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Details

Stereochemistry ABSOLUTE
Molecular Formula C17H21NO.C8H8O3
Molecular Weight 407.5021
Optical Activity UNSPECIFIED
Defined Stereocenters 2 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of (R)-N-methyl-3-phenyl-3-(o-tolyloxy)propan-1-amine mandelate

SMILES

O[C@@H](C(O)=O)C1=CC=CC=C1.CNCC[C@@H](OC2=CC=CC=C2C)C3=CC=CC=C3

InChI

InChIKey=MKUXKNJEHFBJBN-QEKUCLETSA-N
InChI=1S/C17H21NO.C8H8O3/c1-14-8-6-7-11-16(14)19-17(12-13-18-2)15-9-4-3-5-10-15;9-7(8(10)11)6-4-2-1-3-5-6/h3-11,17-18H,12-13H2,1-2H3;1-5,7,9H,(H,10,11)/t17-;7-/m11/s1

HIDE SMILES / InChI

Molecular Formula C17H21NO
Molecular Weight 255.3547
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula C8H8O3
Molecular Weight 152.1473
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: description was created based on several sources, including: https://www.drugs.com/pro/atomoxetine.html

Atomoxetine is indicated for the treatment of Attention-Deficit/Hyperactivity Disorder. The precise mechanism by which atomoxetine produces its therapeutic effects in Attention-Deficit/Hyperactivity Disorder (ADHD) is unknown, but is thought to be related to selective inhibition of the pre-synaptic norepinephrine transporter. Most common adverse reactions are: nausea, vomiting, fatigue, decreased appetite, abdominal pain, and somnolence, constipation, dry mouth, dizziness, erectile dysfunction, and urinary hesitation. Atomoxetine is a substrate for CYP2D6 and hence concurrent treatment with CYP2D6 inhibitors such as bupropion (Wellbutrin) or fluoxetine (Prozac) is not recommended, as this can lead to significant elevations of plasma atomoxetine levels.

Originator

Curator's Comment: # Eli Lilly

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
STRATTERA

Approved Use

Attention-Deficit/Hyperactivity Disorder (ADHD) STRATTERA is indicated for the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD). The efficacy of STRATTERA Capsules was established in seven clinical trials in outpatients with ADHD: four 6 to 9-week trials in pediatric patients (ages 6 to 18), two 10-week trial in adults, and one maintenance trial in pediatrics (ages 6 to 15) [see Clinical Studies (14)

Launch Date

2002
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
414.82 ng/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ATOMOXETINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
2693.29 ng × h/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ATOMOXETINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
3.64 h
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ATOMOXETINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
2%
ATOMOXETINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Overview

