Signs Your Child Is Using or Abusing Drugs or Alcohol

How to tell if your child is using drugs or alcohol. Here are the signs of alcohol and drug abuse.

Parents sometimes tell me they had no idea that their teenagers were drinking or using drugs. That's usually because they've been oblivious to the telltale hints all around them. Don't let this happen to you. Here are the signs you should be on the lookout for.

The Nose Knows

Your teenage son breezes into the house on a Saturday night after a night out with the guys. How do you know if he was drinking or smoking? Make a point of having a conversation with him -- not a yelled conversation through various rooms and closed doors, but a real, face-to-face conversation. If your child has been drinking alcohol, smoking cigarettes, or smoking marijuana, the smell will be on his breath. Any smoke he's been around will also soak into his clothing and hair. That's not necessarily a sign of personal guilt, but if it's pot smoke you smell, you have the right to be alarmed; even if he wasn't smoking it himself, he was with peers who were. You should also be suspicious if your teen enters the house chomping on a fresh wad of spearmint gum or a handful of Altoids, or smelling of freshly applied lotion or perfume. He's probably trying to cover up a telltale odor.

Take a Closer Look

If your teenager is using or abusing an illegal substance, there's probably visual evidence to support it too. While you're chatting with her after she gets back from going out with her friends, take a close look. Pay attention to her eyes -- they tend to reveal any substance use. If she's been smoking marijuana, her eyes will be red and heavy lidded, with constricted pupils. If she's been drinking alcohol, her pupils will be dilated, and she may have difficulty focusing on you. In addition, some alcohol effects are red, flushed color to the face and cheeks. There are also telltale signs of more serious drug use. Intravenous drug use leaves track marks, usually on the arms, but occasionally other places like the legs. Long sleeves in scorching hot summer weather may be an attempt to hide something. Cocaine use effects are nosebleeds and eventually eats away at the septum inside the nose. Finally, if there are strange burns on her lips or fingers, she may be smoking a substance through a hot glass or metal pipe. Sores or spots around the mouth along with paint stains on the body or clothing, a chemical odor or a runny nose can also indicate inhalant use, the practice of inhaling the fumes from household chemicals for a high. Ecstasy causes involuntary teeth clenching, increased affection and a loss of inhibitions. Also look for a fascination with sights and sounds, excessive water consumption and child-like toys.

Mood Changes

How to tell if your child is using drugs or alcohol. Here are the signs of alcohol and drug abuse.Okay, the scenario is the same as above; it's Saturday night, and your son has just gotten back from a night out with his friends. How is he acting? Is he loud and obnoxious, or laughing hysterically at nothing? Is he unusually clumsy to the point where he's stumbling into furniture and walls, tripping over his own feet and knocking things over? Is he sullen, withdrawn, and unusually tired and slack-eyed for the hour of night? Does he look queasy and stumble into the bathroom? These are all signs that he could have just been using some kind of illegal substance: alcohol, marijuana, or something else. You shouldn't read too much into a slight mood change after he gets home from being with his friends, but you should be on the lookout for unusual or extreme behavior. You should also pay attention to your teenager's behavior over time. If your teenager has become silent, angry, withdrawn, and uncommunicative, and this has lasted for at least a few weeks, something else is going on. He may get angry if you try to reach out to him, and insist that you leave him alone, but you need to find out what's going on. While there are a number of reasons for a child to be moody, you should certainly consider the possibility that he has formed a habit of substance use.

Car Accidents

For many older teens, their cars are their lives. If you suspect your teenager has been using illicit substances recently, see if the car has any clues to offer. Maybe her driving is noticeably more reckless when she's coming home after being with her friends. She might whip into the driveway at eighty miles per hour, run over sections of lawn, hit things, or park carelessly. Or maybe there's a new dent in the front of the car and she claims she knows nothing about it. If you're suspicious, examine the inside of the car too; most teens are pretty sloppy about cleaning the inside of their car. Does it smell like marijuana smoke or alcohol fumes? Are there any bottles, pipes, bongs, or other drug paraphernalia rolling around on the floor or hidden in the glove box? If you find anything, challenge her on it immediately: be forthright, and tell her exactly what you've discovered and why you're concerned.

Deceit or Secretiveness

Suddenly you find your normally honest child lying to you all the time. Her evening and weekend plans are starting to sound a little fishy; she's either vague about where she's going or her alibis don't work (she can't describe the movie she supposedly just saw; or the friend she's supposed to be out with just called looking for her). She says that parents will be at the parties she's going to but can't give you a phone number, and comes home acting intoxicated. She gets in way past her curfew or estimated time, and she's got a seemingly endless string of excuses to justify her behavior. Even if you find evidence of substance use -- drunken or high behavior, a beer can or a marijuana rolling paper in her room -- she's got someone or something else to place the blame on. When excuses fail, she'll respond to your inquiries and concern by telling you that it's none of your business. Something is wrong, and you need to figure out what she's really up to.


Decreased Motivation

Your child's grades start falling and there's no obvious reason for it. He gives you a weak explanation and assures you he can handle the situation, but he doesn't. He may be skipping school and spending less and less time on his homework. And he appears to be losing interest in other activities as well. You're getting calls from teachers, coaches, principals, all saying the same thing: that your teenager has been skipping his classes, activities, or practices, and when he's there he's not putting forth any effort. This could be a sign of a real drug abuse problem, where the desire to get drunk or high has taken top priority in his life.

Missing Alcohol, Cigarettes, Money or Valuables

 For the teen who's looking to get drunk or buy drugs, their parents' house can be a gold mine of resources. Nearly all parents keep some sort of alcohol in the house, whether it's six-packs of beer, a rack of wine bottles, or a cabinet featuring an assortment of liquor. Teens will start stealing this alcohol, hoping their parents won't miss it, or filling liquor bottles back up with water to bring them to the original level. If one or both of their parents smokes cigarettes, they can always take some from the pack (or take the whole pack). If they need money to buy drugs, then they'll start going through their parents' wallets, stealing bills, or else will steal valuables like jewelry and heirlooms to pawn for money.
You should always keep track of the alcohol in the house. If you notice anything missing or your liquor tastes suspiciously watery, you should lock it up so your teen can't get to it. If your child is stealing cigarettes and you don't approve of him smoking, don't leave packs out where he can get to them. And in all these instances, particularly when money or valuables are being stolen, you need to confront him immediately. Let him know that you're aware of what goes on and that you won't tolerate him stealing from you.

Cash Flow Problems

You know something is going on when your money starts disappearing. There are other money-related ways to detect this sort of problem too. Obviously, drugs and alcohol cost money, and even seemingly inexpensive substances add up over time. Your child may work a part-time job after school, but he's probably not earning much more than minimum wage. So if you find that he is increasingly concerned about getting more money but volunteers no explanation as to why, you should wonder what he's spending it on, especially if he doesn't turn up with any new clothes, CDs, or other material items. It may be that he's using his money -- allowance, wages, handouts, whatever -- to support his substance use. On the other hand, if he suddenly seems to have a whole lot more money for clothing, CDs, or other coveted items, way beyond what he reasonably should in his circumstances, consider that he could be dealing drugs. Under these circumstances, a room search may be justified.

Change in Friends

You notice that your teenager is hanging out with a different peer group. Sure, it's normal for teenagers to make new friends, but these friends worry you for some reason. Perhaps these new friends are older and seem to be more promiscuous and independent, with less parental supervision and less interest in school. They might be making poor choices and getting involved in questionable activities. Maybe you've even suspected they were high or drunk when you were talking to them. Whatever the case, your teen will probably defend her new choice in friends, saying her new friends are more fun and understanding. But if you've got a feeling they're up to no good, keep your eyes and ears open, and go with your instincts.

