If you’re seeking solutions to manage your attention deficit hyperactivity disorder (ADHD), exploring various prescription drugs as treatment options is a good place to start. Among these, Strattera (generic name: Atomoxetine) stands out as a non-stimulant medication that is recognized for its effectiveness in managing ADHD symptoms like inattention or impulsivity. However, a noteworthy side effect of this popular ADHD medication that has gained attention in recent years is its potential impact on your body and how you may lose weight. It’s important to emphasize that you should always be mindful not to abuse prescription medication as a means for achieving their side effects such as unhealthy weight loss.
This article delves into the relationship between Strattera and weight loss, exploring how this medication can influence one’s body mass while treating ADHD.
Is Weight Loss a Side Effect of Strattera?
While weight loss is not the primary purpose of Strattera, some individuals have reported experiencing weight changes while taking this medication to treat their ADHD, similar to Strattera’s stimulant counterpart Focalin. It’s important to note that the relationship between Strattera and weight loss is complex and can vary from person to person.
Here are some key factors to consider:
Appetite Suppression: One of the mechanisms through which Strattera may contribute to weight loss is by suppressing appetite. Some users have reported a decreased desire for food while taking the medication, which can lead to reduced calorie intake and, consequently, weight loss. When you feel less hungry, you are less likely to eat. This can cause you to consume less calories.
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Metabolism Effects: Strattera may have an impact on metabolism. Some studies suggest that it can increase resting metabolic rate, potentially leading to an increase in calorie expenditure. This could contribute to weight loss in certain individuals. Adderall increases your metabolic rate, where your body is burning more calories than usual, making this a common side effect of this ADHD medication as well.
Individual Variations: It’s crucial to remember that not everyone who takes Strattera will lose weight. Individual responses to ADHD medications can vary widely, and some individuals may even experience weight gain as a side effect. Weight gain is less common with Strattera.
Dosage and Duration: The dosage of Strattera and the duration of treatment can also impact the likelihood of experiencing weight changes. Higher doses and longer treatment periods may increase the chances of weight fluctuations.
Lifestyle Factors: Lifestyle choices such as diet and exercise can interact with the effects of Strattera. Individuals who maintain a healthy diet and exercise regimen may have different experiences with weight while taking the medication compared to those with less active lifestyles.
While Strattera’s primary purpose is to address ADHD symptoms by altering neurotransmitter levels in the brain, it can indeed have effects on body weight in some individuals. However, it’s crucial to recognize that Strattera should not be used as a supplement to cut weight and should be avoided by people with eating disorders due to their appetite suppression. Weight changes while taking Strattera can vary widely among users, and not everyone will experience weight loss as a side effect. If you are considering Strattera as a treatment for ADHD and have concerns about its potential impact on your weight, consulting with a healthcare provider is essential. They can provide personalized guidance based on your medical history, specific needs, and treatment goals.
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Side Effects of Strattera that Can Cause Weight Loss
Strattera, in some users, can lead to changes in appetite, sleep patterns, dry mouth, nausea, and headaches - side effects that may indirectly contribute to weight loss. It’s important to note that not everyone who takes Strattera will experience these side effects, and individual responses to the medication can vary. Most side effects are mild and disappear once your body adjusts to the medication. Don’t hesitate to contact your provider if you are experiencing more severe effects. Strattera side effects typically diminish within a few weeks as the body adjusts to the medication.
Here are several key side effects of Strattera that contribute to how you may lose weight:
Low Appetite
One of the side effects most commonly associated with Strattera and other ADHD medications is a reduced appetite. Some individuals taking the medication may experience a noticeable decrease in their desire for food. This decreased appetite can manifest as a diminished interest in regularly eating meals and snacks. Over time, reduced calorie intake due to a lack of appetite can lead to gradual weight loss. Weight loss on Strattera occurs due to a decreased appetite, probably due to the gastrointestinal problems mentioned before and the medication’s influence on norepinephrine pathways in the brain. Does Strattera suppress appetite? Again, yes.
Sleep Changes
Strattera can also impact sleep patterns in certain users. Changes in sleep, such as difficulty falling asleep or staying asleep, can disrupt one’s daily routine. Sleep disturbances can affect both the timing and quality of meals. For example, individuals experiencing sleep difficulties may skip meals or eat irregularly, which can indirectly contribute to weight loss by altering eating patterns. Try to keep a consistent sleep routine.
