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• 

  Ritalin Methylphenidate

  Application areas
  
  Hyperkinetic disorder or attention deficit / hyperactivity disorder (AD / HS) at
  Children over the age of 6 and continuation of therapy in adolescents as part of a therapeutic
  overall political strategy. The diagnosis must be based on the currently valid diagnostic criteria
  respectively.
  Obsessive sleep attacks during the day (narcolepsy) as part of a therapeutic
  Overall strategy.
  
  Contraindications
  
  When should you not use Ritalin?
  Ritalin must not be used
  - in case of known hypersensitivity to methylphenidate or similar substances and
  other ingredients of the medicinal product,
  - in severe depression,
  - in anxiety disorders,
  - Anorexia, as Ritalin can cause anorexia,
  - In severe Gilles de la Tourette syndrome (sudden twitching, especially in the
  Facial neck and shoulder area),
  - in diseases of the schizophrenic type, since temporary mental
  Disturbances can occur
  - in moderate and severe hypertension,
  - in the case of arterial disease,
  - in severe angina pectoris,
  - in cardiac arrhythmia with accelerated heartbeat,
  - in the acute stage of stroke,
  - in hyperthyroidism,
  - with increased intraocular pressure,
  - with enlarged prostate with residual urine formation,
  - during or within 14 days after ingestion of MAO inhibitors (certain
  Medicines for the treatment of depression and Parkinson's disease),
  - in patients with past drug addiction or with drug or alcohol
  abuse,
  - during pregnancy.
  When may you use Ritalin only after consultation with your doctor?
  If your family has ever had Gilles de la Tourette syndrome, then you should
  Do not use Ritalin. As far as yourself a Gilles de la Tourette syndrome only slightly or
  moderate, may be subject to particularly close, careful, specialist medical
  a treatment trial with Ritalin.
  If you experience motor tics (sudden, rapid muscle twitching) or if
  motor verbal tics in your family, you should not use Ritalin. Further
  Ritalin should not be used for mild hypertension.
  What should you watch out for during pregnancy and lactation?
  Ritalin tablets should not be taken during pregnancy. If you
  are of childbearing age, you must have a reliable during treatment with Ritalin
  Use contraceptive method.
  During breast-feeding Ritalin tablets should not be taken.
  If necessary, consult your doctor.
  What should be considered in children?
  For the treatment of children under the age of 6, experience is not sufficient to
  recommended by Ritalin.
  
  Precautions for use and warnings
  
  What precautions should be taken?
  Methylphenidate can increase spasm readiness. Therefore, Ritalin should be used in patients with
  Epilepsy should be used with caution. Clinical experience has shown that in individual cases
  the frequency of epileptic seizures may increase. With an increase in seizure frequency
  Therapy should be checked and Ritalin discontinued. In case of sudden discontinuation
  Symptoms such as increased need for sleep, cravings, upsets, depression, psychotic
  Reactions and circulatory disorders occur.
  During treatment with Ritalin should be at appropriate intervals blood pressure checks
  be performed.
  Clinical data show that patients taking Ritalin as children for hyperkinetic therapy
  Have received behavioral problems when adolescents or adults
  have a risk of use. Even in adults with narcolepsy plays the risk of dependence
  practically no role.
  Ritalin is part of a therapeutic treatment program that is typically psycholo-
  gical, educational and social measures. The aim of the therapy is to
  abnormalities such as easy to severe distractibility, short attention span,
  to reduce emotional instability and impulsiveness. The cause of hyperkinetic
  Malfunction / AD / HS is not completely known. There is no single diagnostic test. For
  A correct diagnosis will be both medical and psychological, educational
  and social studies needed. Key symptoms are: impaired attention,
  Distractibility, emotional lability, impulsivity, moderate to severe hyperactivity, low
  pronounced neurological symptoms, learning difficulties. Abnormal EEG findings can
  but do not have to be present. The symptoms of narcolepsy include daytime tiredness,
  inappropriate sleep episodes and sudden loss of muscle tension.
  The clinical significance of retardation of elongation and delayed weight
  increase in children with hyperkinetic disorder / AD / HS has not been definitively clarified. A cause
  The relationship with Ritalin was not demonstrated for the growth delay
  become. Regular length and weight controls are recommended.
  Patients should be carefully monitored and
  (including differential blood picture).
  
