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Overview

Attera 18Mg Tablet

Manufacturer: Icon Life Sciences
Medicine composition: Atomoxetine
Prescription vs.OTC: Prescription by Doctor required

Attera 18Mg Tablet is used to treat one of the very common medical conditions in children- attention-deficit hyperactivity disorder (ADHD). It is a selective norepinephrine reuptake inhibitor thay increases the secretion of certain chemicals in the brain that help to increase attention span behavior.

If you have a history of a particular kind of adrenal gland tumor, of serious heart disease, or if you have taken phenelzine lately, the drug is not to be taken. Tell your doctor if your family has a history of bipolar disorders. They may all affect your body’s interaction with Attera 18Mg Tablet.

Read the medication guide of Attera 18Mg Tablet carefully before taking it. It is to be taken with or without food, orally. If you take it at the same time every day, it helps to remember it. In case you have missed a dose, but it is almost time for the next one, skip it. Never take two doses in one day.

Some of the side effects of Attera 18Mg Tablet include flushing, headache, decreased appetite, drowsiness, and constipation.

attention deficit hyperactivity disorder (adhd)
In addition to its intended effect, Attera 18Mg Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Headache
Decreased appetite
Increased heart rate
Increased blood pressure.
Is It safe with alcohol?
Atmosril 25mg tablet may cause excessive drowsiness and calmness with alcohol.
Are there any pregnancy warnings?
Atmosril 25mg tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Are there any breast-feeding warnings?
Atmosril 25mg tablet is probably unsafe to use during breastfeeding. Please consult your doctor.
Is it safe to drive while on this medicine?
Does this affect kidney function?
There is no data available. Please consult doctor before consuming the drug.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which have the same composition, strength and form as Attera 18Mg Tablet, and hence can be used as its substitute.
Intas Pharmaceuticals Ltd
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Medicine
Asthalin 2.5Mg Respules
TRYPTOMER 25MG TABLET
Levolin 0.63Mg Respules
Levolin 1.25Mg Respules 2.5 Ml
What are you using Attera 18Mg Tablet for?
attention deficit hyperactivity disorder (adhd)
Other
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
Within 2 days
How frequently did you take this medicine?
Once a day
How did you take this medicine?
With or without food
With Food
What were the side effects of this medicine?
Other
Sleepiness
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

Doctor prescribed atomoxetine and nexito, then my parents suggest another doctor he prescribed me atomoxetine, should a person take atomoxetine along with nexito or any SSRI medicine. What shall I do.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Psychiatry
Psychiatrist, Hyderabad
Doctor prescribed atomoxetine and nexito, then my parents suggest another doctor he prescribed me atomoxetine, should...
Nexito is an sSRI and Atomoxetine is also a Reuptake inhibitor of Nor adrenaline and no harm taking together.
1 person found this helpful

I have a 10 years old boy suspect adhd. He take atomoxetine hydrochloride for 1 month. Any other remedy is available which has no side effects?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Atomoxetine may increase the risk of suicidal thoughts or actions in children and teenagers with attention deficit hyperactivity disorder (adhd). Talk with the patient's doctor to be sure that the benefits of using atomoxetine outweigh the risks. Families and caregivers must closely watch patients who take atomoxetine. It is important to keep in close contact with the patient's doctor. Tell the doctor right away if the patient has symptoms such as worsened depression, suicidal thoughts, or changes in behavior. Discuss any questions with the patient's doctor. There is no cure for attention deficit hyperactivity disorder (adhd), but treatment can help relieve the symptoms and make the condition much less of a problem in day-to-day life. Adhd can be treated using medication or therapy, but a combination of both is often the best way to treat it. There are four types of medication licensed for the treatment of adhd: methylphenidate dexamfetamine lisdexamfetamine atomoxetine these medications are not a permanent cure for adhd, but they can help someone with the condition concentrate better, be less impulsive, feel calmer, and learn and practise new skills. Some medications need to be taken every day, but some can be taken just on school days. Treatment breaks are occasionally recommended, to assess whether the medication is still needed. You can ask me privately and keep me as your family doctor.
2 people found this helpful

My child is diagnosed with adhd. He is 6 years old. Can this disease be cured completely. Doctor say that he did not get oxygen at the time of birth. But I don't agree with them. He is very hyper and speaks some words not sentences. Doctor is giving him atomoxetine hydrochloride-18mg, sizodon md 0.5 mg, coenzyme-10.(50mg. And carbamazepine.