OverviewOther

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
no
no
no
no
no
no
no (co-administration study)
Comment: coadministration with desipramine did not alter the PK of desipramine
Page: 11, 28, 30
no
no (co-administration study)
Comment: coadministration with midazolam increased AUC by 15%
Page: 11, 28, 30
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: coadministration with paroxetine or fluoxetine increased atomoxetine steady-state plasma concentrations
Page: 8, 11, 22
unlikely
weak
weak
weak
weak
weak
weak
yes
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Evaluation of the reinforcing effects of monoamine reuptake inhibitors under a concurrent schedule of food and i.v. drug delivery in rhesus monkeys.
2005-04
Atomoxetine: the first nonstimulant for the management of attention-deficit/hyperactivity disorder.
2004-11-15
New drugs for the treatment of attention-deficit/hyperactivity disorder.
2004-11
Combining stimulants with monoamine oxidase inhibitors: a review of uses and one possible additional indication.
2004-11
A lifetime of distractions. ADHD is no longer just a children's disease. Many adults are being diagnosed and treated for the condition.
2004-10
[Atomoxetine for the treatment of attention-deficit/hyperactivity disorder].
2004-10
Mania induction associated with atomoxetine.
2004-10
Evaluation of the reinforcing effects of atomoxetine in monkeys: comparison to methylphenidate and desipramine.
2004-09-06
Management of hyperactivity and other acting-out problems in patients with autism spectrum disorder.
2004-09
Gateways to clinical trials.
2004-09
Aggression, mania, and hypomania induction associated with atomoxetine.
2004-09
Atomoxetine and nonresponders to stimulants.
2004-09
Atomoxetine and tics in ADHD.
2004-09
Atomoxetine (Strattera) revisited.
2004-08-16
Synthesis and biological evaluation of the major metabolite of atomoxetine: elucidation of a partial kappa-opioid agonist effect.
2004-08-02
A prospective, multicenter, open-label assessment of atomoxetine in non-North American children and adolescents with ADHD.
2004-08
Role of presynaptic alpha2-adrenoceptors in antidepressant action: recent findings from microdialysis studies.
2004-08
Atomoxetine, a novel treatment for attention-deficit-hyperactivity disorder.
2004-08
Improvement in health-related quality of life in children with ADHD: an analysis of placebo controlled studies of atomoxetine.
2004-08
The use of atomoxetine adjunctively in fibromyalgia syndrome.
2004-07
New options in the pharmacological management of attention-deficit/hyperactivity disorder.
2004-07
Attention-deficit/hyperactivity disorder: medication treatment-dosing and duration of action.
2004-07
Once-daily atomoxetine treatment for children with attention-deficit/hyperactivity disorder, including an assessment of evening and morning behavior: a double-blind, placebo-controlled trial.
2004-07
Relapse prevention in pediatric patients with ADHD treated with atomoxetine: a randomized, double-blind, placebo-controlled study.
2004-07
The link between health-related quality of life and clinical symptoms among children with attention-deficit hyperactivity disorder.
2004-06
Acute oxcarbazepine and atomoxetine overdose with quetiapine.
2004-06
Pharmacological management of attention-deficit hyperactivity disorder.
2004-06
Nonstimulant treatment of adult attention-deficit/hyperactivity disorder.
2004-06
Driving impairments in teens and adults with attention-deficit/hyperactivity disorder.
2004-06
Adrenergic alpha 2C receptor genomic organization: association study in adult ADHD.
2004-05-15
Atomoxetine--treatment of attention deficit hyperactivity disorder: beyond stimulants.
2004-05
Atomoxetine hydrochloride.
2004-05
Potential noradrenergic targets for cognitive enhancement in schizophrenia.
2004-05
New drugs of 2003.
2004-04-22
Seizures and prolonged QTc with atomoxetine overdose.
2004-04
[Attention-deficit/hyperactivity disorder (ADHS) in adulthood].
2004-03-24
Evidence-based pharmacotherapy for attention-deficit hyperactivity disorder.
2004-03
Gateways to clinical trials.
2004-02-28
[Tourette syndrome: an analysis of its comorbidity and specific treatment].
2004-02
[New therapeutic options in the treatment of attention deficit/hyperactivity disorder].
2004-02
New drugs 04, part 1.
2004-02
Atomoxetine treatment of attention-deficit/hyperactivity disorder.
2004-01
Non-stimulant medications in the treatment of ADHD.
2004
Involvement of norepinephrine in the control of activity and attentive processes in animal models of attention deficit hyperactivity disorder.
2004
Atomoxetine and stimulants in combination for treatment of attention deficit hyperactivity disorder: four case reports.
2004
Spotlight on atomoxetine in adults with attention-deficit hyperactivity disorder.
2004
Impact of ADHD and its treatment on substance abuse in adults.
2004
ADHD treatment across the life cycle.
2004
Atomoxetine: a review of its use in adults with attention deficit hyperactivity disorder.
2004
Atomoxetine hydrochloride for the treatment of attention-deficit/hyperactivity disorder.
2003-12
Patents

Sample Use Guides

In Vivo Use Guide
Atomoxetine should be initiated at a total daily dose of approximately 0.5 mg/kg and increased after a minimum of 3 days to a target total daily dose of approximately 1.2 mg/kg administered either as a single daily dose in the morning or as evenly divided doses in the morning and late afternoon/early evening. No additional benefit has been demonstrated for doses higher than 1.2 mg/kg/day.
Route of Administration: Oral
Electrophysiological recordings was performed with the extracellular standard solution at different membrane potentials ranging from -80 mV to +40 mV while the concentration of the agonists (100 uM NMDA/10 uM glycine) and the antagonist (25 uM atomoxetine) were kept constant. The inhibitory effect was clearly voltage-dependent, so that the inhibition was attenuated by depolarization.
Substance Class Chemical
Created
by admin
on Wed Apr 02 20:12:31 GMT 2025
Edited
by admin
on Wed Apr 02 20:12:31 GMT 2025
Record UNII
W8H9XH4USY
Record Status Validated (UNII)
Record Version
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Name Type Language
Benzeneacetic acid, ?-hydroxy-, (?R)-, compd. with (?R)-N-methyl-?-(2-methylphenoxy)benzenepropanamine (1:1)
Preferred Name English
(R)-N-methyl-3-phenyl-3-(o-tolyloxy)propan-1-amine mandelate
Systematic Name English
Code System Code Type Description
CAS
2170838-32-9
Created by admin on Wed Apr 02 20:12:31 GMT 2025 , Edited by admin on Wed Apr 02 20:12:31 GMT 2025
PRIMARY
FDA UNII
W8H9XH4USY
Created by admin on Wed Apr 02 20:12:31 GMT 2025 , Edited by admin on Wed Apr 02 20:12:31 GMT 2025
PRIMARY
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