  What do you need in road traffic as well as when working with machines and when working
  without a secure hold?
  Ritalin improves attention. Nevertheless, unwanted side effects like
  z. As drowsiness and dizziness occur that affect the ability to react. you
  Then, unexpected and sudden events can no longer be fast and targeted enough
  react. The intake of Ritalin can also cause overconfidence and increased
  Risk appetite lead. Do not drive your car or other vehicles! Bedie-
  Do not use electrical tools and machines! Do not work without a safe grip!
  Pay particular attention to the fact that alcohol further worsens your ability to drive!
  Narcolepsy patients are untreated unable to drive motor vehicles and operating
  of machines. Under treatment with methylphenidate may be driving motor vehicles
  may be possible under certain circumstances if an immediate
  interruption of active participation in road traffic is assured and traffic situations with
  high attention requirements can be avoided.
  In patients with a hyperkinetic disorder / AD / HS, treatment with Ritalin seems
  unlike untreated patients to improve their ability to drive
  fluctuations in attention in the context of the underlying disease or
  transmitter effect of Ritalin should be considered.
  
  Interactions
  
  What other medicines affect the effects of Ritalin?
  Ritalin must not be taken during or within 14 days of taking MAO inhibitors
  be used.
  Ritalin should not be given concomitantly with substances used to treat low blood pressure.
  because of adrenergic crises (nausea, salivation, gastrointestinal spasms,
  Diarrhea, muscle spasms) can occur. When used concomitantly, Ritalin may have the effect
  of hypotensives, especially guanethidine. On the other hand can
  the initial hypertensive effect of guanethidine and amantadine are enhanced.
  Since Ritalin reduces the breakdown of anticoagulants (coumarins),
  epilepsy (eg phenobarbital, phenytoin, primidone), neuroleptics (means of
  schizophrenia) and certain antidepressants (imipramine, desipramine) and phenyl-
  Butazon inhibits in the organism, the dose of which may be combined with Ritalin
  be reduced.
  
  Co-administration of carbamazepine may decrease the efficacy of Ritalin.
  The administration of drugs that bind stomach acid (antacids) worsens
  probably the intake of the active substance methylphenidate considerably.
  Please note that this information also applies to recently used drugs
  can.
  
  Which semiluxury food, dishes and beverages should you avoid?
  Alcohol can increase the effects of Ritalin in an unpredictable way.
  Therefore, avoid the simultaneous consumption of alcohol.
  Dosage instructions, type and duration of application
  The following information applies unless your doctor has prescribed Ritalin differently. You're welcome
  Follow the instructions for use, otherwise Ritalin will not work properly!
  
  How much of Ritalin and how often should you use Ritalin?
  Therapy with Ritalin should be started with a low dose and should be given weekly.
  in small increments until a tolerable and sufficiently effective dose is achieved.
  to be cleaned. Your doctor will tailor the dose to your needs. Here is the
  Principle to keep the dose as small as possible. The effect occurs at sufficiently high
  Dose within one hour of ingestion.
  
  Treatment of hyperkinetic disorder / AD / HS or narcolepsy in children and
  Adolescents (6 years and older):
  Treatment should be with one tablet (5 mg methylphenidate) once or twice a day (eg.
  morning and noon). Subsequently, the daily dose in weekly
  Intervals are increased by 1 tablet (5-10 mg methylphenidate). A maximum daily
  dose of 6 tablets (60 mg methylphenidate) should not be exceeded. The total
  daily dose should be divided into several single doses (usually 2-3).
  Treatment of adults with narcolepsy:
  The average daily dose is 2-3 tablets (20-30 mg methylphenidate). The daytime
  dose should be divided into 2-3 single doses. Some patients require daily doses of
  4-6 tablets (40-60 mg methylphenidate), while others are based on doses of 1-1 tablets
  (10-15 mg methylphenidate) per day. Doses up to 8 tablets (80 mg methyl
  phenidate) per day may be necessary. In case of insufficient effectiveness, a
  Switching to another medication may be indicated.
  
