What is a Stratter medicine? Reviews of parents and specialists about this medication will be presented later. We will also tell you how to take the drug in question and why it is needed at all.
Composition, description and form
In what form is Stratter's medicine sold? Customer reviews say that this tool can be found in pharmacies in the form of capsules of various colors, which depends on the mass content of the active ingredient.
The medication in question includes an active substance such as atomoxetine in the form of a hydrochloride. It also contains additional components in the form of dimethicone, pregelatinized starch, titanium dioxide, gelatin, dyes and sodium lauryl sulfate.
Pharmacology
Do you know what Stratter capsules are? Reviews of doctors indicate that this medication belongs to the group of sympathomimetics, which have a central effect and have such a highly selective powerful active component as atomoxetine. By the way, the latter is an inhibitor of (presynaptic) norepinephrine transporters.
The drug in question has a small affinity for other receptors of the noradrenergic system or for transporters of neurotransmitters.
The drug "Stratter", reviews of which are listed below, is not a psychostimulant, and also does not apply to amphetamine derivatives. In the course of clinical trials, the abolition of treatment with this medication did not lead to negative symptoms or an increase in the manifestations of the disease.
Kinetics of medication
How is the absorption of the drug "Stratter"? Reviews report that when taken orally, the active element of this agent is rapidly and almost completely absorbed from the digestive tract. The highest plasma concentration of atomoxetine in the blood is observed after 60-110 minutes.
The distribution of this medication in the human body is quite extensive. It binds well to plasma proteins, especially to albumin.
Atomoxetine (primary) metabolism is carried out in the liver through the CYP2D6 isoenzyme.
With oral administration of capsules, the average half-life of atomoxetine in people with a fast metabolism is 3.5 hours, and in patients with a slow metabolism - 21 hours.
The main route of elimination of this medicine is the renal system. The pharmacokinetics of the drug in children from 6 years old is similar to the pharmacokinetics of adults.
Indications
In what cases is the Stratter drug most effective? Reviews of adults report that this medication is ideal for patients from 6 years old with attention deficit hyperactivity disorder.
Prohibitions to use
Are there any contraindications to the Stratter medication? Reviews (only an experienced doctor should prescribe this medicine for children) state that the following conditions are an absolute ban on taking this drug:
- angle-closure glaucoma;
- severe heart damage;
- hypersensitivity to atomoxetine and other elements of the drug;
- age up to 6 years;
- parallel treatment with MAO inhibitors.
Special purpose of the medication
The drug "Stratter", reviews of which are more positive, is prescribed with caution in:
- arterial hypertension;
- joint therapy with psychostimulants;
- tachycardia;
- cardiovascular disease;
- work related to heavy physical exertion;
- sudden cardiac death in history, convulsive seizures;
- circulatory disorders of the brain.
Capsules "Stratter" (medicine): instruction
Reviews of experts indicate that the tool in question is intended only for oral administration, 1 time per day.
Treatment with this drug should only be carried out under the supervision of a doctor who specializes in treating people with ADHD.
When observing the negative effects in the case of a single daily use of capsules, the dosage is recommended to be divided into 2 doses (preferably every 12 hours).
The cancellation of this drug almost never leads to negative symptoms, so treatment does not require a phased reduction in doses.
The average recommended dosage of this drug per day for children weighing up to 70 kg is 500 mcg / kg. Subsequently, this amount should be increased to therapeutic, which is 1.2 mg / kg (not earlier than after 3 days).
In the absence of the proper therapeutic effect, it is possible to increase the dose to 1.8 mg / kg, but not earlier than 15-30 days after the start of therapy.
The average recommended dosage for children weighing from 70 kg, as well as adults is 40 mg. Subsequently, this amount is increased to a therapeutic dose, which is 80 mg, but not earlier than after 3 days. In the absence of a therapeutic effect, the dose of the drug is increased to 120 mg (after about 2-4 weeks).
In the presence of moderate liver pathology, the standard amount of the medication in question is reduced by half, and with severe manifestations - by four.
What adverse reactions does the Stratter drug cause? Parent reviews
Parents of children from 6 years old, who used the medication in question for the treatment of ADHD, argue that against the background of its administration, their babies often had abdominal pain and decreased appetite. Typically, these symptoms were temporary and did not require discontinuation of therapy.
