{"id":55590,"date":"2024-02-07T05:32:09","date_gmt":"2024-02-07T05:32:09","guid":{"rendered":"https:\/\/medsname.com\/atomoxet\/"},"modified":"2026-04-30T10:24:46","modified_gmt":"2026-04-30T10:24:46","slug":"atomoxet","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/atomoxet\/","title":{"rendered":"Atomoxet"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8d6;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">\u26a1 R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\">Atomoxet (Atomoxetin\u0103 10 \/ 18 \/ 25 \/ 40 \/ 60 \/ 80 mg) este un inhibitor selectiv de recaptare a noradrenalinei pentru ADHD la copii, adolescen\u021bi \u0219i adul\u021bi. Non-stimulant \u2014 f\u0103r\u0103 poten\u021bial de abuz, f\u0103r\u0103 clasificare ca substan\u021b\u0103 controlat\u0103. Util atunci c\u00e2nd stimulantele sunt nepotrivite, ineficiente sau contraindicate.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Atomoxet de la MedsBase este furnizat direct de la un produc\u0103tor certificat WHO-GMP \u00een ambalaj simplu \u0219i discret. Fiecare comand\u0103 este acoperit\u0103 de asigurarea noastr\u0103 <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 perioad\u0103 de livrare de 20 de zile lucr\u0103toare sau retrimitem f\u0103r\u0103 costuri suplimentare \u2014 \u0219i se calific\u0103 pentru <a href=\"https:\/\/medsbase.com\/ro\/loyalty-points\/\">programul nostru de loialitate pentru clien\u021bi<\/a>. Livr\u0103rile sunt disponibile \u00een majoritatea destina\u021biilor la nivel mondial.<\/p>\n<h2>Ce este Atomoxet \u0219i cum func\u021bioneaz\u0103<\/h2>\n<p>Atomoxet este o capsul\u0103 de atomoxetin\u0103 10 \/ 18 \/ 25 \/ 40 \/ 60 \/ 80 mg furnizat\u0103 de Intas. Atomoxetina inhib\u0103 selectiv transportorul de recaptare a noradrenalinei (NET), cresc\u00e2nd nivelul de noradrenalin\u0103 sinaptic\u0103 \u0219i \u2014 indirect, prin interac\u021biunea cortical\u0103 NA-DA \u2014 dopamina din cortexul frontal, f\u0103r\u0103 a afecta dopamina striatal\u0103. Acest din urm\u0103 aspect diferen\u021biaz\u0103 atomoxetina de stimulante: f\u0103r\u0103 euforie, f\u0103r\u0103 poten\u021bial de abuz, f\u0103r\u0103 clasificare ca substan\u021b\u0103 controlat\u0103.<\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Debut lent \u2014 nu este un medicament cu efect imediat<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Stimulantele ac\u021bioneaz\u0103 \u00een 30\u201360 de minute de la prima doz\u0103. Atomoxetina necesit\u0103 2\u20134 s\u0103pt\u0103m\u00e2ni pentru un r\u0103spuns ini\u021bial \u0219i 8\u201312 s\u0103pt\u0103m\u00e2ni pentru efectul complet. Pacien\u021bii (\u0219i p\u0103rin\u021bii) care a\u0219teapt\u0103 o schimbare imediat\u0103 asem\u0103n\u0103toare cu cea a stimulatelor vor fi dezam\u0103gi\u021bi \u0219i vor \u00eentrerupe tratamentul. Stabili\u021bi a\u0219tept\u0103rile corecte la \u00eenceputul tratamentului.<\/p>\n<\/div>\n<h2>Indica\u021bii \u0219i dozaj<\/h2>\n<table>\n<thead>\n<tr>\n<th>Pacient<\/th>\n<th>Doza ini\u021bial\u0103<\/th>\n<th>\u021aint\u0103<\/th>\n<th>Maxim<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Copii \u0219i adolescen\u021bi \u2264 70 kg<\/td>\n<td>0,5 mg\/kg\/zi \u00d7 3 z<\/td>\n<td>1,2 mg\/kg\/zi<\/td>\n<td>1,4 mg\/kg sau 100 mg<\/td>\n<\/tr>\n<tr>\n<td>Copii &amp; adolescen\u021bi &gt; 70 kg<\/td>\n<td>40 mg OD \u00d7 3 zile<\/td>\n<td>80 mg OD<\/td>\n<td>100 mg OD<\/td>\n<\/tr>\n<tr>\n<td>Adul\u021bi<\/td>\n<td>40 mg OD \u00d7 7 zile<\/td>\n<td>80 mg OD<\/td>\n<td>100 mg<\/td>\n<\/tr>\n<tr>\n<td>Inhibitor puternic CYP2D6 \/ metabolizor slab<\/td>\n<td>0,5 mg\/kg sau 40 mg<\/td>\n<td>0,5 \u00d7 doza \u021bint\u0103 normal\u0103<\/td>\n<td>\u00een func\u021bie de tolerabilitate<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Poate fi administrat odat\u0103 diminea\u021ba sau divizat BID (diminea\u021b\u0103 + dup\u0103-amiaza t\u00e2rzie \u2014 se evit\u0103 seara din cauza insomniei).