  How and when should you use Ritalin?
  The tablets should be taken with some liquid.
  The intake should be done at or after meals. There is evidence that the
  Ingestion with meals may be accompanied by increased loss of appetite. If reinforced
  Loss of appetite, you should take Ritalin one hour after meals.
  For the treatment of hyperkinetic disorders / AD / HS, the timing of the withdrawal should be
  me of Ritalin be chosen so that Ritalin best at the times of the greatest school,
  social and behavioral difficulties.
  If the effect of Ritalin subsides too early in the evening, behavioral problems and / or
  Sleep disorders occur again. A small extra dose in the evening (tablet) can then
  help eliminate this problem. Your doctor should then check to see if your sleeping
  disorders may be caused by Ritalin. In these cases it is recommended
  Ritalin not take after 16.00 clock.
  In narcolepsy, it is important to have a same day-night rhythm with fixed times.
  hold. The intake of Ritalin should be adapted to this rhythm. If the effect
  If you are not sufficient for the symptoms of narcolepsy, you should not increase the dose on your own initiative.
  hen. Talk to your doctor if you are considering switching to another medicine.
  
  How long should you use Ritalin?
  If, after the dose adjustment recommended by the doctor, the
  Symptoms of hyperkinetic syndrome do not improve, treatment should be stopped
  become. When symptoms increase or when adverse reactions occur
  the dose is reduced or Ritalin discontinued.
  The treatment should not be extended indefinitely. From time to time (about all
  12 months) Ritalin should be discontinued after consultation with your doctor
  to assess the course of the disease and the need for further therapy with Ritalin
  can.
  
  Application error and overdose
  
  What to do if Ritalin has been used in excessive amounts (intended or
  accidental overdose)?
  The symptoms of overdose mainly affect the cardiovascular system and the
  Central nervous system. It can lead to accelerated heartbeat, arrhythmia and too
  high blood pressure come. Also headache, confusion, trembling, nausea and vomiting
  are possible. In case of overdose, medical treatment is essential.
  
  What you need to keep in mind if you have too little Ritalin applied or an application
  have forgotten?
  If you forget to take Ritalin, take it as soon as you take it
  notice it. If it is already time for your next dose, skip the missed dose
  path. Never double the single dose on your own.
  
  What should you watch out for if you stop or prematurely stop treatment?
  In case of interruption or premature termination of treatment with Ritalin may be the symptoms
  the disease reappear. Talk to your doctor before you stop taking the tablets
  want.
  
  Side effects
  
  What side effects can occur when using Ritalin?
  As very common side effects occur insomnia, increased irritability, loss of appetite
  and stomach upset. These unwanted effects sound in the course of therapy
  mostly off.
  In addition, headaches and dizziness are very common.
  Frequently the following side effects are observed: drowsiness, disorders of the
  dyskinesias, restlessness, over-excitability, aggression, tachycardia, palpitations,
  Cardiac arrhythmia, changes (usually increase) in blood pressure, nausea, vomiting,
  Dry mouth, hypersensitivity reactions and allergic skin conditions such as itching
  irritation, tingling sensations, skin rashes, hair loss, fever, joint pain.
  Occasionally, weight loss and slightly delayed growth rate are at
  the long-term therapy of children.
  
  Rarely occur: blurred vision and blurred vision, heart pain.
  Very rare were observed: hyperactivity, seizures, muscle cramps, twitching movements.
  conditions, triggering muscle twitching (tics) and behavioral stereotypies, strengthening of
  existing tics and involuntary facial movements (Tourette syndrome), psychotic
  Reactions with hallucinations and ideas of persecution, temporary sadness, anxiety
  nausea, tearfulness, inflammation or occlusion of cerebral vessels, increased dreams,
  impaired liver function with transaminase elevations to hepatic coma, diarrhea and
  Constipation, blistering of the skin and swelling even with fever. Reductions in the
  Number of platelets (thrombocytopenia), which also causes punctiform haemorrhages.
  can be called (thrombocytopenic purpura), the white blood cells
  (Leukopenia) and red blood cells (anemia).
  
  In adults with narcolepsy
  Beyond that very often lack of concentration,
  Noise sensitivity and sweating observed. Very rarely was inflammation of the
  Oral mucosa reported.
  If you experience any side effects that are not in this leaflet
  please tell your doctor or pharmacist.
  What countermeasures are to be taken with side effects?
  Talk to your doctor if the Ritalin dose is reduced because of side effects
  should or should the treatment be discontinued.

