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Generic Atomoxetine Information
Introduction
Atomoxetine is a prescription medication used primarily to treat attention‑deficit/hyperactivity disorder (ADHD) in adults and children. In the United Kingdom it is classified under the therapeutic groups “General health” and “Mental illness.” The active compound is atomoxetine, and the drug is marketed by several manufacturers, including the original developer. It is also prescribed for related conditions such as anxiety disorders when clinically indicated.
What is Atomoxetine?
Atomoxetine is a selective norepinephrine re‑uptake inhibitor (NRI) that increases synaptic concentrations of norepinephrine in the brain. It was developed by Eli Lilly and received marketing approval in the UK in 2004.
Atomoxetine is the generic version of Strattera, containing the same active compound atomoxetine. Our online pharmacy provides this generic alternative as a cost‑effective treatment option, offering the same therapeutic profile as the brand‑name product.
How Atomoxetine Works
Atomoxetine blocks the presynaptic norepinephrine transporter (NET), preventing the re‑absorption of norepinephrine into nerve terminals. Elevated norepinephrine enhances signaling in prefrontal cortical circuits that control attention, impulse control, and working memory. Unlike stimulant therapies, atomoxetine does not increase dopamine release in the striatum, which explains its lower abuse potential.
Therapeutic effects typically begin within 1–2 weeks, with maximal benefit observed after 6–8 weeks of continuous dosing. The drug has an oral bioavailability of about 63 % and reaches steady‑state plasma concentrations after 3 days of once‑daily dosing. It is metabolised mainly by cytochrome P450 2D6 (CYP2D6) and eliminated primarily via renal excretion.
Conditions Treated with Atomoxetine
- Attention‑Deficit/Hyperactivity Disorder (ADHD) – the principal indication for both children and adults. In the UK, NICE guideline CG72 recommends atomoxetine as a first‑line or second‑line option when stimulants are not tolerated or are contraindicated.
- ADHD with comorbid anxiety – atomoxetine’s modest anxiolytic properties can be advantageous for patients whose anxiety interferes with stimulant use.
- Off‑label use for binge‑eating disorder – some clinical trials have shown reductions in binge frequency, though this indication remains investigational in the UK.
ADHD prevalence in the UK adult population is estimated at 2‑3 %, representing a substantial patient cohort for whom non‑stimulant therapy is clinically relevant.
Who is Atomoxetine For?
- Adults and adolescents (≥ 12 years) with a confirmed ADHD diagnosis who have contraindications to stimulant medication (e.g., cardiac disease, substance‑use disorder).
- Patients who experience intolerable side‑effects from stimulants, such as insomnia, appetite loss, or mood swings.
- Individuals requiring a medication with low abuse liability, especially those with a personal or family history of substance dependence.
- Patients with comorbid anxiety where a stimulant may exacerbate symptoms.
Atomoxetine is not appropriate for:
- Patients with narrow‑angle glaucoma, pheochromocytoma, or severe cardiovascular disease.
- Individuals who are known poor metabolizers of CYP2D6 unless dose adjustments are made under specialist supervision.
- Pregnant or breastfeeding women without a clear risk‑benefit assessment, as safety data are limited.
Risks, Side Effects, and Interactions
Common
- Nausea, dry mouth, decreased appetite, and gastrointestinal upset.
- Fatigue, somnolence, or mild dizziness.
- Mood changes such as irritability or low mood (typically transient).
Rare
- Elevated liver enzymes and rare cases of hepatitis.
- Hypertension or tachycardia beyond baseline values.
- Sexual dysfunction (e.g., decreased libido).
Serious
- Suicidal ideation – a boxed warning exists for increased risk in children and adolescents; adults should also be monitored for emergent mood changes.
- Severe hepatic injury – immediate discontinuation and medical evaluation required.
- Hypertensive crisis in patients with pre‑existing uncontrolled hypertension.
Clinically Relevant Drug–Drug Interactions
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine, quinidine) can raise atomoxetine plasma levels, increasing the risk of adverse events. Dose reduction is often necessary.
- CYP2D6 substrates (e.g., tramadol, codeine) may have altered metabolism when co‑administered.
- Monoamine oxidase inhibitors (MAOIs) – concurrent use is contraindicated due to the risk of hypertensive reactions.
- Antihypertensive agents – atomoxetine may attenuate the blood‑pressure‑lowering effect; monitoring is advised.
Patients should provide a full medication list, including over‑the‑counter and herbal products, to avoid unforeseen interactions.
Practical Use: Dosing, Missed Dose, Overdose
- Initial adult dose: 40 mg once daily, taken in the morning with or without food.