© 2001 by Neil I. Bernstein. From "How to Keep Your Teenager Out of Trouble and What to Do if You Can't" by Dr. Neil I. Bernstein (2001, Workman Publishing, New York).

next: General Signs and Symptoms of Drug or Alcohol Abuse
~ addictions library articles
~ all addictions articles

APA Reference
Staff, H. (2009, January 3). Signs Your Child Is Using or Abusing Drugs or Alcohol, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/addictions/articles/signs-child-using-abusing-drugs-alcohol

Last Updated: June 28, 2016

Exubera (Insulin Inhalation) Patient Information

Find out why Exubera is prescribed, side effects of Exubera, Exubera warnings, Exurbera drug interactions more - in plain English.

Exubera (insulin inhalation) Full Prescribing Information

Brand Names: Exubera
Generic Name: insulin inhalation

Pronunciation: (IN soo lin in hel AY shun)

What is Exubera?

Exubera is a rapid-acting form of human insulin that is inhaled through the mouth. It works by lowering levels of glucose (sugar) in the blood.

Exubera is used to treat type 1 (insulin dependent) or type 2 (non-insulin dependent) diabetes in adults.

Exubera may also be used for purposes other than those listed here.

Most important fact about Exubera

Do not use Exubera if you smoke, or if you have recently quit smoking (within the past 6 months). If you start smoking while using Exubera, you will have to stop using this medication and switch to another form of insulin to control your blood sugar. Before using Exubera, tell your doctor if you have kidney disease, liver disease, or lung disorders such as asthma or COPD (chronic obstructive pulmonary disease).

You should not Exubera if you have a lung disease that is not well controlled with medication or other treatments. There are many other drugs that can potentially interfere with the glucose-lowering effects of Exubera. It is extremely important that you tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

If there are any changes in the brand, strength, or type of insulin you use, your dosage needs may change. Always check your medicine when it is refilled to make sure you have received the correct brand and type as prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine given to you at the pharmacy.

If you use Exubera as a meal-time insulin, use it no more than 10 minutes before eating the meal.

Exubera is only part of a complete program of treatment that may also include diet, exercise, weight control, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels.

 


continue story below


Take care to keep your blood sugar from getting too low, causing hypoglycemia. Know the signs and symptoms of hypoglycemia, which include headache, confusion, drowsiness, weakness, dizziness, fast heartbeat, sweating, tremor, and nausea. Carry a piece of non-dietetic hard candy or glucose tablets with you in case you have low blood sugar.

Before taking Exubera

Before using Exubera, tell your doctor if you have kidney disease, liver disease, or lung disorders such as asthma or COPD (chronic obstructive pulmonary disease).

You should not use Exubera if you have a lung disease that is not well controlled with medication or other treatments. If you have type 1 diabetes, you should use Exubera in addition to another long-acting type of insulin.

If you have type 2 diabetes, this may be the only medication you use to control your blood sugar, or your doctor may prescribe another long-acting insulin or diabetes medicine you take by mouth.

Exubera is only part of a complete program of treatment that may also include diet, exercise, weight control, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels.

If there are any changes in the brand, strength, or type of insulin you use, your dosage needs may change. Always check your medicine when it is refilled to make sure you have received the correct brand and type as prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine given to you at the pharmacy.

FDA pregnancy category C. Exubera may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Exubera can pass into breast milk and may harm a nursing baby. Do not use Exubera without telling your doctor if you are breast-feeding a baby.

How should you take Exubera?

Use Exubera exactly as it was prescribed for you. Do not use it in larger doses or for longer than recommended by your doctor.

Your doctor may occasionally change your dose to make sure you get the best results from Exubera.

If you use Exubera as a meal-time insulin, use it no more than 10 minutes before eating the meal.

To be sure Exubera is not causing certain side effects, your lung function will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.

Continue using Exubera if you have a cold or flu virus that causes upper respiratory symptoms (cough, sore throat, nasal congestion). Check your blood sugar carefully during a time of stress or illness, since this can also affect your glucose levels.

Exubera is a powder that is supplied in "dose blisters" on cards that are packaged in a clear plastic tray. This tray is sealed inside a foil pouch that also contains a moisture-absorbing preservative packet. The 1-milligram (mg) dose blisters are supplied on a card printed with green ink. The 3-mg dose blisters are supplied on a card printed with blue ink.

Each 1-milligram dose blister of Exubera powder is equal to 3 units of injectable insulin and each 3-milligram dose blister is equal to 8 units of injectable insulin. Using three of the 1-mg dose blisters will not give you the same amount of medicine as one 3-mg dose blister. You may receive too much insulin when using three 1-mg dose blisters together, which could result in hypoglycemia.

If you are combining 1-mg and 3-mg dose blisters to get your correct dose of insulin, always use the least number of blisters possible. For example, if your dose is 4 mg, use a 1-mg blister and a 3-mg blister (a total of two blisters). Do not use four 1-mg blisters or you may receive too much Exubera. The inhaler unit supplied with Exubera includes a base, a chamber, and a release unit. Each release unit may be used for up to 2 weeks before replacing. You may use the inhaler for up to 1 year before replacing it.

Store the medication at room temperature, away from moisture and heat. Do not refrigerate or freeze. Protect the medicine from moisture and humidity at all times. Do not store the medicine in a bathroom where you shower. Once you have opened the foil pouch, keep the unused dose blisters in the pouch and use them within 3 months after opening the pouch. Keep the moisture-absorbing preservative packet contained in the foil pouch and do not open the packet or use its contents.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

If you use Exubera as meal-time insulin and you forget to use your dose before a meal, use the insulin when you remember and wait 10 minutes before eating.

Overdosage

In case of an overdosage, seek emergency medical attention if you think you have used too much of this medicine. Symptoms of an Exubera overdose may be the same as signs of low blood sugar: confusion, drowsiness, weakness, fast heartbeat, sweating, tremor, and nausea.

What should I avoid while taking Exubera?

Do not smoke while using Exubera. You should not use this medication if you have smoked within the past 6 months. If you start smoking while using Exubera, you will have to stop using the medication and switch to another form of insulin to control your blood sugar. Avoid letting your blood sugar get too low, causing hypoglycemia. Know the signs and symptoms of hypoglycemia, which include headache, confusion, drowsiness, weakness, dizziness, fast heartbeat, sweating, tremor, and nausea. Carry a piece of non-dietetic hard candy or glucose tablets with you in case you have low blood sugar.

What side effects may occur using Exubera?

Hypoglycemia (low blood sugar) is the most common side effect of Exubera. Watch for signs of low blood sugar, which include headache, confusion, drowsiness, weakness, dizziness, fast heartbeat, sweating, tremor, and nausea. Carry a piece of non-dietetic hard candy or glucose tablets with you in case you have low blood sugar.

Get emergency medical help if you have any of these signs of an allergic reaction: rash, hives, or itching; wheezing, gasping for breath; fast heartbeat; sweating; feeling light-headed or fainting. Other less serious side effects are more likely to occur, such as:

  • cough, sore throat;
  • runny or stuffy nose;
  • dry mouth; or
  • ear pain.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Possible drug interactions when taking Exubera

There are many other drugs that can potentially interfere with the glucose-lowering effects of Exubera. It is extremely important that you tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

If you use other inhaled medications, use them before using Exubera.

Where can I get more information?

Exubera (insulin inhalation) Full Prescribing Information

back to top

Last revised 01/07

back to: Psychiatric Medication Patient Information Index

APA Reference
Staff, H. (2009, January 3). Exubera (Insulin Inhalation) Patient Information, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/other-info/psychiatric-medications/exubera-insulin-inhalation-patient-information

Last Updated: January 28, 2019

Strattera Medication Guide

Important information about Strattera including risk of suicidal thinking in children and teenagers taking Strattera.

Strattera Prescribing Information
Strattera Patient Information

Read this information carefully before you start taking STRATTERA (Stra-TAIR-a) to learn about the benefits and risks of STRATTERA.

Read the information you get with STRATTERA each time you get more STRATTERA, as there may be new information. This information does not take the place of talking to your doctor about your medical condition or treatment.

