Strattera Philippines: Uses, Availability & More

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Strattera in the Philippines: A Detailed Guide

Strattera (atomoxetine) is a non-stimulant medication used primarily for treating Attention Deficit Hyperactivity Disorder (ADHD). It offers a different approach compared to stimulant-based ADHD medications. The following sections comprehensively explain Strattera’s availability, usage, side effects, and other relevant information for individuals in the Philippines.

What is Strattera?

Strattera is a selective norepinephrine reuptake inhibitor (SNRI). Unlike traditional ADHD stimulants that affect dopamine levels significantly, Strattera primarily impacts norepinephrine. Norepinephrine is a neurotransmitter crucial for attention, impulse control, and hyperactivity regulation. Therefore, Strattera enhances focus and reduces impulsivity in individuals diagnosed with ADHD by increasing norepinephrine levels in the brain.

Strattera vs. Stimulants: Key Differences

The primary distinction lies in their mechanisms of action and potential for dependence. Stimulants work by increasing dopamine and norepinephrine, often offering rapid results but carrying a higher risk of misuse. Strattera, by selectively affecting norepinephrine, provides a more gradual improvement. It also has a lower potential for abuse, making it a suitable choice for individuals with a history of substance use or those concerned about the risk of dependence. Furthermore, stimulant medications are regulated more stringently in many countries.

Is Strattera Available in the Philippines?

Yes, Strattera (atomoxetine) is available in the Philippines. It’s a registered medication, meaning it has undergone the necessary regulatory processes to be legally sold and distributed within the country. However, availability can vary depending on the pharmacy and location. Therefore, it is recommended to call ahead to ensure the medication is in stock before visiting the pharmacy.

How to Obtain Strattera in the Philippines

Obtaining Strattera in the Philippines requires a prescription from a licensed physician. This is because Strattera is a prescription-only medication due to its potential side effects and the need for medical supervision during treatment.
First, consult with a psychiatrist, neurologist, or developmental pediatrician specializing in ADHD. Secondly, after diagnosis, your doctor will prescribe Strattera if deemed appropriate for your condition. And lastly, present the prescription at a licensed pharmacy to purchase the medication.

Authorized Distributors and Pharmacies

Zuellig Pharma Corporation distributes Strattera in the Philippines. Major pharmacies across the country carry Strattera. However, it is advised to check with your local pharmacy for availability.

Dosage Guidelines for Strattera

Dosage varies depending on age, weight, and individual response to the medication. Always follow your doctor’s instructions carefully. However, standard guidelines are as follows:
Adults:
The usual starting dose is typically 40 mg per day. This dose is usually maintained for at least seven days. The doctor may then increase the dose to the target dose of 80 mg per day, either as a single daily dose or divided into two doses. The maximum recommended daily dose is 100 mg.
Children and Adolescents:
Dosage is typically based on weight. The recommended starting dose is 0.5 mg/kg/day. After a minimum of seven days, the dose may be increased to a target dose of approximately 1.2 mg/kg/day. The maximum total daily dose is 1.4 mg/kg or 100 mg, whichever is lower.

Important Considerations When Taking Strattera

Consistency: Take Strattera at the same time each day to maintain stable blood levels.

With or Without Food: Strattera can be taken with or without food. However, taking it with food might help reduce nausea if you experience this side effect.

Capsule Integrity: Swallow the capsules whole. Do not open, crush, or chew them.

Missed Dose: If you miss a dose, take it as soon as you remember. However, if it’s almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Discontinuation: Do not stop taking Strattera without consulting your doctor. Abruptly stopping the medication can lead to withdrawal symptoms.

Potential Side Effects of Strattera

Like all medications, Strattera can cause side effects. While not everyone experiences them, it’s crucial to be aware of the potential risks:
Common Side Effects:

Nausea: Taking Strattera with food can help minimize nausea.

Dry Mouth: Staying hydrated and using sugar-free gum or candies can alleviate dry mouth.

Constipation: Increasing fiber intake and drinking plenty of water can help prevent constipation.

Decreased Appetite: This can be more pronounced in children and adolescents. Monitor weight and nutritional intake.

Dizziness: Avoid sudden movements and stand up slowly to minimize dizziness.

Fatigue: Some individuals experience fatigue, especially at the beginning of treatment.

Sleep Disturbances: This includes insomnia or difficulty falling asleep.

Sexual Side Effects: In adults, decreased libido, erectile dysfunction, or difficulty reaching orgasm may occur.

Less Common but Serious Side Effects:

Liver Problems: Symptoms include jaundice (yellowing of the skin or eyes), dark urine, and abdominal pain. Seek immediate medical attention if you experience these symptoms.

Increased Blood Pressure and Heart Rate: Regular monitoring of blood pressure and heart rate is essential.