MSC Human Development , Hypnotherapy , Special Educator , ms- counselling and physiotherapy, Applied psychology Hons
Psychologist, Faridabad
Your child can be improve by your love, affection and support. Find out his best qualities and give him space with those qualities. Yes you and your child's psychologist both together can make him to cope up in this world with his ossem qualities. Don't feel him that he is ill. Try to make him comfortable. If you want to take our any help you can contact us.
1 person found this helpful

My son 8 years old has been given tablets as follows for hyperactive, which please inform me the side effects anything will be there and also for how long should he take the below mentioned tablets? To control the anger and adamency? 1) Tab atomoxetine 10 mg 1 + 1/2 daily for 30 days. 2) Tab Risperidone 0.5 mg - 1 for night for 30 days. Regards,

M.Phil Clinical Psychology, M.Sc Developmental Psychopathology, B.A.(H)Psychology
Psychologist, Delhi
Dear, Kindly put your child into psychotherapy sessions in Chennai after consenting the psychiatrist who initiated medications because the nature of ADHD has to be evaluated in your child and accordingly an intervention plan would be chalked out by the psychologist so that during his growth amd development his attention which can be retrained using various techniques and his behavioral problem of hyperactivity can be reached to a manageable level with your assistance amd regular sessions.

Popular Health Tips

ADHD - Best Amazing Ways It Can Be Managed!

Masters In Counselling Psychology
Psychologist, Guwahati
ADHD - Best Amazing Ways It Can Be Managed!

ADHD i.e. Attention deficit hyperactivity disorder is a mental disorder that is commonly characterised by attention problems, excessive activity or difficulty in controlling one’s inappropriate behaviour, given his/her age. If ADHD occurs in an adult, the person might face significant issues in maintaining a job, managing time or being in a relationship.

In spite of being the most regularly studied and analysed mental issue in kids and teenagers, the cause, in most of the cases, remains unknown. The symptoms of ADHD might develop as one gets old. Apart from the common symptoms, the person might show signs typical to ADHD such as hyperactivity, inattention, impulsivity and disruptive behaviour as well as relationships and academic difficulties. The symptoms of ADHD need to last for about six months to be diagnosed as a disorder.

The typical management methods of ADHD include counselling or medicines, either used separately or in combination.

  1. Behavioural Therapies: Some of the psychological therapies used are:

    • Cognitive Behavioural Therapy (CBT): Focuses on changing the thinking patterns of a person that ultimately alters the way he/she generally feels
    • Interpersonal Psychotherapy: IPT is a focused form of psychotherapy that involves symptomatic recovery and resolving interpersonal problems.
    • Social Skills Training
    • Family Therapy: Focuses on providing therapy to the individual as well as the family
    • School-Based Interventions
    • Parent Management Training
  2. Medication: Stimulant medications are the more preferred forms of medications for ADHD. They have short-term effects on the symptoms of ADHD. One such example is that of Methylphenidate. Non stimulant medicines are administered for people who indulge in compulsive or recreational stimulant use. Examples include atomoxetine, guanfacine, bupropion and clonidine. Although these medications are usually safe, over dosage can cause side-effects and contraindications.
  3. Diet: Modification in diet can prove beneficial for children suffering from ADHD. The benefits are usually confined to children having food sensitivities or those who are being medicated using ADHD medicines simultaneously.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2559 people found this helpful

Priapism - How Can It Be Treated?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine, Certified Course In Herbal(Ayurvedic) Medicine
Sexologist, Ludhiana
Priapism - How Can It Be Treated?

Priapism is a condition of the penis where the erection persists long after the sexual stimulation. It is a painful condition and is extremely common among patients suffering from sickle cell anaemia. Medical treatment is necessary at the earliest in order to prevent any damage to the tissue. This condition is mostly observed in people in the age segment of 30-40.

Symptoms of priapism:
The symptoms of priapism vary according to the type of priapism a person is affected with. Two of the most common types of priapism are non-ischemic and ischemic priapism. While the latter is more common to those with a family history of the same disease, the former can occur to any person. Some of the common symptoms of both the condition include the following:

  1. An erection that lasts for more than an hour or more
  2. Pain in the penis during erection
  3. Rigid shaft of the penile with a soft tip

What are the causes of priapism?

  1. Blood-related disorders such as leukaemia, thalassemia, and sickle cell anaemia
  2. It can also arise from side effects of other medications such as fluoxetine, sertraline, papaverine, warfarin, atomoxetine, chlorpromazine, phentolamine etc
  3. Abuse of alcohol, marijuana, drugs etc.
  4. An injury or trauma to the penis, perineum and pelvis restricting the blood flow.
  5. Penis cancer
  6. Metabolic disorders such as amyloidosis and gout
  7. Neurological disorders such as syphilis or an injury to the spinal cord
  8. A toxic infection or a bite from a spider

What are the possible complications?
Priapism can lead to serious consequences, especially the ischemic type. The trapped blood inside the penis that is devoid of oxygen can start damaging the tissue of the penis. If this disease is not treated on time, it can lead to erectile dysfunction.

