Atomoxetine (Strattera) – What You Need to Know

If you or someone you know has been diagnosed with ADHD, you’ve probably heard of atomoxetine. It’s the generic name for Strattera, a non‑stimulant pill that many people take when stimulants don’t suit them. Unlike typical ADHD meds, it isn’t a controlled substance, so you won’t need special paperwork to get a prescription.

Atomoxetine comes in 10 mg, 25 mg, 40 mg, and 60 mg capsules. Doctors usually start adults at 40 mg once daily, then raise the dose after a week or two based on how you feel. Kids aged six and up often begin at 0.5 mg per kilogram of body weight and can go up to 1.4 mg/kg. The goal is to find the lowest amount that eases symptoms without causing trouble.

How Atomoxetine Works

The drug targets a brain chemical called norepinephrine. By blocking its re‑uptake, atomoxetine keeps more of this messenger in the synapse, which helps improve focus and reduces impulsivity. It doesn’t give you a quick “buzz” like stimulants; instead, it builds up steady relief over several weeks. That’s why many users notice real change after 3–4 weeks rather than the first day.

Practical Tips for Using Atomoxetine

Take your capsule at the same time each day—most people choose morning or early afternoon. You can swallow it with food or on an empty stomach; just be consistent so blood levels stay stable. If you miss a dose, take it as soon as you remember unless it’s almost time for the next one, then skip the missed pill.

Keep track of how you feel during the first month. Note any mood swings, sleep problems, or stomach upset. Share this log with your doctor so they can adjust the dose if needed. A blood pressure check is also a good idea because atomoxetine can raise both systolic and diastolic numbers.

Common side effects include dry mouth, loss of appetite, nausea, and mild dizziness. Most people see these fade after a couple of weeks. Rarely, you might feel a racing heart or sudden mood changes—if that happens, call your doctor right away.

Atomoxetine interacts with some antidepressants, especially those that affect serotonin. Let your pharmacist know about every prescription and over‑the‑counter product you use, including herbal supplements like St. John’s wort. Alcohol isn’t a direct problem, but drinking heavily can worsen side effects.

Expect to feel the full benefit after four to six weeks of steady dosing. If symptoms don’t improve by then, your doctor might suggest a higher dose or try a different medication. Regular follow‑up appointments help keep track of progress and catch any issues early.

In short, atomoxetine offers a solid non‑stimulant option for managing ADHD. By following the dosing schedule, watching for side effects, and staying in touch with your healthcare provider, you can get steady symptom control without the buzz of traditional stimulants.