Atomoxetine-related Takotsubo Cardiomyopathy

J Psychiatr Pract. 2016 May;22(3):232-3. doi: 10.1097/PRA.0000000000000152.

Abstract

Many psychotropic medications target norepinephrine receptors, which can have serious cardiovascular implications, especially in the context of overdoses, polypharmacy, and high-risk populations. This article presents the case of a patient with adult attention-deficit/hyperactivity disorder who developed takotsubo cardiomyopathy subsequent to pharmacokinetic and pharmacodynamic interactions between atomoxetine, a selective norepinephrine reuptake inhibitor, and fluoxetine. Clinicians should be mindful of the potential for cardiovascular adverse effects when prescribing agents that target noradrenergic receptors.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic Uptake Inhibitors / adverse effects*
  • Adult
  • Atomoxetine Hydrochloride / adverse effects*
  • Attention Deficit Disorder with Hyperactivity / drug therapy*
  • Drug Interactions
  • Female
  • Fluoxetine / adverse effects*
  • Humans
  • Selective Serotonin Reuptake Inhibitors / adverse effects*
  • Takotsubo Cardiomyopathy / chemically induced*

Substances

  • Adrenergic Uptake Inhibitors
  • Serotonin Uptake Inhibitors
  • Fluoxetine
  • Atomoxetine Hydrochloride