• 

  Modafinil

  1.What Modafinil is and what it is used for
  2.What you need to know before you take Modafinil
  3.How to take Modafinil
  4.Possible side effects
  5.How to store Modafinil
  
  Modafinil can be taken by adults who suffer from narcolepsy to help
  them to stay awake.
  Narcolepsy is a condition that causes excessive daytime
  sleepiness and a tendency to fall asleep suddenly in inappropriate
  situations (sleep attacks). Modafinil may improve your narcolepsy
  and reduce the likelihood that you will have sleep attacks but there
  may still be other ways that you can improve your condition and
  your doctor will advise you.
  
  Do not take Modafinil:
  •If you are allergic to modafinil.
  •Have an irregular heartbeat.
  •Have uncontrolled, moderate to severe high blood
  pressure (hypertension).
  Warnings and precautions:
  Talk to your doctor or pharmacist before taking Modafinil.
  •Have any heart problems
   or high blood pressure.
  Your doctor will need to check these regularly while you are taking
  Modafinil.
  •Have ever had depression, low mood, anxiety, psychosis
  (loss of contact with reality) or mania (over-excitement or
  feeling of extreme happiness) or bipolar disorder
   because Modafinil may make your condition worse.
  •Have kidney or liver problems (because you will need to take
  a lower dose).
  •Have had alcohol or drug problems in the past.
  Children and adolescents
  Children aged less than 18 years should not take this
  medicine.
  
  Other things to talk to your doctor or pharmacist about
  •Some people have reported having suicidal or aggressive
  thoughts or behaviour while taking this medicine.
  Tell your doctor straight away if you notice that you are becoming
  depressed, feel aggressive or hostile towards other people or
  have suicidal thoughts or other changes in your behaviour
  (see section 4).
  You may want to consider asking a family
  member or close friend to help you look out for signs of
  depression or other changes in your behaviour.
  
  •This medicine has the potential for you to become reliant
  (dependent) on it after longterm use.
  If you need to take it for a long time your doctor will check regularly
  that it is still the best medicine for you.
  
  Other medicines and Modafinil
  Tell your doctor or pharmacist if you are taking, have recently taken
  or might take any other medicines. Modafinil and certain other
  medicines can affect each other and your doctor may need to
  adjust the doses that you are taking. It is especially important if you
  are taking any of the following medicines as well as Modafinil:
  
  •Hormonal contraceptives (including the contraceptive pill,
  implants, intrauterine devices (IUDs) and patches).
  You will need to consider other birth control methods while taking
  Modafinil, and for two months after stopping treatment,
  because Modafinil reduces their effectiveness.
  
  •Omeprazole (for acid reflux, indigestion or ulcers).
  
  •Antiviral medicines to treat HIV infection (protease inhibitors
  e.g. indinavir or ritonavir).
  
  •Ciclosporin (used to prevent organ transplant rejection, or for
  arthritis or psoriasis).
  
  •Medicines for epilepsy (e.g. carbamazepine, phenobarbital or phenytoin).
  
  •Medicines for depression (e.g. amitriptyline, citalopram or fluoxetine) or
  anxiety (e.g. diazepam).
  
  •Medicines for thinning the blood (e.g. warfarin).
  Your doctor will monitor your blood clotting times during treatment.
  
  •Calcium channel blockers or beta-blockers for high blood pressure
   or heart problems (e.g. amlodipine, verapamil or propranalol).
   
  •Statin medicines for lowering cholesterol (e.g. atorvastatin or
  simvastatin).
  
  Pregnancy and breast-feeding
  If you are pregnant or breast-feeding, think you may be pregnant or
  are planning to have a baby, ask your doctor or pharmacist for
  advice before taking this medicine.
  Talk to your doctor about the birth control methods that will be right
  for you while you are taking Modafinil (and for two months after
  stopping) or if you have any other concerns.
  
  Driving and using machines
  Modafinil can cause blurred vision or dizziness in up to 1 in 10
  people. If you are affected or you find that while using this
  medication you still feel very sleepy,
  do not attempt to drive or operate machinery.
  
  Modafinil tablet contains lactose. If you have been told by your
  doctor that you have an intolerance to some sugars contact your
  doctor before taking this medicinal product.
  Always take this medicine exactly as your doctor has told you.
  Check with your doctor or pharmacist if you are not sure.
  Tablets should be swallowed whole with water.
  