<\/p>\n<h2>Considera\u021bii importante de siguran\u021b\u0103<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Avertizare cutie neagr\u0103 pentru suicidalitate (pediatric)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Atomoxetina poart\u0103 o avertizare cutie neagr\u0103 de la FDA pentru cre\u0219terea g\u00e2ndurilor suicidare la copii \u0219i adolescen\u021bi, \u00een special \u00een prima lun\u0103 \u0219i la modific\u0103rile de doz\u0103. Monitoriza\u021bi \u00eendeaproape modific\u0103rile de comportament la pacien\u021bii pediatrici la ini\u021biere.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Hepatotoxicitate \u2014 rar\u0103<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Au fost raportate cazuri rare de leziuni hepatice severe. \u00centrerupe\u021bi imediat dac\u0103 apar icter, urin\u0103 \u00eenchis\u0103, durere \u00een cadranul superior drept, oboseal\u0103 sau grea\u021b\u0103 neexplicat\u0103. Nu relua\u021bi tratamentul dup\u0103 o leziune hepatic\u0103 definitiv\u0103.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Cardiovascular<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Atomoxetina produce cre\u0219teri minore ale TA (+2 mmHg) \u0219i FC (+5 bpm). Cre\u0219teri mai mari observate ocazional la adul\u021bi. Verifica\u021bi TA \u0219i FC la ini\u021biere, la fiecare modificare de doz\u0103 \u0219i la urm\u0103rire. Evita\u021bi \u00een cazul anomalilor cardiace structurale grave, boli cardiovasculare severe sau feocromocitom.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Cre\u0219tere (pediatric)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Reduceri u\u0219oare ale vitezei de cre\u0219tere raportate la copiii trata\u021bi cu atomoxetin\u0103 \u2014 de obicei se recupereaz\u0103 \u00een timp. Evalua\u021bi \u00een\u0103l\u021bimea \u0219i greutatea la fiecare vizit\u0103.<\/p>\n<\/div>\n<h2>Efecte secundare frecvente<\/h2>\n<ul>\n<li><strong>GI:<\/strong> gre\u021buri, v\u0103rs\u0103turi, dureri abdominale, sc\u0103derea apetitului, dispepsie \u2014 cele mai evidente \u00een primele 1\u20132 s\u0103pt\u0103m\u00e2ni.<\/li>\n<li><strong>SNC:<\/strong> cefalee, somnolen\u021b\u0103 sau insomnie, ame\u021beli, labilitate emo\u021bional\u0103.<\/li>\n<li><strong>Cardiovascular:<\/strong> cre\u0219tere u\u0219oar\u0103 a TA \u0219i FC.<\/li>\n<li><strong>Sexual:<\/strong> dificult\u0103\u021bi de erec\u021bie, tulbur\u0103ri de ejaculare la b\u0103rba\u021bii adul\u021bi.<\/li>\n<li><strong>Urinar:<\/strong> hezita\u021bie urinar\u0103.<\/li>\n<li><strong>Negative distinctive:<\/strong> f\u0103r\u0103 poten\u021bial de abuz, f\u0103r\u0103 euforie, f\u0103r\u0103 efect de rebound, f\u0103r\u0103 ticuri. Util\u0103 c\u00e2nd stimulantele agraveaz\u0103 ticurile sau anxietatea.<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>MAOI<\/strong> \u2014 contraindica\u021bie absolut\u0103; perioad\u0103 de eliminare de 14 zile \u00een fiecare direc\u021bie.