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

Parents or guardians need to think about 4 important things when their child or teenager is prescribed STRATTERA:

  1. There is a risk of suicidal thinking

  2. How to try to prevent suicidal thoughts or actions in your child

  3. You should watch for certain signs if your child is taking STRATTERA

  4. There are benefits and risks when using STRATTERA

1. There is a Risk of Suicidal Thinking

Children and teenagers sometimes think about suicide, and many report trying to kill themselves.

STRATTERA increased suicidal thinking in some children being treated for ADHD in clinical trials.

A large study combined the results of 12 different studies of children and teenagers with ADHD. In these studies, patients took either a placebo (sugar pill) or STRATTERA for 6 to 18 weeks. No one committed suicide in these studies, but some patients experienced suicidal thinking. On sugar pills, no patients developed suicidal thinking. On STRATTERA, 4 out of every 1000 patients developed suicidal thinking.

For some children and teenagers, the risks of suicidal thinking or behaviors may be especially high.

These include patients with

  • Bipolar illness (sometimes called manic-depressive illness)
  • A family history of bipolar illness
  • A personal or family history of attempting suicide

If any of these are present, make sure you tell your healthcare provider before your child takes STRATTERA.


continue story below


2. How to Try to Prevent Suicidal Thoughts and Actions

 

To try to prevent suicidal thoughts and actions in your child, talk with and listen to your child about his or her thoughts and feelings and pay close attention to changes in his or her moods or actions, especially if the changes occur suddenly. Other important people in your child's life can help by paying attention as well (e.g., brothers and sisters, teachers, and other important people). The changes to look out for are listed in Section 3.

Whenever STRATTERA is started or its dose is changed, pay close attention to your child.

After starting STRATTERA, your child should generally see his or her healthcare provider:

  • Once a week for the first 4 weeks
  • Every 2 weeks for the next 4 weeks
  • After taking STRATTERA for 12 weeks
  • After 12 weeks, follow your healthcare provider's advice about how often to come back
  • More often if problems or questions arise (see Section 3)

You should call your child's healthcare provider between visits if needed.

3. You Should Watch for Certain Signs If Your Child is Taking STRATTERA

Contact your child's healthcare provider right away if your child exhibits any of the following signs for the first time, or if they seem worse, or worry you, your child, or your child's teacher:

  • Thoughts about suicide or dying
  • Attempts to commit suicide
  • New or worse depression
  • New or worse anxiety
  • Feeling very agitated or restless
  • Panic attacks
  • Difficulty sleeping (insomnia)
  • New or worse irritability
  • Acting aggressive, being angry, or violent
  • Acting on dangerous impulses
  • An extreme increase in activity and talking
  • Other unusual changes in behavior

4. There are Benefits and Risks When Using STRATTERA

STRATTERA is a non-stimulant medicine used to treat Attention-Deficit/Hyperactivity Disorder (ADHD). In some children and teenagers who participated in clinical trials, treatment with STRATTERA increased suicidal thinking. It is important to discuss all the risks of treating

ADHD and also the risks of not treating it. As with all treatments for ADHD, you should discuss with your healthcare provider the potential benefits and risks of STRATTERA

What is STRATTERA?

STRATTERA is a non-stimulant medicine used to treat ADHD in children, teenagers and adults. STRATTERA contains atomoxetine hydrochloride, a selective norepinephrine reuptake inhibitor. Your doctor has prescribed this medicine as part of an overall treatment plan to control your symptoms of ADHD.

What is ADHD?

ADHD has 3 main types of symptoms: inattention, hyperactivity, and impulsiveness. Symptoms of inattention include not paying attention, making careless mistakes, not listening, not finishing tasks, not following directions, and being easily distracted. Symptoms of hyperactivity and impulsiveness include fidgeting, talking excessively, running around at inappropriate times, and interrupting others. Some patients have more symptoms of hyperactivity and impulsiveness while others have more symptoms of inattentiveness. Some patients have all 3 types of symptoms.

Symptoms of ADHD in adults may include a lack of organization, problems starting tasks, impulsive actions, daydreaming, daytime drowsiness, slow processing of information, difficulty learning new things, irritability, lack of motivation, sensitivity to criticism, forgetfulness, low self-esteem, and excessive effort to maintain some organization. The symptoms shown by adults who primarily have attention problems but not hyperactivity have been commonly described as Attention-Deficit Disorder (ADD).

Many people have symptoms like these from time to time, but patients with ADHD have these symptoms more than others their age. Symptoms must be present for at least 6 months to be certain of the diagnosis.

Who should NOT take STRATTERA?

Do not take STRATTERA if:

  • you took a medicine known as a monoamine oxidase inhibitor (MAOI) in the last 2 weeks. An MAOI is a medicine sometimes used for depression and other mental problems. Some names of MAOI medicines are Nardil® (phenelzine sulfate) and Parnate® (tranylcypromine sulfate). Taking STRATTERA with an MAOI could cause serious side effects or be life-threatening.
  • you have an eye disease called narrow angle glaucoma.
  • you are allergic to STRATTERA or any of its ingredients. The active ingredient is atomoxetine. The inactive ingredients are listed at the end of this Medication Guide.

What should I tell my doctor before taking STRATTERA?

Talk to your doctor before taking STRATTERA if you:

  • have or had suicidal thoughts.
  • have or had liver problems. You may need a lower dose.
  • have high blood pressure. STRATTERA can increase blood pressure.
  • have problems with your heart or an irregular heartbeat. STRATTERA can increase heart rate (pulse).
  • have low blood pressure. STRATTERA can cause dizziness or fainting in people with low blood pressure.

Tell your doctor about all the medicines you take or plan to take, including prescription and non-prescription medicines, dietary supplements, and herbal remedies. Your doctor will decide if you can take STRATTERA with your other medicines.

Certain medicines may change the way your body reacts to STRATTERA. These include medicines used to treat depression [like Paxil® (paroxetine hydrochloride) and Prozac® (fluoxetine hydrochloride)], and certain other medicines (like quinidine). Your doctor may need to change your dose of STRATTERA if you are taking it with these medicines.

STRATTERA may change the way your body reacts to oral or intravenous albuterol (or drugs with similar actions), but the effectiveness of these drugs will not be changed. Talk with your doctor before taking STRATTERA if you are taking albuterol.

How should I take STRATTERA?

  • Take STRATTERA according to your doctor's instructions. This is usually taken 1 or 2 times a day (morning and late afternoon/early evening).
  • You can take STRATTERA with or without food.
  • If you miss a dose, take it as soon as possible, but do not take more than your total daily dose in any 24-hour period.
  • Taking STRATTERA at the same time each day may help you remember.
  • STRATTERA is available in several dosage strengths: 10, 18, 25, 40, 60, 80, and 100 mg.

Call your doctor right away if you take more than your prescribed dose of STRATTERA.

You should not open STRATTERA capsules, but if they are accidentally opened or broken you should avoid contact with the powder and wash away any loose powder as soon as possible with water. If any of the powder gets in your eyes you should rinse them with water immediately and contact your doctor.

Other important safety information about STRATTERA

STRATTERA can cause liver damage in rare cases. Call your doctor right away if you have itching, dark urine, yellow skin/eyes, upper right-sided abdominal tenderness, or unexplained "flu-like" symptoms.

Use caution when driving a car or operating heavy machinery until you know how STRATTERA affects you.

If you notice an increase in aggression or hostility since taking this medication, you should call your doctor as soon as possible.

Talk to your doctor if you are:

  • pregnant or planning to become pregnant
  • breast-feeding. We do not know if STRATTERA can pass into your breast milk.

What are the common side effects of STRATTERA?

The most common side effects of STRATTERA used in teenagers and children over 6 years old are:

  • upset stomach
  • decreased appetite
  • nausea or vomiting
  • dizziness
  • tiredness
  • mood swings

Weight loss may occur after starting STRATTERA. Treatment data up to 3 years indicates minimal, if any, long-term effects of STRATTERA on weight and height. Your doctor will watch your weight and height. If you are not growing or gaining weight as expected, your doctor may change your treatment with STRATTERA.

