Atomoxetine (A-toe-MOX-e-teen)Brand Name:
Atomoxetine may increase the risk of suicidal thoughts or actions in children and teenagers with attention deficit hyperactivity disorder (ADHD). Be sure that the benefits of using Atomoxetine outweigh the risks. Talk with the patient's doctor if you have any questions.
Families and caregivers must closely observe patients who take Atomoxetine . It is important to keep in close contact with the patient's doctor. Tell the doctor right away if the patient has symptoms such as worsened depression, suicidal thoughts, or changes in behavior.
Atomoxetine is used for:
Atomoxetine is a selective norepinephrine reuptake inhibitor (SNRI). Exactly how Atomoxetine works to treat ADHD is not known. Atomoxetine increases certain chemicals (eg, norepinephrine) in the brain. This may affect attention span and behavior.
Do NOT use Atomoxetine if:
- you are allergic to any ingredient in Atomoxetine
- you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days
- you have certain heart problems (eg, heart defect, heart failure), certain types of irregular heartbeat, severe blood vessel problems, or narrow-angle glaucoma
Contact your doctor or health care provider right away if any of these apply to you.
Before using Atomoxetine :
Some medical conditions may interact with Atomoxetine . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have a personal or family history of heart problems (eg, heart failure, irregular heartbeat), or a family history of sudden death
- if you have a personal or family history of mood or mental problems (eg, agitation, anxiety, bipolar disorder, depression, psychosis, tension), abnormal thoughts, hallucinations, suicidal thoughts or attempts, or alcohol or other substance abuse or dependence
- if you have brain or heart blood vessel problems, liver problems, high or low blood pressure, trouble urinating, or Raynaud syndrome
Some MEDICINES MAY INTERACT with Atomoxetine . Tell your health care provider if you are taking any other medicines, especially any of the following:
- MAOIs (eg, phenelzine) because severe and sometimes fatal side effects, including severe high blood pressure, high fever, muscle problems, severe agitation, and coma, may occur
- Quinidine or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine, paroxetine) because they may increase the risk of Atomoxetine 's side effects
- Albuterol because the risk of its side effects may be increased by Atomoxetine
This may not be a complete list of all interactions that may occur. Ask your health care provider if Atomoxetine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Atomoxetine :
Use Atomoxetine as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Atomoxetine comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Atomoxetine refilled.
- Take Atomoxetine by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
- Swallow Atomoxetine whole. Do not crush, chew, or open the capsules.
- Taking Atomoxetine at the same time each day will help you remember to take it.
- Continue to take Atomoxetine even if you feel well. Do not miss any doses.
- If you miss a dose of Atomoxetine , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Atomoxetine .
Important safety information:
- Atomoxetine may cause dizziness, drowsiness, lightheadedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Atomoxetine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Atomoxetine may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
- Do NOT take more than the recommended dose or take for longer than prescribed without checking with your doctor.
- Children and teenagers who take Atomoxetine may be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk may be greater in patients who have had suicidal thoughts or actions in the past. The risk may also be greater in patients who have had bipolar (manic-depressive) illness, or if their family members have had it. Watch patients who take Atomoxetine closely especially during the first few months of taking Atomoxetine and at times of dose changes. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
- Do not try to open the capsules or take them apart. If a capsule breaks, do not touch it. Wash your hands and any surfaces that touched a broken capsule. Do not get Atomoxetine in your eye; it may irritate your eye if you do. If you get Atomoxetine in your eyes or nose, rinse at once with cool water.
- Atomoxetine may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
- Lab tests, including heart rate, blood pressure, and liver function, may be performed while you take Atomoxetine . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use Atomoxetine with caution in the ELDERLY; they may be more sensitive to its effects, especially dizziness.
- Atomoxetine may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they take Atomoxetine .
- Atomoxetine should be used with extreme caution in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Atomoxetine while you are pregnant. It is not known if Atomoxetine is found in breast milk. If you are or will be breast-feeding while you take Atomoxetine , check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Atomoxetine :
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Constipation; coughing; decreased appetite; dizziness; drowsiness; dry mouth; fatigue; flushing; headache; increased sweating; mild stomach pain or upset; nausea; tiredness; trouble sleeping; vomiting.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); chest pain; dark urine; decreased sexual ability (eg, impotence, ejaculation problems); fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; menstrual cycle changes; mental or mood changes (eg, agitation, anxiety, depression, irritability, persistent crying, unusual sadness); new or worsening behavior changes (eg, aggression, hostility, restlessness); numbness or tingling; one-sided weakness; pale stools; persistent fatigue or tiredness; prolonged or painful erection; seizure; severe or persistent headache or dizziness; severe or persistent trouble sleeping; stomach pain or tenderness; suicidal thoughts or attempts; trouble urinating; unusual vision or speech changes; unusually cold or blue fingers or toes; yellowing of the skin or eyes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include abnormal behavior; agitation; dilated pupils; fast heartbeat; hyperactivity; severe drowsiness.Proper storage of Atomoxetine :
Store Atomoxetine at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Atomoxetine out of the reach of children and away from pets.
- If you have any questions about Atomoxetine , please talk with your doctor, pharmacist, or other health care provider.
- Atomoxetine is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
This information is a summary only. It does not contain all information about Atomoxetine . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
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