ATONEXT 40 Tablet 10's

Introduction About ATONEXT 40 TABLET

ATONEXT 40 TABLET contains Atomoxetine which belongs to the group of medicines
called Psychostimulants. It is used to manage Attention Deficit Hyperactivity
Disorder (ADHD) in adults, adolescents and in children (aged above 6 years).

ADHD is a mental disorder in which the affected patient remains impulsive, less
attentive and/or hyperactive. It is predominant in children and in young adults
and is often characterised by troublesome symptoms that can affect their daily
life (such as lack of focus or concentration, aggressive behaviour,
hyperactivity, forgetfulness, fidgety, daydreaming and restlessness)

ATONEXT 40 TABLET is used along with counselling and behavioural therapy to
achieve better results. It may take few weeks for ATONEXT 40 TABLET to improve
your symptoms. Therefore, take this medicine for the stipulated duration
recommended by your doctor to achieve better results.

Before taking ATONEXT 40 TABLET inform your doctor if you have any liver, kidney
or heart problems. You must also inform your doctor if you have glaucoma, high
or low blood pressure, stroke, any problems in blood circulation, fits or any
other mood disorders (such as m
a precaution.

ATONEXT 40 TABLET is not recommended for use in pregnant or breastfeeding women
unless considered necessary by the physician. The most common side effects of
taking ATONEXT 40 TABLET are headache, dizziness, nausea, vomiting, sleepiness,
high blood pressure, tiredness, weight loss and difficulty in reaching orgasm.
Consult your doctor if any of these side effects trouble you.

You must also inform your doctor if you feel extremely depressed with suicidal
thoughts after taking ATONEXT 40 TABLET.

Uses Of ATONEXT 40 TABLET

It is used in adults, adolescents and in children (aged above 6 years) to:

• Manage Attention Deficit Hyperactivity Disorder (ADHD)

How ATONEXT 40 TABLET Works

ATONEXT 40 TABLET effectively controls the symptoms of ADHD, where atomoxetine
acts by increasing the amount of certain chemicals (such as noradrenaline)
within the brain that controls impulsiveness and hyperactivity. It can also
improve attention span and reduces the signs of ADHD in the affected patients.

How to use ATONEXT 40 TABLET

Take ATONEXT 40 TABLET as advised by your physician. Swallow the medicine with a
glass of water. Do not cursh or chew the medicine. ATONEXT 40 TABLET can be
taken with or without food.

Your doctor will decide the correct dose and duration of therapy for you
depending on your age, body weight and disease condition.

Do not stop taking ATONEXT 40 TABLET without consulting your doctor as it may
make your symptoms re-appear once again.

Side Effects Of ATONEXT 40 TABLET

Common

• headache, dizziness
• stomach pain, loss of appetite, nausea, vomiting
• sleepiness or lack of sleep
• high blood pressure, fast heartbeat
• dry mouth, constipation, stomach upset, indigestion
• feeling irritable, anxious or agitated
• feeling sad or depressed
• skin redness, swelling or itching, increased sweating
• excessive thirst
• laziness or tiredness
• weight loss
• decreased interest in sex, problems in penile erections
• unable to attain orgasm
• changes in taste
• feeling shaky (tremors)
• tingling or numbness of hands and feet
• flushing of skin
• unable to pass urine, increased frequency of urination
• groin pain in men
• menstrual cramps

Uncommon

• feeling faint
• migraine headache
• blurred vision
• Raynaud’s disease (Cold and numb hands and feet)
• muscle spasms
• an urge to pass urine
• irregular periods, ejaculation failure

Rare

• prolonged and painful erections

Stop taking ATONEXT 40 TABLET and consult your doctor immediately if you
experience any of the following side effects:

• thoughts of committing suicide or killing/harming yourself
• fits (seizures)
• fast or irregular heartbeat
• feeling angry or unfriendly, mood swings, hallucinations
• signs of allergic reactions (such as skin rash, swelling of the hands, face, tongue, neck or throat, fast heart rate, difficulty in breathing)
• signs of liver damage (such as stomach pain or tenderness on the right side, dark urine, yellowing of skin and whites of the eye, nausea, severe tiredness, itching, flu-like symptoms)

How To Manage Side Effects

Nausea or vomiting:

Take this medicine with or just after meals. Stick to simple meals. Avoid eating
oil-rich or spicy food. Contact your doctor if the nausea worsens.

Constipation:

Eat plenty of fibre-rich foods such as fresh fruits, vegetables and cereals and
drink plenty of water. Exercise regularly. Contact your doctor if constipation
persists.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating heavy tools
or machinery while you feel dizzy. Avoid the consum
aggravate your dizziness. Contact your doctor if the dizziness worsens.

Skin redness and itching:

Avoid hot showers because hot water can irritate the skin further. Do not
scratch the affected area. Use sunscreen and protective clothing while going
outdoors and use unscented moisturizers to soothe and hydrate your skin. Contact
your doctor if the itching persists.

Headache:

Rest and relax. Drink plenty of water and electrolytes. Apply a pain-relieving
balm on the head if needed. Do not consume alcohol. Contact your doctor if your
headache did not improve.

