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Atomoxetine, used in the treatment of attention-deficit hyperactivity disorder (ADHD), may lead to a deterioration in condition or the emergence of new mental or mood-related symptoms in a minority of patients, particularly among children and adolescents. These symptoms can include suicidal thoughts or actions. It is crucial to thoroughly discuss the potential risks and benefits of this medication with a healthcare provider, especially when prescribed for younger individuals.

Key points to consider:

• Monitor for Changes: Pay close attention to any worsening of psychiatric symptoms or new behavioral changes. This includes suicidal thoughts, increased anxiety, panic attacks, sleep disturbances, irritability, aggressive or hostile behavior, hallucinations, delusional thoughts, impulsivity, severe restlessness, or excessively rapid speech.
• Critical Timings: Be particularly vigilant for these symptoms at the start of the medication or when adjusting the dosage.
• Immediate Action: If any of these changes are observed, contact a healthcare professional immediately to discuss the appropriate course of action.

Ensuring regular consultation with the prescribing doctor is vital to manage these potential side effects effectively.

You may experience mild side effects such as stomach upset, nausea, vomiting, constipation, tiredness, loss of appetite, weight loss, dry mouth, dizziness, drowsiness, trouble sleeping, or a decrease in sexual desire. Women might also notice menstrual cramps or irregular periods. If these symptoms persist or worsen, it’s important to inform your healthcare provider.

To reduce dizziness, try getting up slowly from sitting or lying down. It’s worth noting that many people using this medication do not experience severe side effects. However, this medication can elevate blood pressure, so regular monitoring is advised. Contact your healthcare provider if you observe elevated readings.

Some serious side effects require immediate medical attention. These include difficulty urinating, a fast or irregular heartbeat, fainting, and numbness or tingling. Rarely, atomoxetine can lead to severe liver damage. Seek help if you notice symptoms such as persistent nausea or vomiting, dark urine, abdominal pain, or yellowing of the skin or eyes.

In rare cases, this medication might cause heart-related issues such as a heart attack or stroke. Symptoms like chest pain, shortness of breath, unusual sweating, weakness on one side, confusion, trouble speaking, or sudden vision changes require urgent medical intervention.

For males, including young boys and teens, a painful or prolonged erection lasting four or more hours is a serious side effect. Immediate medical help is necessary to prevent long-term damage. Additionally, while a severe allergic reaction to this drug is rare, symptoms like rash, swelling, severe dizziness, or trouble breathing require immediate medical attention.

This overview doesn’t cover all possible side effects. If you experience any unusual symptoms, reach out to your healthcare provider for guidance.

Using MAO inhibitors concurrently with this medication can lead to a serious, potentially life-threatening interaction. It is important to avoid MAO inhibitors, such as isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine, while on this treatment. Additionally, most MAO inhibitors should not be used for two weeks before starting or after ending treatment with this medication. Consult your doctor on the appropriate timing for starting or discontinuing this medication.

Some other products might contain ingredients that could increase your heart rate or blood pressure. Be sure to inform your pharmacist about all the products you are currently using and seek advice on their safe use, especially if they include cough-and-cold remedies or weight-loss aids.