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Overview

Tomoxetin 18Mg Capsule

Tomoxetin 18Mg Capsule

Manufacturer: Torrent Pharmaceuticals Ltd
Medicine composition: Atomoxetine
Prescription vs.OTC: Prescription by Doctor required

Tomoxetin 18Mg Capsule is used to treat one of the very common medical conditions in children- attention-deficit hyperactivity disorder (ADHD). It is a selective norepinephrine reuptake inhibitor thay increases the secretion of certain chemicals in the brain that help to increase attention span behavior.

If you have a history of a particular kind of adrenal gland tumor, of serious heart disease, or if you have taken phenelzine lately, the drug is not to be taken. Tell your doctor if your family has a history of bipolar disorders. They may all affect your body’s interaction with Tomoxetin 18Mg Capsule.

Read the medication guide of Tomoxetin 18Mg Capsule carefully before taking it. It is to be taken with or without food, orally. If you take it at the same time every day, it helps to remember it. In case you have missed a dose, but it is almost time for the next one, skip it. Never take two doses in one day.

Some of the side effects of Tomoxetin 18Mg Capsule include flushing, headache, decreased appetite, drowsiness, and constipation.

attention deficit hyperactivity disorder (adhd)
In addition to its intended effect, Tomoxetin 18Mg Capsule may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Headache
Decreased appetite
Increased heart rate
Increased blood pressure.
Is It safe with alcohol?
Atmosril 25mg tablet may cause excessive drowsiness and calmness with alcohol.
Are there any pregnancy warnings?
Atmosril 25mg tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Are there any breast-feeding warnings?
Atmosril 25mg tablet is probably unsafe to use during breastfeeding. Please consult your doctor.
Is it safe to drive while on this medicine?
Does this affect kidney function?
There is no data available. Please consult doctor before consuming the drug.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which have the same composition, strength and form as Tomoxetin 18Mg Capsule, and hence can be used as its substitute.
Sun Pharmaceutical Industries Ltd
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Medicine
Asthalin 2.5Mg Respules
TRYPTOMER 25MG TABLET
Levolin 0.63Mg Respules
Levolin 1.25Mg Respules 2.5 Ml

Popular Questions & Answers

My son 8 years old has been given tablets as follows for hyperactive, which please inform me the side effects anything will be there and also for how long should he take the below mentioned tablets? To control the anger and adamency? 1) Tab atomoxetine 10 mg 1 + 1/2 daily for 30 days. 2) Tab Risperidone 0.5 mg - 1 for night for 30 days. Regards,

M.Phil Clinical Psychology, M.Sc Developmental Psychopathology, B.A.(H)Psychology
Psychologist, Delhi
Dear, Kindly put your child into psychotherapy sessions in Chennai after consenting the psychiatrist who initiated medications because the nature of ADHD has to be evaluated in your child and accordingly an intervention plan would be chalked out by the psychologist so that during his growth amd development his attention which can be retrained using various techniques and his behavioral problem of hyperactivity can be reached to a manageable level with your assistance amd regular sessions.

Is hyperactivity related to Adenoid? My daughter is hyperactive and aggressively disturbed that she throws tantrums and react violently if we act against her interests. She used to be physically punished badly by my wife all these years. Please advice.