Dry Mouth
Dry mouth is another reported side effect of Strattera. The sensation of dryness in the mouth can make eating and drinking less enjoyable. When the mouth feels dry, individuals may be less inclined to consume food and beverages. As a result, a decreased intake of calories may occur, potentially leading to weight loss. Long-term use of Atomoxetine may increase the sensation of dry mouth and reduce salivation. Warren, C. M., Van Den Brink, R. L., Nieuwenhuis, S., & Bosch, J. A. (2017). Norepinephrine transporter blocker atomoxetine increases salivary alpha amylase. Psychoneuroendocrinology, 78, 233-236.
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Nausea or Vomiting
In some more severe cases, Strattera may cause nausea or vomiting as a side effect. These gastrointestinal symptoms can be uncomfortable and may discourage individuals from eating regular meals. Persistent nausea or vomiting can interfere with one’s ability to maintain a balanced diet, resulting in a decrease in calorie consumption and potential weight loss. O’Brien, C. (2008, June 1). Nausea and vomiting. PubMed Central (PMC). Nausea and vomiting are common side effects of Strattera, often occurring as the body adjusts to the medication.
Headaches
While not directly related to weight loss, persistent headaches can have an indirect impact on one’s overall well-being and daily activities. Individuals experiencing frequent headaches may find it challenging to focus on eating, engage in physical activities, or maintain regular eating habits. These disruptions to daily routines can indirectly contribute to changes in body weight over time. Headaches are a moderate side effect associated with Strattera. Since the medication can cause vascular changes, such as an increase in pulse and blood pressure, headaches may be a consequence. Avoid triggers such as stress, caffeine, and visual overstimulation. Like headaches, norepinephrine increases heart rate and blood pressure and appears dose-dependent. Prescribing atomoxetine in patients with hypertension, tachycardia, cardiovascular disease, or cerebrovascular disease requires caution. Pan, P., et al. (2021). Headache in ADHD as comorbidity and a side effect of medications: a systematic review and meta-analysis. Psychological Medicine, 52(1), 14-25. Herat, L. Y., et al. (2019). Sympathetic stimulation with norepinephrine may come at a cost. Neural Regeneration Research/Neural Regeneration Research, 14(6), 977.
Strattera Vs Adderall: Impact on Weight Loss
Understanding the effects of Strattera and Adderall on body weight is essential for individuals with ADHD who are exploring medication options. Both Strattera and Adderall are commonly prescribed to manage ADHD, however they have distinct mechanisms of action that can result in varying impacts on weight. Strattera contains atomoxetine whereas Adderall contains a mixture of amphetamine salts (MAS). 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
Strattera is classified as a non-stimulant medication used to treat ADHD. Its primary mode of action involves inhibiting the reuptake of norepinephrine in the brain. This action helps regulate neurotransmitter levels and improve symptoms of ADHD, such as inattention, impulsivity, and hyperactivity. As a non-stimulant option, Strattera is a valuable alternative to stimulant medications for the treatment of ADHD. Unlike traditional ADHD medications, atomoxetine is non-habit-forming due to its functions as a selective norepinephrine reuptake inhibitor. Clinical studies of atomoxetine have demonstrated a lack of abuse potential, making it a more secure option for the long-term management of ADHD.
One of the noteworthy characteristics of Strattera is its potential to cause appetite suppression. Some individuals taking Strattera may experience a reduced desire for food, leading to a decrease in calorie intake. Over time, this decrease in calorie consumption can result in noticeable weight loss.
However, it’s crucial to emphasize that not all Strattera users will experience weight loss. Individual responses to Strattera can vary widely, and some may even experience weight gain as a side effect. The effects on weight largely depend on factors such as dosage, individual metabolism, and overall lifestyle.
Adderall
Adderall, on the other hand, belongs to the class of medications known as stimulants. It contains a combination of amphetamine salts and dextroamphetamine, which work by increasing the levels of certain neurotransmitters, including dopamine and norepinephrine. Adderall’s stimulant properties result in increased alertness, focus, and energy levels - qualities that can be particularly beneficial for individuals with ADHD.
