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Four years follow-up in a naturalistic study of adults with ADHD treated with atomoxetine

Published online by Cambridge University Press:  23 March 2020

V. Richarte Fernández*
Affiliation:
University Hospital Vall d’Hebron, Department of Psychiatry-CIBERSAM, Barcelona, Spain
M. Corrales de la Cruz
Affiliation:
University Hospital Vall d’Hebron, Department of Psychiatry, Barcelona, Spain
P. Ibáñez Jiménez
Affiliation:
University Hospital Vall d’Hebron, Department of Psychiatry, Barcelona, Spain
M. Corominas Rosso
Affiliation:
University Hospital Vall d’Hebron, Department of Psychiatry-CIBERSAM, Barcelona, Spain
R. Vidal Estrada
Affiliation:
University Hospital Vall d’Hebron, Department of Psychiatry-CIBERSAM, Barcelona, Spain
C. Fadeuilhe Grau
Affiliation:
University Hospital Vall d’Hebron, Department of Psychiatry, Barcelona, Spain
R.F. Palma-Álvarez
Affiliation:
University Hospital Vall d’Hebron, Department of Psychiatry, Barcelona, Spain
M. Casas Brugué
Affiliation:
University Hospital Vall d’Hebron, Department of Psychiatry-CIBERSAM, Barcelona, Spain
J.A. Ramos-Quiroga
Affiliation:
University Hospital Vall d’Hebron, Department of Psychiatry-CIBERSAM, Barcelona, Spain
*
*Corresponding author.

Abstract

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Introduction

Attention-deficit/hyperactivity disorder (ADHD) is a psychiatric chronic disorder of childhood that persists into adolescence and adulthood in the most part of cases. There are various ways of treating ADHD.

Objectives

Assess the effectiveness and tolerability of atomoxetine long-term and routine clinical practice in adult ADHD treatment. Study the clinical profile of the patients who take atomoxetine.

Aims

The aim of this is to study the treatment of ADHD in adults with a non-stimulant drug atomoxetine.

Methods

We obtain results from 126 patients recruited from July 2009 to May 2013 who have been prescribed Atomoxetine as a treatment for ADHD from the hospital pharmacy.

Results

Comorbid disorders were presented in 57.1% of the patients included at the study (25.3% of which belong to the group of anxiety disorders). The use of other psychotropic drugs associated with atomoxetine was observed in 54.8% of patients. The 62.7% of the patients concerned continued treatment beyond 225 weeks (4 years 3 months) of observation. The Clinical Global Impression Improvement scale (CGI-I) and side effects determine monitoring treatment. A total of 61.9% of patients responded satisfactory to treatment with atomoxetine getting the CGI-I scale a score of 1-2. The duration of therapy and patient age are factors that influence the response. Furthermore, the clinical profile of patients treated with atomoxetine is characterized by different comorbidities, anxious symptomatology and personality disorders. Atomoxetine treatment with has also been shown its effectiveness and safe despite the presence of concomitant comorbidities and psychopharmacological treatment.

Conclusion

Atomoxetine treatment with has been effective and has proven good tolerability profile during treatment.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW625
Copyright
Copyright © European Psychiatric Association 2014
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