  Adults
  The recommended dose is 200 mg a day.
  .
  This can be taken once daily (in the morning) or divided into two doses a day (100 mg in
  the morning and 100 mg at midday).
  Your doctor in some cases may decide to increase your daily dose
  up to 400 mg.
  
  Elderly patients (over 65 years of age)
  The usual dose is 100 mg a day.
  
  Your doctor will only increase your dose (up to the maximum 400
  mg a day) provided that you do not have any liver or kidney
  problems.
  Adults with severe kidney and liver problems
  The usual dose is 100 mg a day.
  
  Your doctor will review your treatment regularly to check that it is
  right for you.
  If you take more Modafinil than you should
  If you take too many tablets you may feel sick, restless,
  disorientated, confused, agitated, anxious or excited.
  You may also have difficulty sleeping, diarrhoea, hallucinations
  (sensing things that are not real), chest pain, a change in the speed
  of your heart beat or an increase in blood pressure
  Contact your nearest hospital casualty department or tell your
  doctor or pharmacist immediately.
  Take this leaflet and any remaining tablets with you.
  
  If you forget to take Modafinil
  If you forget to take your medicine take the next dose at the usual
  time, do not take a double dose to make up for the forgotten one.
  If you have any further questions on the use of this medicine, ask
  your doctor or pharmacist.
  
  4. Possible side effects
  
  Like all medicines, this medicine can cause side effects, although
  not everybody gets them.Stop taking this medicine and
  tell your doctor straight away if:
  
  •You have sudden difficulty breathing or wheeziness or your
  face, mouth or throat begins to swell.
  
  •You notice a skin rash or itching (especially if it af
  fects your whole body). Severe rashes may cause blistering or peeling of
  the skin, ulcers in your mouth, eyes, nose or genitals.
  You may also have a high temperature (fever) and abnormal
  blood test results.
  
  •You feel any change in your mental health and wellbeing.
  The signs may include:
  
  -mood swings or abnormal thinking,
  -aggression or hostility
  -forgetfulness or confusion,
  -feeling of extreme happiness,
  -over-excitement or hyperactivity
  -anxiety or nervousness,
  -depression, suicidal thoughts or behaviour
  -agitation or psychosis (a loss of contact with reality which
  may include delusions or sensing things that are not real),
  feeling detached or numb, or personality disorder
  .
  Other side effects include the following:
  Very common
   (may affect more than 1 in 10 people):
  •Headache.
  Common (may affect up to 1 in 10 people):
  •Dizziness.
  •Sleepiness, extreme tiredness or difficulty sleeping (insomnia).
  •Awareness of your heart beat, which may be faster than
  normal.
  •Chest pain
  •Flushing.
  •Dry mouth.
  •Loss of appetite, feeling sick, stomach pain, indigestion,
  diarrhoea or constipation.
  •Weakness.
  •Numbness or tingling of the hands or feet (‘pins and needles’).
  •Blurred vision.
  •Abnormal blood test results showing how your liver is working
  (increased liver enzymes).
  •Irritability
  Uncommon
   (may affect up to 1 in 100 people):
  •Back pain, neck pain, muscle pain, muscle weakness, leg
  cramps, joint pain, twitching or tremor.
  •Vertigo (spinning sensation).
  •Difficulty moving muscles smoothly or other movement
  problems, muscle tension, coordination problems.
  •Hayfever symptoms including itchy/runny nose or watery eyes.
  •Increased cough, asthma or shortness of breath.
  •Skin rash, acne or itchy skin.
  •Sweating.
  •Changes in blood pressure (high or low), abnormal heart trace
  (ECG), and irregular or unusually slow heart beat.
  •Difficulty swallowing, swollen tongue or mouth ulcers.
  •Excess wind, reflux (bringing back fluid from the stomach),
  increased appetite, weight changes, thirst or taste alteration.
  •Being sick (vomiting)
  •Migraine.
  •Speech problems.
  •Diabetes with increased blood sugar.
  •High blood cholesterol.
  •Swollen hands and feet.
  •Disrupted sleep or abnormal dreams,
  •Loss of sex drive.
  •Nose bleed, sore throat or inflamed nasal passages (sinusitis).
  •Abnormal vision or dry eyes.
  •Abnormal urine or more frequent urination.
  •Abnormal periods.
  •Abnormal blood test results showing that the numbers of your
  white blood cells have changed.
  •Restlessness with increased body movement
  
  

• 

  Atomoxetine

  1. What is strattera and what is it used for?
  2. What should you watch out for before taking Strattera?
  3. How to take Strattera?
  4. What side effects are possible?
  