The most common side effects of STRATTERA used in adults are:

  • constipation
  • dry mouth
  • nausea
  • decreased appetite
  • dizziness
  • problems sleeping
  • sexual side effects
  • problems urinating
  • menstrual cramps

Stop taking STRATTERA and call your doctor right away if you get swelling or hives. STRATTERA can cause a serious allergic reaction in rare cases.

This is not a complete list of side effects. Talk to your doctor if you develop any symptoms that concern you.

See also "What is the most important information I should know about STRATTERA?" and "Other important safety information about STRATTERA".

General advice about STRATTERA

STRATTERA has not been studied in children under 6 years old.

Medicines are sometimes prescribed for conditions that are not mentioned in Medication Guides. Do not use STRATTERA for a condition for which it was not prescribed. Do not give STRATTERA to other people, even if they have the same symptoms you have.

This Medication Guide summarizes the most important information about STRATTERA. If you would like more information, talk with your doctor. You can ask your doctor or pharmacist for information on STRATTERA that is written for health professionals. You can also call 1-800-Lilly-Rx (1-800-545-5979) or visit our website at www.strattera.com.

What are the ingredients in STRATTERA?

Active ingredient: atomoxetine.

Inactive ingredients: pregelatinized starch, dimethicone, gelatin, sodium lauryl sulfate, FD&C Blue No. 2, synthetic yellow iron oxide, titanium dioxide, red iron oxide, and edible black ink.

Store STRATTERA at room temperature.

 

This Medication Guide has been approved by the US Food and Drug Administration.

 

Eli Lilly and Company
Indianapolis, IN 46285, USA

www.strattera.com

back to top

Strattera Prescribing Information
Strattera Patient Information

Detailed Info on Signs, Symptoms, Causes, Treatments of ADHD

back to: Psychiatric Medications Pharmacology Homepage

APA Reference
Staff, H. (2009, January 3). Strattera Medication Guide, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/other-info/psychiatric-medications/strattera-medication-guide

Last Updated: October 23, 2019

Naprosyn (Naproxen) Patient Information

Generic name: Naproxen
Other brand name: EC-Naprosyn

Pronounced: NA-proh-sinn

 


 

What is the most important information I should know about medicines called Non-Steroidal AntiInflammatory Drugs (NSAIDs)?

NSAID medicines may increase the chance of a heart attack or stroke that can lead to death. This chance increases: · with longer use of NSAID medicines · in people who have heart disease

NSAID medicines should never be used right before or after a heart surgery called a ìcoronary artery bypass graft (CABG)."

NSAID medicines can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Ulcers and bleeding: · can happen without warning symptoms · may cause death

The chance of a person getting an ulcer or bleeding increases with: · taking medicines called ìcorticosteroidsî and ìanticoagulantsî · longer use · smoking · drinking alcohol · older age · having poor health

NSAID medicines should only be used: · exactly as prescribed · at the lowest dose possible for your treatment · for the shortest time needed

What are Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)? NSAID medicines are use to treat pain and redness, swelling, and heat (inflammation) from medical conditions such as: · different types of arthritis · menstrual cramps and other types of short-term pain

 

Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)? Do not take an NSAID medicine: · if you had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicine · for pain right before or after heart bypass surgery Tell your healthcare provider: · about all of your medical conditions. · about all of the medicines you take. NSAIDs and some other medicines can interact with each other and cause serious side effects. Keep a list of your medicines to show to your healthcare provider and pharmacist. · if you are pregnant. NSAID medicines should not be used by pregnant women late in their pregnancy. · if you are breastfeeding. Talk to your doctor.

What are the possible side effects of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)?


continue story below


Seriousside effects include:

  • heart attack
  • stroke
  • high blood pressure
  • heart failure from body swelling (fluid retention)
  • kidney problems including kidney failure
  • bleeding and ulcers in the stomach and intestine
  • low red blood cells (anemia)
  • life-threatening skin reactions
  • life-threatening allergic reactions
  • liver problems including liver failure
  • asthma attacks in people who have asthma

Otherside effects include:

  • stomach pain
  • constipation
  • diarrhea
  • gas
  • heartburn  
  • nausea
  • vomiting
  • dizziness

Get emergency help right away if you have any of the following symptoms:

  • shortnes s of breath or trouble breathing body
  • chest pain
  • slurred speech
  • weakness in one part or side of your
  • swelling of the face or throat

Stop your NSAID medicine and call your healthcare provider right away if you have any of the following symptoms:

  • nausea
  • vomit blood
  • more tired or weaker than usual
  • there is blood in your bowel
  • itching movement or it is black and
  • your skin or eyes look yellow sticky like tar
  • stomach pain
  • skin rash or blisters with fever
  • flu-like symptoms
  • unusual weight gain
  • swelling of the arms and legs, hands and feet

These are not all the side effects with NSAID medicines. Talk to your healthcare provider or pharmacist for more information about NSAID medicines.

Other information about Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

  • Aspirin is an NSAID medicine but it does not increase the chance of a heart attack. Aspirin can cause bleeding in the brain, stomach, and intestines. Aspirin can also cause ulcers in the stomach and intestines.
  • Some of these NSAID medicines are sold in lower doses without a prescription (over ñthe ñcounter). Talk to your healthcare provider before using over ñthe ñcounter NSAIDs for more than 10 days.

 


 

Why is Naprosyn prescribed?

Naprosyn, a nonsteroidal anti-inflammatory drug, is used to relieve the inflammation, swelling, stiffness, and joint pain associated with rheumatoid arthritis, osteoarthritis (the most common form of arthritis), juvenile arthritis, ankylosing spondylitis (spinal arthritis), tendinitis, bursitis, and acute gout; it is also used to relieve menstrual cramps and other types of mild to moderate pain.

Most important fact about Naprosyn

You should have frequent checkups with your doctor if you take Naprosyn regularly. Ulcers or internal bleeding can occur without warning.

How should you take Naprosyn?

Naprosyn may be taken with food or an antacid, and with a full glass of water to avoid stomach upset. Avoid taking it on an empty stomach.

If you are using Naprosyn for arthritis, it should be taken regularly; take it exactly as prescribed.

Do not break, crush, or chew an EC-Naprosyn tablet.

--If you miss a dose...

And you take the drug on a regular schedule, take the dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.

--Storage instructions...

Store at room temperature in a well-closed container. Protect from light and extreme heat.

What side effects may occur using Naprosyn?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Naprosyn.

  • More common side effects may include: Abdominal pain, bruising, constipation, difficult or labored breathing, dizziness, drowsiness, headache, heartburn, itching, nausea, ringing in ears, skin eruptions, swelling due to fluid retention

Why should this drug not be prescribed?

If you are sensitive to or have ever had an allergic reaction to Naprosyn, EC-Naprosyn, Anaprox, Anaprox DS, or Aleve, you should not take this drug. Also, if aspirin or other nonsteroidal anti-inflammatory drugs have ever given you asthma or nasal inflammation or tumors, you should not take this medication. Make sure your doctor is aware of any drug reactions you have experienced.

Special warnings about Naprosyn

Remember that peptic ulcers and bleeding can occur without warning. Call your doctor immediately if you suspect a problem.

Use this drug with caution if you have kidney or liver disease; it can cause liver or kidney problems in some people.

Naprosyn may prolong bleeding time. If you are taking blood-thinning medication, your doctor will prescribe Naprosyn with caution.

By reducing fever and inflammation, Naprosyn may hide an underlying condition.

This medication may cause vision problems. If you experience any changes in your vision, inform your doctor.

This drug can increase water retention. It will be prescribed with caution if you have heart disease or high blood pressure. Naprosyn suspension contains a significant amount of sodium. If you are on a low-sodium diet, discuss this with your doctor.

Naprosyn may cause you to become drowsy or less alert; therefore, avoid driving, operating dangerous machinery, or participating in any hazardous activity that requires full mental alertness until you are sure of the drug's effect on you.

