{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T05:36:44Z","timestamp":1786772204085,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"vor","delay-in-days":197,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Psychiatry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Priapism, a urologic emergency, is defined as a penile erection persisting longer than 4\u2009h independent of sexual stimulation. While psychotropic medication\u2013associated priapism is well documented, atomoxetine\u2010associated priapism remains extremely rare. Atomoxetine is a norepinephrine reuptake inhibitor used in the management of attention\u2010deficit\/hyperactivity disorder (ADHD). We report the case of an Asian male in his late 20s\u2009with bipolar I disorder who had been treated with aripiprazole 7.5\u2009mg\u2009daily for 6 months and developed sudden bilateral testicular pain, followed by a painful erection lasting more than 4\u2009h, beginning 5 days after starting atomoxetine. He had no history of genitourinary trauma, malignancy, or concurrent medication or substance use. Clinical and laboratory evaluation were unremarkable, and detumescence occurred approximately 6\u2009h after symptom onset without invasive intervention. Atomoxetine was discontinued the next day and no recurrence was reported at 4\u2010week follow\u2010up. Causality assessment using the Naranjo Adverse Drug Reaction Probability Scale yielded a score of 4 (possible) for atomoxetine. This case underscores the importance of counseling patients prescribed atomoxetine and other psychotropics about priapism and the need for urgent evaluation when erections persist for \u22654\u2009h.<\/jats:p>","DOI":"10.1155\/crps\/6645625","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T08:57:28Z","timestamp":1784278648000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Atomoxetine\u2010Associated Bilateral Testicular Pain and Priapism in a Patient Taking Aripiprazole: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9543-7849","authenticated-orcid":false,"given":"Anoop","family":"Narahari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4546-3538","authenticated-orcid":false,"given":"Kavita","family":"Kothari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2017.01.18"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1756287214542096"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/JCP.0b013e3181c8273d"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41443-024-01006-1"},{"key":"e_1_2_11_5_2","unstructured":"STRATTERA (Atomoxetine) Prescribing Information 2022 Eli Lilly and Company."},{"key":"e_1_2_11_6_2","unstructured":"U.S. Food and Drug Administration FDA Drug Safety Communication: FDA Warns of Rare Risk of Long-Lasting Erections in Males Taking Methylphenidate ADHD Medications and Has Approved Label Changes 2013."},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2020.10.003"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41443-022-00583-3"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/YIC.0b013e3282f1c1ef"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.25f03942"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.jcp.0000445185.90518.84"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/WNF.0000000000000524"},{"key":"e_1_2_11_13_2","first-page":"612","article-title":"Priapism Associated With Atomoxetine Use","volume":"67","author":"Vandemoortele S.","year":"2025","journal-title":"Tijdschrift Voor Psychiatrie"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-6748.196044"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.01.015"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.92909"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1060028014541791"},{"key":"e_1_2_11_18_2","unstructured":"Aripiprazole Prescribing Information 2025 Otsuka America Pharmaceutical Inc."},{"key":"e_1_2_11_19_2","unstructured":"Risperidone Prescribing Information 2009 Janssen Pharmaceuticals Inc."},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1H423"}],"container-title":["Case Reports in 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