  What is it used for
  Strattera contains Atomoxetine and is used to treat the attention deficit /
  Hyperactivity Disorder (ADHD).
  It is applied at Children from 6 years,youths and adults.
  
  It is used as part of a comprehensive treatment program for this condition
  also non-drug measures such as counseling and behavioral therapy requires.
  It is not intended for the treatment of ADHD in children under 6 years, since the effectiveness and
  the safety of the drug in this patient group are unknown.
  In adults, ADHD treatment with Strattera is indicated when the disease signs
  are very stressful and will affect your professional or social life, and if the
  ADHD signs were already present in your childhood.
  
  How it works
  Strattera increases the available amount of the messenger norepinephrine in the brain. This chemical
  Substance that is also naturally produced increases attention in ADHD patients
  and reduces impulsivity and hyperactivity. This medicine has been prescribed for you
  to help control the symptoms caused by your ADHD. This medicine belongs
  not to group of stimulants (active substances with a stimulating or stimulating effect) and
  therefore has no addictive potential.
  It may take a few weeks for your treatment to start taking the medicine
  Significantly improve complaints.
  
  About ADHD
  Children and adolescents with ADHD find it difficult:
  to sit quietly and to concentrate.
  
  It's not their fault they can not do that. Many children and adolescents have to
  make an effort to create these things. ADHD can cause problems in everyday life. For children and
  Adolescents with ADHD can be hard at learning and doing homework. you
  have problems with behaving appropriately at home, at school or elsewhere. ADHD
  does not affect the intelligence of a child or adolescent.
  Adults with ADHD have similar difficulties as affected children; this can cause problems with:
  •work
  •Relationships
  • low self-esteem
  •the education
  
  2. What should you watch out for before taking Strattera?
  
  Strattera must NOT be taken
  -If you are allergic to atomoxetine or any of the other
  Components of this medicine are.
  if you have been receiving a monoamine oxidase inhibitor (MAOI) in the last 2 weeks, such as
  z. As phenelzine, have taken. A MAO inhibitor is sometimes used for treatment
  used by depression or other mental illness. Concurrent administration
  Strattera and MAO inhibitors can cause serious, possibly life-threatening
  Side effects result. You must also be at least 14 days after weaning
  Strattera wait before taking a MAO inhibitor.
  -if you have a specific eye disease called narrow-angle glaucoma (increased
  Intraocular pressure).
  -if you have serious heart problems caused by an increase in the heartbeat or
  blood pressure could be worsened because Strattera could cause it.
  -if you have serious blood vessel problems in your brain - such as: B.
  had a stroke, a bulge and weakening at one point of your blood vessels
  (Aneurysm) or have constricted or clogged blood vessels in the head.
  -if you have an adrenal medullary tumor (a so-called pheochromocytoma).
  Do not take Strattera if any of the above applies to you because Strattera
  can aggravate these problems. If you are unsure, talk to your doctor or
  Pharmacist before you take Strattera.
  Warnings and Precautions
  Both adults and children should take the following warnings and precautions
  note.

  
  Please talk to your doctor or pharmacist before taking Strattera if you:
  Thoughts have to take their own life, or when you're about to try yourself
  to take the life.
  - have problems with the heart (including heart defects) or increased heart rate.
  Strattera can increase your heartbeat (heart rate). It was associated with sudden death in patients
  Heart defects reported.
  - have high blood pressure. Strattera can increase blood pressure.
  -have a low blood pressure. Strattera can cause dizziness in people with low blood pressure
  or cause fainting.
  Problems caused by sudden changes in your blood pressure or heartbeat.
  - have a heart disease or have suffered a stroke in the past.
  Have liver problems; because you might need a lower dose.
  psychotic symptoms, including hallucinations (hearing voices or seeing things,
  who are not there) believe in things that are not true or questionable.
  -an mania (feeling overly excited, leading to unusual behavior) and on
  Agitation (agitation) suffer.
  - feel aggressive.
  - feel angry and hostile.
  - have had epilepsy or seizures in the past for some other reason.
  Strattera can lead to an increase in the frequency of seizures.
  - you suffer from unusual mood swings or you feel very unhappy.
  - have difficult to control, repeated twitching of body parts or you as under duress
  make inappropriate sounds and words.

