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Atomoxetine (Strattera) is used to treat attention-deficit hyperactivity disorder (ADHD), but it comes with important safety information that must be considered carefully. Here are the key safety and warning details you need to know:

• Suicidal Thoughts and Mood Changes: This medication may increase the risk of suicidal thoughts, particularly in children and teenagers, especially during the initial months of treatment or when the dosage changes. Be vigilant for any changes in mood or behavior such as anxiety, panic attacks, trouble sleeping, hostility, or impulsive actions. If you notice these symptoms, contact your healthcare provider immediately.

• Liver Damage: In rare instances, atomoxetine can cause severe liver damage, potentially leading to liver failure. Symptoms to watch for include yellowing skin or eyes, dark urine, stomach pain, or changes in stool color. If these occur, seek medical attention right away.

• Heart Problems: Atomoxetine may cause serious heart issues, including stroke or heart attack, particularly in individuals with pre-existing heart conditions. It can also increase blood pressure and heart rate. Ensure your healthcare provider knows your cardiovascular history before starting this medication. Seek immediate medical help if you experience chest pain, fainting, or irregular heartbeat.

• Bipolar Disorder: Those with bipolar disorder may experience manic or mixed episodes when taking atomoxetine. Providers will typically screen for bipolar disorder before prescribing this medication. Report any unusual behavioral changes, such as excessive happiness or reckless behavior, to your provider.

• Behavioral Changes: Some individuals may experience behavioral changes like hallucinations or aggressive behavior. These can occur even without a history of such issues. Report any new or worsening symptoms to your healthcare provider promptly.

• Prolonged Erection: Rarely, atomoxetine can cause prolonged and painful erections. If this occurs, discontinue use and seek medical attention immediately to avoid permanent damage.

• Slowed Growth in Children: Atomoxetine may slow growth in children initially, although growth typically normalizes with continued treatment. Regular monitoring of your child's growth by their healthcare provider is recommended. Discuss any concerns about growth with the provider.

Contraindications: Do not use atomoxetine if you are currently taking or have recently taken a monoamine oxidase inhibitor (MAOI), have narrow-angle glaucoma, pheochromocytoma, or certain severe heart or blood vessel issues. Consult your healthcare provider if you have any of these conditions before starting atomoxetine.

Remember, it is crucial to discuss any concerns or questions with your healthcare provider to ensure atomoxetine is safe and effective for you or your child.

When taking this medication, some individuals might experience common side effects such as nausea, dry mouth, loss of appetite, trouble sleeping, tiredness, constipation, dizziness, and drowsiness. While these effects are generally mild, it's important to monitor them and consult with a healthcare provider if they persist or worsen. Women might encounter menstrual cramps or irregular periods, and some may experience erectile dysfunction or stomach pain.

In some cases, individuals may also report headaches, vomiting, and difficulty urinating. These effects, though not as common, should still be discussed with a healthcare provider if they arise. It's crucial to note that this medication can raise blood pressure, so regular monitoring is advised.

Rarely, more serious side effects can occur, requiring immediate medical attention. These include difficulty urinating, unusually fast or irregular heartbeat, fainting, numbness or tingling, and severe liver issues marked by persistent vomiting, dark urine, abdominal pain, or yellowing of the skin or eyes. The risk of cardiovascular events such as heart attack or stroke exists, with symptoms like chest pain, shortness of breath, or sudden vision changes needing urgent care.

Additionally, males, particularly young boys and teens, may experience a prolonged or painful erection lasting more than four hours, which requires prompt medical intervention to prevent long-term damage. Although rare, serious allergic reactions can occur, presenting with rash, swelling, severe dizziness, or trouble breathing, and these too necessitate immediate medical assistance. Always communicate any other unusual effects to your healthcare provider.

When taking Atomoxetine (Strattera), it is crucial to be aware of potential drug interactions. Avoid using MAO inhibitors, such as isocarboxazid, linezolid, methylene blue, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine, as combining them with Atomoxetine can lead to a serious, possibly fatal reaction. These MAO inhibitors should not be used two weeks before and after Atomoxetine treatment. Consult your doctor if you have questions about when to begin or stop these medications.

Additionally, inform your doctor and pharmacist about all other medications and supplements you are taking, including over-the-counter drugs and herbal products, as they may interact with Atomoxetine. Certain medications such as albuterol, bupropion, darunavir, donepezil, givosiran, panobinostat, and paroxetine usually aren't recommended for use with Atomoxetine. If their combination is necessary, your doctor might adjust the dosage or frequency.

Furthermore, using Atomoxetine with tricyclic antidepressants, like amitriptyline and nortriptyline, may increase side effects. However, your doctor might still prescribe them together if it benefits your treatment, adjusting the dose as needed. Always discuss with your healthcare provider to ensure safe and effective use of Atomoxetine alongside other medications.