strattera contraindications

2001 Please confirm that you would like to log out of Medscape. All people who take Strattera (atomoxetine) need to be watched closely. Strattera and all the other nonstimulants are generally considered to be less effective than psychostimulants in the treatment of ADHD. Start now, it's free . Ce médicament n'est pas un stimulant.Plusieurs facteurs peuvent entrer en ligne de compte pour déterminer la dose dont une personne a besoin : son poids, son état de santé et la prise d'autres médicaments. /viewarticle/934531 In some studies, Strattera (atomoxetine) raised the risk of suicidal thoughts or actions in children and teens. Il est très important que ce médicament soit pris conformément aux indications de votre médecin. OCH3NHCH3-HCl STRATTERA capsules are intend… Who should not take Strattera? une psychothérapie, une pédagogie curative et une sociothérapie) sont mises en œuvre en même temps la prise de l'atomoxétine afin d'instaurer un programme de traitement … Monoamine Oxidase Inhibitors (MAOI) STRATTERA should not be taken with an MAOI, or within 2 weeks after discontinuing an MAOI. WARNING: SUICIDAL IDEATION IN CHILDREN AND ADOLESCENTS See full prescribing information for complete boxed warning. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2RydWcvc3RyYXR0ZXJhLWF0b21veGV0aW5lLTM0Mjk5NA== This website also contains material copyrighted by 3rd parties. Never use this combination of drugs because of high risk for dangerous interactionPotential for serious interaction; regular monitoring by your doctor required or alternate medication may be neededPotential for significant interaction (monitoring by your doctor is likely required)Copyright © 2020 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Entreposez ce médicament à la température ambiante et hors de la portée des enfants.Ne jetez pas de médicaments dans les eaux usées (par ex. The surest way to tell is to stop the Claritin and see the result. Tableau des médicaments d'ordonnance contre l'eczémaOptions thérapeutiques pour la mycose de l'ongle des orteils 40 mg PO once daily initially; increased after ≥3 days to 80 mg PO once daily or divided q12hr; may be increased to ≤100 mg if optimal response is not achievedMild hepatic impairment (Child-Pugh class A): Dosage adjustment not necessaryModerate hepatic impairment (Child-Pugh class B): Decrease initial and target dosage by 50%Severe hepatic impairment (Child-Pugh class C): Decrease initial and target dosage by 75%>6 years and ≤70 kg: 0.5 mg/kg PO once daily; increased after ≥3 days to target dosage of ~1.2 mg/kg PO once daily or divided q12hr; total daily dose not to exceed 1.4 mg/kg or 100 mg, whichever is less; no benefit observed with higher doses >70 kg: 40 mg PO once daily initially; increased after ≥3 days to 80 mg PO once daily or divided q12hr; if necessary, may be increased after 2-4 additional weeks to 100 mg PO once dailyMust be swallowed whole with aid of liquids; must not be chewed, divided, or crushedAdminister once daily in morning, with or without foodIncreases in blood pressure (BP; ≥15-20 mm Hg) and heart rate (HR; ≥20 beats/min) (5-10%)Neurologic: Hypesthesia, paresthesia in children and adolescents, sensory disturbances, ticsPsychiatric: Depression and depressed mood, anxietySeizures: Cases include patients with preexisting seizure disorders and those with identified risk factors for seizures, as well as patients with neither history of nor identified risk factors for seizures; exact relation between atomoxetine and seizures is difficult to evaluate because of uncertainty about background risk of seizures in patients with attention-deficit/hyperactivity disorder (ADHD)Urogenital: Male pelvic pain, urinary hesitation or retention in children and adolescentsAtomoxetine use has been associated with increased risk of suicidal ideation in short-term studies in children or adolescents with ADHD; this risk must be balanced against clinical need in patients with ADHDMonitor patients closely for suicidal thinking and behavior, clinical worsening, or unusual behavioral changes; families and caregivers should be advised of need for close observation and communication with prescribing healthcare providerAverage risk of suicidal ideation in patients receiving atomoxetine has been shown to be ~0.4% (5/1357 patients)Administration concomitantly with or within 14 days of monoamine oxidase inhibitor (MAOI) therapy; risk of potentially fatal reaction, including hyperthermia, myoclonus, altered mental status, and neuroleptic malignant syndrome (NMS)-like symptomsPheochromocytoma: Serious reactions, including elevated blood pressure and tachyarrhythmia, have been reported in patients with current or previous pheochromocytomaSevere cardiovascular disorders where condition would deteriorate because BP increases by 15-20 mm Hg or HR increases by 20 beats/min; risk is greater in poor CYP2D6 metabolizersIf drug is given concomitantly with CYP2D6 inhibitor, wait 4 weeks after initiation before adjusting dosageLiver injury reported within 120 days of initiation of atomoxetine; patients may present with elevated liver enzymes (>20 × ULN) and jaundice with significantly elevated bilirubin levels (>2 × ULN), followed by recovery upon discontinuance of atomoxetineRisk of suicidal thoughts in children and adolescentsUse caution in hypertension, tachycardia (see Contraindications)Sudden deaths, stroke, and myocardial infarction reported in patients with structural cardiac abnormalities or other serious heart problems taking stimulants at usual doses; patients should have a careful history and physical exam to assess for presence of cardiovascular disease; consider not using atomoxetine in adults with clinically significant cardiac abnormalitiesPatients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluationParticular care should be taken in using stimulants to treat ADHD patients with comorbid bipolar disorder because of concern for possible induction of mixed/manic episode in such patientsAggressive behavior or hostility is often observed in children and adolescents with ADHD; monitor for the appearance of or worsening of aggressive behavior or hostilityMonitor growth of children ages 7 to 10 years during treatment with stimulants; may need to interrupt therapy in patients not growing or gaining weight as expectedRare instances of priapism reported, sometimes necessitating surgical intervention; typically not reported during initiation but often occurring subsequent to dosage increase; immediate medical attention should be sought for abnormally sustained or frequent and painful erectionsHypesthesia, paresthesia in children and adolescents, sensory disturbancesRare reports of allergic reactions, including anaphylactic reactions, angioneurotic edema, urticaria, and rashUse with caution in patietns with bipolar disorder, history of hypertension, hepatic impairment, existing anxiety disorder, history of urinary retention, or tics related to Tourette disorderThere is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to ADHD medications, during pregnancy; healthcare providers are encouraged to register patients by calling the National Pregnancy Registry for ADHD Medications at 1-866-961-2388 or visiting Available published studies with atomoxetine use in pregnant women are insufficient to establish drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomesThere are no data on presence of atomoxetine or its metabolite in human milk, effects on breastfed child, or on milk production; drug is present in animal milk; when a drug is present in animal milk, it is likely that drug will be present in human milkDevelopmental and health benefits of breastfeeding should be considered along with mother’s clinical need for therapy and any potential adverse effects on breastfed child from drug or from underlying maternal conditionA: Generally acceptable.

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