Atomoxetine 40mg Capsules
₦55,000.00
Buy Atomoxetine 40mg Online in Nigeria – Non-Stimulant ADHD Maintenance Therapy
Buy Atomoxetine 40mg online from HubPharm Africa, a PCN licensed specialty pharmacy. Atomoxetine hydrochloride is a selective noradrenaline reuptake inhibitor licensed for Attention Deficit Hyperactivity Disorder in children aged 6 years and above, in adolescents and in adults, used as part of a comprehensive treatment programme.
The 40mg capsule serves two roles. In adults and adolescents weighing more than 70kg it is the standard initiation dose, taken for at least seven days before any increase. In lighter patients it is a maintenance strength reached during titration toward the target of approximately 1.2mg per kilogram per day. Because atomoxetine is not a stimulant and not a controlled substance, it supports simpler repeat prescribing and continuous 24-hour cover.
Atomoxetine builds its effect over weeks rather than hours. Meaningful improvement typically appears after 2 to 4 weeks and full benefit may take 6 to 12 weeks of uninterrupted daily dosing. HubPharm pharmacists set that expectation clearly with every patient, verify the prescription, screen for interactions including CYP2D6 inhibitors, and follow up during the build-up phase. Same-day delivery within Lagos, 48 hours nationwide.
Key Features
- Standard Adult Starting Dose: 40mg once daily is the usual initiation dose for adults and for patients weighing over 70kg, held for at least a week before any increase to 80mg.
- Continuous 24-Hour Cover: Benefit is sustained through the evening and the following morning rather than tracking a daytime stimulant curve.
- No Controlled Drug Restrictions: Atomoxetine is not scheduled, which simplifies repeat supply, travel and long-term management.
- Preferred Where Stimulants Are Unsuitable: A recognised option for patients with prominent anxiety, tics, stimulant-related sleep disturbance, or a history of substance misuse.
- Structured Follow-Up: Our pharmacists check in during the first two months, the period when patients most often stop prematurely because the effect has not yet appeared.
Frequently Asked Questions
What is atomoxetine 40mg used for?
It is used to treat Attention Deficit Hyperactivity Disorder in patients aged 6 years and above, as part of a comprehensive treatment programme.
Why is 40mg the usual adult starting dose?
In patients weighing more than 70kg, 40mg daily approximates the recommended initiation dose of around 0.5mg per kilogram. It is maintained for at least seven days so that tolerability can be assessed before increasing, commonly to 80mg daily.
What is the maximum dose of atomoxetine?
For most adults the recommended maintenance dose is 80mg daily, with a maximum of 100mg daily where the response at 80mg is inadequate after a further 2 to 4 weeks. Your prescriber determines this.
How long before I know whether it is working?
Allow at least 4 weeks at the target dose before drawing conclusions, and up to 12 weeks for full benefit. Judging atomoxetine after a few days is the single most common mistake with this medicine.
Can I take atomoxetine at night?
Yes. Some patients who experience drowsiness take the full dose in the evening. Others split it between morning and late afternoon. Discuss timing with your prescriber if the daytime dose causes sedation or nausea.
What are the common side effects at 40mg?
Nausea, reduced appetite, dry mouth, abdominal discomfort, headache, drowsiness or insomnia, dizziness, irritability, and a modest increase in heart rate and blood pressure. Gastrointestinal effects tend to settle over the first weeks.
Does atomoxetine interact with other medicines?
Yes. Atomoxetine is metabolised by CYP2D6, so strong inhibitors such as fluoxetine, paroxetine, quinidine and bupropion can substantially raise its levels and may require dose adjustment. It must not be combined with a monoamine oxidase inhibitor.
Can atomoxetine cause sexual side effects in adults?
Yes. Reduced libido, erectile difficulty, ejaculation disorders, and in some men, dysmenorrhoea in female patients, have been reported. These are worth raising with your prescriber rather than silently stopping treatment.
What should I watch for on the liver?
Severe hepatic injury is rare but reported. Seek urgent medical advice for jaundice, dark urine, unexplained itching, right upper abdominal pain or unexplained flu-like illness, and stop the medicine.
Can atomoxetine be combined with a stimulant?
Combination therapy is used in some specialist settings, but it is not routine and must be initiated and supervised by a specialist.
Do I need a prescription to buy atomoxetine 40mg in Nigeria?
Yes. It is a prescription only medicine dispensed against a valid prescription from a physician registered in Nigeria.
How should atomoxetine be stored?
Store below 25°C in the original pack, protected from moisture, and out of the sight and reach of children.
Description
Atomoxetine 40mg – Full Product Information
Active ingredient: Atomoxetine hydrochloride 40mg, a selective noradrenaline reuptake inhibitor.
Presentation: 40mg hard capsules for oral use, swallowed whole.
Indication: Attention Deficit Hyperactivity Disorder in patients aged 6 years and above, as part of a comprehensive treatment programme.