  
  Talk to your doctor or pharmacist before you start treatment if any of the
  The above points apply to you because Strattera can aggravate these problems. Your doctor will
  Monitor how this medicine works for you.
  Checkups that your doctor will do before you start taking Strattera
  These tests should show if Strattera is the right medicine for you.
  Your doctor will perform the following examinations:
  Measuring blood pressure and heart rate (pulse) before and while taking Strattera
  Measuring height and weight in children and adolescents before and during the
  Taking Strattera.

  
  Your doctor will talk to you about the following:
  -any other medicines you use
  - if there were sudden unexplained deaths in your family
  - any other medical problems (such as heart problems) in you or someone in yours
  family
  It is important that you give your doctor as much information as possible. This will be up to your doctor
  help decide whether Strattera is the right medicine for you. Your doctor will decide if
  further studies are necessary before starting to take the medicine.
  Taking Strattera with other medicines
  Tell your doctor or pharmacist if you are taking, or are using, any other medicines
  have taken or have recently taken any other medicines
  take / apply. This also applies to non-prescription medicines. Your doctor will
  decide if you can take Strattera in combination with your other medicines. In
  In some cases, your doctor may need to adjust the dose or increase your dose more slowly.
  Do not take Strattera together with so-called MAO inhibitors (monoamine oxidase).
  Inhibitors) used to treat depression.
  
  If you are taking other medicines, Strattera may affect the effects of these medicines
  or cause side effects. If you are taking any of the following medicines, talk
  With your doctor or pharmacist before taking Strattera:
  Medicines that increase blood pressure or that are used to adjust blood pressure.
  Medicines for depression, eg. Imipramine, venlafaxine, mirtazapine, fluoxetine and paroxetine
  - Some medicines for cough and colds that contain active ingredients that reduce blood pressure
  influence. It is important that you talk to your doctor or pharmacist before using such
  Apply products.
  - some medicines for the treatment of mental (mental) diseases
  Medicines that increase the risk of seizures
  - Some medicines that cause Strattera to stay in the body for longer than normal (like quinidine
  and terbinafine)
  Salbutamol (a medicine used to treat asthma) can be swallowed or given as an injection
  administered, lead to tachycardia. However, this will not worsen your asthma.
  The medicines listed below may increase your risk of arrhythmia
  lead when taken together with Strattera:
  Medicines used to control heart rhythm
  Medicines that alter the salt concentration in the blood
  Medicines for malaria prophylaxis and treatment
  some antibiotics (eg erythromycin and moxifloxacin)
  If you are unsure if a medicine you are using belongs to the list above,
  Ask your doctor or pharmacist before taking Strattera.
  pregnancy and breast feeding period.
  It is not known if this medicine can harm or harm an unborn baby
  Breast milk passes.
  - You must not take this medicine during pregnancy, unless you
  Doctor specifically advises you to do so.
  - If you are breast-feeding, you must either avoid or stop taking this medicine.
  If you
  • are pregnant or breastfeeding,
  • suspect of being pregnant or intending to become pregnant,
  • plan to breastfeed your child,
  ask your doctor or pharmacist for advice before taking this medicine.
  
  3. How to take Strattera?
  - Always take this medicine exactly as your doctor or pharmacist has told you.
  This is usually once or twice a day (morning and late afternoon or
  early evening). Ask your doctor or pharmacist if you are not sure.
  - Children should not take this medicine without the help of an adult.
  - If you take Strattera once a day and feel sleepy or uncomfortable, your doctor may
  with you change the intake to twice a day.
  -The capsules are meant to be swallowed whole and can be taken to a meal or without something
  to be ingested.
  -The capsules must not be opened and the contents must not be taken out of the capsules.
  Strattera should only be taken in the unopened capsule and not in any other way.
  - If you take the medicine at the same time each day, it will help you to
  To think of taking.
  