Possible food and drug interactions when taking Naprosyn

If Naprosyn is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Naprosyn with the following:

ACE inhibitors such as the blood-pressure drug Zestril Aspirin Beta blockers such as the blood-pressure drug Tenormin Blood-thinning drugs such as Coumadin Furosemide (Lasix) Lithium (Eskalith, Lithobid) Methotrexate Naproxen sodium (Aleve, Anaprox) Oral diabetes drugs such as Diabinese and Micronase Phenytoin (Dilantin) Probenecid (Benemid) Sulfa drugs such as the antibiotics Bactrim and Septra

EC-Naprosyn should not be used with antacids, H 2 blockers such as Tagamet, or sucralfate (Carafate).

Special information if you are pregnant or breastfeeding

The effects of Naprosyn during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Naprosyn appears in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with this medication is finished.

Recommended dosage

Naprosyn is available in tablet and liquid form. When taking the liquid, use a teaspoon or the measuring cup, marked in one-half teaspoon and 2.5 milliliter increments, that comes with Naprosyn suspension.

ADULTS

Naprosyn presentation

Rheumatoid Arthritis, Osteoarthritis, and Ankylosing Spondylitis

The usual dose of Naprosyn is 250 milligrams (10 milliliters or 2 teaspoons of suspension), 375 milligrams (15 milliliters or 3 teaspoons), or 500 milligrams (20 milliliters or 4 teaspoons) 2 times a day (morning and evening). EC-Naprosyn is taken in doses of 375 or 500 milligrams twice a day. Your dose may be adjusted by your doctor over your period of treatment. Improvement of symptoms should be seen in 2 to 4 weeks.

Acute Gout

Starting dose of Naprosyn is 750 milligrams (30 milliliters or 6 teaspoons), followed by 250 milligrams (10 milliliters or 2 teaspoons) every 8 hours until the symptoms are relieved. EC-Naprosyn should not be used to treat gout.

Mild to Moderate Pain, Menstrual Cramps, Acute Tendinitis, and Bursitis

Starting dose is 500 milligrams (20 milliliters or 4 teaspoons of suspension), followed by 250 milligrams (10 milliliters or 2 teaspoons) every 6 to 8 hours as needed. The most you should take in a day is 1,250 milligrams (50 milliliters or 10 teaspoons). Do not take EC-Naprosyn for these problems.

CHILDREN

Juvenile Arthritis

The usual daily dose is 10 milligrams per 2.2 pounds of body weight, divided into 2 doses. Follow your doctor's directions carefully when giving a child this medicine.

The safety and effectiveness of Naprosyn have not been established in children under 2 years of age.

OLDER ADULTS

Your doctor will probably have you take a reduced dose.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

  • Symptoms of Naprosyn overdose may include: Drowsiness, heartburn, indigestion, nausea, vomiting

back to top

Full Naprosyn prescribing information

back to: Psychiatric Medication Patient Information Index

APA Reference
Staff, H. (2009, January 3). Naprosyn (Naproxen) Patient Information, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/other-info/psychiatric-medications/naprosyn-naproxen-patient-information

Last Updated: April 7, 2017

Effexor, Effexor XR (Venlafaxine) Medication Guide

About Using Antidepressants in Children and Teenagers

See Effexor XR Full Prescribing Information

What is the most important information I should know if my child is being prescribed an antidepressant?

Parents or guardians need to think about 4 important things when their child is prescribed an antidepressant:

1. There is a risk of suicidal thoughts or actions.
2. How to try to prevent suicidal thoughts or actions in your child.
3. You should watch for certain signs if your child is taking an antidepressant.
4. There are benefits and risks when using antidepressants.

1. There is a Risk of Suicidal Thoughts or Actions

Children and teenagers sometimes think about suicide, and many report trying to kill themselves.

Antidepressants increase suicidal thoughts and actions in some children and teenagers. But suicidal thoughts and actions can also be caused by depression, a serious medical condition that is commonly treated with antidepressants. Thinking about killing yourself or trying to kill yourself is called suicidality or being suicidal.

A large study combined the results of 24 different studies of children and teenagers with depression or other illnesses. In these studies, patients took either a placebo (sugar pill) or an antidepressant for 1 to 4 months. No one committed suicide in these studies, but some patients became suicidal. On sugar pills, 2 out of every 100 became suicidal. On the antidepressants, 4 out of every 100 patients became suicidal.

For some children and teenagers, the risks of suicidal actions may be especially high. These include patients with:

- Bipolar illness (sometimes called manic-depressive illness)
- A family history of bipolar illness
- A personal or family history of attempting suicide


continue story below


If any of these are present, make sure you tell your healthcare provider before your child takes an antidepressant.

2. How to Try to Prevent Suicidal Thoughts and Actions

To try to prevent suicidal thoughts and actions in your child, pay close attention to changes in her or his moods or actions, especially if the changes occur suddenly. Other important people in your child's life can help by paying attention as well (e.g., your child, brothers and sisters, teachers, and other important people). The changes to look out for are listed in Section 3, on what to watch for.

Whenever an antidepressant is started or its dose is changed, pay close attention to your child.

After starting an antidepressant, your child should generally see his or her healthcare provider:

- Once a week for the first 4 weeks
- Every 2 weeks for the next 4 weeks
- After taking the antidepressant for 12 weeks
- After 12 weeks, follow your healthcare provider's advice about how often to come back
- More often if problems or questions arise (see Section 3)

You should call your child's healthcare provider between visits if needed.

3. You Should Watch for Certain Signs If Your Child is Taking an Antidepressant

Contact your child's healthcare provider right away if your child exhibits any of the following signs for the first time, or if they seem worse, or worry you, your child, or your child's teacher:

- Thoughts about suicide or dying
- Attempts to commit suicide
- New or worse depression
- New or worse anxiety
- Feeling very agitated or restless
- Panic attacks
- Difficulty sleeping (insomnia)
- New or worse irritability
- Acting aggressive, being angry, or violent
- Acting on dangerous impulses
- An extreme increase in activity and talking
- Other unusual changes in behavior or mood

Never let your child stop taking an antidepressant without first talking to his or her healthcare provider. Stopping an antidepressant suddenly can cause other symptoms.

4. There are Benefits and Risks When Using Antidepressants

Antidepressants are used to treat depression and other illnesses. Depression and other illnesses can lead to suicide. In some children and teenagers, treatment with an antidepressant increases suicidal thinking or actions. It is important to discuss all the risks of treating depression and also the risks of not treating it. You and your child should discuss all treatment choices with your healthcare provider, not just the use of antidepressants.

Other side effects can occur with antidepressants (see section below).

Of all the antidepressants, only fluoxetine (Prozac®) has been FDA approved to treat pediatric depression.

For obsessive compulsive disorder in children and teenagers, FDA has approved only fluoxetine (Prozac®), sertraline (Zoloft®), fluvoxamine, and clomipramine (Anafranil®).*

Your healthcare provider may suggest other antidepressants based on the past experience of your child or other family members.

Is this all I need to know if my child is being prescribed an antidepressant?

No. This is a warning about the risk for suicidality. Other side effects can occur with antidepressants. Be sure to ask your healthcare provider to explain all the side effects of the particular drug he or she is prescribing. Also ask about drugs to avoid when taking an antidepressant. Ask your healthcare provider or pharmacist where to find more information.

* Prozac® is a registered trademark of Eli Lilly and Company
Zoloft® is a registered trademark of Pfizer Pharmaceuticals
Anafranil® is a registered trademark of Mallinckrodt Inc.

This Medication Guide has been approved by the U.S. Food and Drug Administration for all antidepressants.

