WARNING

Atomoxetine, commonly prescribed for attention deficit hyperactivity disorder (ADHD), has several potential risks:

• Cardiovascular Issues: It may increase heart rate and blood pressure, potentially leading to cardiovascular problems.
• Mental Health Effects: There is a risk of increased suicidal thoughts or behaviors, particularly in younger individuals.
• Liver Problems: Rarely, it can cause liver damage, so monitoring liver function may be necessary.
• Growth Concerns: It may affect growth in children, requiring regular monitoring.
• Other Side Effects: These can include dry mouth, insomnia, gastrointestinal issues, and sexual dysfunction.

Always follow your healthcare provider’s guidance and report any concerning symptoms promptly.

Why is this medication prescribed?

Atomoxetine is prescribed to helps manage symptoms of ADHD, such as inattention, hyperactivity, and impulsivity. Atomoxetine is often used in cases where stimulant medications are not suitable or have not been effective.

It can be particularly useful for individuals who may not tolerate stimulants well or have a history of substance abuse.

How should this medicine be used?

How to Use Atomoxetine:

• Dosage: Follow the dosage prescribed by your healthcare provider. It’s usually taken once or twice daily. The dosage may be adjusted based on your response and any side effects.
• Administration: Atomoxetine is typically taken orally in the form of a capsule. It can be taken with or without food.
• Consistency: Take it at the same times each day to help remember your dose.
• Missed Dose: If you miss a dose, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose; don’t double up to make up for it.
• Follow-Up: Regular check-ins with your healthcare provider are important to monitor progress and adjust the dosage if needed.

Always follow your healthcare provider’s instructions and discuss any concerns or side effects you experience.

Other uses for this medicine

• Treatment of ADHD in Adults: Although primarily used for children and adolescents, Atomoxetine can also be prescribed to adults with ADHD.

What special precautions should I follow?

Special Precautions for Atomoxetine:

• Monitor Cardiovascular Health: Regularly check blood pressure and heart rate, as Atomoxetine can increase both. Report any significant changes to your healthcare provider.
• Mental Health Monitoring: Watch for signs of mood changes, depression, or suicidal thoughts, particularly when starting the medication or adjusting the dose. Inform your healthcare provider if you experience any of these symptoms.
• Liver Function: Regularly monitor liver function, especially if you have a history of liver disease. Atomoxetine can cause liver damage in rare cases.
• Growth Monitoring: In children, monitor growth and development regularly, as Atomoxetine might affect growth.
• Drug Interactions: Inform your healthcare provider about all other medications and supplements you are taking to avoid potential interactions.
• Avoid Abrupt Discontinuation: Do not stop taking Atomoxetine suddenly without consulting your healthcare provider, as this may lead to withdrawal symptoms.
• Pre-existing Conditions: Inform your provider if you have a history of cardiovascular issues, psychiatric disorders, or other medical conditions, as Atomoxetine might exacerbate certain conditions.

Always adhere to your healthcare provider’s guidance and report any adverse effects or concerns promptly.

What special dietary instructions should I follow?

• No Specific Restrictions: Atomoxetine does not generally require specific dietary restrictions. However, maintaining a balanced diet can support overall health and medication effectiveness.

What should I do if I forget a dose?

• Take as Soon as Possible: If you remember within a few hours of the missed dose, take it as soon as you remember.
• Skip if Close to Next Dose: If it’s almost time for your next scheduled dose, skip the missed dose. Do not double up to make up for the missed dose.
• Follow Schedule: Continue with your regular dosing schedule.

What side effects can this medication cause?

Atomoxetine can cause a range of side effects, which may vary in severity. Common side effects include:

• Gastrointestinal Issues: Nausea, vomiting, loss of appetite, stomach pain, and constipation.
• Sleep Problems: Insomnia or sleep disturbances.
• Mood Changes: Irritability, mood swings, and increased anxiety.
• Cardiovascular Effects: Increased heart rate, elevated blood pressure.
• Dizziness: Feeling lightheaded or dizzy.
• Sexual Dysfunction: Decreased libido or sexual problems.
• Fatigue: General tiredness or lack of energy.
• Dry Mouth: A dry or sore throat.
• Headache: Frequent or persistent headaches.

Serious Side Effects (Rare):

• Severe Liver Damage: Symptoms may include yellowing of the skin or eyes (jaundice), dark urine, or severe abdominal pain.
• Severe Allergic Reactions: Rash, itching, swelling, or difficulty breathing.
• Suicidal Thoughts or Behaviors: Especially in children and adolescents.
• Heart Problems: Severe cardiovascular issues, including chest pain or irregular heartbeat.

If you experience any serious or persistent side effects, contact your healthcare provider immediately.

What should I know about storage and disposal of this medication?

Storage of Atomoxetine:

• Store Atomoxetine at room temperature, typically between 68°F and 77°F (20°C to 25°C).
• Keep it in a tightly closed container to protect it from moisture and light.
• Ensure it is stored out of reach of children to prevent accidental ingestion.

Disposal of Atomoxetine:

• Follow any specific disposal instructions provided by your pharmacist or healthcare provider.
• Utilize medication take-back programs or disposal sites in your area if available.
• If no take-back program is available, you may dispose of Atomoxetine in your household trash, but mix it with an undesirable substance (e.g., coffee grounds or cat litter) and place it in a sealed bag to prevent leakage.

In case of emergency/overdose

• Contact Emergency Services: Call emergency services or go to the nearest emergency room immediately if you suspect an overdose.
• Provide Information: Be ready to provide information about the medication, dosage, and time of ingestion.
• Symptoms of Overdose: May include severe drowsiness, agitation, rapid heartbeat, high blood pressure, nausea, and vomiting.

What other information should I know?

• Regular Monitoring: Keep regular appointments with your healthcare provider to monitor your response to the medication and adjust the dosage if necessary.
• Avoid Alcohol: Limit or avoid alcohol, as it can interact with Atomoxetine and exacerbate side effects.
• Drug Interactions: Inform your healthcare provider about all other medications and supplements you are taking to avoid potential interactions.

Always follow your healthcare provider’s instructions and reach out to them if you have any questions or concerns regarding Atomoxetine.