Mood Changes: Strattera can sometimes worsen existing mood disorders or trigger new ones. Report any significant changes in mood or behavior to your doctor immediately.

Suicidal Thoughts or Behaviors: Although rare, Strattera has been associated with an increased risk of suicidal thoughts or behaviors, especially in children and adolescents. Seek immediate medical help if you experience these symptoms.

Allergic Reactions: Symptoms include rash, itching, swelling, and difficulty breathing. Seek immediate medical attention if you experience any of these symptoms.

Who Should Not Take Strattera?

Strattera is not suitable for everyone. It’s crucial to inform your doctor about any pre-existing medical conditions and medications you are taking.
Contraindications:

Known Allergy: Individuals with a known allergy to atomoxetine or any of the inactive ingredients in Strattera should not take the medication.

Monoamine Oxidase Inhibitors (MAOIs): Strattera should not be taken with MAOIs or within 14 days of stopping an MAOI.

Narrow-Angle Glaucoma: Strattera can worsen narrow-angle glaucoma.

Severe Cardiovascular Disorders: Strattera should be used with caution in individuals with severe heart conditions.

Pheochromocytoma: Strattera can increase blood pressure and should not be used in individuals with pheochromocytoma.

Strattera and Pregnancy

The effects of Strattera on pregnancy are not fully understood. Therefore, Strattera should only be used during pregnancy if the potential benefit justifies the potential risk to the fetus. Discuss the risks and benefits with your doctor if you are pregnant or planning to become pregnant.

Strattera and Breastfeeding

It is not known whether Strattera passes into breast milk. Therefore, breastfeeding while taking Strattera is not recommended. Discuss alternative feeding options with your doctor.

Cost of Strattera in the Philippines

The cost of Strattera can vary depending on the pharmacy, dosage, and brand. Generic versions of atomoxetine may be available at a lower cost. Inquire with your doctor or pharmacist about generic options. You can expect to pay anywhere from PHP 100 to PHP 200 per capsule depending on the dosage.

Monitoring While Taking Strattera

Regular monitoring by your doctor is essential while taking Strattera. This includes:

Blood Pressure and Heart Rate Monitoring: Regular monitoring of blood pressure and heart rate is crucial, especially at the beginning of treatment and after dose adjustments.

Weight and Height Monitoring: In children and adolescents, regular monitoring of weight and height is essential to ensure proper growth.

Mood and Behavior Monitoring: Report any significant changes in mood or behavior to your doctor.

Liver Function Tests: Periodic liver function tests may be recommended, especially if you have a history of liver problems.

Strattera Alternatives in the Philippines

While Strattera is a popular non-stimulant option, other alternatives are available in the Philippines for managing ADHD. These include:

Stimulant Medications: Methylphenidate (Ritalin, Concerta) and amphetamine-based medications (Adderall) are commonly prescribed stimulants for ADHD. However, Adderall is not readily available in the Philippines.

Other Non-Stimulant Medications: Guanfacine (Intuniv) and clonidine (Kapvay) are alpha-2 adrenergic agonists that can help improve attention and reduce impulsivity.

Therapy and Counseling: Cognitive-behavioral therapy (CBT), behavioral therapy, and family therapy can be effective in managing ADHD symptoms.

Lifestyle Modifications: Regular exercise, a healthy diet, and sufficient sleep can also help improve ADHD symptoms.

Dietary Supplements: Some people find that certain dietary supplements, such as omega-3 fatty acids, can help improve ADHD symptoms. However, the evidence supporting the use of dietary supplements for ADHD is limited.

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Strattera and Cognitive Enhancement: Is it a Smart Drug?

While Strattera is primarily prescribed for ADHD, some individuals without ADHD may consider using it for cognitive enhancement purposes. However, it is essential to note that Strattera is not approved for cognitive enhancement in individuals without ADHD. Studies on the effects of Strattera on cognitive function in healthy individuals have yielded mixed results. Some studies have shown that Strattera can improve attention and working memory in healthy individuals, while others have found no significant effects. Additionally, Strattera can cause side effects, even in healthy individuals. Therefore, it is not recommended to use Strattera for cognitive enhancement purposes without consulting a doctor. There are safer and more effective alternatives available for cognitive enhancement.
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The Future of ADHD Treatment in the Philippines

The landscape of ADHD treatment in the Philippines continues to evolve. Awareness and understanding of ADHD are increasing. Therefore, this is leading to earlier diagnosis and more effective treatment. As research advances, newer medications and therapies may become available in the Philippines, offering more options for individuals with ADHD.

