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Sir: Atomoxetine is the only nonstimulant medicationapproved by the U.S. Food and Drug Administration for thetreatment of attention-deficit/hyperactivity disorder (ADHD) inchildren, adolescents, and adults. Since its approval in 2002, ithas been widely prescribed and has been associated with a lowoverall incidence of adverse effects. The 4 most common adverseeffects include dry mouth, insomnia, nausea, and erectiledysfunction. The following case report describes a novel adverseeffect associated with atomoxetine—hemospermia.