Wyeth Pharmaceuticals Inc.
Philadelphia, PA 19101

back to top

See Effexor XR Full Prescribing Information

Detailed Info on Signs, Symptoms, Causes, Treatments of Depression

Extensive Information on Suicide and Suicidal Thoughts

back to: Psychiatric Medications Pharmacology Homepage

APA Reference
Staff, H. (2009, January 3). Effexor, Effexor XR (Venlafaxine) Medication Guide, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/other-info/psychiatric-medications/effexor-effexor-xr-venlafaxine-medication-guide

Last Updated: April 7, 2017

Symbyax Medication Guide

About Using Antidepressants in Children and Teenagers

Full Symbax Prescribing Information
Symbyax Patient Information

What is the most important information I should know if my child is being prescribed an antidepressant?

Parents or guardians need to think about 4 important things when their child is prescribed an antidepressant:

  1. There is a risk of suicidal thoughts or actions
  2. How to try to prevent suicidal thoughts or actions in your child
  3. You should watch for certain signs if your child is taking an antidepressant 4. There are benefits and risks when using antidepressants

1. There is a Risk of Suicidal Thoughts or Actions

Children and teenagers sometimes think about suicide, and many report trying to kill themselves.

Antidepressants increase suicidal thoughts and actions in some children and teenagers. But suicidal thoughts and actions can also be caused by depression, a serious medical condition that is commonly treated with antidepressants. Thinking about killing yourself or trying to kill yourself is called suicidality or being suicidal.

A large study combined the results of 24 different studies of children and teenagers with depression or other illnesses. In these studies, patients took either a placebo (sugar pill) or an antidepressant for 1 to 4 months. No one committed suicide in these studies, but some patients became suicidal. On sugar pills, 2 out of every 100 became suicidal. On the antidepressants, 4 out of every 100 patients became suicidal.

For some children and teenagers, the risks of suicidal actions may be especially high. These include patients with

  • Bipolar illness (sometimes called manic-depressive illness)
  • A family history of bipolar illness
  • A personal or family history of attempting suicide

If any of these are present, make sure you tell your health care provider before your child takes an antidepressant.

2. How to Try to Prevent Suicidal Thoughts and Actions

To try to prevent suicidal thoughts and actions in your child, pay close attention to changes in her or his moods or actions, especially if the changes occur suddenly. Other important people in your child's life can help by paying attention as well (e.g., your child, brothers and sisters, teachers, and other important people). The changes to look out for are listed in Section 3, on what to watch for

Whenever an antidepressant is started or its dose is changed, pay close attention to your child.


continue story below


After starting an antidepressant, your child should generally see his or her health care provider

  • Once a week for the first 4 weeks
  • Every 2 weeks for the next 4 weeks
  • After taking the antidepressant for 12 weeks
  • After 12 weeks, follow your health care provider's advice about how often to come back
  • More often if problems or questions arise (see Section 3)

You should call your child's health care provider between visits if needed.

3. You Should Watch for Certain Signs If Your Child is Taking an Antidepressant

Contact your child's health care provider right away if your child exhibits any of the following signs for the first time, or if they seem worse, or worry you, your child, or your child's teacher:

  • Thoughts about suicide or dying
  • Attempts to commit suicide - New or worse depression
  • New or worse anxiety - Feeling very agitated or restless
  • Panic attacks - Difficulty sleeping (insomnia)
  • New or worse irritability
  • Acting aggressive, being angry, or violent
  • Acting on dangerous impulses
  • An extreme increase in activity and talking
  • Other unusual changes in behavior or mood

Never let your child stop taking an antidepressant without first talking to his or her health care provider. Stopping an antidepressant suddenly can cause other symptoms.

4. There are Benefits and Risks When Using Antidepressants

Antidepressants are used to treat depression and other illnesses. Depression and other illnesses can lead to suicide. In some children and teenagers, treatment with an antidepressant increases suicidal thinking or actions. It is important to discuss all the risks of treating depression and also the risks of not treating it. You and your child should discuss all treatment choices with your health care provider, not just the use of antidepressants.

Other side effects can occur with antidepressants (see section below).

Of all the antidepressants, only fluoxetine (Prozac®) has been FDA approved to treat pediatric depression.

For obsessive compulsive disorder in children and teenagers, FDA has approved only fluoxetine (Prozac®), sertraline (Zoloft®), fluvoxamine, and clomipramine (Anafranil®).

Your health care provider may suggest other antidepressants based on the past experience of your child or other family members.

Is this all I need to know if my child is being prescribed an antidepressant?

No. This is a warning about the risk for suicidality. Other side effects can occur with antidepressants. Be sure to ask your health care provider to explain all the side effects of the particular drug he or she is prescribing. Also ask about drugs to avoid when taking an antidepressant. Ask your health care provider or pharmacist where to find more information.

Prozac® is a registered trademark of Eli Lilly and Company.

Zoloft® is a registered trademark of Pfizer Pharmaceuticals.

Anafranil® is a registered trademark of Mallinckrodt Inc.

This Medication Guide has been approved by the US Food and Drug Administration for all antidepressants.

Eli Lilly and Company
Indianapolis, IN 46285
www.SYMBYAX.com

back to top

Full Symbax Prescribing Information
Symbyax Patient Information

back to: Psychiatric Medications Pharmacology Homepage

APA Reference
Staff, H. (2009, January 3). Symbyax Medication Guide, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/other-info/psychiatric-medications/symbyax-medication-guide

Last Updated: April 7, 2017

Zoloft (Sertraline) Medication Guide

About Using Antidepressants in Children and Teenagers

What is the most important information I should know if my child is being prescribed an antidepressant?

Parents or guardians need to think about 4 important things when their child is prescribed an antidepressant:

  1. There is a risk of suicidal thoughts or actions
  2. How to try to prevent suicidal thoughts or actions in your child
  3. You should watch for certain signs if your child is taking an antidepressant
  4. There are benefits and risks when using antidepressants

1. There is a Risk of Suicidal Thoughts or Actions

Children and teenagers sometimes think about suicide, and many report trying to kill themselves.

Antidepressants increase suicidal thoughts and actions in some children and teenagers. But suicidal thoughts and actions can also be caused by depression, a serious medical condition that is commonly treated with antidepressants. Thinking about killing yourself or trying to kill yourself is called suicidality or being suicidal .

A large study combined the results of 24 different studies of children and teenagers with depression or other illnesses. In these studies, patients took either a placebo (sugar pill) or an antidepressant for 1 to 4 months. No one committed suicide in these studies, but some patients became suicidal. On sugar pills, 2 out of every 100 became suicidal. On the antidepressants, 4 out of every 100 patients became suicidal.

For some children and teenagers, the risks of suicidal actions may be especially high. These include patients with

  • Bipolar illness (sometimes called manic-depressive illness)
  • A family history of bipolar illness
  • A personal or family history of attempting suicide

If any of these are present, make sure you tell your healthcare provider before your child takes an antidepressant.

2. How to Try to Prevent Suicidal Thoughts and Actions

 

To try to prevent suicidal thoughts and actions in your child, pay close attention to changes in her or his moods or actions, especially if the changes occur suddenly. Other important people in your child's life can help by paying attention as well (e.g., your child, brothers and sisters, teachers, and other important people). The changes to look out for are listed in Section 3, on what to watch for.


continue story below


Whenever an antidepressant is started or its dose is changed, pay close attention to your child.

After starting an antidepressant, your child should generally see his or her healthcare provider:

  • Once a week for the first 4 weeks
  • Every 2 weeks for the next 4 weeks
  • After taking the antidepressant for 12 weeks
  • After 12 weeks, follow your healthcare provider's advice about how often to come back
  • More often if problems or questions arise (see Section 3)

You should call your child's healthcare provider between visits if needed.

3. You Should Watch for Certain Signs If Your Child is Taking an Antidepressant

Contact your child's healthcare provider right away if your child exhibits any of the following signs for the first time, or if they seem worse, or worry you, your child, or your child's teacher:

  • Thoughts about suicide or dying
  • Attempts to commit suicide
  • New or worse depression
  • New or worse anxiety
  • Feeling very agitated or restless
  • Panic attacks
  • Difficulty sleeping (insomnia)
  • New or worse irritability
  • Acting aggressive, being angry, or violent
  • Acting on dangerous impulses
  • An extreme increase in activity and talking
  • Other unusual changes in behavior or mood

Never let your child stop taking an antidepressant without first talking to his or her healthcare provider. Stopping an antidepressant suddenly can cause other symptoms.