Warning & Precautions

!### Pregnancy

It is not known whether ATONEXT 40 TABLET can affect the growth of an unborn
baby or not. Therefore, it is not recommended for use in pregnant women unless
considered necessary by the physician.

!### Breastfeeding

It is not known whether ATONEXT 40 TABLET can pass through breast milk or not.
Therefore, it is not recommended for use in breastfeeding women unless
considered necessary by the physician.

!### Driving and Using Machines

ATONEXT 40 TABLET may make you feel dizzy, tired and sleepy. Therefore, do not
drive or operate any heavy tools or machines if your ability is affected by
ATONEXT 40 TABLET.

!### Alcohol

Avoid consum
the risk of side effects.

!### Kidney

ATONEXT 40 TABLET should be used with caution in patients with kidney problems.
Therefore, consult your doctor before taking it.

!### Liver

ATONEXT 40 TABLET should be used with caution in patients with liver problems.
Therefore, consult your doctor before taking it.

!### Allergy

Do not take ATONEXT 40 TABLET if you are allergic to Atomoxetine.

!### Heart Disease

ATONEXT 40 TABLET is not recommended for use in patient with serious heart
problems. It should be used with caution in patients with other heart problems
(such as heart defects or irregular or fast heartbeat). Therefore, consult your
doctor before taking it.

Others

ATONEXT 40 TABLET is not recommended for use if you:

• have narrow angle glaucoma
• have stroke or any condition that affects blood vessels in brain (such as aneurysm, narrow or blocked blood vessels)
• have pheochromocytoma (tumour of the adrenal glands)

Before taking ATONEXT 40 TABLET inform your doctor if you:

• have thoughts of suicide or harming/killing yourself
• have high blood pressure or low blood pressure
• have a history of stroke
• have hallucinations (seeing or believing things that aren’t true) or any other psychotic problems
• have m
• feel angry, unfriendly or unhappy
• have mood swings
• have or ever had fits (or seizures) in the past
• have uncontrollable twitching of body parts
• constantly repeat abnormal sounds or words (Tic disorder)

Use in paediatrics:

ATONEXT 40 TABLET can be used in children and adolescents (aged above 6 years)
if prescribed by the physician. It is not recommended for use in children aged
below 6 years due to lack of safety data. Therefore, consult your doctor before
taking it.

Use in geriatrics:

The safety and effectiveness of ATONEXT 40 TABLET have not been established in
elderly patients. Therefore, take ATONEXT 40 TABLET only if advised by your
physician.

Interactions

Drug-Drug interactions:

Before taking ATONEXT 40 TABLET, inform your doctor if you are taking any of the
following medicines such as:

• other medicines used to manage depression (Ex. phenelzine, iproniazid, isocarboxazid, nialamide, tranylcypromine, moclobemide, venlafaxine, mirtazapine, fluoxetine, paroxetine, amitriptyline, desipramine, imipramine etc.)
• medicines used to manage high blood pressure (Ex. dopamine, dobutamine)
• salbutamol, albuterol (medicines used to manage asthma)
• midazolam (a medicine used to manage anxiety)
• medicines used to manage psychiatric disorders (Ex. haloperidol, chlorpromazine, chlorprothixene)
• medicines used to manage irregular heartbeat (Ex. quinidine, digoxin, amiodarone)
• terbinafine (a medicine used to manage fungal infections)
• medicine used to manage malaria (Ex. primaquine, quinine)
• erythromycin, moxifloxacin (medicines used to manage bacterial infection)

Overdosage:

If you or anyone else accidentally took more ATONEXT 40 TABLET than the
prescribed dose, contact your doctor or go to the nearest hospital straight
away. Symptoms of overdosage might include gastrointestinal side effects (such
as nausea, diarrhoea, stomach discomfort), dizziness, tiredness, sleepiness,
tremor or abnormal behaviour.

Synopsis

Drug	:	Atomoxetine
Pharmacological Category	:	Selective Norepinephrine Reuptake Inhibitor
Therapeutic Indication	:	Attention Deficit Hyperactivity Disorder
Dosage Forms	:	Capsule, Tablet

More Information

• Keep ATONEXT 40 TABLET out of reach of children
• Store ATONEXT 40 TABLET below 30°C

FAQs About ATONEXT 40 TABLET

Can the use of ATONEXT 40 TABLET affect child’s growth?

ATONEXT 40 TABLET may reduce growth in some children, although not everyone gets
them. However, during the long-term management, the child recovers and attains
the normal height and body weight according to their age range. If your children
experience any problems in growth and weight gain, consult your doctor for
advice.

What isattention deficit hyperactivity disorder?

ADHD (Attention Deficit Hyperactivity Disorder) is a mental disorder in which
the affected patient remains impulsive, less attentive and/or hyperactive. It is
predominant in children and in young adults and is often characterised by
troublesome symptoms that can affect their daily life (such as lack of focus or
concentration, aggressive behaviour, hyperactivity, forgetfulness, fidgety,
daydreaming and restlessness)

What does ATONEXT 40 TABLET do for ADHD?