How is priapism diagnosed?
A doctor starts from a physical exam and goes through the medical history in order to get first-hand knowledge of the condition. This is followed by the prescription of tests such as blood gas measurement, ultrasound, count of red blood cells and platelets and other toxicology tests.

What are the treatment options?
There could be various approaches that are taken by a doctor. Excess blood can be drained out with the help of a syringe and the penis can be flushed with saline in order to get rid of the oxygen-devoid blood out of the penis. Certain medications can be injected into the pen that helps the blood to flow normally without accumulating inside the penis. If all else fails, a surgeon can perform a procedure in order to drain the blood from a different route. In case you have a concern or query you can always consult an expert & get answers to your questions!

6017 people found this helpful

Priapism - Types and Causes!

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Dehradun
Priapism - Types and Causes!

One of the rare sexual problems to affect men is a condition termed as Priapism. As known to many, a normal flow of blood plays a pivotal role in ensuring a healthy and proper erection of the penis. During an erection, the tissues of the penis (soft and spongy tissues) receive an increased flow of blood (triggered by the relaxation and expansion of the arteries of the pelvis and the penis). However, any abnormality in the flow of blood can affect this erection giving rise to priapism.

Priapism is a sexual disorder characterized by an erection that lasts for an abnormally long time period (at times for close to 4 hours). With such an extended and prolonged erection, priapism results in immense pain and discomfort. The condition can affect all males, irrespective of their age (from newborns to aged people). However, men in their 30's are more susceptible to priapism. The trigger for priapism is not always sexual arousal. A person can also suffer from this condition instantaneously without any sexual excitement.

Ischemic and Non-Ischemic Priapism
Depending on the flow of blood to the penis, priapism can be either

  1. Ischemic Priapism: Here, the blood that flows to the penis and the erection chambers gets trapped there, failing to move out. Also known as Low-Flow Priapism, this painful condition results in prolonged erection (often more than four hours) without being sexually aroused. In Ischemic Priapism, the penile shaft appears stiff and rigid as compared to the penile glans which appear soft and tender.
  2. Non-Ischemic Priapism: This type of priapism arises from the improper regulation of the flow of penile blood. Also known as High-Flow Priapism, the condition is quite rare and can be triggered by an injury to the perineum or the penis that may rupture or damage an artery.

What triggers priapism in males?
As already stated, one of the prime factors responsible for Priapism is the improper flow or regulation of penile blood. There are many factors and medical conditions that can act as a potential trigger affecting the normal flow of blood.

  1. Sickle-cell anemia: Sickle cell anemia is an inherited genetic disorder whereby the red blood cells appear sickle-shaped instead of being round shaped. Sickle-cell anemia can go a long way to trigger priapism, especially ischemic priapism (the sickle-shaped RBCs can be instrumental in blocking the penile blood vessels) in males. Ischemic Priapism can also be an outcome of Leukemia or even Malaria.
  2. Multiple Myelomas, as well as Thalassemia, can also act as contributing factors resulting in Priapism.
  3. Certain medications can also wreak havoc triggering priapism. Some of these medications include:
    • Antidepressants (bupropion, fluoxetine).
    • Blood thinners (such as heparin).
    • Alpha-blockers (tamsulosin, prazosin).
    • Atomoxetine and related medicines (used in the treatment of ADHD).
    • Clozapine and other related drugs used to deal with anxiety.
    • Phentolamine, and related medications used in the treatment of erectile dysfunction.
  4. Priapism can also be triggered by medical conditions such as penile cancer, gout, syphilis, injury to the spinal cord or the penis, alcohol abuse.

Ayurvedic treatment helps to work on its sysmptoms, prevention and treatment of later complications, correcting imbalance, adjusting the immune system and most importantly helps in boosting energy and strong body for better health and quality of life. The purpose of this treatment is not to replace necessary orthodox medical treatment. A combination of both is recommended.

10892 people found this helpful

Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma In Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

Table of Content

About Attera 18Mg Tablet
When is Attera 18Mg Tablet prescribed?
What are the side effects of Attera 18Mg Tablet?
Key highlights of Attera 18Mg Tablet
What are the substitutes for Attera 18Mg Tablet?
What are the interactions for Attera 18Mg Tablet?