Axepta 25mg Tablet 10'S

Introduction About AXEPTA 25MG TABLET

AXEPTA 25MG 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)

AXEPTA 25MG TABLET is used along with counselling and behavioural therapy to
achieve better results. It may take few weeks for AXEPTA 25MG TABLET to improve
your symptoms. Therefore, take this medicine for the stipulated duration
recommended by your doctor to achieve better results.

Before taking AXEPTA 25MG 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
hallucinations) as a precaution.

AXEPTA 25MG TABLET is not recommended for use in pregnant or breastfeeding women
unless considered necessary by the physician. The most common side effects of
taking AXEPTA 25MG 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 AXEPTA 25MG TABLET.

Uses Of AXEPTA 25MG TABLET

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

• Manage Attention Deficit Hyperactivity Disorder (ADHD)

How AXEPTA 25MG TABLET Works

AXEPTA 25MG 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 AXEPTA 25MG TABLET

Take AXEPTA 25MG TABLET as advised by your physician. Swallow the medicine with
a glass of water. Do not cursh or chew the medicine. AXEPTA 25MG 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 AXEPTA 25MG TABLET without consulting your doctor as it may
make your symptoms re-appear once again.

Side Effects Of AXEPTA 25MG 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 AXEPTA 25MG 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 AXEPTA 25MG 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 AXEPTA 25MG 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

AXEPTA 25MG 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
AXEPTA 25MG TABLET.

!### Alcohol

Avoid consum
the risk of side effects.

!### Kidney

AXEPTA 25MG TABLET should be used with caution in patients with kidney problems.
Therefore, consult your doctor before taking it.

!### Liver

AXEPTA 25MG TABLET should be used with caution in patients with liver problems.
Therefore, consult your doctor before taking it.

!### Allergy

Do not take AXEPTA 25MG TABLET if you are allergic to Atomoxetine.

!### Heart Disease

AXEPTA 25MG 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

AXEPTA 25MG 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 AXEPTA 25MG 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:

AXEPTA 25MG 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 AXEPTA 25MG TABLET have not been established in
elderly patients. Therefore, take AXEPTA 25MG TABLET only if advised by your
physician.

Interactions

Drug-Drug interactions:

Before taking AXEPTA 25MG 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 AXEPTA 25MG 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 AXEPTA 25MG TABLET out of reach of children
• Store AXEPTA 25MG TABLET below 30°C

FAQs About AXEPTA 25MG TABLET

Can the use of AXEPTA 25MG TABLET affect child’s growth?

AXEPTA 25MG 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 AXEPTA 25MG TABLET do for ADHD?

AXEPTA 25MG 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 AXEPTA 25MG TABLET to show improvement in my
condition?

It may take few weeks for AXEPTA 25MG TABLET to improve your symptoms.
Therefore, take this medicine for the stipulated duration recommended by your
doctor to achieve better results. AXEPTA 25MG TABLET is used along with
counselling and behavioural therapy to achieve better results.

Can the use of AXEPTA 25MG TABLET cause weight loss?

AXEPTA 25MG 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 AXEPTA 25MG TABLET?

The most common side effects of taking AXEPTA 25MG 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 AXEPTA 25MG TABLET?

If you or anyone else accidentally took more AXEPTA 25MG 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 AXEPTA 25MG TABLET cause mood changes?

Yes. AXEPTA 25MG 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 AXEPTA 25MG TABLET?

AXEPTA 25MG TABLETis used to manage Attention Deficit Hyperactivity Disorder
(ADHD) in adults, adolescents and in children (aged above 6 years).

Will the use of AXEPTA 25MG TABLET make me feel dizzy?

Yes. AXEPTA 25MG 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 AXEPTA 25MG TABLET be used in children?

AXEPTA 25MG 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 AXEPTA 25MG TABLET?

If you forget to take a dose of AXEPTA 25MG 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 AXEPTA 25MG
TABLET to compensate a missed dose, as it could lead to toxicity.

Will taking a higher dose of AXEPTA 25MG TABLET than the prescribed one be
beneficial?

No, taking a higher dose of AXEPTA 25MG 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 AXEPTA 25MG TABLET once my symptoms subside?

No. Do not stop taking AXEPTA 25MG 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 AXEPTA 25MG TABLET, but it might take several
weeks for you to experience complete benefits.

Can AXEPTA 25MG TABLET be taken daily?

Yes. AXEPTA 25MG TABLET can be taken daily as per your doctor’s instruction.
However, if you are doubtful, consult your doctor.

Can AXEPTA 25MG TABLET be used in pregnant women?

It is not known whether AXEPTA 25MG 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 AXEPTA 25MG TABLET?

Take AXEPTA 25MG 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 AXEPTA 25MG TABLET once I started feeling better?

Do not stop taking AXEPTA 25MG TABLET without consulting your doctor as it may
make your symptoms re-appear.

Can AXEPTA 25MG TABLET cause constipation?

Yes. Constipation is a common side effect of taking AXEPTA 25MG 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 AXEPTA 25MG TABLET safe?

AXEPTA 25MG TABLET is safe at doses prescribed by the doctor. Do not alter the
dosage of AXEPTA 25MG TABLET without consulting your doctor.

Useful Diagnostic Tests

• Liver function test
• electrocardiogram
• echocardiogram