<\/li>\n<li><strong>Inhibitori puternici ai CYP2D6<\/strong> (paroxetin\u0103, fluoxetin\u0103, bupropion, chinidin\u0103) \u2014 cresc semnificativ nivelurile de atomoxetin\u0103; reduce\u021bi doza la jum\u0103tate sau schimba\u021bi tratamentul.<\/li>\n<li><strong>Agenti presori \/ al\u021bi simpatomimetice<\/strong> \u2014 efecte cardiovasculare aditive.<\/li>\n<li><strong>Alte medicamente care prelungesc intervalul QT<\/strong> \u2014 risc aditiv mic.<\/li>\n<\/ul>\n<h2>Sarcina, al\u0103ptare, pediatric<\/h2>\n<p>Categoria de sarcin\u0103 C \u2014 date limitate. Al\u0103ptare: date insuficiente. Pediatric: autorizat de la v\u00e2rsta de 6 ani, cu avertizarea privind riscul de suicid.<\/p>\n<h2>Depozitare<\/h2>\n<p>P\u0103strare la 15\u201330 \u00b0C \u00een ambalajul original.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>Cum difer\u0103 Atomoxet de un stimulent?<\/h3>\n<p>Atomoxetina nu este un stimulent, nu este controlat\u0103, nu prezint\u0103 risc de abuz \u0219i nu induce euforie. Compromisul: ac\u021biune mai lent\u0103 (s\u0103pt\u0103m\u00e2ni \u00een loc de minute), efecte mai mici \u00een studii \u0219i un profil diferit de efecte adverse (mai multe probleme gastrointestinale, mai pu\u021bin\u0103 suprima\u021bie a apetitului, mai pu\u021bin\u0103 insomnie, f\u0103r\u0103 efect rebound).<\/p>\n<h3>C\u00e2t dureaz\u0103 p\u00e2n\u0103 \u00eencepe s\u0103 ac\u021bioneze Atomoxet?<\/h3>\n<p>Unele r\u0103spunsuri p\u00e2n\u0103 \u00een s\u0103pt\u0103m\u00e2na 2\u20134; efect complet la 8\u201312 s\u0103pt\u0103m\u00e2ni. Dac\u0103 nu exist\u0103 r\u0103spuns dup\u0103 12 s\u0103pt\u0103m\u00e2ni la 1,2\u20131,4 mg\/kg sau 80\u2013100 mg, schimba\u021bi tratamentul.<\/p>\n<h3>Poate fi folosit Atomoxet \u00eempreun\u0103 cu un stimulent?<\/h3>\n<p>Da \u2014 combina\u021bia este descris\u0103 sub supraveghere specializat\u0103 c\u00e2nd monoterapia este par\u021bial\u0103. Monitorizarea cardiovascular\u0103 este mai important\u0103.<\/p>\n<h3>De ce nu necesit\u0103 Atomoxet refrigerare sau dispensa\u021bie ca substan\u021b\u0103 controlat\u0103?<\/h3>\n<p>Atomoxetina nu este o substan\u021b\u0103 controlat\u0103 \u00een nicio jurisdic\u021bie major\u0103 \u2014 nu este clasificat\u0103, nu necesit\u0103 re\u021bet\u0103 special\u0103, nu are cerin\u021be speciale de depozitare \u00een farmacii. Acest lucru o face convenabil\u0103 pentru c\u0103l\u0103torii \u0219i pentru pacien\u021bii din locuri de munc\u0103 cu regimuri de testare a drogurilor (nu produce metabolite de stimulent \u00een testele standard de urin\u0103).<\/p>\n<h3>Va afecta Atomoxet apetitul sau greutatea?<\/h3>\n<p>Suprimare u\u0219oar\u0103 a apetitului \u2014 mult mai pu\u021bin dec\u00e2t stimulentele. Majoritatea adul\u021bilor \u0219i copiilor men\u021bin o greutate normal\u0103; unele persoane pot \u00eenregistra o sc\u0103dere u\u0219oar\u0103 \u00een greutate.<\/p>\n<h3>Poate fi luat Atomoxet doar diminea\u021ba?<\/h3>\n<p>Da \u2014 administrarea o singur\u0103 dat\u0103 diminea\u021ba este cea mai frecvent\u0103 schem\u0103. Timpul de \u00eenjum\u0103t\u0103\u021bire farmacocinetic este de aproximativ 5 ore, dar efectul clinic persist\u0103 mult mai mult datorit\u0103 modific\u0103rilor la nivelul receptorilor. Unii pacien\u021bi prefer\u0103 dozarea divizat\u0103 BID pentru acoperirea simptomelor; alegerea clinicianului.<\/p>\n<h3>Poate Atomoxet provoca efecte secundare sexuale?