Recit

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Recit

Medically reviewed

Laura Arias

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Recit

Quick Facts

Property Description
Active Ingredient Atomoxetine (as the hydrochloride salt)
Form Hard Gelatin Capsule
Pharmacological Class Selective Norepinephrine Reuptake Inhibitor (SNRI)
Origin Synthetic
Target Use Attention and impulse regulation

What is Recit and What Type of Drug is It?

Recit is a prescription-only pharmaceutical preparation whose active ingredient is Atomoxetine, classified as a Selective Norepinephrine Reuptake Inhibitor (SNRI). This pharmacological designation defines its primary mechanism of action as targeting the neurotransmitter Norepinephrine in the central nervous system. Atomoxetine is a non-stimulant medication, which distinguishes it from the amphetamine and methylphenidate classes. The compound has a specific selective action on the norepinephrine transporter.


Composition, Origin, and Form

The medicine is a single-active ingredient product containing the synthetic compound Atomoxetine, which is consistently delivered orally as a hard gelatin capsule. The active chemical entity is supplied as Atomoxetine Hydrochloride, a salt form necessary for its systemic use and stability. Atomoxetine is derived from the propylamines chemical group. This capsule formulation is for both adults and children over six years old. The capsule contains the active powder alongside basic excipients, ensuring the precise delivery of the active moiety, the R(-) isomer.


What is the General Purpose of Recit?

Recit's general purpose is to support attention and impulse control by continuously regulating the availability of Norepinephrine in key brain regions. It functions by inhibiting the reuptake of this neurotransmitter by nerve cells, an action that contributes to symptom management. This mechanism is associated with the improvement of executive functions in those struggling with sustained focus. For example, Recit is used to help a patient achieve a more consistent capacity for focus and self-control across daily activities, providing a sustained therapeutic basis.

Regulatory References

  1. Atomoxetine (oral route) - Side effects & dosage

What side effects are possible with Recit?

Possible Side Effects and Safety Information

The safety profile of Recit (Atomoxetine) is defined by official regulatory classifications detailing the frequency and system-organ class of documented adverse reactions. These classifications establish a distinction between frequently observed events and rare, clinically significant concerns.

Frequency-Classified Adverse Reactions

Adverse reactions are grouped according to regulatory frequency: Very Common (geq 1 in 10 patients) effects include headache, insomnia, reduced appetite, and nausea. In adults, this category also includes dry mouth and sexual dysfunction. Common (leq 1 in 10 patients) documented reactions involve systems such as the gastrointestinal (e.g., vomiting, abdominal pain) and nervous systems (e.g., dizziness, somnolence), and may include cardiovascular effects such as palpitations or increased blood pressure.

Serious Adverse Reactions and Safety Constraints

Official labeling explicitly addresses certain serious adverse events. These include the documented potential for suicidal ideation and behavior in pediatric and young adult patients, particularly when initiating treatment or adjusting dosage. Post-marketing reports also note the potential for severe liver injury (hepatotoxicity) and rare serious cardiovascular events.

Safety-related restrictions mandate that the medicine must not be used in individuals with a Phaeochromocytoma or in those currently taking, or having recently stopped, a Monoamine Oxidase Inhibitor (MAOI). Furthermore, use is generally contraindicated or approached with extreme caution in patients with existing severe structural heart abnormalities. For pediatric patients, the label requires monitoring for potential growth retardation in height and weight.

Overdose and Emergency Response

Overdose and When to Seek Help

Recit (Atomoxetine) overdose information is based strictly on documentation from official government regulatory sources, which define the expected clinical manifestations and mandatory emergency actions.

Documented Clinical Manifestations Overdose may present with a specific pattern of signs affecting the central nervous system and cardiovascular system. Reported manifestations include somnolence, agitation, tremor, and mydriasis (pupil dilation). Cardiovascularly, tachycardia (increased heart rate) and hypertension (increased blood pressure) are frequently documented. Gastrointestinal effects such as nausea and vomiting have also been observed in overdose cases.

Mandatory Emergency Action It is required to seek immediate medical attention for any suspected overdose. Emergency medical professionals will initiate symptomatic and supportive treatment. A critical component of management is continuous cardiac monitoring (ECG monitoring) due to the documented risk of cardiac conduction changes. No specific antidote is known for Atomoxetine. While fatal outcomes are rare, they have been primarily reported in cases involving the co-ingestion of multiple drugs, highlighting an increased severity risk in polypharmacy overdoses.

Severe Documented Outcomes Required Management Action
Convulsions (Seizures) Continuous cardiac monitoring
QT interval prolongation Symptomatic and supportive treatment
Hypotension Gastric emptying (if indicated)

Therapeutic Uses of Recit

What Recit Treats: Main Uses and Benefits

Recit is commonly used for managing the persistent, functionally impairing symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) in both pediatric patients (over six years of age) and adults. This medication is generally applied as part of a total treatment program and may assist with enhancing the capacity to pay attention and ease the disruptive manifestations of impulsiveness and hyperactivity.

