Does Strattera Help With Anxiety

Does Strattera Help With Anxiety

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Picture of Aisha Bibi

Aisha Bibi

Clinical psychologist

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Does Strattera help with anxiety? Learn how it works, potential benefits, side effects, and find personalized care with licensed professionals.

Does Strattera Help With Anxiety?

 

To answer this question, let’s first understand what Strattera actually is and how it works for anxiety.

Strattera, or Atomoxetine, is a non-stimulant prescription medicine usually prescribed for the treatment of ADHD. It belongs to the drug class Selective Norepinephrine Reuptake Inhibitors (NRIs)

The symptoms of co-occurring mental health issues, such as depression, anxiety, and ADHD, often overlap. Because of this, Strattera may sometimes be prescribed off-label for individuals with ADHD who also experience anxiety, particularly when anxiety symptoms are closely related to untreated ADHD.

Before taking Strattera or any medication treatment for a mental health condition, it is important to consult a licensed healthcare provider for proper evaluation.

Therapy Fleet offers personalized mental health care to help determine the most appropriate treatment options based on your individual needs.

Get started today.

What is Strattera?

Strattera is an FDA-approved prescription medication to help manage ADHD symptoms in children, adolescents, and adults. Strattera (generic name: atomoxetine) is a non-stimulant medication and is prescribed for individuals who have difficulty tolerating stimulant medications such as Adderall, Ritalin, or Vyvanse

7 Off-label Uses of Strattera (Atomoxetine)

Strattera is prescribed off-label when the benefits outweigh the potential side effects. Off-label uses of Strattera (atomoxetine) include:

  1. Strattera for ADHD co-existing anxiety
  2. Adjunctive use in treatment-resistant depression
  3. ADHD with substance use disorder
  4. Emotional dysregulation associated with ADHD
  5. ADHD with tic disorders

Strattera is not an antidepressant; it is essential to consult a doctor before using Strattera for off-label use.

Does Strattera (Atomoxetine) Help With Anxiety

Strattera is FDA-approved for the treatment of Attention Deficit/Hyperactivity Disorder ADHD. It may indirectly help reduce anxiety symptoms in some individuals, particularly with ADHD. Research suggests that comorbid psychiatric disorders are among the most co-occurring conditions among adolescents with ADHD, with estimates that 4 out of 5 individuals experience at least one co-occurring mental health condition.

Anxiety disorders are one of the common comorbid disorders affecting 42% of the population. Studies show that atomoxetine helps reduce overlapping anxiety in children with ADHD. Unlike stimulant medications, such as Adderall, Vyvanse, and Ritalin, which are controlled substances, Strattera is not a controlled substance and does not carry the same risk of abuse and misuse.

In a clinical trial study, children with ADHD were compared between atomoxetine and methylphenidate. Some children experience greater improvement in the reduction of anxiety, though individual responses vary.

Medical supervision is necessary to minimize risks and manage side effects.

Ask an Expert!

Do I have ADHD, or am I just anxious?

This is the most common question people may ask, as both ADHD and anxiety share common symptoms.

ADHD is a neurodevelopmental disorder that may cause chronic and lifelong executive dysfunctions. Untreated ADHD may cause anxiety due to stress in managing daily life functioning. Shared common symptoms may include:

  1. Irritability
  2. Racing thoughts
  3. Restlesness
  4. Trouble concentrating
  5. Feeling overwhelmed

Many people experience both ADHD and anxiety. One may worsen the other; however, a proper professional evaluation from a psychiatrist or licensed healthcare professional is necessary.

Once a proper diagnosis is made, your healthcare professional can develop a personalized treatment plan tailored to your needs.

For many individuals, ADHD medications, when combined with therapy, can be most effective for both anxiety and ADHD. Psychopharmacotherapy, CBT, and therapy for anxiety are effective for anxiety and ADHD.

How Does Strattera Help With Anxiety?

Strattera contains the active ingredient atomoxetine and belongs to the class of drugs, selective norepinephrine reuptake inhibitors (NRIs). 

Strattera works by increasing the levels of the neurotransmitter norepinephrine in the brain. Norepinephrine plays a role in attention, stress response, and emotion regulation. By enhancing norepinephrine availability, Strattera helps brain chemicals (norepinephrine, serotonin) be available for a long period on the brain cells, which helps improve sleep cycle, reduce stress, and anxiety. 

What Symptoms Does Strattera Help With?

Although Strattera does not directly treat disorders like anxiety, it can control symptoms that contribute to anxiety induction, because many people who experience ADHD may also struggle with emotional dysregulation, chronic stress, and deficits in executive functioning. 

Strattera helps with symptoms such as:

  1. Impulsivity
  2. Trouble following instructions
  3. Inner restlessness
  4. Feeling mentally on edge
  5. Emotional overreactions.