Final Thoughts

Strattera can be an effective medication for managing ADHD symptoms in children, adolescents, and adults. It offers a non-stimulant alternative for those who cannot tolerate or do not respond well to stimulant medications. However, it is essential to use Strattera under the guidance of a healthcare professional and to be aware of the potential side effects. If you have any concerns about Strattera or other ADHD medications, discuss them with your doctor. With proper diagnosis, treatment, and monitoring, individuals with ADHD can lead fulfilling and productive lives. This detailed guide aims to provide comprehensive information about Strattera in the Philippines, ensuring that individuals and their families are well-informed about this medication and its potential benefits and risks.
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Strattera in the Philippines: A Detailed Guide

Strattera, known generically as atomoxetine, represents a non-stimulant option for managing Attention Deficit Hyperactivity Disorder (ADHD) in the Philippines. Consequently, it offers an alternative for individuals who may not tolerate or respond well to stimulant medications. This guide provides a comprehensive overview of Strattera, including its availability, mechanism of action, dosage guidelines, potential side effects, and important considerations for its use within the Philippine context.

Understanding Strattera (Atomoxetine)

Strattera differentiates itself from traditional ADHD medications by functioning as a selective norepinephrine reuptake inhibitor (SNRI). Unlike stimulants, it does not directly affect dopamine levels to the same extent. Instead, it increases the levels of norepinephrine, a neurotransmitter crucial for attention, focus, and impulse control, in the brain. This mechanism contributes to its effectiveness in managing ADHD symptoms without the associated risk of dependency commonly linked to stimulants.

Benefits of Strattera

Several potential benefits accrue from using Strattera for ADHD management. These include:

Non-Stimulant Action: Avoids the side effects and potential for abuse associated with stimulant medications.

24-Hour Symptom Control: Provides consistent symptom management throughout the day, unlike some short-acting stimulants.

Reduced Tics: May be a preferred option for individuals with co-existing tic disorders, as stimulants can sometimes exacerbate tics.

Improved Focus & Attention: Atomoxetine helps improve attention span and concentration, reducing impulsivity and hyperactivity.

Suitable for Adults & Children: Is an appropriate treatment option for both adult and pediatric ADHD.

However, it is important to remember that individual responses to Strattera vary. Some individuals may find it highly effective, while others may experience less benefit or more pronounced side effects.

Availability and Legal Status in the Philippines

Strattera (atomoxetine) is a prescription medication in the Philippines. This means that you can only obtain it legally with a valid prescription from a licensed physician.

Identifying Authorized Sellers

Licensed Pharmacies: Purchase Strattera exclusively from reputable pharmacies with valid licenses.

Online Pharmacies: If ordering online, verify that the pharmacy is licensed to operate in the Philippines and requires a valid prescription.

It is critical to avoid purchasing medication from unauthorized sources, as these products may be counterfeit, substandard, or unsafe. The Food and Drug Administration (FDA) of the Philippines maintains a list of registered pharmacies. Always verify your seller before purchasing medications online or in person.

Regulatory Oversight

The FDA regulates the importation, distribution, and sale of pharmaceuticals in the Philippines. Therefore, ensure that any Strattera you purchase is registered with the FDA. Registered products have undergone quality and safety assessments and have been approved for sale in the country.

Dosage Guidelines and Administration

Accurate dosing is essential for maximizing the benefits of Strattera while minimizing the risk of side effects. A healthcare professional determines the appropriate dosage based on individual factors, including age, weight, and the severity of ADHD symptoms.

Initial Dosage: Adults typically start at 40 mg per day, while children start at a lower dose, determined by weight.

Titration: The dosage may be gradually increased over several weeks, under the supervision of a doctor, to achieve the desired effect.

Maintenance Dosage: The typical maintenance dose for adults ranges from 80 mg to 100 mg daily.

Administration: Strattera can be taken once daily or divided into two doses.

Strattera capsules should be swallowed whole and not opened, crushed, or chewed. The medication can be taken with or without food. Adherence to the prescribed dosage and administration schedule is critical.

Potential Side Effects and Management Strategies

While Strattera is generally well-tolerated, it can cause side effects in some individuals. Being aware of these potential effects and knowing how to manage them is crucial for successful treatment.

Common Side Effects

Gastrointestinal Issues: Nausea, vomiting, decreased appetite, and constipation are common, particularly when starting Strattera. Taking the medication with food may help mitigate these side effects.

Cardiovascular Effects: Strattera can increase blood pressure and heart rate. Regular monitoring of these vital signs is essential, especially during dose adjustments.

Mood Changes: Irritability, anxiety, and mood swings can occur.

Sleep Disturbances: Insomnia or difficulty falling asleep.

Sexual Side Effects: Decreased libido or erectile dysfunction may occur in some adults.

Dizziness & Fatigue: Some users report experiencing dizziness and fatigue when taking Strattera.

For those experiencing sleep disturbances, some find L-Theanine to be helpful.