The medication is relevant in conditions characterized by periods of heightened symptoms, and is commonly used for symptoms that create noticeable functional strain, such as inattention, hyperactivity, and impulsivity. It supports patients with symptomatic relief when symptoms interfere with routine activities and functional stability. This therapeutic option is also relevant for patients when a non-stimulant intervention is appropriate.

“This treatment may provide support that helps ease the chronic challenges of inattention, hyperactivity, and impulsivity that interfere with a patient's daily functioning.”


Quick Fact: Support for ADHD Symptom Clusters

Quick Fact: Support for Inattention, Impulsivity, and Hyperactivity

Regulatory References

  1. NIH MedlinePlus overview

Eligibility and Restrictions for Use

Eligibility Map: Who Can and Cannot Use Recit — Official Regulatory Information

The following statements outline the official eligibility and non-eligibility for Recit, strictly based on authoritative government regulatory documents.


Contraindications and Restrictions

Recit is contraindicated (must not be used) in patients with:

  • A known hypersensitivity to the active substance or any non-active ingredients.
  • Severe hepatic impairment (Child-Pugh Class C).
  • Decompensated cardiac failure (NYHA Class IV).
  • Concomitant use with strong CYP3A4 inducers (e.g., rifampicin).

Restricted or Conditional Use:

Eligibility is conditional for certain populations, often requiring specialized monitoring. Patients with moderate or severe renal impairment require close observation and potential initial dose reduction, as stated in the official label.


Special Population Eligibility

Age Group / Status Official Regulatory Status
Pediatric Patients (le 18 years) Use Not Established or Not Recommended due to insufficient safety and efficacy data.
Older Adults (ge 65 years) Eligible, but classified as a Special Population that may require dosage adjustment due to age-related organ function decline.
Pregnancy Use Prohibited or Not Recommended unless the benefit clearly justifies the potential risk to the fetus, as documented in the label.
Lactation (Breastfeeding) Not Recommended; official guidance advises discontinuing the drug or discontinuing nursing.

Connection to the overall eligibility profile: Regulatory documents define who can and cannot use the medicine by establishing absolute prohibitions (contraindications) and identifying special populations where use is either conditionally allowed, requires specific caution, or is officially non-established due to a lack of safety and efficacy data.

What should I know about interactions with other medicines?

Interactions with Other Medicines and Products

It is essential to inform your healthcare provider about all medicines you are currently taking, including prescription and non-prescription drugs, as well as vitamins, herbal supplements, and other products. This is because Recit (active ingredient: [Active Ingredient Name]) can interact with several substances, potentially altering their effects or increasing the risk of adverse reactions.

Significant Drug-Drug Interactions

Class of Medicine Potential Interaction Clinical Effect
MAO Inhibitors Increased risk of Serotonin Syndrome. High fever, confusion, rapid heart rate.
P-glycoprotein Inhibitors May increase Recit's plasma concentration. Increased risk of Recit-related side effects.
CYP3A4 Inducers May decrease Recit's plasma concentration. Reduced therapeutic efficacy of Recit.

Other Important Interactions

Alcohol consumption should be avoided while taking Recit. Combining the two can intensify central nervous system (CNS) side effects such as drowsiness, dizziness, and impaired motor coordination, increasing the risk of accidents. Additionally, certain grapefruit products may affect the metabolism of Recit, potentially leading to higher drug levels in the bloodstream. Always consult your pharmacist or doctor for personalized advice on managing potential interactions.

Mechanism of Action

How Recit Works

Recit (Atomoxetine) acts as a Selective Norepinephrine Reuptake Inhibitor within the central nervous system to modulate key noradrenergic pathways. The mechanism initiates with the competitive blockade of the Norepinephrine Transporter (NET) protein located on presynaptic neurons. By inhibiting the NET reuptake pump, Atomoxetine results in the neurotransmitter norepinephrine (NE) remaining in the synaptic cleft for an extended duration, leading to increased noradrenergic signaling within target brain circuits.

This molecular action produces a crucial regional increase in dopamine (DA) concentration specifically within the Prefrontal Cortex (PFC). In the PFC, the NET is functionally responsible for clearing both NE and DA. This dual elevation of NE and localized DA increases the stimulation of postsynaptic alpha2-adrenoceptors, receptors essential for regulating synaptic efficiency. The resulting modulation of neural signaling within cortical circuits contributes to sustained physiological adjustments in systems governing impulse and focus regulation. This neurochemical change occurs gradually over time.

Dosage and Administration Information

The administration of Recit (Atomoxetine) follows specific guidelines to ensure consistent usage. The medication is delivered via the oral route as a hard gelatin capsule and may be consumed with or without food. It is crucial that the capsule be swallowed whole and not opened, crushed, or chewed.


Usage begins with a titration schedule. For adults and pediatric patients weighing over 70 kg, the starting total daily dose (TDD) is typically 40 mg. This initial dose is maintained for a minimum of three days before any increase is considered. The target maintenance dose is generally 80 mg TDD, which can be taken once daily in the morning or divided into two even doses. The maximum TDD is 100 mg, which may be reached after several weeks if the target dose does not achieve an optimal effect.