5 Benefits of Strattera for Anxiety

  1. Strattera is not a controlled substance
  2. Strattera does not cause dependence
  3. May help reduce ADHD-related anxiety
  4. Some people may not tolerate stimulant medications, and their anxiety symptoms may worsen. Non-stimulant medications such as Strattera may help reduce anxiety symptoms effectively
  5. Strattera has the active ingredient atomoxetine hydrochloride, which helps to reduce anxiety symptoms with ADHD.

When Strattera May Not Help With Anxiety

Strattera may not be useful and worsen anxiety symptoms if:

  1. Anxiety is the primary concern
  2. Acute or severe anxiety that needs fast anxiety relief
  3. When anxiety is without an ADHD condition

In these cases, licensed healthcare providers may recommend therapy, lifestyle changes, and anti-anxiety medication treatment.

9 Common Side Effects of Strattera When Used for Anxiety

Strattera is used to help with ADHD with co-existing anxiety symptoms. Side effects of Strattera when used for anxiety may include:

  1. Nausea
  2. Vomiting
  3. Nervousness or jitteriness 
  4. Irritability
  5. Racing thoughts
  6. Dry mouth
  7. Insomnia or trouble sleeping
  8. Constipation
  9. Sexual side effects, including erectile dysfunction 

Serious side effects of Strattera

Serious and adverse effects of Strattera may include:

  1. Increased risk of suicidal ideation
  2. Liver toxicity
  3. Cardiac issues
  4. Severe allergic reactions
  5. Urinary retention
  6. Mania or hypomania (especially people with bipolar disorder)
  7. Priapism (painful, prolonged erection) is rare but serious

Patients should be monitored closely. If side effects persist or worsen, you can report them at 1-800-FDA-1088 or www.fda.gov/medwatch

Who Might Be a Good Candidate for Strattera

  1. Have ADHD and co-existing anxiety
  2. Can not tolerate stimulant medications and prefer non-stimulant medication
  3. Have ADHD and a history of substance use disorder

It is essential to consult your doctor first before starting Stattera.

Is Strattera the Right Option for Anxiety?

There is no guarantee that Strattera helps with anxiety, but research suggests it is safe for people with ADHD and anxiety.

For mental health issues such as depression or anxiety, antidepressants (SSRI or SNRI) are considered first-line treatment. For ADHD with co-existing anxiety, your healthcare provider may prescribe Strattera. What works for one person may not be suitable for others. 

It is essential to consult a psychiatrist who can evaluate symptoms, make an accurate diagnosis (ADHD, anxiety, or both), and determine if Strattera is appropriate based on your individual needs. 

Conclusion

Strattera is not FDA-approved to treat anxiety disorders. It is approved for ADHD, and some clinicians may prescribe it off-label for ADHD with co-existing anxiety symptoms.

Some people report significant improvements in anxiety symptoms related to ADHD while taking Strattera. Because treatment needs differ for each individual, it is essential to consult a licensed healthcare professional to determine whether Strattera is the right option for you.

At Therapy Fleet, our licensed healthcare providers can help you explore a personalized treatment plan from the comfort of your home.

Get started today and take the first step towards bettermental well-being.

Getting the right diagnosis is not the end of the journey—it’s the beginning of a better understanding of yourself.

FAQs

Here are answers to some of the common questions our therapist receives about Strattera, ADHD, and anxiety-related treatment options.

1. What is the best ADHD medication for anxiety?

Non-stimulant medications such as Strattera, Intuniv, and Qelbree can help reduce anxiety indirectly by improving ADHD.

Stimulant medications such as Adderall, Vyvanse, and Concerta may help or worsen anxiety, but this does not happen with everyone.

It is essential to consult a qualified mental health professional, as every person’s treatment response and individual needs may vary. There is no single “best ADHD medication for anxiety,” but these may be considered some of the best ADHD medications for anxiety.

2. Can you take Strattera with Clonidine?

No interaction found between Strattera and Clonidine; however, medical supervision and monitoring are required.

3. Does Concerta help with anxiety?

Concerta is a stimulant medication used to help manage ADHD symptoms, but sometimes stimulants can worsen anxiety symptoms.

It is essential to consult your clinician for informed decisions.

4. Does Strattera help with anxiety and depression?

Strattera is sometimes prescribed off-label for individuals with ADHD who also experience anxiety and depressive disorder. It is not the first-line treatment and is considered when ADHD and anxiety/depression coexist.

If depression and anxiety are the primary concerns, Therapy Fleet may help with additional treatment options, including evidence-based therapy and prescribe antidepressants when appropriate—alongside or instead of Strattera.

MEDICAL DISCLAIMER 

At TherapyFleet, we strive to enhance the quality of life for those dealing with mental health issues. Our licensed medical professionals meticulously research, edit, and review all content before publication. Nonetheless, this information should not replace professional medical advice, diagnosis, or treatment. For medical guidance, please consult your physician or reach out to Therapy Fleet’s qualified staff.

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