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* Strattera (atomexetine), just approved by the FDA, is a new treatment for attention deficit hyperactivity disorder (ADHD) from Eli Lilly. It is the first nonstimulant product approved to treat ADHD. Unlike stimulants (such as Ritalin), Strattera does not appear to have a potential for abuse and will not be classified as a controlled substance. Related Results StratteraStrattera dispensingStrattera now availableStrattera now availableApprovable letter for Strattera The drug's safety and effectiveness were established in six double-blind placebocontrolled studies in patients who met specific diagnostic criteria under DSM-IV. Side effects of the drug include decreased appetite, upset stomach, nausea or vomiting and tiredness.
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Patients in the moderate group who are still symptomatic with reduced activity and flow rates despite the combination of a long-acting B2-adrenergic agonist and medium doses of an inhaled corticosteroid will require additional second-line therapy. For bronchodilatation, adding an oral preparation of the B-agonist, theophylline, and/or ipratropium bromide may be helpful. Those with nocturnal symptoms may respond to evening administration of a long-acting B-agonist or theophylline. If attacks continue to be frequent a trial of an additional anti-inflammatory agent is the next step. An anti-leukotriene or cromolyn or nedocromil may be added. It should be emphasized again that the decision to start or stop medications should be based on objective findings (spirometry or peak flow readings) in addition to the patient's symptoms and frequency of attacks.