<\/h3>\n<p>Da \u2014 \u00een special la b\u0103rba\u021bii adul\u021bi, tulbur\u0103ri de ejaculare \u0219i disfunc\u021bie erectil\u0103 sunt raportate \u00een 5\u201310%. Mai pu\u021bin frecvente dec\u00e2t la ISRS.<\/p>\n<h3>Poate fi utilizat Atomoxet la adul\u021bi cu anxietate?<\/h3>\n<p>Util atunci c\u00e2nd ADHD coexista cu anxietatea \u2014 ac\u021biunea noradrenergic\u0103 a atomoxetinei poate fi fie anxiolitic\u0103 (pe termen lung), fie anxiogen\u0103 (\u00een primele s\u0103pt\u0103m\u00e2ni). Stimulentele tind s\u0103 agraveze anxietatea, \u00een timp ce atomoxetina adesea nu.<\/p>\n<h3>Pot \u00eentrerupe brusc tratamentul cu Atomoxet?<\/h3>\n<p>Da \u2014 atomoxetina are un risc minim de sevraj datorit\u0103 timpului s\u0103u scurt de \u00eenjum\u0103t\u0103\u021bire. Majoritatea pacien\u021bilor pot \u00eentrerupe tratamentul direct f\u0103r\u0103 reducere treptat\u0103.<\/p>\n<h3>Va fi detectat Atomoxet la teste de droguri?<\/h3>\n<p>Nu \u2014 atomoxetina nu produce metaboli\u021bi stimulanti \u0219i nu este detectat\u0103 la testele standard de screening pentru amfetamin\u0103 sau metilfenidat din mediul de munc\u0103.<\/p>\n<h2>Alte Medicamente pentru S\u0103n\u0103tatea Mintal\u0103<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/agoprex\/\">Agoprex (Agomelatin\u0103 \u2014 depresie comorbid\u0103 la adul\u021bi)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lexaheal\/\">Lexaheal (Escitalopram \u2014 anxietate comorbid\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/bupron-xl\/\">Bupron XL (Bupropion \u2014 NDRI; adjunct off-label pentru ADHD)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/flunil\/\">Flunil (Fluoxetine SSRI)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/mirtaz\/\">Mirtaz (Mirtazapine NaSSA)<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:0.9em;\">\n<strong>Not\u0103 medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop educa\u021bional \u0219i nu \u00eenlocuie\u0219te sfatul medical personalizat. Farmacoterapia pentru s\u0103n\u0103tatea mintal\u0103 ar trebui ini\u021biat\u0103, monitorizat\u0103 \u0219i ajustat\u0103 de c\u0103tre un clinician calificat. Dac\u0103 tu sau cineva cunoscut se afl\u0103 \u00eentr-o criz\u0103 suicidal\u0103, contacteaz\u0103 imediat serviciile de urgen\u021b\u0103 locale sau sun\u0103 la linia de preven\u021bie a suicidului din \u021bara ta (SUA\/Canada: 988; UK: Samaritans 116 123; list\u0103 interna\u021bional\u0103: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Atomoxet (Atomoxetin\u0103 10\u201380 mg) \u2014 inhibitor selectiv de recaptare a noradrenalinei (NRI) pentru ADHD la copii, adolescen\u021bi \u0219i adul\u021bi. Non-stimulant, non-controlat \u2014 debut lent 2\u20134 s\u0103pt\u0103m\u00e2ni.<\/p>","protected":false},"featured_media":55591,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[3951,3952],"class_list":{"0":"post-55590","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-mental-health-and-psychiatric-medications","9":"product_tag-atomoxet","10":"product_tag-atomoxetine","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/55590","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=55590"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/55591"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=55590"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=55590"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=55590"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=55590"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}