It’s not uncommon for users of Adderall to experience weight loss effects similar to that of Strattera.
Strattera Weight Loss Prevention
If you are concerned about the potential for weight loss while taking Strattera, there are proactive steps you can take to minimize this effect and maintain your overall well-being:
Monitor Your Eating Habits: Being mindful of your dietary choices is a crucial aspect of weight management while on Strattera. Aim to maintain a balanced and nutritious diet that provides your body with the necessary nutrients. Consider incorporating a variety of food groups, including fruits, vegetables, lean proteins, and whole grains, into your meals. Regular, well-balanced meals can help ensure you meet your calorie and nutritional needs, even if you experience appetite suppression.
Stay Hydrated: Drinking an adequate amount of water is essential while taking Strattera, as it can help alleviate some of the side effects associated with the medication, such as dry mouth and nausea. Staying well-hydrated can also support your overall health and well-being. Aim to drink enough water throughout the day to maintain proper hydration.
Consult Your Healthcare Provider: Perhaps the most crucial step in managing your experience with Strattera is to maintain open communication with your healthcare provider. If you are experiencing significant weight loss or any discomfort while taking Strattera, do not hesitate to reach out to your healthcare provider. They are your primary resource for guidance and support. Your healthcare provider can assess your specific situation, monitor your progress, and make necessary adjustments to your treatment plan if needed.
Is Strattera Right For You?
The decision to use Strattera as a treatment for ADHD is a significant one and should always be made in consultation with a qualified healthcare provider. Your healthcare provider is well-equipped to evaluate your specific needs and determine whether Strattera is an appropriate choice for you. They will take into account your medical history, the severity of your ADHD symptoms, and any concerns you may have regarding weight changes or potential side effects.
It’s essential to engage in an open and informed discussion with your healthcare provider to ensure that the treatment plan aligns with your individual goals and preferences. Your healthcare provider can provide you with comprehensive information about Strattera, its potential benefits, and any potential side effects. Together, you can make an informed decision regarding the most suitable treatment approach for your ADHD management.
Important Information About Strattera
Strattera is a brand-name oral capsule prescribed for attention deficit hyperactivity disorder (ADHD). Strattera contains the active drug atomoxetine. Strattera is FDA approved to treat ADHD in adults and children ages 6 years and older. Strattera is available as generic option known as atomoxetine, which may save you money.
Dosage
The Strattera dosage your doctor prescribes will depend on several factors. These include:
- the severity of the condition you’re taking Strattera to treat
- your age
- body weight (in children)
- other medical conditions you may have, such as liver problems
- other medications you may take
Typically, your doctor will start you on a low dosage. Then they’ll adjust it over time to reach the amount that’s right for you. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect. Strattera comes in seven strengths: 10 milligrams (mg), 18 mg, 25 mg, 40 mg, 60 mg, 80 mg, and 100 mg.
For treating attention deficit hyperactivity disorder (ADHD) in adults, Strattera’s typical starting dosage is 40 milligrams (mg) taken once daily in the morning. After at least 3 days, your doctor will likely increase this to the recommended dosage of 80 mg per day. You’ll either take the drug as a single dose in the morning or as two divided doses. This would be one 40-mg dose in the morning and one 40-mg dose in the late afternoon or early evening. Your doctor will recommend the dosage schedule that’s best for you. After 2 to 4 more weeks, depending on your body’s response to Strattera, your doctor may further increase your dosage to 100 mg per day. This dose of 100 mg is the maximum dose.
Strattera is approved to treat ADHD in children ages 6 years and older as well as in adults. In children, the dosage of Strattera depends on the child’s body weight in kilograms (kg). One kg is about 2.2 pounds (lb). The starting dose of Strattera for children who weigh 70 kg or less is 0.5 mg per kg of body weight (mg/kg). This starting dose is taken once daily in the morning.
After at least 3 days, the doctor will likely increase the dose to the recommended dosage of 1.2 mg/kg per day. Your child will take the drug either as a single dose in the morning or as two divided doses. (A divided dose is one dose in the morning and one in the late afternoon or early evening.) Your child’s doctor will recommend the dosage schedule that’s right for them. In some cases, a doctor may further increase the dosage. The maximum daily dosage of Strattera in children who weigh up to 70 kg is 1.4 mg/kg per day or 100 mg per day, whichever is less. The dosage for children who weigh more than 70 kg is the same as the adult dosage.