  How much should you take
  Children (from 6 years and older) or teenagers:
  Your doctor will tell you how much Strattera you should take each day. He will give that amount to your
  Calculate weight accordingly. At the beginning of treatment, your doctor will usually give you less
  Prescribe the dose before adding the amount of Strattera you are to take, according to your weight
  will adjust:
  - body weight up to 70 kg: start of Strattera treatment with a total daily dose of 0.5
  mg per kg of body weight for at least 7 days. Your doctor may then decide to dose this up
  to increase the recommended daily dose during the long-term treatment of about 1.2 mg per kg.
  - body weight over 70 kg: start of Strattera treatment with a total daily dose of
  40 mg for at least 7 days. Your doctor may then decide to dose this to the recommended one
  Daily dose during the long-term treatment of 80 mg. The maximum recommended
  The daily dose that your doctor will prescribe is 100 mg.
  
  Adults:
  Treatment with Strattera should be taken with a total daily dose of 40 mg for at least 7 days
  to be started. Your doctor may then decide to reduce this dose to the recommended daily allowance of
  Increase 80 to 100 mg. The maximum recommended daily dose that your doctor will prescribe
  is 100 mg.
  If you have problems with the liver, the doctor may prescribe a lower dosage.
  If you take more Strattera than you should
  Notify your doctor or nearest emergency room immediately and inform
  Tell her how many capsules you have taken. The most common complaints in the
  Related to overdoses are gastrointestinal problems, drowsiness,
  Dizziness, tremors and behavioral problems.
  If you forget to take Strattera
  If you forget to take a dose, you must make up for it as soon as possible. you
  You may not take more than your total daily dose over a period of 24 hours.
  Do not take in twice the amount if you forget to take the previous dose.
  If you stop taking Strattera
  If you stop taking Strattera, it usually has no side effects, however
  Your ADHD symptoms may recur. You should talk to your doctor before taking the
  Stop treatment.
  
  What your doctor will do during treatment with Strattera
  Your doctor will do some research
  -before taking it for the first time to make sure Strattera is safe and useful for you.
  - after taking at least every 6 months, possibly more often.
  These examinations are also carried out at each dose change and include:
  -detecting height and weight in children and adolescents
  -the measurement of blood pressure and pulse
  -determining if you have problems while taking Strattera or if it is
  Have worsened side effects
  
  Long-term treatment
  You do not have to take Strattera all your life. If you Strattera for more than a year
  Your doctor will review your treatment to determine if you still have the medicine
  need.
  If you have any further questions on the use of this medicine, ask your doctor
  or pharmacist.
  
  4. What side effects are possible?
  Like all medicines, this medicine may cause side effects, although not
  must occur to everyone. Although some patients experience side effects, most find
  Patients that Strattera helps them. Your doctor will talk to you about these side effects.
  Some side effects can be serious.
  If you are one of the following
  Side effects notice, go to a doctor immediately.
  
  Occasionally
   (may affect up to 1 in 100 patients)
  - finding or presence of a very fast heartbeat or arrhythmia
  Thoughts or feelings of wanting to kill oneself
  Aggressiveness
  Feel anger and hostility
  Mood or mood swings
  - serious allergic reactions with signs of
  -Swells on the face or neck
  Difficulty breathing
  Hives (small raised and itchy skin - wheals)
  -spasmics
  -Psychotic symptoms including hallucinations (such as hearing voices or seeing things,
  who are not there) believe in things that are not true or questionable
  Children and adolescents under the age of 18 are at increased risk for side effects such as:
  Thoughts or feelings of wanting to take one's life (can be up to 1 in 100 patients
  affect)
  Mood or mood changes (may affect up to 1 in 10 patients)
  Adults have a lower risk
    (may affect up to 1 in 1,000 patients)
  for side effects like:
  -spasmics
  -Psychotic symptoms including hallucinations (such as hearing voices or seeing things,
  who are not there) believe in things that are not true or questionable
  
  Rare (may affect up to 1 in 1,000 patients)
  -liverdamage
  You must stop taking Strattera and contact your doctor immediately
  notify you when you experience the following:
  dark urine
  - yellowish skin or yellowish eyes
  -(painful abdominal wall tension)
  - nausea for no apparent reason
  - tiredness
  - itching
  - flu-like symptoms
  
  Effect on growth
  At the beginning of treatment with Strattera, some children showed decreased growth (weight and height).
  In the course of a long-term treatment, however, weight and height were similar to the age group.
  Therefore, the doctor will observe the weight and height of children during treatment.
  If the child does not grow as expected or does not gain weight, the doctor may take the dose
  adjust or decide to sell Strattera for a period of time.