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Atomoxetina para TDAH

Strattera, Atomaid

Atomoxetine is used to treat attention deficit hyperactivity disorder (ADHD).

Common side-effects are lack of appetite and feeling sleepy.

Durante este tratamento, você será convidado para exames regulares. É importante que você compareça a essas consultas.

Em resumo

  • Atomoxetine is a non-stimulant medicine used to treat Attention Deficit Hyperactivity Disorder (ADHD).

  • It is prescribed for children over 6 years old, young people, and adults.

  • It increases a natural brain chemical called noradrenaline to help with attention and hyperactivity.

  • Swallow capsules whole, usually once a day, and follow your doctor's instructions carefully.

  • Common side-effects include headache, feeling sleepy or dizzy, nausea, and stomach pain.

  • Seek immediate medical help if you experience severe side-effects like jaundice or suicidal thoughts.

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About atomoxetine

Tipo de medicamento

A non-stimulant medicine

Usado para

Transtorno do déficit de atenção com hiperatividade (TDAH) em crianças com mais de 6 anos, jovens e adultos

Também chamado de

Strattera®; Atomaid®

Disponível como

Capsules andoral liquid medicine

Transtorno do déficit de atenção com hiperatividade (TDAH) is a fairly common condition that affects a person's behaviour. People with ADHD show persistent restlessness, impulsiveness and/or inattention. You will be given help to understand your emotions and behaviours (or those of your child), but where this is insufficient, medicines such as atomoxetine can be prescribed.

Atomoxetine increases the amount of a natural chemical called noradrenaline (norepinephrine) in the brain. This increases attention and decreases hyperactivity in people with ADHD. It will initially be prescribed by a specialist doctor. It is not suitable for children under the age of 6 years.

ADHD is usually diagnosed in childhood, but it can continue into adulthood. This leaflet is written as a source of information for parents or carers of children who have been prescribed atomoxetine, and also for young people and adults who are taking it themselves.

Before taking atomoxetine

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you (or a child in your care) start taking atomoxetine it is important that your doctor knows:

  • Se for para uma jovem que possa estar grávida.

  • Se você está grávida, tentando ter um bebê ou amamentando.

  • If you (or your child) have high or low blood pressure.

  • If you (or your child) have a fast or unusual heartbeat.

  • If you (or your child) have any liver, heart, or blood vessel problems.

  • If you (or your child) have epilepsy, or have ever had a fit (seizure).

  • Se você (ou seu filho) tiver um problema de saúde mental - por exemplo, psicose ou transtorno bipolar.

  • Se você (ou seu filho) tiver um problema ocular chamado glaucoma.

  • If you (or your child) have an adrenal gland tumour called phaeochromocytoma.

  • Se você (ou seu filho) estiver tomando qualquer outro medicamento. Isso inclui qualquer medicamento que esteja disponível para compra sem receita, bem como medicamentos fitoterápicos e complementares.

  • Se você (ou seu filho) já teve uma reação alérgica a um medicamento.

How to take atomoxetine

  • Before starting this treatment, read the manufacturer's printed information leaflet from inside the pack. The leaflet will give you more information about atomoxetine and a full list of side-effects which may be experienced from taking it.

  • Make sure the capsules are taken exactly as your doctor tells you to. Your doctor or pharmacist will tell you how many should be taken and when to take them. It is usual to take one dose each day, in the morning. Sometimes, a doctor may recommend dividing the dose into two, taking the first part of the dose in the morning and the other part late afternoon or early evening. The dose will be on the label of the pack to remind you which is right for you.

  • Swallow the capsules whole with a drink of water. It is not important whether atomoxetine is taken before or after food.

  • If you are giving the oral solution to a child, make sure you carefully follow the manufacturer's instructions for using the dosing syringe. Do not mix the oral solution with water or other liquids. Your child can have a drink of water or juice after swallowing the medicine.

  • Try to avoid getting the oral solution in the eyes as it can cause irritation. Wash your hands after giving the medicine. If the oral solution does get into the eye, flush immediately with water and contact your doctor or pharmacist for advice.

  • When starting the treatment your doctor will prescribe a small dose and then gradually increase it. This allows your doctor to make sure that the dose helps your condition but avoids any unwanted symptoms.

  • There are several strengths of atomoxetine capsule. You will be given a strength that fits with your doctor's recommendations. Each time you collect a new supply, check to make sure that the capsules are the strength that you are expecting.

  • If you forget a dose, it should be taken as soon as you remember. If you do not remember until the following day, skip the missed dose. Do not take two doses together to make up for a forgotten dose.

Obtendo o máximo deste tratamento

  • Mantenha as consultas regulares com seu médico. Seu médico vai querer verificar para garantir que o tratamento está ajudando. Seu médico também monitorará coisas como peso e altura, e fará alguns exames de sangue.

