Prevention of Syncope Trial 6 - Atomoxetine in Vasovagal Syncope

Inclusion Criteria: * 1 or more syncopal spells in the year preceding enrolment * More than -2 points on the Calgary Syncope Symptom Score * Age ≥18 years with informed consent Exclusion Criteria: * Other causes of syncope, such as ventricular tachycardia, complete heart block, orthostatic hypotension or hypersensitive carotid sinus syndrome * Inability to give informed consent * important valvular, coronary, myocardial or conduction abnormality or significant arrhythmia. * hypertrophic cardiomyopathy * a permanent pacemaker * a seizure disorder * hypertension defined as \>150/90 mm Hg * pregnancy * glaucoma * medications with known effects on blood pressure * Known hypersensitivity to atomoxetine and derivatives