Atomoxetine 
Generic name: Atomoxetine
Other brand names:  Strattera       

 

 

Atomoxetine is in a class of medications called selective norepinephrine reuptake inhibitors. It works by increasing the levels of norepinephrine, a natural substance in the brain.

How should this medicine be used?

Atomoxetine comes as a capsule to take by mouth. It is usually taken with or without food either once a day in the morning, or twice a day in the morning and late afternoon or early evening. To help you remember to take atomoxetine, take it around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take atomoxetine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Your doctor will probably start you on a low dose of atomoxetine and increase your dose after 3 days.

Atomoxetine controls ADHD but does not cure it. Do not stop taking atomoxetine without talking to your doctor.

Before taking atomoxetine, ask your pharmacist or doctor for a copy of the manufacturer's information for the patient and read it carefully.

Other uses for this medicine

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

What special precautions should I follow?

Before taking atomoxetine,

 

  • tell your doctor and pharmacist if you are allergic to atomoxetine or any other medications.
  • do not take atomoxetine if you are taking monoamine oxidase (MAO) inhibitors, including phenelzine (Nardil) and tranylcypromine (Parnate), or have stopped taking them within the past 2 weeks.
  • tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: albuterol syrup or tablets (Proventil, Ventolin), amiodarone (Cordarone, Pacerone), bupropion (Wellbutrin), celecoxib (Celebrex), chlorpromazine (Thorazine), cimetidine (Tagamet), clomipramine (Anafranil), doxorubicin (Adriamycin), fluoxetine (Prozac, Sarafem), metaproterenol syrup or tablets (Metaprel), metoclopramide (Reglan), methadone (Dolophine), paroxetine (Paxil), quinidine (Cardioquin, Quinaglute, Quinidex), ranitidine (Zantac), ritonavir (Norvir), sertraline (Zoloft), and terbinafine (Lamisil). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
  • tell your doctor if you have or have ever had glaucoma, high blood pressure, rapid heart beat, a stroke, a mini-stroke, or heart or liver disease.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking atomoxetine, call your doctor.
  • you should know that atomoxetine may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.
  • remember that alcohol can add to the drowsiness caused by this medication.
  • you should know that atomoxetine may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up.
  • you should know that atomoxetine should be used as part of a total treatment program for ADHD, which may include counseling and special education. Make sure to follow all of your doctor's and/or therapist's instructions.

What side effects can this medication cause?

Atomoxetine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

 

  • heartburn
  • upset stomach
  • vomiting
  • loss of appetite
  • stomach pain
  • constipation
  • dry mouth
  • excessive tiredness
  • difficulty falling asleep or staying asleep
  • dizziness
  • headache
  • mood swings
  • irritability
  • weight loss
  • decreased sex drive or ability
  • difficulty urinating
  • painful menstrual periods
  • cough
  • runny nose
  • violent behavior
  • crying
  • fever
  • chills
  • muscle pain
  • sweating
  • hot flashes

 

Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:

 

  • pounding heartbeat
  • swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
  • hoarseness
  • difficulty swallowing or breathing
  • hives
  • rash

 

Atomoxetine may slow down children's growth or weight gain. Talk to your child's doctor about the risks of taking this medication.

Atomoxetine may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

 

Found on MedLinePlus (National Library of Medicine & National Institute of Health).

 

 

"Internationally, methylphenidate is viewed as having a very high potential for abuse and is listed in Schedule II of the Psychotropic Convention.  Under treaty obligations, the United States must provide the United Nations with data on the production, distribution and consumption of methylphenidate.  Methylphenidate is the only psychoactive substance listed in Schedule II under international treaty whose worldwide medical use has increased.  According to the 1993 United Nations Report on Psychoactive Substances, the worldwide medical use of methylphenidate has increased from less than 3 tons in 1990, to more than 6 tons in 1993.  This global trend largely reflects increased consumption of methylphenidate in the United States.

The United Nations International Narcotics Control Board (INCB) has, on two recent occasions, written letters to U.S. officials expressing their concern about the sharp increase in the use of methylphenidate in the United States and have requested data on the legal requirements for the use of methylphenidate (i.e. prescription in accordance with sound medical practice Article 9 of the 1971 Convention) as well as data concerning trends in abuse and possible diversion from licit sources".

 

The Drug Enforcement Agency

 

 

 

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