  • Existem programas de tratamento que serão recomendados para você e seu filho. Estes fornecerão estratégias para melhorar o comportamento e reduzir qualquer impacto a longo prazo.

  • From time to time your doctor will assess the treatment to make sure it is still required. This may involve stopping atomoxetine for a short while.

  • There is a small amount of evidence to show that a change in diet may help some people with ADHD. If you think that diet may be a factor for you or your child, discuss this with your doctor to see if speaking with a dietician might be of benefit.

  • Before buying any medicines, check with your pharmacist which medicines are safe to take alongside atomoxetine.

Can atomoxetine cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with atomoxetine. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common atomoxetine side-effects

What can I do if I (or my child) experience this?

Dor de cabeça

Beba bastante água e peça a um farmacêutico que recomende um analgésico adequado. Se as dores de cabeça continuarem, informe seu médico

Sentindo-se sonolento, tonto ou cansado

Se isso acontecer, não dirija e não use ferramentas ou máquinas

Feeling sick (nausea) or being sick (vomiting), tummy (abdominal) pain, indigestion

Mantenha-se em refeições simples - evite alimentos ricos ou picantes

Constipação

Coma uma dieta equilibrada e beba vários copos de água todos os dias

Lack of appetite, loss of weight, changes to heart rate and pressure (your doctor will check for this), rash, mood swings, problems sleeping, dry mouth

Se houver problemas, fale com seu médico

In a very few people, atomoxetine has caused more serious unwanted effects. If you notice any of the following, you must let your doctor know imediatamente:

  • Abdominal pain with sickness, dark-coloured urine, yellowing of your skin or of the whites of the eyes (jaundice), and feeling generally unwell.

  • Suicidal or self-harming thoughts, feeling depressed, irritated or agitated.

Se você sentir quaisquer outros sintomas que acha que podem ser devido a este medicamento, fale com seu médico ou farmacêutico.

How to store atomoxetine

  • Mantenha todos os medicamentos fora do alcance e da vista das crianças.

  • Armazene em local fresco e seco, longe de calor e luz diretos.

Informações importantes sobre todos os medicamentos

Informações importantes sobre todos os medicamentos

Nunca tome mais do que a dose prescrita. Se suspeitar que você ou outra pessoa possa ter tomado uma overdose deste medicamento, vá ao departamento de acidentes e emergências do hospital local. Leve o recipiente com você, mesmo que esteja vazio.

This medicine is for you or your child. Never give it to other people even if their condition appears to be the same as yours.

If you are having an operation or dental treatment, tell the person carrying out the treatment about any other medicines you are taking.

Não guarde medicamentos vencidos ou indesejados. Leve-os à sua farmácia local, que se encarregará de descartá-los para você.

Se você tiver alguma dúvida sobre este medicamento, pergunte ao seu farmacêutico.

Relatar efeitos colaterais de um medicamento ou vacina

Se você sentir efeitos colaterais, pode relatá-los online através do Site do Yellow Card.

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Perguntas frequentes

What is the typical starting dose for atomoxetine and how is it adjusted over time?

When starting treatment, your doctor will prescribe a small dose. This dose will then be gradually increased. This approach helps ensure that the medication effectively manages your condition while minimising any unwanted side effects.

Are there different strengths of atomoxetine capsules, and how do I ensure I have the correct one?

Yes, atomoxetine capsules are available in several strengths. Your doctor will prescribe a specific strength that matches their recommendations for your treatment. Each time you collect a new supply of medication, it's important to check the label to make sure the capsules are the strength you are expecting.

Can atomoxetine oral solution be mixed with other drinks for children?

If you are giving the oral solution to a child, it is important not to mix it with water or any other liquids. You should carefully follow the manufacturer's instructions for using the dosing syringe. After the child has swallowed the medicine, they can have a drink of water or juice.

What should I do if atomoxetine oral solution accidentally gets into the eyes?

If the oral solution accidentally gets into someone's eyes, you should immediately flush the eye with water. After flushing, you should contact your doctor or pharmacist for further advice.

How often will my doctor monitor my treatment with atomoxetine?

You will have regular appointments with your doctor while taking atomoxetine. During these appointments, your doctor will check that the treatment is helping. They will also monitor factors such as your weight and height, and may perform blood tests. Your doctor will also periodically assess whether the treatment is still needed, which might involve stopping atomoxetine for a short period.

Leitura adicional e referências

Sobre o autorVer biografia completa

Imagem do autor

Helen Allen, MPharm

Farmacêutico, Autor Médico

MPharm

Helen Allen se formou como farmacêutica em 1979 e passou 3 anos como autora dos folhetos de informações sobre medicamentos para a EMIS.

Sobre o revisor

Imagem do autor

Sid Dajani

Sultan Dajani se formou na Escola de Farmácia de Londres em 1994 e se tornou o membro mais jovem eleito para o conselho da Sociedade Real de Farmácia desde sua fundação em 1842.

Histórico do artigo

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