Use of atomoxetine as the drug of choice in adults with ADHD in clinical practice Case report
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Abstract
This article discusses key aspects of initiating and monitoring ADHD treatment in specific groups of patients in whom, due to characteristic features in the medical history, non-stimulant treatment, primarily atomoxetine, may be the preferred choice. The pharmacology of atomoxetine, its mechanism of action, pharmacokinetics, dosage, and most common adverse effects are presented. Its usefulness in patients with ADHD comorbid with anxiety disorders, depression, history of alcohol dependence, risk of psychostimulant abuse, tics, and hoarding disorder is emphasized. Three case studies (patients with a history of alcohol dependence, anxiety after psychostimulants, and abuse of prescription psychostimulants) illustrate the practical application of atomoxetine in these specific clinical situations. In summary, atomoxetine is a valuable pharmacological option for the treatment of ADHD in adults, especially where psychostimulants are contraindicated or their use is associated with increased risk.
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