Legal category: Prescription only medicine. Not a controlled substance.
How Atomoxetine Works
Atomoxetine selectively blocks the presynaptic noradrenaline transporter, raising synaptic noradrenaline throughout the central nervous system. In the prefrontal cortex, where dopamine is also cleared by the noradrenaline transporter, this produces a parallel rise in dopamine, strengthening the executive circuits that govern attention, working memory and impulse control. Because it does not raise dopamine in the nucleus accumbens, it lacks reinforcing properties and is not scheduled as a controlled drug. Therapeutic benefit reflects gradual receptor and circuit adaptation rather than acute drug presence, which is why the effect emerges over weeks. Atomoxetine is metabolised principally by CYP2D6 to 4-hydroxyatomoxetine; poor metabolisers and patients taking strong CYP2D6 inhibitors have markedly higher plasma exposure and may need lower doses.
Storage and Handling
Store below 25°C in the original pack, protected from moisture. Keep out of the sight and reach of children. Do not use after the expiry date shown on the packaging. Return unused medicine to a pharmacy for safe disposal.
Safety Information
Do not use if you are allergic to atomoxetine or any excipient, with a monoamine oxidase inhibitor or within 14 days of stopping one, or if you have narrow angle glaucoma, phaeochromocytoma, or severe cardiovascular or cerebrovascular disease. Seek medical advice before use if you have hypertension, tachycardia, a structural cardiac abnormality, epilepsy, hepatic impairment or a history of psychiatric illness. Watch for new or worsening suicidal thinking, hostility, agitation or unusual behaviour change, especially early in treatment and after dose changes. Discontinue and seek urgent advice at any sign of liver injury. Blood pressure, pulse, weight and height in children should be recorded at baseline and monitored throughout. Capsules must be swallowed whole because the contents are an ocular irritant. Atomoxetine may impair the ability to drive or operate machinery.
Pharmacist Support
Every HubPharm order is reviewed by a licensed pharmacist before dispatch. You can reach our pharmacy team on WhatsApp at +234 705 050 5001, or through Afiya, our AI health companion, 24 hours a day in over 50 languages.
Atomoxetine 25mg – Full Product Information
Active ingredient: Atomoxetine hydrochloride 25mg, a selective noradrenaline reuptake inhibitor.
Presentation: 25mg hard capsules for oral use, swallowed whole.
Indication: Attention Deficit Hyperactivity Disorder in patients aged 6 years and above, as part of a comprehensive treatment programme.
Legal category: Prescription only medicine. Not a controlled substance.
How Atomoxetine Works
Atomoxetine selectively inhibits the presynaptic noradrenaline transporter, increasing noradrenaline concentrations in the synaptic cleft. In the prefrontal cortex, where the noradrenaline transporter also clears dopamine, this inhibition raises both noradrenaline and dopamine, improving executive function, sustained attention and impulse control. Crucially, atomoxetine does not increase dopamine in the nucleus accumbens or striatum, which is why it lacks the reinforcing and euphoric properties of stimulants and is not a controlled substance. The clinical benefit depends on gradual neuroadaptive changes rather than on the acute presence of drug, which explains the delayed onset of effect over several weeks. Atomoxetine is metabolised primarily by CYP2D6, so poor metabolisers experience substantially higher plasma exposure.
Storage and Handling
Store below 25°C in the original pack, protected from moisture. Keep out of the sight and reach of children. Do not use after the expiry date shown on the packaging. Return unused medicine to a pharmacy for safe disposal.
Safety Information
Do not use if you are allergic to atomoxetine or any of the excipients, with a monoamine oxidase inhibitor or within 14 days of stopping one, or if you have narrow angle glaucoma, phaeochromocytoma, severe cardiovascular or cerebrovascular disorders. Seek medical advice before use if you have hypertension, tachycardia, structural cardiac abnormality, epilepsy, liver disease, or a history of psychiatric illness. Monitor for the emergence or worsening of suicidal thinking, hostility, aggression, agitation or unusual behaviour change, particularly during the first months of treatment and after dose adjustments. Discontinue and seek urgent advice if signs of liver injury appear, including jaundice, dark urine or unexplained pruritus. Blood pressure, pulse, weight and height in children should be recorded before starting and monitored throughout treatment. Capsules must be swallowed whole because the contents irritate the eye. Atomoxetine may impair the ability to drive or operate machinery.
Pharmacist Support
Every HubPharm order is reviewed by a licensed pharmacist before dispatch. You can reach our pharmacy team on WhatsApp at +234 705 050 5001, or through Afiya, our AI health companion, 24 hours a day in over 50 languages.
| PRESCRIPTION ONLY MEDICINE |
This information is provided for general education and does not replace the advice of a qualified healthcare professional. Always read the manufacturer’s leaflet supplied with your medicine
