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It is prescribed only in cases where remedial measures alone are not sufficient and the symptoms are severe.

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Atomoxetine should not be used in patients with pheochromocytoma or a history of pheochromocytoma see section 4. Suicide-related behaviour suicide attempts and suicidal ideation has been reported in patients treated with atomoxetine.

In double-blind clinical trials, www.netdomain.cl behaviours were uncommon, but more frequently observed among children and adolescents treated with atomoxetine compared to those treated with placebo, where there were no events. In adult double-blind clinical trials there was no difference in the frequency of suicide-related behaviour between atomoxetine and placebo. Patients who are being treated for ADHD should be carefully monitored for the appearance or worsening of suicide-related behaviour. Sudden death and pre-existing cardiac abnormalities: Atomoxetine can affect heart rate and blood pressure. Long-term sustained changes in blood pressure may potentially contribute to clinical consequences such as myocardial hypertrophy.

As a result of these findings, patients who are being considered for treatment with atomoxetine should have a careful history and physical exam to assess for the presence of cardiac disease, Where I Can Purchase Strattera 18 mg, and should receive further specialist cardiac evaluation if initial findings suggest such history or disease. It is recommended that heart rate and blood pressure be measured and recorded before treatment is started and, during treatment, after each adjustment of dose and then at least every 6 months to detect where I Can Purchase Strattera 18 mg clinically important increases.

Atomoxetine should be used with caution in patients whose underlying medical conditions could be worsened by increases in blood pressure and heart rate, such as patients with hypertension, tachycardia, or cardiovascular or cerebrovascular disease. Patients who develop symptoms such as palpitations, exertional chest pain, where I Can Purchase Strattera 18 mg syncope, dyspnoea or other symptoms suggestive of cardiac disease during atomoxetine treatment should undergo a prompt specialist cardiac evaluation. In addition, atomoxetine should be used with caution in patients with congenital or acquired long QT or a family history of QT prolongation see sections 4.

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Patients with additional risk factors for cerebrovascular conditions such as a history of cardiovascular disease, concomitant medications that elevate blood pressure should be assessed at every visit for neurological signs and symptoms after initiating treatment with atomoxetine. Also very rarely, severe liver injury, including acute liver failure, have been reported.

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Psychotic or manic symptoms: Treatment-emergent psychotic or manic symptoms, e. If such symptoms occur, buy Allopurinol should be given to a possible causal role of atomoxetine, and discontinuation of treatment should be considered. Aggressive behaviour, hostility or emotional lability: Hostility predominantly aggression, oppositional behaviour and anger was where I Can Purchase Strattera 18 mg frequently observed in clinical trials among children, adolescents and adults treated with STRATTERA compared to those treated with placebo.

Patients should be closely monitored for the appearance or worsening of aggressive behaviour, hostility or emotional lability. Although uncommon, allergic reactions, including anaphylactic reactions, rash, angioneurotic oedema, and urticaria, have been reported in patients taking atomoxetine. Seizures are a potential risk with atomoxetine.

Atomoxetine should be introduced with caution in patients with a history of seizure. Discontinuation of atomoxetine should be considered in any patient developing a seizure or if there is an increase in seizure frequency where no other cause is identified.

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