Due to a decrease in appetite, at the very beginning of treatment, some people showed a slight loss in body weight, which increased with increasing dosages of the drug.
What other undesirable reactions does Stratter (medicine) cause? Reviews of patients claim that this medication provokes the development of nausea and vomiting, especially during the first month of treatment. Also, some parents claim that taking this drug increases the average heart rate by 6 beats per minute, and also increases diastolic and systolic blood pressure by 2 mm Hg. Art.
Adverse effects in adults
In adult patients, while taking the medication in question, the most common adverse reactions associated with the urogenital tract and gastrointestinal tract. Such undesirable effects include: insomnia, decreased appetite, nausea and dry mouth.
Also in adults, there were:
- decreased libido, dizziness, weight loss, abdominal pain, early awakening in the morning;
- hot flashes (blood), impaired sleep and its quality, difficulty urinating;
- tachycardia, constipation, sinus headaches, hyperhidrosis, palpitations, drowsiness, weakness;
- urinary retention, chills, dysmenorrhea, dyspepsia, flatulence;
- dermatitis, menstrual cycle shift, absence or violation of ejaculation and erection, violation of orgasm, prostatitis;
- feeling of coldness in the legs, Raynaud's syndrome, painful erection.
Doctors Recommendations
The active substance of the drug in question - atomoxetine, can cause irritation to the visual organs. Therefore, when it enters the mucous membrane of the eye, it is necessary to immediately rinse them with water, and then report the incident to the doctor. Also, water should rinse all surfaces of the skin in contact with atomoxetine.
When should a patient be prescribed a Stratter medication? Reviews (only a qualified doctor should diagnose ADHD children) experts report that the determination of the presence of this disease is carried out in accordance with the ICD-10 criteria. Symptoms of the aforementioned syndrome are manifested by insufficient attention span, frequent distraction, excessive impatience, impulsiveness, disorganization, restlessness and other similar disturbances in human behavior.
According to pediatricians, some children and adolescents may experience suicidal thoughts against the background of Prim Stratter . Therefore, during such therapy, the patient requires special monitoring.
In the event of seizures that have no other explanation, you should immediately stop taking the Stratter capsule. With extreme caution, this medication should be prescribed if a person has a history of seizures.
It should also be noted that patients with signs of panic attacks, anxiety, agitation, impulsivity, insomnia, akathisia and irritability require careful observation and a special approach to therapy.
During treatment with this drug, close people of adolescents and children are required to monitor the likely occurrence of all of the above symptoms and suicidal tendencies in order to inform the pediatrician in time.
The safety and effectiveness of Stratter administration in the elderly have not been investigated.
When using this medication, adults should exercise caution when performing thin or hazardous work, as well as when driving.
Reviews of doctors and consumers
What do patients say about such a medicine as Stratter? Reviews about the drug are left by many people who took it themselves or observed patients (including children).
According to experts, most often this remedy is prescribed for children with attention deficit. It should be noted that many parents do not want to give such a medicine to their children. This is often due to their personal fears. After all, it is no secret to anyone that any medications have side effects. Despite this, some parents nevertheless agreed to give their child Stratter, and their expectations did not disappoint. They claim that this medication has become an indispensable tool in adapting their babies to a normal life.
In addition to positive reviews, there are negative reports about the tool in question. They talk about a lot of side effects, which are especially often observed at the very beginning of therapy. Doctors say that such reactions do not require the abolition of treatment, but some parents simply do not have the patience and patience to overcome this peculiar stage of adapting their children to the therapy. Although in some cases, this medication does not really suit individual babies.
From the foregoing, we can safely conclude that, in general, atomoxetine helps parents at a certain stage in the life of their child. Most people who completed the full course of treatment were very pleased with its effect. In addition, they argue that Stratter is the only effective medication to date for the treatment of ADHD.
As for specialists, they cannot take one side or another of the opinions of parents about this drug, as well as guarantee its absolute safety or effectiveness for a particular child. Moreover, the diagnosis of ADHD can only be made by a highly competent doctor, who, in fact, should determine the treatment regimen.