Abuse of atomoxetine?
A 48yo client with a history of ADHD and GAD transferred to our clinic. I have been seeing her for about six months. Her Concerta was discontinued and she was then switched to atomoxetine 80mg daily. She states the atomoxetine has been much more helpful for her ADHD.
Over the six months, she has reported her atomoxetine lost about four times (only once an early refill was provided). She has also three times tried to adjust her dose before her monthly refill. She makes an appointment about every two weeks either because of loss medication or to discuss changing her medication dose. I believe she is doing this so she can try to get more atomoxetine before her monthly refill is due .
I can’t find any research to support any abuse or an addiction potential of atomoxetine. However, there is clearly something going on. The last appointment when I told her I will not be prescribing any more atomoxetine until her monthly refills are up and she began crying saying that no one will help her.
Has anyone else experience this type of behavior regarding atomoxetine?