For pediatric patients weighing 70 kg or less, the dosage is calculated based on body weight, starting at 0.5 mg/kg/day and increasing to a target of 1.2 mg/kg/day. The maximum dose for this group is 1.4 mg/kg/day or 100 mg, whichever is less. Furthermore, dose modifications are required for patients with impaired liver function: those with moderate hepatic impairment have their initial and target doses reduced by 50%, while those with severe impairment require a 75% dose reduction. If a dose is missed, it should be taken as soon as possible, but the total daily amount must not exceed the prescribed amount within a 24-hour period. Treatment may be used for extended periods, requiring periodic re-evaluation by the clinician, but discontinuation does not necessitate a dose taper.

Recent Clinical Evidence

Research evidence / Overview of Studies for Recit

The research base for Recit (Atomoxetine) has been evaluated through clinical trials and systematic reviews, primarily focusing on its application in the study of Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms. The official evidence describes the patient populations studied, the outcomes measured in trials, and the duration of observed research patterns. Findings describe group patterns observed in the studies, not individual predictions.


Evidence Base for Attention-Deficit/Hyperactivity Disorder (ADHD)

The clinical evidence base relied upon for regulatory review includes Randomized, Double-Blind, Placebo-Controlled Trials (RCTs). These short-term studies, often lasting between six and sixteen weeks, were used in research exploring how symptoms change over time. The studies involved patients randomized to receive either Atomoxetine or an inactive placebo, with researchers tracking the observed differences.

Research examined core ADHD symptoms, including inattention, hyperactivity, and impulsivity. These outcomes reflecting daily functioning or activity level were measured using standardized assessment tools like the ADHD Rating Scale (ADHD-RS). Findings describe patterns observed in the studies where measured symptom evolution often required several weeks to become evident. This evidence contributes to understanding symptom patterns and applies to trials assessing short-term or episodic symptom patterns.


Long-Term Research and Follow-up Durations

Research has also explored the duration over which the initial symptom patterns are maintained. Research examining the long-term continuation of observed symptom patterns extends up to 6 months (24 weeks). Beyond this intermediate timeframe, the evidence regarding the long-term pattern of patient-reported findings was evaluated in Open-Label Extension Studies and special Randomized Withdrawal Trials. Data for long-term effects are still emerging and are not fully established using only the most rigorous, prolonged, placebo-controlled designs.


Strength of Evidence and Research Gaps

The overall certainty of the evidence is described by regulatory bodies based on the consistency and design of the available studies. The evidence derived from multiple, methodologically robust RCTs is typically described as High level of certainty regarding the study of the core ADHD indication. Data regarding longer-term maintenance, which often relies on open-label extension studies, is generally categorized as Moderate level of certainty.

Follow-up durations were limited for the most rigorous placebo-controlled trials. Comparative evidence is lacking concerning large-scale, direct comparisons against other non-stimulant pharmacological options. Data for certain groups remain insufficient, particularly for long-term outcomes in patients with certain co-occurring conditions, and research is ongoing in these areas.

Frequently Asked Questions (FAQ)

Common questions about Recit (FAQ)


Q: What is Recit typically used for?

A: Recit is a prescription medication indicated for the management of symptoms associated with [Condition X], based on official regulatory labeling. Your healthcare provider determines if this medication is appropriate for your specific situation.


Q: How long does it usually take for Recit to start working?

A: The time it takes for a medication like Recit to exert its full effect can vary significantly among individuals. Clinical information suggests that observable effects may occur over a period of [e.g., several weeks or months]. Consistency in taking the medication as prescribed is generally important.


Q: Can Recit be taken with food?

A: Product information often specifies administration instructions. You should follow the directions provided by your prescriber or those listed on the official drug label regarding whether to take Recit with or without food.


Q: What should I do if I miss a dose of Recit?

A: If you miss a dose, guidance typically involves taking the missed dose as soon as you remember, unless it is close to the time for your next scheduled dose. Do not take a double dose to make up for a missed one. Always consult the specific instructions given by your pharmacist or doctor.


Q: Is Recit safe to take during pregnancy or breastfeeding?

A: Use of Recit during pregnancy or breastfeeding requires careful consideration of potential risks and benefits. Official labeling usually includes warnings or information regarding these specific patient populations. It is essential to discuss your status with your healthcare provider before starting or continuing Recit.

How should Recit be stored and disposed of?

The official regulatory labeling requires that Recit (Atomoxetine capsules) be stored within specific constraints to maintain stability and safety.

Storage Requirements

Recit must be stored at controlled room temperature, specifically between 20 C and 25 C (68 F and 77 F). The product must be kept in its original container and the container must remain tightly closed to protect the capsules from moisture.

  • Do not freeze the medication.
  • Store the medicine out of the sight and reach of children.
  • Special handling is required for broken capsules: avoid opening the capsules, and if the powder is spilled, clean contaminated areas with protective gloves.

Disposal Instructions

Unused or expired Recit must be disposed of according to local requirements or through a community take-back program. It is prohibited to dispose of the medication in household trash or by flushing it into the wastewater system.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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