Abstract

To review the literature of the first nonstimulant approved for treatment of attention-deficit/hyperactivity disorder (ADHD). Primary literature and review articles were obtained through PubMed/MEDLINE (1966-February 2003). Literature evaluating atomoxetine in ADHD was selected. Animal data were excluded. Stimulants are currently first-line therapy for ADHD. However, their use raises several concerns including the potential for abuse and adverse effects. Atomoxetine introduces a new therapeutic drug class, selective norepinephrine-reuptake inhibitors, for ADHD management. This additional treatment option offers potential advantages over current therapies. Clinical trials demonstrate that atomoxetine is a safe and effective alternative for ADHD treatment in children and adults; however, its disadvantages may hinder it from becoming a first-line agent.

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