Highlighting side effects, warnings, interactions, and more


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US brand name: Strattera
Generic name: atomoxetine

Strattera’s Potential Side Effects

Potential Side Effects All Crazy Meds Have

No matter which neurological and/or psychiatric drug you take, you’ll probably get one or more of these side effects. These will usually be gone, or at least will diminish to the point where you barely notice it most of the time, within a week or two.

  • Headache
  • Drowsiness / fatigue - even when taking stimulants in some circumstances.
  • Insomnia, instead of or alternating with the drowsiness.
  • Nausea
  • Assorted other minor GI complaints (constipation, diarrhea, etc.)
  • Generally feeling spacey / out of it
    • Which can all add up to the ever-helpful “flu-like symptoms” listed as an adverse event on the PI sheet of practically every medication on the planet used to treat almost any condition humans and other animals could have.1
  • All crazy meds can, and probably will affect your dreams as well. There is no way of telling if that will be good or bad, let alone if this side effect is permanent or temporary.
  • Any of the above side effects you see listed again below means they’re even more likely to happen and/or stick around longer and/or are worse than most other meds.

Typical Potential Side Effects

The usual for anything that does norepinephrine-selective reuptake inhibition - headache, dry mouth, urinary hesitance, constipation , somnolence (wanting to sleep all the time) and/or early awakening. For most people the headache tends to go away and will only reappear, if at all, with a dosage increase. The urinary hesitance, constipation, and dry mouth can go away or stay forever. The somnolence/fatigue/constantly being tired is dosage-dependent and often an indicator that you’re taking too much. Early awakening can be constant or strike at random throughout the time you take it. If you have a job that requires you to be at work in the morning, consider it a feature and not a bug.

Uncommon Potential Side Effects

Nausea (taking it with food usually helps), farting (pull my finger Beavis), higher or lower blood pressure, weight loss regardless of appetite change. Some women will bleed like a stuck pig when it’s that time of the month. Oh, yeah, and there’s that wonderful feeling of euphoria. That can last for months. But Strattera (atomoxetine) isn’t a party drug, kids. You can’t just take it before a rave, it takes days of being on the correct dosage to get that effect, which may or may not happen. One buzzkill for guys could be a variety of sexual dysfunctions ranging from pain during or immediately after ejaculation (although for a small segment of the population that could be a bonus) to not being able to get it up with a forklift. Sometimes these these side effects are temporary, sometimes they aren’t.
Everyone is freaking out about serious liver problems that a handful of people developed. Don’t mix Strattera with alcohol or a history of liver problems, and talk to your doctor about getting periodic liver function and complete blood panels.

Freaky Rare Side Effects

NSRIs are well known for having few side effects at all, let alone freaky rare ones. One guy had bloody sperm and someone else developed salivary duct stones. That’s it.

Not all side effects have been listed here, just the most likely and most interesting. For all reported side effects, see Strattera’s PI Sheet.

What You Really Need to be Careful About

Strattera can make your liver explode. Why Lilly has an implied “It’s OK to drink” in the interactions section of the PI sheet and no “don’t mix booze and Strattera” warning is beyond me. Did they forget that adults take it?

Pregnancy Category

C-Use with caution

Strattera’s Noted Drug-Drug, Drug-Food & Drug-Supplement Interactions

  • Albuterol. The kids with ADD and asthma can’t catch a break. This is a pharmacodynamic (how meds work) interaction, and applies to all beta2 agonists, as Strattera can increase the effects of Albuterol. Depending on when the Strattera was taken. And it doesn’t happen with everyone.
  • Anything that inhibits or induces CYP2D6, such as:
Check for Other Drug-Drug, Drug-Food & Drug-Supplement Interactions Strattera may have at

Drugs.com’s drug-drug and drug-food interaction checker

It’s always a good idea to check for drug-drug interactions yourself. Just because most people in the crazy meds business know about really important interactions (e.g. MAOIs and a lot of stuff, warfarin and everything on the planet) doesn’t mean the person who prescribed your meds told you about them, or the pharmacist has all the meds you take at their fingertips like they’re supposed to. Or they have the time to do their jobs properly when not dealing with complete idiots or playing Angry Farmers on teh Faecesbooks.
Learn more about drug-everything interactions on our page of tips about taking crazy meds.

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« Strattera’s Uses and Using | Strattera’s Pros and Cons »

Pages and Forum Topics Google Thinks are Relevant to Your Mental Health

1 As well as being an indication of half of said conditions.

Last modified on Wed, 04 May, 2016 at 17:56:12 by JerodPoorePage Author Date created Wed, 16 Mar, 2011
“Strattera (atomoxetine) Pharmacology” by Jerod Poore is copyright © 2011 Jerod Poore Published online 2011/03/16

Strattera, and all other drug names on this page and used throughout the site, are the trademarks of someone else. Strattera’s PI Sheet will probably have the name of the manufacturer and trademark owner (they’re not always the same company) at or near the very bottom. Or ask Google who the owner is. The way pharmaceutical companies buy each other and swap products like Monopoly™ real estate, the ownership of the trademark may have changed without my noticing. It may of changed hands by the time you finished reading this article.

Page design and explanatory material by Jerod Poore, copyright © 2003 - 2016. All rights reserved. See the full copyright notice for full copyright details.
Don’t automatically believe everything you read on teh Intergoogles. No warranty is expressed or implied in this information. Consult one or more doctors and/or pharmacists before taking, or changing how you take any neurological and/or psychiatric medication. Your mileage may vary. What happened to us won’t necessarily happen to you. For more details see the Crazymeds big-ass disclaimer.

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