extensive metabolizers of CYP2D6 substrates and 94% in poor metabolizers. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Rare postmarketing cases of priapism, defined as painful and nonpainful penile erection lasting more than 4 hours, have been reported for pediatric and adult patients treated with STRATTERA. The parents or guardians of pediatric patients taking STRATTERA and adult patients taking STRATTERA should be instructed that priapism requires prompt medical attention. Consumption of with STRATTERA did not change the intoxicating effects of ethanol. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. At first, 5 mg two times a day, taken before breakfast and lunch. Your doctor may adjust your dose as needed. However, the dose is usually not more than 60 mg per day. Eli Lilly and Company, Indianapolis, IN: Personal communication. Strattera may not be right for you or your child. online celebrex uk celebrex
Use with caution. Dependence may be more likely to develop. Just skip the day you missed. Importance of taking atomoxetine exactly as prescribed. 2 16 See Oral Administration under Dosage and Administration. Have or have had a rare tumor called pheochromocytoma. For a Combined Type diagnosis, both inattentive and hyperactive-impulsive criteria must be met. If you miss a dose, take it as soon as you remember if it is the same day. If it is the next day, skip the missed dose and resume your usual dosing schedule. Risk of suicidal thinking. 1 16 Importance of daily observation by family members and caregivers and of close communication with clinician. 1 16 Importance of immediately informing clinician if clinical worsening, anxiety, agitation, panic attacks, insomnia, irritability, aggressive behaviors, hostility, impulsivity, restlessness, mania, depression, suicidal ideation or behaviors, or unusual changes in behavior occur, particularly during the first few months after initiation of therapy or following dosage adjustments. The metabolite N-desmethylatomoxetine HCl was negative in the Ames Test, mouse lymphoma assay, and unscheduled DNA synthesis test. STRATTERA is an irritant. STRATTERA capsules are not intended to be opened. In the event of capsule content coming in contact with the eye, the affected eye should be flushed immediately with water, and medical advice obtained. Hands and any potentially contaminated surfaces should be washed as soon as possible. Distributed into milk in animals; not known whether atomoxetine distributes into human milk or crosses the placenta. Take this medication with or without food as directed by your doctor, usually 1 to 2 times a day. The first dose is usually taken when you wake up in the morning. Strattera in children, he says. For example, children who did not respond to stimulants and those who may be unable to take them due to medical problems or in the home may benefit, he says. At first, 10 to 20 milligrams mg once a day, taken in the morning. Your doctor may adjust your dose as needed. However, the dose is usually not more than 60 mg per day. Cardiovascular system - QT prolongation, syncope.
It gave us both psychotic thoughts. Neither of us would have ever thought these things without the drugs. We both had horrible violent thoughts. When I saw a blank stare on my Son's face and then he shook no all of a sudden, I asked my Son what he was thinking about and sure enough- I was having those horrible thoughts myself. We are very friendly people loving folk. I threw the pills in the trash! Patients should be instructed to consult a physician if they are taking or plan to take any prescription or over-thecounter medicines, dietary supplements, or herbal remedies. The capsule shells contain gelatin, sodium lauryl sulfate, and other inactive ingredients. This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor right away if you or your child have itching, hives, hoarseness, shortness of breath, trouble with breathing, trouble with swallowing, or any swelling of your hands, face, or mouth after you take this medicine. Seizures - Seizures have been reported in the postmarketing period. Strattera may cause dizziness, drowsiness, light-headedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Strattera with caution. STRATTERA is not a controlled substance. zarc.info serevent
Each capsule contains atomoxetine HCl equivalent to 10, 18, 25, 40, 60, 80, or 100 mg of atomoxetine. Not all pack sizes may be marketed. Spencer T, Biederman J, Heiligenstein J et al. An open-label, dose-ranging study of atomoxetine in children with attention deficit hyperactivity disorder. J Child Adolesc Psychopharmacol. Serious side effects, including a heart attack, a stroke, and sudden death, have occurred with the use of Strattera in patients with heart defects or other serious heart problems. If you have a heart defect or other serious heart problem, talk with your doctor about other therapies to treat your condition. Signs and symptoms of ADHD were evaluated using the investigator-administered Conners Adult ADHD Rating Scale Screening Version CAARS a 30-item scale. The safety, efficacy and pharmacokinetics of STRATTERA in geriatric patients have not been evaluated. It would be good to have longer-term treatment studies and comparator trials with stimulants. Your doctor should check your or your child's progress at regular visits to make sure this medicine is working properly and to decide if you should continue to take it. Blood tests may be needed to check for unwanted effects. Day 60 of age. There were no effects on learning and memory tests. The significance of these findings to humans is unknown. It is generally agreed that pharmacological treatment of ADHD may be needed for extended periods. Budur K, Mathews M, Adetunji B, Mathews M, Mahmud J. Non-Stimulant Treatment for Attention Deficit Hyperactivity Disorder. Psychiatry Edgmont. Tell your doctor right away if you or your family notice any unusual changes in behavior, such as an increase in aggression, hostility, agitation, irritability, or suicidal thinking or behaviors. Also tell your doctor if you have hallucinations or any unusual thoughts, especially if they are new or getting worse quickly. Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist. order generic clarithromycin online pharmacy
