くすりのしおり

Internal
Published: 12/2018

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
ATOMOXETINE TABLETS 40mg " NIPRO "
 Active ingredient:
Atomoxetine hydrochloride
 Dosage form:
white tablet, diameter: 8.6 mm, thickness: 3.7mm
 Print on wrapping:
(Face)アトモキセチン錠40mg「ニプロ」, アトモキセチン, 40,(Back)ATOMOXETINE40mg「NIPRO」, アトモキセチン錠40mg「ニプロ」

Effects of this medicine

This medicine regulates neurotransmitters which transmit information between nerve cells in the brain, and improves symptoms such as inattention, hyperactivity or impulsiveness.
It is usually used for the treatment of attention-deficit/hyperactivity disorder (ADHD).

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you have previously experienced any allergic reaction (itch, rash etc.) to any medicine.
    If you have cardiovascular disease, pheochromocytoma or a history of pheochromocytoma, or angle-closure glaucoma.
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • For patients younger than 18 years: In general, start by taking this medicine at a total daily dose of 0.5 mg/kg and should be increased to 0.8 mg/kg daily. After that, the daily dose should be increased to 1.2 mg/kg. The maintenance dose should range from 1.2 to 1.8 mg/kg daily. The dose should be increased at intervals of 1 week or longer. Take the medicine in 2 divided doses daily in any case. The dose may be adjusted according to symptoms. However, the total daily dose should not exceeded 1.8 mg/kg or 120 mg, whichever is less.
    For patients aged 18 years and older: In general, start by taking this medicine at a total daily dose of 40 mg and should be increased to 80 mg daily. The maintenance dose should range from 80 to 120 mg daily. The daily dose, up to 80 mg, should be increased at intervals of 1 week or longer. After the daily dose reaches 80 mg, the daily dose should be increased at intervals of 2 weeks or longer. Take the medicine either as a single daily dose or as 2 divided doses daily. The dose may be adjusted according to symptoms. However, the total daily dose should not exceeded 120 mg.
    This preparation contains 40 mg of atomoxetine. In any case, strictly follow the instructions.
  • The content in a tablet is irritative to the eyes. Take the tablet without cracking or grinding. If the content of the tablet is attached to the eye, wash the eye with water and consult with your doctor. Wash your hands or other part of your body with water, if the content of the tablet is attached to them.
  • If you miss a dose, take a dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. You should never take two doses at one time.
  • If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop taking this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

  • The medicine may cause sleepiness or dizziness. Avoid driving a car or operating dangerous machinery after taking the medicine

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include nausea, headache, loss of appetite, somnolence, dry mouth, abdominal pain, vomiting, constipation, dizziness, palpitation and weight loss. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • general malaise, loss of appetite, yellowing in the skin or conjunctiva ocular [hepatic dysfunction, jaundice, hepatic failure]
  • angioneurotic edema (swelling around the eyes or lips), hives, respiratory distress [anaphylaxis]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out of the reach of children. Store away from direct sunlight, heat and moisture.
  • Discard the remainder. Do not store them. Seek advice of your doctor or pharmacist about proper disposal of unused medicines.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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