4. There are Benefits and Risks When Using Antidepressants

Antidepressants are used to treat depression and other illnesses. Depression and other illnesses can lead to suicide. In some children and teenagers, treatment with an antidepressant increases suicidal thinking or actions. It is important to discuss all the risks of treating depression and also the risks of not treating it. You and your child should discuss all treatment choices with your healthcare provider, not just the use of antidepressants.

Other side effects can occur with antdepressants (see section below).

Of all the antidepressants, only fluoxetine (Prozac ® ) has been FDA approved to treat pediatric depression.

For obsessive compulsive disorder in children and teenagers, FDA has approved only fluoxetine (Prozac ® ), sertraline (Zoloft ® ), fluvoxamine, and clomipramine (Anafranil ® ).

Your healthcare provider may suggest other antidepressants based on the past experience of your child or other family members.

Is this all I need to know if my child is being prescribed an antidepressant?

No. This is a warning about the risk for suicidality. Other side effects can occur with antidepressants. Be sure to ask your healthcare provider to explain all the side effects of the particular drug he or she is prescribing. Also ask about drugs to avoid when taking an antidepressant. Ask your healthcare provider or pharmacist where to find more information.

*Prozac ® is a registered trademark of Eli Lilly and Company
*Zoloft ® is a registered trademark of Pfizer Pharmaceuticals
*Anafranil ® is a registered trademark of Mallinckrodt Inc.

This Medication Guide has been approved by the U.S. Food and Drug Administration for all antidepressants.

back to top

 

back to: Psychiatric Medications Pharmacology Homepage

APA Reference
Staff, H. (2009, January 3). Zoloft (Sertraline) Medication Guide, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/other-info/psychiatric-medications/zoloft-sertraline-medication-guide

Last Updated: April 7, 2017

Paxil (Paroxetine) Medication Guide

PAXIL® (PAX-il) (paroxetine hydrochloride) Tablets and Oral Solution

About Using Antidepressants in Children and Teenagers

What is the most important information I should know if my child is being prescribed an antidepressant?

Parents or guardians need to think about 4 important things when their child is prescribed an antidepressant:

  1. There is a risk of suicidal thoughts or actions
  2. How to try to prevent suicidal thoughts or actions in your child
  3. You should watch for certain signs if your child is taking an antidepressant
  4. There are benefits and risks when using antidepressants

1. There is a Risk of Suicidal Thoughts or Actions

Children and teenagers sometimes think about suicide, and many report trying to kill themselves.

Antidepressants increase suicidal thoughts and actions in some children and teenagers. But suicidal thoughts and actions can also be caused by depression, a serious medical condition that is commonly treated with antidepressants. Thinking about killing yourself or trying to kill yourself is called suicidality or being suicidal.

A large study combined the results of 24 different studies of children and teenagers with depression or other illnesses. In these studies, patients took either a placebo (sugar pill) or an antidepressant for 1 to 4 months. No one committed suicide in these studies, but some patients became suicidal. On sugar pills, 2 out of every 100 became suicidal. On the antidepressants, 4 out of every 100 patients became suicidal.

For some children and teenagers, the risks of suicidal actions may be especially high. These include patients with

  • Bipolar illness (sometimes called manic-depressive illness)
  • A family history of bipolar illness
  • A personal or family history of attempting suicide

If any of these are present, make sure you tell your healthcare provider before your child takes an antidepressant.

 

2. How to Try to Prevent Suicidal Thoughts and Actions

To try to prevent suicidal thoughts and actions in your child, pay close attention to changes in her or his moods or actions, especially if the changes occur suddenly. Other important people in your child's life can help by paying attention as well (e.g., your child, brothers and sisters, teachers, and other important people). The changes to look out for are listed in Section 3, on what to watch for.


continue story below


Whenever an antidepressant is started or its dose is changed, pay close attention to your child.

After starting an antidepressant, your child should generally see his or her healthcare provider:

  • Once a week for the first 4 weeks
  • Every 2 weeks for the next 4 weeks
  • After taking the antidepressant for 12 weeks
  • After 12 weeks, follow your healthcare provider's advice about how often to come back
  • More often if problems or questions arise (see Section 3)

You should call your child's healthcare provider between visits if needed.

3. You Should Watch for Certain Signs If Your Child is Taking an Antidepressant

Contact your child's healthcare provider right away if your child exhibits any of the following signs for the first time, or if they seem worse, or worry you, your child, or your child's teacher:

  • Thoughts about suicide or dying
  • Attempts to commit suicide
  • New or worse depression
  • New or worse anxiety
  • Feeling very agitated or restless
  • Panic attacks
  • Difficulty sleeping (insomnia)
  • New or worse irritability
  • Acting aggressive, being angry, or violent
  • Acting on dangerous impulses
  • An extreme increase in activity and talking
  • Other unusual changes in behavior or mood

Never let your child stop taking an antidepressant without first talking to his or her healthcare provider. Stopping an antidepressant suddenly can cause other symptoms.

4. There are Benefits and Risks When Using Antidepressants

Antidepressants are used to treat depression and other illnesses. Depression and other illnesses can lead to suicide. In some children and teenagers, treatment with an antidepressant increases suicidal thinking or actions. It is important to discuss all the risks of treating depression and also the risks of not treating it. You and your child should discuss all treatment choices with your healthcare provider, not just the use of antidepressants.

Other side effects can occur with antidepressants (see section below).

Of all the antidepressants, only fluoxetine (Prozac®)* has been FDA approved to treat pediatric depression.

For obsessive compulsive disorder in children and teenagers, FDA has approved only fluoxetine (Prozac®)*, sertraline (Zoloft®)*, fluvoxamine, and clomipramine (Anafranil®)*.

Your healthcare provider may suggest other antidepressants based on the past experience of your child or other family members.

Is this all I need to know if my child is being prescribed an antidepressant?

No. This is a warning about the risk for suicidality. Other side effects can occur with antidepressants. Be sure to ask your healthcare provider to explain all the side effects of the particular drug he or she is prescribing. Also ask about drugs to avoid when taking an antidepressant. Ask your healthcare provider or pharmacist where to find more information.

*The following are registered trademarks of their respective manufacturers: Prozac®/Eli Lilly and Company; Zoloft®/Pfizer Pharmaceuticals; Anafranil®/Mallinckrodt Inc.

This Medication Guide has been approved by the U.S. Food and Drug Administration for all antidepressants.

PAXIL is a registered trademark of GlaxoSmithKline.

back to top

Full Paxil Prescribing Information
Paxil Patient Information

GlaxoSmithKline
Research Triangle Park, NC 27709

back to: Psychiatric Medications Pharmacology Homepage

APA Reference
Staff, H. (2009, January 3). Paxil (Paroxetine) Medication Guide, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/other-info/psychiatric-medications/paxil-paroxetine-medication-guide

Last Updated: April 7, 2017

Lexapro (Escitalopram Oxalate) Medication Guide

Lexapro® (escitalopram oxalate) Tablets/Oral Solution

Lexapro Prescribing Information
Lexapro Patient Information

Antidepressant Medicines, Depression and other Serious Mental Illnesses, and Suicidal Thoughts or Actions

Read the Medication Guide that comes with you or your family member's antidepressant medicine. This Medication Guide is only about the risk of suicidal thoughts and actions with antidepressant medicines. Talk to your, or your family member's, healthcare provider about:

  • all risks and benefits of treatment with antidepressant medicines
  • all treatment choices for depression or other serious mental illness

What is the most important information I should know about antidepressant medicines, depression and other serious mental illnesses, and suicidal thoughts or actions?