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Serious Side Effects

Rarely, Strattera can cause more serious side effects. Seek immediate medical attention if you experience any of the following:

Severe Allergic Reactions: Symptoms include rash, itching, swelling, difficulty breathing.

Liver Problems: Signs may include jaundice (yellowing of the skin or eyes), dark urine, or abdominal pain.

Suicidal Thoughts or Behavior: Monitor for any changes in mood or behavior, particularly in children and adolescents.

Priapism: Prolonged and painful erection in males.

Managing Side Effects

Communicate with Your Doctor: Report any side effects to your doctor promptly. They can adjust the dosage or recommend strategies for managing the effects.

Hydration & Diet: Staying hydrated and maintaining a healthy diet can help mitigate gastrointestinal side effects.

Lifestyle Adjustments: Regular exercise and good sleep hygiene can improve overall well-being and reduce some side effects.

Symptomatic Relief: Over-the-counter medications may help manage specific side effects, such as nausea or constipation, but consult your doctor first.

Precautions and Contraindications

Certain precautions should be observed before starting Strattera.

Pre-existing Conditions: Discuss any pre-existing medical conditions with your doctor, particularly cardiovascular problems, liver or kidney disease, or mental health disorders.

Medications: Inform your doctor about all medications you are taking, including prescription drugs, over-the-counter medications, and herbal supplements, as interactions can occur.

Allergies: Disclose any known allergies to medications.

Pregnancy and Breastfeeding: The safety of Strattera during pregnancy and breastfeeding is not fully established. Discuss the risks and benefits with your doctor.

Glaucoma: Strattera may worsen narrow-angle glaucoma.

MAO Inhibitors: Strattera should not be taken with or within 14 days of taking a monoamine oxidase inhibitor (MAOI).

Children Under 6: Strattera is not recommended for use in children under 6 years of age.

Long-Term Use and Monitoring

Long-term use of Strattera requires ongoing monitoring to ensure its continued effectiveness and safety.

Regular Follow-up: Schedule regular appointments with your doctor to assess your response to the medication and monitor for any side effects.

Cardiovascular Monitoring: Blood pressure and heart rate should be checked regularly, especially during dose adjustments.

Growth Monitoring (Children): In children, growth (height and weight) should be monitored.

Mental Health Assessment: Monitor for any changes in mood, behavior, or suicidal thoughts.

Alternatives to Strattera

If Strattera is not suitable or effective, several alternative treatments for ADHD are available.

Stimulant Medications: Methylphenidate (e.g., Ritalin, Concerta) and amphetamine (e.g., Adderall, Vyvanse) are common stimulant options.

Other Non-Stimulant Medications: Guanfacine (e.g., Intuniv) and clonidine (e.g., Kapvay) are alpha-2 adrenergic agonists that can help with ADHD symptoms.

Therapy: Cognitive-behavioral therapy (CBT), behavioral therapy, and other forms of psychotherapy can be beneficial in managing ADHD symptoms.

Lifestyle Modifications: A healthy diet, regular exercise, good sleep hygiene, and stress management techniques can support ADHD treatment.

Strattera vs. Stimulants: A Comparison

Feature	Strattera (Atomoxetine)	Stimulant Medications (e.g., Ritalin, Adderall)
—————–	———————————-	————————————————–
Class	Selective Norepinephrine Reuptake Inhibitor (SNRI)	Dopamine and Norepinephrine Reuptake Inhibitors & Releasing Agents
Mechanism	Increases Norepinephrine levels	Increases Dopamine and Norepinephrine levels
Abuse Potential	Low	High
Onset of Action	Slower (weeks)	Faster (hours)
Duration of Effect	24-hour	Shorter (varies by formulation)
Side Effects	GI issues, mood changes, increased blood pressure	Appetite suppression, insomnia, anxiety, increased heart rate
Controlled Substance	No	Yes

Finding Support and Information in the Philippines

Several organizations and resources in the Philippines can provide support and information for individuals and families affected by ADHD.

Philippine Psychiatric Association (PPA): A professional organization of psychiatrists that can provide referrals to qualified healthcare professionals.

Local Support Groups: Connect with local support groups for individuals with ADHD and their families. These groups offer a platform for sharing experiences, information, and support.

Online Forums and Communities: Engage in online forums and communities dedicated to ADHD. These platforms can provide valuable peer support and information.

Conclusion

Strattera (atomoxetine) provides a valuable non-stimulant option for managing ADHD in the Philippines. Understanding its mechanism of action, dosage guidelines, potential side effects, and precautions is crucial for safe and effective use. Consulting with a qualified healthcare professional is essential for proper diagnosis, treatment planning, and ongoing monitoring. By working closely with your doctor and utilizing available resources, you can effectively manage ADHD symptoms and improve your quality of life.