If you miss a dose of Strattera, your next step depends on how soon your next scheduled dose is. For example, if it’s almost time for your next dose, you should skip the missed dose. This is because you should not take more than your prescribed dose in a 24-hour period.
Strattera is meant to be used as a long-term treatment. If you and your doctor determine that Strattera is safe and effective for you, you’ll likely take it long term. From time to time during treatment, your doctor may have you stop taking the drug to check whether your ADHD symptoms return. You and your doctor will determine how long you’ll take the drug to treat your condition.
Side Effects
Strattera can cause mild or serious side effects. It’s important to note that the drug has been shown to increase the risk of suicidal thoughts in children and adolescents. In fact, Strattera has a boxed warning for this side effect. This is a serious warning from the FDA.
Mild side effects of Strattera may include:
- constipation
- dry mouth
- nausea
- reduced appetite
- dizziness
- sexual side effects, such as erectile dysfunction
- mood changes
- insomnia
- headache
- fatigue
- mild anxiety
Serious side effects from Strattera aren’t common, but they can occur. Call your doctor right away if you have serious side effects.
Serious side effects and their symptoms can include:
- Liver problems. Symptoms can include:
- pain in the right upper area of your abdomen
- dark urine
- jaundice
- itchiness
- Changes in blood pressure and heart rate. Symptoms may include:
- rapid heart rate
- feeling like your heart is pounding or racing
- dizziness, especially when standing up after sitting or lying down
- fainting
- Urination problems. Symptoms may include:
- urinary hesitation (delay in the start of urine flow)
- urinary retention (not being able to completely empty your bladder when you urinate)
- decreased urine flow
- Changes in behavior or mental health. Symptoms may include:
- behavior that’s unexpectedly hostile or threatens the safety of others
- having less patience than usual
- having an outburst of anger or aggression without a clear reason
- mania (episode of extremely high energy that affects your moods and behavior)
- hallucinations (seeing or hearing things that aren’t there)
- Severe drowsiness.
- Priapism (a prolonged and often painful penile erection). Symptoms can include:
- erection that doesn’t go away
- penile pain that worsens with time
- Suicidal thoughts in children and adolescents.
- Severe allergic reaction.
Side effects of Strattera that were more common in the drug’s clinical trials of children and adolescents include:
- nausea
- vomiting
- fatigue
- reduced appetite
- abdominal pain
- drowsiness
- headache
Strattera may also cause weight loss or slowed growth in children and adolescents, especially in the first year of treatment. To watch for this side effect, your child’s doctor will monitor their height and weight regularly during Strattera treatment.
As with most drugs, some people can have an allergic reaction after taking Strattera. Symptoms of a mild allergic reaction can include:
- skin rash
- itchiness
- flushing
A more severe allergic reaction is rare but possible. Symptoms of a severe allergic reaction can include:
- swelling under your skin, typically in your eyelids, lips, hands, or feet
- swelling of your tongue, mouth, or throat
- trouble breathing
Call your doctor right away if you have an allergic reaction to Strattera, as the reaction could become severe.
Alternatives to Strattera
Other drugs are available that can treat your condition. Some may be a better fit for you than others. If you’re interested in finding an alternative to Strattera, talk with your doctor.
Examples of other drugs that may be prescribed to treat attention deficit hyperactivity disorder (ADHD) include:
- viloxazine (Qelbree)
- serdexmethylphenidate/dexmethylphenidate (Azstarys)
- methylphenidate (Concerta, Daytrana, Quillivant XR, Ritalin, others)
- lisdexamfetamine (Vyvanse)
- guanfacine (Intuniv)
- dextroamphetamine (Dexedrine, Zenzedi)
- dexmethylphenidate (Focalin, Focalin XR)
- clonidine (Kapvay)
- bupropion (Wellbutrin XL)
- amphetamine/dextroamphetamine (Adderall, Adderall XR, Mydayis)
- amphetamine (Evekeo, Dyanavel XR)
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