Atomoxetine - Congenital, Prenatal & Neonatal Adverse Rections


This table shows all Adverse Drug Reactions reported to the FDA's Adverse Event Reporting System between 2004 and the 2nd Quarter of 2008 where the listed psychiatric drug was identified as the Primary Suspect Drug (FDA's term) deemed responsible for causing or inducing these reactions and where one or more of the Adverse Reactions reported for the Case described a congenital, prenatal or neonatal condition. Where no Age, Date of Event or Indication (the condition being treated) are shown, none were present in the FDA records.

Reported By: CN-Consumer, LW-Lawyer, MD-Physician, OT-Other Healthcare Provider, PH-Pharmacist, Blank-Not Reported in ISR (Individual Safety Report).

The Oxford English Dictionary defines a poison as "a substance that causes death or harm when introduced into or absorbed by a living organism."  This psychiatric drug fits that definition.



Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
4042874 4289648 01/01/2003 01/26/2004 Strattera PH Limb Malformation
F 4042874 4341872 04/15/2004 Strattera PH Drug Exposure During Pregnancy
4148345 4364662 05/21/2004 Strattera MD Anencephaly, Intra-Uterine Death, Transmission of Drug Via Semen
4148345 4464694 04/01/2004 09/29/2004 Strattera MD Abortion Induced, Anencephaly, Drug Exposure During Pregnancy, Transmission of Drug Via Semen
F 4205958 4441500 07/28/2004 Strattera Attention Deficit/Hyperactivity Disorder Abortion Spontaneous
6041125 4985900 04/19/2006 Strattera MD Drug Exposure During Pregnancy, Stillbirth
6041125 5022685 06/01/2005 06/05/2006 02/18/2006 Strattera MD Drug Exposure During Pregnancy, Intra-Uterine Death, Labour Complication, Stillbirth
6041125 5053558 06/01/2005 07/12/2006 02/18/2006 Strattera MD Anoxia, Drug Exposure During Pregnancy, Labour Complication, Stillbirth
6045434 4990718 02/01/2006 04/28/2006 02/01/2006 Strattera Drug Exposure During Pregnancy, Stillbirth
6045434 5053551 02/01/2006 07/12/2006 02/01/2006 Strattera Drug Exposure During Pregnancy, Stillbirth
6142862 5117527 09/26/2006 Strattera OT Cleft Palate, Congenital Anomaly, Drug Exposure During Pregnancy
6142862 5141774 10/27/2006 Strattera Attention Deficit/Hyperactivity Disorder Cleft Lip, Drug Exposure During Pregnancy
Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
6144742 5117518 09/26/2006 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Palate, Drug Exposure During Pregnancy
6144742 5141734 10/27/2006 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Lip, Cleft Palate, Congenital Anomaly, Drug Exposure During Pregnancy
6294395 5304803 04/23/2007 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Palate, Drug Exposure During Pregnancy
6294395 5306294 04/24/2007 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Palate, Drug Exposure During Pregnancy, Premature Baby
6294395 5363999 06/20/2007 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Palate, Drug Exposure During Pregnancy, Premature Baby
6294395 5367853 06/22/2007 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Palate, Drug Exposure During Pregnancy
6294395 5368829 06/25/2007 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Palate, Drug Exposure During Pregnancy
6294399 5304807 04/23/2007 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Lip, Drug Exposure During Pregnancy
6294399 5306289 04/24/2007 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Lip, Drug Exposure During Pregnancy, Premature Baby
6294399 5364013 06/20/2007 Strattera MD Attention Deficit/Hyperactivity Disorder Cleft Lip, Drug Exposure During Pregnancy
6465649 5514742 11/13/2007 Strattera CN Obsessive-Compulsive Disorder Congenital Cardiovascular Anomaly, Drug Exposure During Pregnancy, Pneumothorax
M 6569914 5649883 09/01/2007 03/04/2008 Strattera MD Attention Deficit/Hyperactivity Disorder Adenotonsillectomy, Congenital Central Nervous System Anomaly, Convulsion, Drug Interaction, Electroencephalogram Abnormal, Hallucination (Auditory), Hallucination (Visual)
Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
F 6590829 5676222 03/21/2008 Strattera MD Drug Exposure During Pregnancy, Pre-Eclampsia
F 6590836 5676230 03/21/2008 Strattera MD Congenital Foot Malformation, Drug Exposure During Pregnancy, Premature Baby
1 Day M 4094998 4300168 12/18/2003 02/18/2004 Strattera Forceps Delivery, Intraventricular Haemorrhage, Maternal Drugs Affecting Foetus, Neonatal Disorder, Pain
1 Day M 4094998 4356767 12/18/2003 05/07/2004 Strattera MD Intraventricular Haemorrhage Neonatal, Maternal Drugs Affecting Foetus, Pain
1 Day M 5911905 4806496 04/08/2005 10/19/2005 Strattera CN Drug Exposure During Pregnancy, Immature Respiratory System, Premature Baby
10 Years F 6042847 4989645 01/11/2006 04/26/2006 Strattera CN Attention Deficit/Hyperactivity Disorder Chest Pain, Coarctation of the Aorta, Headache, Hypertension
10 Years F 6042847 5063160 01/11/2006 07/24/2006 Strattera CN Attention Deficit/Hyperactivity Disorder Cardiac Valve Disease, Chest Pain, Coarctation of the Aorta, Headache, Hypertension
11 Years M 5682592 4498249 04/01/2004 09/27/2004 Strattera Attention Deficit/Hyperactivity Disorder Abnormal Behaviour, Birth Mark, Crying, Disturbance In Attention, Irritability, Mood Altered, Vein Discolouration
12 Years 5650226 4476619 10/13/2004 Strattera OT Cardiomyopathy, Congenital Anomaly
13 Years M 4136881 4351417 03/29/2004 04/28/2004 Strattera MD Attention Deficit/Hyperactivity Disorder Cardiomegaly, Cardiomyopathy, Dyspnoea
13 Years M 4136881 4373146 03/29/2004 06/03/2004 Strattera MD Attention Deficit/Hyperactivity Disorder Anorexia, Carnitine Increased, Chromosome Abnormality, Congestive Cardiomyopathy, Ejection Fraction Decreased, Hepatitis C Positive, HIV Test Positive, Urine Analysis Abnormal
13 Years 5650226 4522458 03/29/2004 12/07/2004 Strattera MD Attention Deficit/Hyperactivity Disorder Body Temperature Decreased, Cardiac Failure Congestive, Cardiac Murmur, Cardiomegaly, Cardiomyopathy, Dyspnoea, Mitral Valve Incompetence, Pleural Effusion, Sinus Tachycardia, Tricuspid Valve Incompetence, Viral Infection, Vomiting
Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
14 Years F 5680016 4502211 10/24/2004 11/09/2004 Atomoxetine PH Attention Deficit/Hyperactivity Disorder Abortion Induced, Convulsion, Drug Exposure During Pregnancy
14 Years F 5680016 4522533 10/22/2004 12/07/2004 Atomoxetine PH Attention Deficit/Hyperactivity Disorder Abortion Induced, Drug Exposure During Pregnancy, Epilepsy
14 Years F 5680016 4540370 10/22/2004 12/22/2004 Atomoxetine PH Attention Deficit/Hyperactivity Disorder Abortion Induced, Drug Exposure During Pregnancy, Epilepsy
17 Years F 4205986 4440746 03/27/2004 07/28/2004 Strattera OT Attention Deficit/Hyperactivity Disorder Prolonged Labour
22 Years F 5752581 4580254 12/16/2003 01/27/2005 Strattera OT Attention Deficit/Hyperactivity Disorder Abortion Spontaneous
25 Years F 6384021 5415914 01/01/2007 08/15/2007 Strattera CN Attention Deficit/Hyperactivity Disorder Abortion Spontaneous, Drug Exposure During Pregnancy
25 Years F 6543533 5613887 02/05/2008 Strattera CN Disturbance In Attention Abortion Spontaneous, Drug Exposure During Pregnancy
31 Years F 5915256 4806567 12/01/2004 10/19/2005 Strattera Attention Deficit/Hyperactivity Disorder Drug Exposure During Pregnancy, High Risk Pregnancy, Premature Labour
38 Years F 5752476 4580213 01/01/2004 01/27/2005 Strattera CN Attention Deficit/Hyperactivity Disorder Abortion Spontaneous
38 Years F 5903912 4786632 09/27/2005 Strattera MD Attention Deficit/Hyperactivity Disorder Placenta Praevia
5 Males 12 Females 27 Cases (Gender was not reported for 10 Cases) 46 Individual Safety Reports

This is a list of all Primary Suspect Drugs reported in the Detail Table

Atomoxetine (atomoxetine), Strattera (atomoxetine)

These are the Adverse Reactions culled from the Individual Safety Reports in the Detail Table

