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How does Strattera work and what's its MOA?

Medically reviewed by Kristianne Hannemann, PharmD. Last updated on Sep 29, 2024.

Official answer

by Drugs.com

The mechanism of action (MOA) for Strattera (atomoxetine) in attention-deficit/hyperactivity disorder (ADHD) involves blocking the reuptake of norepinephrine in the brain. It does this by inhibiting the presynaptic norepinephrine transporter (NET), which increases the amount of norepinephrine in the synaptic cleft of neurons. Strattera also blocks the reuptake of dopamine in certain areas of the brain, like the prefrontal cortex. It belongs to the drug class called selective norepinephrine reuptake inhibitors.

Research suggests that neurochemical signaling dysregulation plays a role in ADHD. Some patients with ADHD have been shown to have lower levels of neurotransmitters like dopamine and norepinephrine. By increasing norepinephrine and dopamine in certain regions of the brain, Strattera improves ADHD symptoms like helping with attention and memory. It has also been shown to improve relationships with peers and family and help with learning.

This is not all the information you need to know about Strattera (atomoxetine) for safe and effective use and does not take the place of your doctor’s directions. Review the full product information and discuss this information and any questions you have with your doctor or other health care provider.

References

Fu, D., et. al. 2021. The Mechanism, Clinical Efficacy, Safety, and Dosage Regimen of Atomoxetine for ADHD Therapy in Children: A Narrative Review. In: Frontiers in Psychiatry. DOI: https://doi.org/10.3389%2Ffpsyt.2021.780921

Strattera [package insert]. Updated January 2022. Eli Lilly and Company. Accessed September 29, 2024 at https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=309de576-c318-404a-bc15-660c2b1876fb

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Common side effects of Strattera include headache, poor appetite, and nausea. It can also cause dry mouth, drowsiness, trouble sleeping, and an increase in blood pressure and heart rate. Strattera can raise the risk of suicidal thoughts in children and adolescents. Rare cases of liver damage have also been reported. Continue reading

How long does it take for Strattera to work?

Strattera starts to work for attention-deficit hyperactivity disorder (ADHD) as soon as the first day of taking a dose. However, it can take 8-12 weeks for its full effects to be reached. Some people may continue to notice an increased response for up to 24 weeks or longer. Continue reading

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