ATONEXT 40 TABLET effectively controls the symptoms of ADHD. It increases the
amount of certain chemicals (such as noradrenaline) within the brain that
controls impulsiveness and hyperactivity and improves attention span.

How long does it take for ATONEXT 40 TABLET to show improvement in my
condition?

It may take few weeks for ATONEXT 40 TABLET to improve your symptoms. Therefore,
take this medicine for the stipulated duration recommended by your doctor to
achieve better results. ATONEXT 40 TABLET is used along with counselling and
behavioural therapy to achieve better results.

Can the use of ATONEXT 40 TABLET cause weight loss?

ATONEXT 40 TABLET may decrease your hunger and lead to subsequent weight loss
during the initial days of management. This side effect usually disappears in
the later stages. However, consult your doctor if it bothers you.

What are the side effects of ATONEXT 40 TABLET?

The most common side effects of taking ATONEXT 40 TABLET are headache,
dizziness, nausea, vomiting, sleepiness, high blood pressure, tiredness, weight
loss and difficulty in reaching orgasm. Consult your doctor if any of these side
effects trouble you.

What happens if I take too much ATONEXT 40 TABLET?

If you or anyone else accidentally took more ATONEXT 40 TABLET than the
prescribed dose, contact your doctor or go to the nearest hospital straight
away. Symptoms of overdosage might include gastrointestinal side effects (such
as nausea, diarrhoea, stomach discomfort), dizziness, tiredness, sleepiness,
tremor or abnormal behaviour.

Can ATONEXT 40 TABLET cause mood changes?

Yes. ATONEXT 40 TABLET may cause alteration in mood and behaviour. It may make
you feel sad and hopeless, agitated, irritated or anxious as it works by
altering the levels of certain brain chemicals within the body. Therefore,
consult your doctor for advice.

What is the use of ATONEXT 40 TABLET?

ATONEXT 40 TABLETis used to manage Attention Deficit Hyperactivity Disorder
(ADHD) in adults, adolescents and in children (aged above 6 years).

Will the use of ATONEXT 40 TABLET make me feel dizzy?

Yes. ATONEXT 40 TABLET may make you feel dizzy. Therefore, do not drive or
handle any heavy machines or tool while you experience dizziness. Also, avoid
consum

Can ATONEXT 40 TABLET be used in children?

ATONEXT 40 TABLET can be used in children and adolescents (aged above 6 years)
if prescribed by the physician. It is not recommended for use in children aged
below 6 years due to lack of safety data. Therefore, consult your doctor before
taking it.

What to do if I forget to take a dose of ATONEXT 40 TABLET?

If you forget to take a dose of ATONEXT 40 TABLET, take it as soon as you
remember. However, if it is time to take the next dose, skip the missed dose and
take the next one at regular times. Do not take a double dose of ATONEXT 40
TABLET to compensate a missed dose, as it could lead to toxicity.

Will taking a higher dose of ATONEXT 40 TABLET than the prescribed one be
beneficial?

No, taking a higher dose of ATONEXT 40 TABLET will not be effective rather it
can lead to toxicity. Always take the dose prescribed by your doctor. If the
prescribed dose is not effective for you, consult your doctor for advice. Your
doctor might increase the dose or suggest an alternative therapy.

Can I stop taking ATONEXT 40 TABLET once my symptoms subside?

No. Do not stop taking ATONEXT 40 TABLET without consulting your doctor even if
you feel better during the mid-way of the therapy. You may feel better only
after 2 weeks of therapy with ATONEXT 40 TABLET, but it might take several weeks
for you to experience complete benefits.

Can ATONEXT 40 TABLET be taken daily?

Yes. ATONEXT 40 TABLET can be taken daily as per your doctor’s instruction.
However, if you are doubtful, consult your doctor.

Can ATONEXT 40 TABLET be used in pregnant women?

It is not known whether ATONEXT 40 TABLET can harm an unborn baby or not.
Therefore, it is not recommended for use in pregnant women unless considered
necessary by the physician.

How to take ATONEXT 40 TABLET?

Take ATONEXT 40 TABLET as advised by your physician. It can be taken with or
without food. Swallow the medicine with a glass of water. Do not chew or crush
the medicine.

Can I stop taking ATONEXT 40 TABLET once I started feeling better?

Do not stop taking ATONEXT 40 TABLET without consulting your doctor as it may
make your symptoms re-appear.

Can ATONEXT 40 TABLET cause constipation?

Yes. Constipation is a common side effect of taking ATONEXT 40 TABLET. Eat
plenty of fiber-rich foods such as fresh fruits, vegetables, cereals as well as
drink plenty of water and exercise more regularly while taking this medicine.
Contact your doctor if this side effect bothers you.

Is ATONEXT 40 TABLET safe?

ATONEXT 40 TABLET is safe at doses prescribed by the doctor. Do not alter the
dosage of ATONEXT 40 TABLET without consulting your doctor.

Useful Diagnostic Tests

• Liver function test
• electrocardiogram
• echocardiogram