Abnormal Behaviour, Abortion Induced, Abortion Spontaneous, Adenotonsillectomy, Anencephaly, Anorexia, Anoxia, Auditory, Birth Mark, Body Temperature Decreased, Cardiac Failure Congestive, Cardiac Murmur, Cardiac Valve Disease, Cardiomegaly, Cardiomyopathy, Carnitine Increased, Chest Pain, Chromosome Abnormality, Cleft Lip, Cleft Palate, Coarctation of the Aorta, Congenital Anomaly, Congenital Cardiovascular Anomaly, Congenital Central Nervous System Anomaly, Congenital Foot Malformation, Congestive Cardiomyopathy, Convulsion, Crying, Disturbance In Attention, Drug Exposure During Pregnancy, Drug Interaction, Dyspnoea, Ejection Fraction Decreased, Electroencephalogram Abnormal, Epilepsy, Forceps Delivery, Hallucination (Auditory), Hallucination (Visual), Headache, Hepatitis C Positive, High Risk Pregnancy, HIV Test Positive, Hypertension, Immature Respiratory System, Intra-Uterine Death, Intraventricular Haemorrhage, Intraventricular Haemorrhage Neonatal, Irritability, Labour Complication, Limb Malformation, Maternal Drugs Affecting Foetus, Mitral Valve Incompetence, Mood Altered, Neonatal Disorder, Pain, Placenta Praevia, Pleural Effusion, Pneumothorax, Pre-Eclampsia, Premature Baby, Premature Labour, Prolonged Labour, Sinus Tachycardia, Stillbirth, Transmission of Drug Via Semen, Tricuspid Valve Incompetence, Urine Analysis Abnormal, Vein Discolouration, Viral Infection, Vomiting

Definitions
  
Abortion Spontaneous Miscarriage means loss of an embryo or fetus before the 20th week of pregnancy. Most miscarriages occur during the first 14 weeks of pregnancy. The medical term for miscarriage is spontaneous abortion.
  
Anencephaly Congenital absence of most of the brain and spinal cord.
  
Anoxia Anoxia is a condition characterized by an absence of oxygen supply to an organ or a tissue.
  
Cardiomegaly Enlargement of the heart. Also called megalocardia.
  
Cardiomyopathy A disease or disorder of the heart muscle, especially of unknown or obscure cause.
  
Congenital A physical abnormality that is present at birth.
  
Congenital Anomaly Medical term for a birth defect which is a physical abnormality that is present at birth; they are also called congenital abnormalities. When multiple birth defects occur together and have a similar cause, they are called syndromes (e.g. Adrenogenital Syndrome, Dandy-Walker Syndrome, Digeorge's Syndrome, Drug Withdrawal Syndrome Neonatal).
  
Dyspnoea Difficulty in breathing, often associated with lung or heart disease and resulting in shortness of breath. Also called air hunger.
  
Placenta Praevia Placenta previa is a condition that occurs during pregnancy when the placenta is abnormally placed, and partially or totally covers the cervix.
  
Pleural Effusion Pleural effusion occurs when too much fluid collects in the pleural space (the space between the two layers of the pleura - two thin membranes in the chest, one lining the lungs and the other covering the inside of the chest). It is commonly known as "water on the lungs".
  
Pneumothorax Pneumothorax is a collection of air or gas in the chest or pleural space that causes part or all of a lung to collapse.
  
Pre-Eclampsia Abnormal state of pregnancy characterized by hypertension and fluid retention and albuminuria (the presence of albumin in the urine, sometimes indicating kidney disease); if untreated, can lead to eclampsia (coma and convulsions before, during, or shortly after childbirth, characterized by edema, hypertension, and proteinuria).
  


Top 20 Adverse Reactions
Adverse Reaction Cases
Drug Exposure During Pregnancy 16
Abortion Spontaneous 5
Premature Baby 4
Hallucination (Auditory/Visual) 4
Congenital Anomaly 3
Cleft Palate 3
Cleft Lip 3
Stillbirth 2
Intra-Uterine Death 2
Dyspnoea 2
Convulsion 2
Cardiomyopathy 2
Cardiomegaly 2
Abortion Induced 2
Vomiting 1
Viral Infection 1
Vein Discolouration 1
Urine Analysis Abnormal 1
Tricuspid Valve Incompetence 1
Transmission of Drug Via Semen 1


MedWatch Reporting by Consumers

MedWatch is the Food and Drug Administration's program for reporting any undesirable experience associated with the use of a medical product. If you think you or someone in your family has experienced an adverse reaction from taking Atomoxetine and it has not been reported to the FDA, see this page for instructions on reporting the adverse event through your doctor or directly to the FDA using an online form.

A May 2006 USA Today article states that "drug companies are required to file any reports they have to the FDA, but consumers and doctors report such events on a voluntary basis. Studies suggest the FDA's Adverse Events Reporting System database captures only 1% to 10% of drug-induced side effects and deaths, "maybe even less than 1%," says clinical pharmacologist Alastair J.J. Wood, an associate dean at Vanderbilt Medical School in Nashville. So the real number of cases is almost certainly much higher".