MD - Psychiatry
Psychiatrist, Chennai
Is hyperactivity related to Adenoid? My daughter is hyperactive and aggressively disturbed that she throws tantrums a...
No, it is not related to Adenoids. By the way you don't seem to understand yours daughter's problems. It seems like ADHD, consult a psychiatrist and get evaluated. Read below. Attention deficit hyperactivity disorder (ADHD) affects children and teens and can continue into adulthood. ADHD is the most commonly diagnosed mental disorder of children. Children with ADHD may be hyperactive and unable control their impulses. Or they may have trouble paying attention. These behaviors interfere with school and home life. It more common in boys than in girls. Its usually discovered during the early school years, when a child begins to have problems paying attention. Symptoms are grouped into three categories: Inattention. Is easily distracted Doesn't follow directions or finish tasks Doesn't appear to be listening Doesn't pay attention and makes careless mistakes Forgets about daily activities Has problems organizing daily tasks Doesnt like to do things that require sitting still Often loses things Tends to daydream Hyperactivity. Often squirms, fidgets, or bounces when sitting Doesn't stay seated Has trouble playing quietly Is always moving, such as running or climbing on things (In teens and adults, this is more commonly described as restlessness.) Talks excessively Is always â on the go as if driven by a motor Impulsivity. Has trouble waiting for his or her turn Blurts out answers Interrupts others Causes of ADHD The cause of ADHD isnât known. Researchers say several things may lead to it, including: Heredity. ADHD tends to run in families. Chemical imbalance. Brain chemicals in people with ADHD may be out of balance. Brain changes. Areas of the brain that control attention are less active in children with ADHD. Poor nutrition, infections, smoking, drinking, and substance abuse during pregnancy. These things can affect a babys brain development. Toxins, such as lead. They may affect a child's brain development. A brain injury or a brain disorder. Damage to the front of the brain, called the frontal lobe, can cause problems with controlling impulses and emotions. Sugar doesnt cause ADHD. ADHD also isnt caused by watching too much TV, a poor home life, poor schools, or food allergies. ADHD can't be prevented or cured. But spotting it early, plus having a good treatment and education plan, can help a child or adult with ADHD manage their symptoms. ADHD Treatment Many symptoms of ADHD can be managed with medication and therapy. Medication: Medications called stimulants can help control hyperactive and impulsive behavior and increase attention span. They include: Dexmethylphenidate Dextroamphetamine Lisdexamfetamine Methylphenidate Stimulant medications donât work for everyone with ADHD. Nonstimulant medications may be prescribed for people older than 6. These include: Atomoxetine Clonidine Guanfacine Therapy: These treatments focus on changing behavior. Special education helps a child learn at school. Having structure and a routine can help children with ADHD a lot. Behavior modification teaches ways to replace bad behaviors with good ones. Psychotherapy (counseling) can help someone with ADHD learn better ways to handle their emotions and frustration. It can also help improve their self-esteem. Counseling may also help family members better understand the child or adult with ADHD. Social skills training can teach behaviors, such as taking turns and sharing. Support groups of people with similar problems and needs can help with acceptance and support. Groups also can provide a way to learn more about ADHD. These groups are helpful for adults with ADHD or parents of children with ADHD. Many people with ADHD live successful, happy, full lives. Treatment helps. Itâs important to pay attention to symptoms and see a doctor regularly. Sometimes, medication and treatments that were once effective stop working. You may need to change the treatment plan. For many people, the symptoms of ADHD get better in early adulthood, and some are able to stop treatment.
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My child is diagnosed with adhd. He is 6 years old. Can this disease be cured completely. Doctor say that he did not get oxygen at the time of birth. But I don't agree with them. He is very hyper and speaks some words not sentences. Doctor is giving him atomoxetine hydrochloride-18mg, sizodon md 0.5 mg, coenzyme-10.(50mg. And carbamazepine.

MSC Human Development , Hypnotherapy , Special Educator , ms- counselling and physiotherapy, Applied psychology Hons
Psychologist, Faridabad
Your child can be improve by your love, affection and support. Find out his best qualities and give him space with those qualities. Yes you and your child's psychologist both together can make him to cope up in this world with his ossem qualities. Don't feel him that he is ill. Try to make him comfortable. If you want to take our any help you can contact us.

My son is a adhd kid. He has some speech delay also. What is the best way to treat him. Are there any special schools for him.

C.S.C, D.C.H, M.B.B.S
General Physician,
Stimulants such as methylphenidate and amphetamines are the most common type of medication used for treating adhd. Although it may seem counterintuitive to treat hyperactivity with a stimulant, these medications actually activate brain circuits that support attention and focused behavior, thus reducing hyperactivity. In addition, a few non-stimulant medications, such as atomoxetine, guanfacine, and clonidine, are also available. For many children, adhd medications reduce hyperactivity and impulsivity and improve their ability to focus, work, and learn. Medications also may improve physical coordination. However, a one-size-fits-all approach does not apply for all children with adhd. What works for one child might not work for another. One child might have side effects with a certain medication, while another child may not. Sometimes several different medications or dosages must be tried before finding one that works for a particular child. Any child taking medications must be monitored closely and carefully by caregivers and doctors. Stimulant medications come in different forms, such as a pill, capsule, liquid, or skin patch. Some medications also come in short-acting, long-acting, or extended release varieties. In each of these varieties, the active ingredient is the same, but it is released differently in the body. Long-acting or extended release forms often allow a child to take the medication just once a day before school, so he or she doesn't have to make a daily trip to the school nurse for another dose. Parents and doctors should decide together which medication is best for the child and whether the child needs medication only for school hours or for evenings and weekends, too. For more information about stimulants and other medications used for treating mental disorders, see the nimh mental health medications webpage. The food and drug administration (fda) website has the latest information on medication approvals, warnings, and patient information guides. What are the side effects of stimulant medications? the most commonly reported side effects are decreased appetite, sleep problems, anxiety, and irritability. Some children also report mild stomachaches or headaches. Most side effects are minor and disappear over time or if the dosage level is lowered. Decreased appetite. Be sure your child eats healthy meals. If this side effect does not go away, talk to your child's doctor. Also talk to the doctor if you have concerns about your child's growth or weight gain while he or she is taking this medication. Sleep problems. If a child cannot fall asleep, the doctor may prescribe a lower dose of the medication or a shorter-acting form. The doctor might also suggest giving the medication earlier in the day, or stopping the afternoon or evening dose. Adding a prescription for a low dose of a blood pressure medication called clonidine sometimes helps with sleep problems. A consistent sleep routine that includes relaxing elements like warm milk, soft music, or quiet activities in dim light, may also help. Less common side effects. A few children develop sudden, repetitive movements or sounds called tics. Changing the medication dosage may make tics go away. Some children also may have a personality change, such as appearing" flat" or without emotion. Talk with your child's doctor if you see any of these side effects. You can ask for special schools in your area.
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I have a 10 years old boy suspect adhd. He take atomoxetine hydrochloride for 1 month. Any other remedy is available which has no side effects?

