ATOMOXETINE - atomoxetine capsule 
Burel Pharmaceuticals, LLC



Atomoxetine Capsules, USP

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Read the Medication Guide that comes with atomoxetine capsules before you or your child starts taking them and each time you get a refill. There may be new information. This Medication Guide does not take the place of talking to your doctor about your treatment or your child’s treatment with atomoxetine capsules.

What is the most important information I should know about atomoxetine capsules?

The following have been reported with use of atomoxetine capsules:

1. Suicidal thoughts and actions in children and teenagers:

Children and teenagers sometimes think about suicide, and many report trying to kill themselves. Results from atomoxetine capsules clinical studies with over 2200 child or teenage ADHD patients suggest that some children and teenagers may have a higher chance of having suicidal thoughts or actions. Although no suicides occurred in these studies, 4 out of every 1000 patients developed suicidal thoughts. Tell your child or teenager’s doctor if your child or teenager (or there is a family history of):

The chance for suicidal thoughts and actions may be higher:

Prevent suicidal thoughts and action in your child or teenager by:

Watch for the following signs in your child or teenager during atomoxetine capsules treatment:

Call your child or teenager’s doctor right away if they have any of the above signs, especially if they are new, sudden, or severe. Your child or teenager may need to be closely watched for suicidal thoughts and actions or need a change in medicine.

2. Severe liver damage:

Atomoxetine capsules
can cause liver injury in some patients. Call your doctor right away if you or your child has the following signs of liver problems:

3. Heart-related problems:

Tell your doctor if you or your child has any heart problems, heart defects, high blood pressure, or a family history of these problems. Your doctor should check you or your child carefully for heart problems before starting atomoxetine capsules.

Your doctor should check your blood pressure or your child’s blood pressure and heart rate regularly during treatment with atomoxetine capsules.

Call your doctor right away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking atomoxetine capsules.

4. New mental (psychiatric) problems in children and teenagers:

Call your child or teenager’s doctor right away about any new mental symptoms because adjusting or stopping atomoxetine capsules treatment may need to be considered.

What are atomoxetine capsules?

Atomoxetine capsules are selective norepinephrine reuptake inhibitor medicine. They are used for the treatment of attention deficit and hyperactivity disorder (ADHD). Atomoxetine capsules may help increase attention and decrease impulsiveness and hyperactivity in patients with ADHD.

Atomoxetine capsules should be used as a part of a total treatment program for ADHD that may include counseling or other therapies.

Atomoxetine capsules have not been studied in children less than 6 years old.

Who should not take atomoxetine capsules?

Atomoxetine capsules should not be taken if you or your child:

Atomoxetine capsules may not be right for you or your child. Before starting atomoxetine capsules tell your doctor or your child’s doctor about all health conditions (or a family history of) including:

Can atomoxetine capsules be taken with other medicines?

Tell your doctor about all the medicines that you or your child takes including prescription and nonprescription medicines, vitamins, and herbal supplements. Atomoxetine capsules and some medicines may interact with each other and cause serious side effects. Your doctor will decide whether atomoxetine capsules can be taken with other medicines.

Especially tell your doctor if you or your child takes:

Know the medicines that you or your child takes. Keep a list of your medicines with you to show your doctor and pharmacist.

Do not start any new medicine while taking atomoxetine capsules without talking to your doctor first.

How should atomoxetine capsules be taken?

What are possible side effects of atomoxetine capsules?

See “What is the most important information I should know about atomoxetine capsules?” for information on reported suicidal thoughts and actions, other mental problems, severe liver damage, and heart problems.

Other serious side effects include:

Common side effects in children and teenagers include:

Common side effects in adults include:

Other information for children, teenagers, and adults:

This is not a complete list of possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store atomoxetine capsules?

General information about atomoxetine capsules

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use atomoxetine capsules for a condition for which it was not prescribed. Do not give atomoxetine capsules to other people, even if they have the same condition. They may harm them.

This Medication Guide summarizes the most important information about atomoxetine capsules. If you would like more information, talk with your doctor. You can ask your doctor or pharmacist for information about atomoxetine capsules that was written for healthcare professionals. For more information about atomoxetine capsules call 1-866-850-2876 (toll-free).

What are the ingredients in atomoxetine capsules?

Active ingredient: atomoxetine hydrochloride.

Inactive ingredients: pregelatinized starch and simethicone emulsion. The empty hard gelatin capsule shells contain gelatin, titanium dioxide, and sodium lauryl sulfate. In addition, the 18 mg contains iron oxide yellow, 25 mg and 40 mg contains FD&C Blue No 2, 60 mg contains FD&C Blue No 2 and iron oxide yellow, 80 mg and 100 mg contain iron oxide red and iron oxide yellow. The capsules are printed with edible ink containing black iron oxide and shellac.

Nardil® is a registered trademark of Pfizer Inc.

Parnate® is a registered trademark of GlaxoSmithKline.

Emsam® is a registered trademark of Somerset Pharmaceuticals Inc.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

Dispense with Medication Guide available at:

Manufactured for:
Burel Pharmaceuticals, LLC
Mason, OH 45040 USA

Manufactured by:
Aurobindo Pharma Limited
Hyderabad-500 090, India

Revised: 02/2022

Revised: 2/2022
Burel Pharmaceuticals, LLC