Strattera is a noncontrolled substance, and studies have identified only isolated incidents of inappropriate self-administration, meaning it lacks the abuse potential and dependence risk seem with stimulant-type drugs such as Adderall. There is also no evidence of symptom rebound or withdrawal symptoms on drug discontinuation. Strattera may be useful in patients with ADHD and a comorbid substance abuse disorder or tic disorder. Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. This information should not be used to decide whether or not to take Strattera or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Strattera. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Strattera. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using Strattera. Not considered a stimulant. PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Strattera while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you take Strattera, check with your doctor. Discuss any possible risks to your baby. Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position. These symptoms are more likely to occur when you begin taking this medicine or when the dose is increased. Getting up slowly or lying down for awhile may help. Atomoxetine may rarely cause serious possibly fatal liver disease. Know the medicines that you or your child takes. Keep a list of your medicines with you to show your doctor and pharmacist. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. MAOI. Some cases presented with features resembling neuroleptic malignant syndrome. If you have heart problems, your doctor may perform certain heart tests EKG, echocardiogram before you start this medication. Do not take extra medicine to make up the missed dose. What happens if I overdose? The effectiveness of STRATTERA in the maintenance treatment of ADHD was established in an study of children and adolescents ages 6-15 years. evista
Adderall is also a man-made stimulant and was first approved in 1996 and is thought to work in ADHD by increasing the concentration of two neurotransmitters dopamine and norepinephrine in the brain. Both Strattera and Adderall are approved to treat ADHD, although Adderall is also approved to treat narcolepsy. For those ADHD patients who have hepatic insufficiency HI dosage adjustment is recommended as follows: For patients with moderate HI Child-Pugh Class B initial and target doses should be reduced to 50% of the normal dose for patients without HI. MAOI. Treatment with an MAOI should not be initiated within 2 weeks after discontinuing STRATTERA. Tell your doctor if you or your child is pregnant, planning to become pregnant, or breastfeeding. How should I store STRATTERA? In a new eight-week study of 101 children aged 5 to 6 with ADHD, the drug was safe and reduced some in children, according to reports by their parents and teachers. Most trials investigating the effectiveness of medications in ADHD have found that not everybody responds equally to all medications, in fact, around 15% of participants tend to respond more favorably to one medication over another. This means that if one treatment is ineffective or intolerable it is appropriate to try another treatment. Behavioral therapy is still recommended as the first treatment to try before medication in young children with ADHD. toprol
XR extended-release suspension, shake the bottle well for at least 10 seconds before measuring each dose. Use only the oral dosing dispenser provided in the package to get the right dose. You may take it with or without food. Atomoxetine works in the brain to increase attention and decrease restlessness in people who are hyperactive, have problems with concentration, or are easily distracted. This medicine may be used as part of a treatment program that includes social, educational, and psychologic treatment. Manic symptoms may occur with usual dosages in children and adolescents without prior history of mania. 1 If manic symptoms occur, consider causal relationship to atomoxetine, and discontinue therapy as appropriate. Studies have shown that both Strattera and Adderall are more effective in ADHD than a placebo pretend tablet but there is a lack of trials directly comparing the two drugs, which makes it difficult to compare the potencies of each drug on a mg for mg basis. 62 children unable to tolerate MAS or methylphenidate or with an incomplete response to either were switched to atomoxetine in one trial. Almost 66% preferred atomoxetine to their previous psychostimulant and the majority showed an improvement in ADHD symptom severity. Medication alone is generally insufficient and should be combined with behavioral therapy and parent training. Michelson D, Allen AJ, Busner J et al. Once daily atomoxetine treatment for children and adolescents with attention deficit hyperactivity disorder: a randomized, placebo-controlled study. Am J Psychiatry. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Kratochvil CJ, Bohac D, Harrington M et al. An open-label trial of tomoxetine in pediatric attention deficit hyperactivity disorder. J Child Adolesc Psychopharmacol. May precipitate mixed or manic episodes in ADHD patients with comorbid bipolar disorder; use with caution in these patients. There is limited clinical trial experience with STRATTERA overdose. During postmarketing, there have been fatalities reported involving a mixed ingestion overdose of STRATTERA and at least one other drug. There have been no reports of death involving overdose of STRATTERA alone, including intentional overdoses at amounts up to 1400 mg. In some cases of overdose involving STRATTERA, seizures have been reported. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. This Medication Guide has been approved by the US Food and Drug Administration.
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STRATTERA. STRATTERA treatment may be stopped if a problem is found during these check-ups. 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. Patients who are started on therapy should be monitored closely for suicidality suicidal thinking and behavior clinical worsening, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. STRATTERA is approved for ADHD in pediatric and adult patients. STRATTERA is not approved for major depressive disorder. Pooled analyses of short-term 6 to 18 weeks placebo-controlled trials of STRATTERA in children and adolescents a total of 12 trials involving over 2200 patients, including 11 trials in ADHD and 1 trial in enuresis have revealed a greater risk of suicidal ideation early during treatment in those receiving STRATTERA compared to placebo. persantine purchase shopping
If your symptoms do not improve or if they become worse, check with your doctor. Patients beginning treatment for ADHD should be monitored for the appearance or worsening of aggressive behavior or hostility. Aggressive behavior or hostility is often observed in children and adolescents with ADHD. Available at Pediatrics website. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. order amlodipine wikipedia
In patients with moderate Child-Pugh class B or severe Child-Pugh class C hepatic impairment, systemic exposure is increased twofold or fourfold, respectively. ADHD at 18 years old, although I have displayed symptoms my entire life. My doctor started me off on Strattera and gradually increased my dose until I was taking 60 mg. It helped a lot at first. I noticed I was taking more detailed notes in my classes and I did not get bored as easily while at work. Symptoms may include abnormal behavior; agitation; enlarged pupils; fast or irregular heartbeat; hallucinations; hyperactivity; mental or mood changes eg, disorientation; nausea, vomiting, or diarrhea; seizures; severe dizziness, sleepiness, or drowsiness; severe dry mouth; severe or persistent headache; tremor.
Strattera may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems, such as impotence. Contact your doctor right away if this happens. Coadministration of methylphenidate with STRATTERA did not increase effects beyond those seen with methylphenidate alone. See your doctor regularly. tofranil