- Target maintenance dose: 80 mg once daily; may be titrated up to 100 mg based on clinical response and tolerability.
- Children (≥ 12 years): start at .5 mg/kg/day; increase to 1.2 mg/kg/day after a minimum of 3 days, not exceeding 100 mg/day.
Missed dose: If a dose is forgotten and the next scheduled dose is more than 12 hours away, take the missed tablet as soon as remembered. Do not double‑dose.
Overdose: Signs may include excessive somnolence, vomiting, tachycardia, or seizures. Seek emergency medical attention promptly; treatment is mainly supportive, with activated charcoal considered if ingestion occurred within one hour.
Precautions:
- Avoid abrupt discontinuation; taper over 1–2 weeks to minimise rebound ADHD symptoms and mood changes.
- Alcohol does not interact directly but may exacerbate central nervous system depression.
- Patients with hepatic impairment require dose reduction; severe impairment necessitates avoidance.
Buying Atomoxetine from Our Online Pharmacy
Atomoxetine can be obtained securely from our online pharmacy in the UK. We specialise in providing verified, high‑quality generic medicines at prices close to the manufacturer’s cost.
- Affordability: Generic atomoxetine is priced significantly lower than the brand‑name Strattera, reducing the financial burden for long‑term therapy.
- Verified quality: All batches are sourced from licensed, GMP‑certified suppliers and undergo strict quality checks before dispatch.
- Discreet, reliable delivery: Orders are packaged in unmarked envelopes and delivered within 7 days using express couriers, or within 3 weeks via regular airmail for remote locations.
- Pharmacy broker service: We partner with overseas licensed pharmacies that comply with UK import regulations, ensuring a seamless, privacy‑focused experience for patients who may have limited access through conventional retail pharmacies.
Choosing our service offers a safe, cost‑effective route to maintain continuous treatment when traditional channels are unavailable or cost‑prohibitive.
FAQ
-
Is Atomoxetine available in both brand‑name and generic forms in the UK?
Yes. The original brand‑name product is marketed as Strattera, while generic atomoxetine contains the identical active ingredient and is typically less expensive. -
What is the recommended storage condition for atomoxetine tablets?
Store at controlled room temperature (15‑30 °C). Keep the medication away from moisture, direct sunlight, and out of reach of children. -
Do I need to take atomoxetine with food?
Atomoxetine can be taken with or without food. Taking it with breakfast may reduce the likelihood of gastrointestinal upset for some patients. -
Can I travel internationally with atomoxetine?
Yes, but you should carry the medication in its original packaging, accompanied by a copy of the prescription and a letter from your clinician if required by customs authorities. -
Are there any differences in tablet appearance between regions?
UK‑supplied generic atomoxetine tablets are typically white, film‑coated, and scored for easy splitting. Formulations from other regions may vary in colour or imprint, but the active dose remains the same. -
How does CYP2D6 polymorphism affect atomoxetine treatment?
Individuals who are poor metabolizers of CYP2D6 may experience higher plasma concentrations, increasing the risk of side‑effects. Dose adjustments or alternative therapies may be necessary. -
Is atomoxetine detectable on standard drug‑screening tests?
Atomoxetine is not a controlled substance and is generally not included in routine workplace drug‑screening panels. However, specialized testing can detect it if specifically requested. -
Can atomoxetine be used in patients with a history of heart disease?
Caution is advised. Baseline cardiovascular assessment (e.g., blood pressure, heart rate, ECG) should be performed, and patients with uncontrolled hypertension or serious cardiac conditions may be excluded from treatment. -
What is the shelf‑life of atomoxetine capsules once opened?
Unopened tablets retain full potency until the expiry date printed on the pack. After opening, keep the container tightly closed; the medication remains stable for at least 12 months if stored properly. -
Has atomoxetine been studied in the elderly population?
Limited data exist for patients over 65 years. Small studies suggest comparable tolerability, but clinicians typically start at the lowest possible dose and monitor closely for hypotension or dizziness.
Glossary
- Norepinephrine re‑uptake inhibitor (NRI)
- A class of drugs that block the transporter responsible for removing norepinephrine from the synaptic cleft, thereby increasing its concentration and activity in the brain.
- CYP2D6
- An enzyme of the cytochrome P450 family that metabolises many medications, including atomoxetine. Genetic variations can classify individuals as poor, intermediate, extensive, or ultra‑rapid metabolizers.
- Therapeutic window
- The dosage range in which a medication produces the desired clinical effect without causing unacceptable adverse reactions.
- Boxed warning
- The most prominent safety alert required by regulatory agencies, indicating a serious or life‑threatening risk associated with a drug.
⚠️ Disclaimer
The information provided about atomoxetine is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to atomoxetine for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.