What is the most important information I should know about STRATTERA?

The following have been reported with use of STRATTERA:

1. Suicidal thoughts and actions in children and teenagers:

Children and teenagers sometimes think about suicide, and many report trying to kill themselves. Results from STRATTERA clinical studies with over 2200 child or teenage ADHD patients suggest that some children and teenagers may have a higher chance of having suicidal thoughts or actions. Although no suicides occurred in these studies, 4 out of every 1000 patients developed suicidal thoughts. Tell your child or teenager's doctor if your child or teenager (or there is a family history of):

has bipolar illness (manic-depressive illness)
had suicide thoughts or actions before starting STRATTERA
The chance for suicidal thoughts and actions may be higher:

early during STRATTERA treatment
during dose adjustments
Prevent suicidal thoughts and action in your child or teenager by:

paying close attention to your child or teenager's moods, behaviors, thoughts, and feelings during STRATTERA treatment
keeping all follow-up visits with your child or teenager's doctor as scheduled
Watch for the following signs in your child or teenager during STRATTERA treatment:

anxiety
agitation
panic attacks
trouble sleeping
irritability
hostility
aggressiveness
impulsivity
restlessness
mania
depression
suicide thoughts
Call your child or teenager's doctor right away if they have any of the above signs, especially if they are new, sudden, or severe. Your child or teenager may need to be closely watched for suicidal thoughts and actions or need a change in medicine.

2. Severe liver damage:

STRATTERA can cause liver injury in some patients. Call your doctor right away if you or your child has the following signs of liver problems:

itching
right upper belly pain
dark urine
yellow skin or eyes
unexplained flu-like symptoms
3. Heart-related problems:

sudden death in patients who have heart problems or heart defects
stroke and heart attack in adults
increased blood pressure and heart rate
Tell your doctor if you or your child has any heart problems, heart defects, high blood pressure, or a family history of these problems. Your doctor should check you or your child carefully for heart problems before starting STRATTERA.

Your doctor should check your blood pressure or your child's blood pressure and heart rate regularly during treatment with STRATTERA.

Call your doctor right away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking STRATTERA.

4. New mental (psychiatric) problems in children and teenagers:

new psychotic symptoms (such as hearing voices, believing things that are not true, being suspicious) or new manic symptoms
Call your child or teenager's doctor right away about any new mental symptoms because adjusting or stopping STRATTERA treatment may need to be considered.

What Is STRATTERA?

STRATTERA is a selective norepinephrine reuptake inhibitor medicine. It is used for the treatment of attention deficit and hyperactivity disorder (ADHD). STRATTERA may help increase attention and decrease impulsiveness and hyperactivity in patie