ADHD News & Research

FDA Approves First Generic Versions of Strattera

The nonstimulant atomoxetine soon will be available in generic form, which may lower treatment costs by 80 to 85 percent for the children and adults who rely on this commonly used ADHD medication.

May 31, 2017

The FDA has approved the first generic version of Strattera, opening up a new nonstimulant treatment option for children and adults with ADHD.

Strattera is the brand name for atomoxetine, a selective norepinephrine reuptake inhibitor that was one of the first nonstimulant medications available for the treatment of ADHD. Since the drug’s patent expired in May, four companies — Apotex Inc., Teva Pharmaceuticals USA Inc., Aurobindo Pharma Limited, and Glenmark Pharmaceuticals Limited — have unveiled generic versions of the drug. All four were approved on May 30; it’s unclear when the generics will be made available to consumers.

“Today’s approvals mark an important step forward in bringing consumers additional treatments that have met the FDA’s rigorous standards,” said Kathleen Uhl, MD, director of the Office of Generic Drugs in the FDA’s Center for Drug Evaluation and Research, in a May 30 press release. “Quickly bringing generics to market so patients have more options to treat their conditions is a top priority for the FDA.”

Like Strattera, the generic forms of atomoxetine will come with a “black box warning” regarding the medication’s increased risk of suicidal thoughts, particularly for teenagers and young adults. Side effects of the generic versions during the clinical trials were similar to those most often seen with Strattera, like “upset stomach, decreased appetite, nausea or vomiting, dizziness, tiredness, and mood swings,” according to the FDA.

Strattera was first patented by Eli Lilly in 2002, and has dominated the nonstimulant market since. The new generics — which will likely be sold at a significantly lower cost — are expected to lower Lilly’s annual sales of Strattera from $535 million annually to just $13 million by 2022, according to estimates by the life sciences consulting firm Evaluate. Most generic medications are typically priced 80 to 85 percent lower than the originals — meaning ADHD patients who rely on Strattera may see dramatic decreases in their treatment costs once the medications are made available to consumers.

3 Comments & Reviews

  1. For those who use atomoxetine hydrochloride (as Strattera eg), the generics I have used out of India for some time have worked just as well for me.For example there has been no difference between the Lilly product Strattera and the Sunpharma product, except the price. It is 75% cheaper out of India. It appears that there is no difference in effect and now that more factories are licensed by FDA to use it I suggest to try those. Atomoxetine has been a great life improver for me.

    1. Hello there. Thank you for talking a bit about your experience. I have been looking for more user data on generic Strattera because I have been hearing that the generic form (I don’t know if this means some or all manufacturers) causes nausea, is generally not well tolerated due to the binders and fillers used, and in some cases does not even work at all.

      Are you still using the generic manufactured by Sun Pharma out of India? If so, are you still finding it effective for ADHD/ADD? Have you had any adverse/unpleasant reactions and/or intolerance? Have you ever taken brand-name Strattera to compare your experience(s) of generic with? If you are happy with your generic, do you have a good trusted online source where you like to fill your prescription, or do you get it while over in India and bring it back to save money?

      I am just trying to figure out the best and safest way to fill my prescription because I found out today that my sub-par insurance will only cover the generic version, so I declined and am appealing the decision (usually unsuccessful) because I cannot afford the over $500 dollars per month it will cost for brand-name Strattera. Any advice would be welcomed. Thank you.

  2. When I took this in 2005 it made me really out of it. I personally need a standard stimulant aka Dexedrine, the real thing, to not feel restless, and focus. I personally do not trust the Indian manufacturers who have been IMO sending weird Adderall supplies mostly during the last 3 yrs. No joke this has very negatively impacted things for me, but Ill be ok. I am not even prescribed Adderall but am, pretty sure it was some version of that . My prescription for 15 yrs is of Dexedrine. I do not want to be discriminatory but really wonder about the inspections and quality in India and most certainly am not the only one.

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