C.S.C, D.C.H, M.B.B.S
General Physician,
Atomoxetine may increase the risk of suicidal thoughts or actions in children and teenagers with attention deficit hyperactivity disorder (adhd). Talk with the patient's doctor to be sure that the benefits of using atomoxetine outweigh the risks. Families and caregivers must closely watch patients who take atomoxetine. It is important to keep in close contact with the patient's doctor. Tell the doctor right away if the patient has symptoms such as worsened depression, suicidal thoughts, or changes in behavior. Discuss any questions with the patient's doctor. There is no cure for attention deficit hyperactivity disorder (adhd), but treatment can help relieve the symptoms and make the condition much less of a problem in day-to-day life. Adhd can be treated using medication or therapy, but a combination of both is often the best way to treat it. There are four types of medication licensed for the treatment of adhd: methylphenidate dexamfetamine lisdexamfetamine atomoxetine these medications are not a permanent cure for adhd, but they can help someone with the condition concentrate better, be less impulsive, feel calmer, and learn and practise new skills. Some medications need to be taken every day, but some can be taken just on school days. Treatment breaks are occasionally recommended, to assess whether the medication is still needed. You can ask me privately and keep me as your family doctor.
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Popular Health Tips

Priapism - How Can It Be Treated?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine, Certified Course In Herbal(Ayurvedic) Medicine
Sexologist, Ludhiana
Priapism - How Can It Be Treated?

Priapism is a condition of the penis where the erection persists long after the sexual stimulation. It is a painful condition and is extremely common among patients suffering from sickle cell anaemia. Medical treatment is necessary at the earliest in order to prevent any damage to the tissue. This condition is mostly observed in people in the age segment of 30-40.

Symptoms of priapism:
The symptoms of priapism vary according to the type of priapism a person is affected with. Two of the most common types of priapism are non-ischemic and ischemic priapism. While the latter is more common to those with a family history of the same disease, the former can occur to any person. Some of the common symptoms of both the condition include the following:

  1. An erection that lasts for more than an hour or more
  2. Pain in the penis during erection
  3. Rigid shaft of the penile with a soft tip

What are the causes of priapism?

  1. Blood-related disorders such as leukaemia, thalassemia, and sickle cell anaemia
  2. It can also arise from side effects of other medications such as fluoxetine, sertraline, papaverine, warfarin, atomoxetine, chlorpromazine, phentolamine etc
  3. Abuse of alcohol, marijuana, drugs etc.
  4. An injury or trauma to the penis, perineum and pelvis restricting the blood flow.
  5. Penis cancer
  6. Metabolic disorders such as amyloidosis and gout
  7. Neurological disorders such as syphilis or an injury to the spinal cord
  8. A toxic infection or a bite from a spider

What are the possible complications?
Priapism can lead to serious consequences, especially the ischemic type. The trapped blood inside the penis that is devoid of oxygen can start damaging the tissue of the penis. If this disease is not treated on time, it can lead to erectile dysfunction.

How is priapism diagnosed?
A doctor starts from a physical exam and goes through the medical history in order to get first-hand knowledge of the condition. This is followed by the prescription of tests such as blood gas measurement, ultrasound, count of red blood cells and platelets and other toxicology tests.

What are the treatment options?
There could be various approaches that are taken by a doctor. Excess blood can be drained out with the help of a syringe and the penis can be flushed with saline in order to get rid of the oxygen-devoid blood out of the penis. Certain medications can be injected into the pen that helps the blood to flow normally without accumulating inside the penis. If all else fails, a surgeon can perform a procedure in order to drain the blood from a different route. In case you have a concern or query you can always consult an expert & get answers to your questions!

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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

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