  1. Antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment.
  2. Depression and other serious mental illnesses are the most important causes of suicidal thoughts and actions. Some people may have a particularly high risk of having suicidal thoughts or actions. These include people who have (or have a family history of) bipolar illness (also called manic-depressive illness) or suicidal thoughts or actions.
  3. How can I watch for and try to prevent suicidal thoughts and actions in myself or a family member?
    • Pay close attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. This is very important when an antidepressant medicine is started or when the dose is changed.
    • Call the healthcare provider right away to report new or sudden changes in mood, behavior, thoughts, or feelings.
    • Keep all follow-up visits with the healthcare provider as scheduled. Call the healthcare provider between visits as needed, especially if you have concerns about symptoms.

continue story below


Call a healthcare provider right away if you or your family member has any of the following symptoms, especially if they are new, worse, or worry you:

  • thoughts about suicide or dying
  • attempts to commit suicide
  • new or worse depression
  • new or worse anxiety
  • feeling very agitated or restless
  • panic attacks
  • trouble sleeping (insomnia)
  • new or worse irritability
  • acting aggressive, being angry, or violent
  • acting on dangerous impulses
  • an extreme increase in activity and talking (mania)
  • other unusual changes in behavior or mood

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

What else do I need to know about antidepressant medicines?

  • Never stop an antidepressant medicine without first talking to a healthcare provider. Stopping an antidepressant medicine suddenly can cause other symptoms.
  • Antidepressants are medicines used to treat depression and other illnesses. It is important to discuss all the risks of treating depression and also the risks of not treating it. Patients and their families or other caregivers should discuss all treatment choices with the healthcare provider, not just the use of antidepressants.
  • Antidepressant medicines have other side effects. Talk to the healthcare provider about the side effects of the medicine prescribed for you or your family member.
  • Antidepressant medicines can interact with other medicines. Know all of the medicines that you or your family member takes. Keep a list of all medicines to show the healthcare provider. Do not start new medicines without first checking with your healthcare provider.
  • Not all antidepressant medicines prescribed for children are FDA approved for use in children. Talk to your child's healthcare provider for more information.

This Medication Guide has been approved by the U.S. Food and Drug Administration for all antidepressants.

back to top

Lexapro Prescribing Information
Lexapro Patient Information

Detailed Info on Signs, Symptoms, Causes, Treatments of Depression

Forest Pharmaceuticals, Inc.
Subsidiary of Forest Laboratories, Inc.
St. Louis, MO 63045 USA
Licensed from H. Lundbeck A/S

NOTE: This information is not intended to cover all possible uses, precautions, interactions, or adverse effects for this drug. If you have questions about the drug(s) you are taking, check with your health care professional.

back to: Psychiatric Medications Pharmacology Homepage

APA Reference
Staff, H. (2009, January 3). Lexapro (Escitalopram Oxalate) Medication Guide, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/other-info/psychiatric-medications/lexapro-escitalopram-oxalate-medication-guide

Last Updated: April 7, 2017

Fluoxetine (Prozac) Medication Guide

About Using Antidepressants in Children and Teenagers

Full Prozac Prescribing Information
Prozac Patient Information

What is the most important information I should know if my child is being prescribed an antidepressant?

Parents or guardians need to think about 4 important things when their child is prescribed an antidepressant:

  1. There is a risk of suicidal thoughts or actions
  2. How to try to prevent suicidal thoughts or actions in your child
  3. You should watch for certain signs if your child is taking an antidepressant
  4. There are benefits and risks when using antidepressants

1. There is a Risk of Suicidal Thoughts or Actions

Children and teenagers sometimes think about suicide, and many report trying to kill themselves.

Antidepressants increase suicidal thoughts and actions in some children and teenagers. But suicidal thoughts and actions can also be caused by depression, a serious medical condition that is commonly treated with antidepressants. Thinking about killing yourself or trying to kill yourself is called suicidality or being suicidal.

A large study combined the results of 24 different studies of children and teenagers with depression or other illnesses. In these studies, patients took either a placebo (sugar pill) or an antidepressant for 1 to 4 months. No one committed suicide in these studies, but some patients became suicidal. On sugar pills, 2 out of every 100 became suicidal. On the antidepressants, 4 out of every 100 patients became suicidal.

For some children and teenagers, the risks of suicidal actions may be especially high. These include patients with

-Bipolar illness (sometimes called manic-depressive illness)

-A family history of bipolar illness

-A personal or family history of attempting suicide

If any of these are present, make sure you tell your health care provider before your child takes an antidepressant.

2. How to Try to Prevent Suicidal Thoughts and Actions

To try to prevent suicidal thoughts and actions in your child, pay close attention to changes in her or his moods or actions, especially if the changes occur suddenly. Other important people in your child's life can help by paying attention as well (e.g., your child, brothers and sisters, teachers, and other important people). The changes to look out for are listed in Section 3, on what to watch for.

 

Whenever an antidepressant is started or its dose is changed, pay close attention to your child.

After starting an antidepressant, your child should generally see his or her health care provider

-Once a week for the first 4 weeks

-Every 2 weeks for the next 4 weeks

-After taking the antidepressant for 12 weeks

-After 12 weeks, follow your health care provider's advice about how often to come back

-More often if problems or questions arise (see Section 3)

You should call your child's health care provider between visits if needed.

3. You Should Watch for Certain Signs If Your Child is Taking an Antidepressant

Contact your child's health care provider right away if your child exhibits any of the following signs for the first time, or if they seem worse, or worry you, your child, or your child's teacher:

-Thoughts about suicide or dying

-Attempts to commit suicide

-New or worse depression


continue story below


-New or worse anxiety

-Feeling very agitated or restless

-Panic attacks

-Difficulty sleeping (insomnia)

-New or worse irritability

-Acting aggressive, being angry, or violent

-Acting on dangerous impulses

-An extreme increase in activity and talking

-Other unusual changes in behavior or mood

Never let your child stop taking an antidepressant without first talking to his or her health care provider. Stopping an antidepressant suddenly can cause other symptoms.

4. There are Benefits and Risks When Using Antidepressants

Antidepressants are used to treat depression and other illnesses. Depression and other illnesses can lead to suicide. In some children and teenagers, treatment with an antidepressant increases suicidal thinking or actions. It is important to discuss all the risks of treating depression and also the risks of not treating it. You and your child should discuss all treatment choices with your health care provider, not just the use of antidepressants.

Other side effects can occur with antidepressants (see section below).

Of all the antidepressants, only fluoxetine (Prozac®) has been FDA approved to treat pediatric depression.

For obsessive compulsive disorder in children and teenagers, FDA has approved only fluoxetine (Prozac®), sertraline (Zoloft®), fluvoxamine, and clomipramine (Anafranil®).

Your health care provider may suggest other antidepressants based on the past experience of your child or other family members.

Is this all I need to know if my child is being prescribed an antidepressant?

No. This is a warning about the risk for suicidality. Other side effects can occur with antidepressants. Be sure to ask your health care provider to explain all the side effects of the particular drug he or she is prescribing. Also ask about drugs to avoid when taking an antidepressant. Ask your health care provider or pharmacist where to find more information.

Prozac® is a registered trademark of Eli Lilly and Company.

Zoloft® is a registered trademark of Pfizer Pharmaceuticals.

Anafranil® is a registered trademark of Mallinckrodt Inc.

This Medication Guide has been approved by the US Food and Drug Administration for all antidepressants.

back to top

Full Prozac Prescribing Information
Prozac Patient Information

Detailed Info on Signs, Symptoms, Causes, Treatments of Depression

Extensive information on Suicide and Suicide Thoughts

Last revised January 26, 2005

Eli Lilly and Company
Indianapolis, IN 46285, USA
www.lilly.com

back to: Psychiatric Medications Pharmacology Homepage

APA Reference
Staff, H. (2009, January 3). Fluoxetine (Prozac) Medication Guide, HealthyPlace. Retrieved on 2024, October 10 from https://www.healthyplace.com/other-info/psychiatric-medications/fluoxetine-prozac-medication-guide

Last Updated: April 7, 2017