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This medication carries important safety and warning information that you should be aware of before starting treatment. It is crucial to follow all prescribed guidelines and consult your healthcare provider if you have any questions or concerns.

• Risk of Misuse and Dependence: Misuse or abuse of this medication can result in serious health issues, including heart and blood pressure problems. The medication can be habit-forming, particularly in individuals with mental health disorders or a history of substance use. It is important to use this medication exactly as prescribed. Misuse can lead to addiction, increased heart rate, high blood pressure, anxiety, aggressive behavior, and even thoughts of self-harm or harm to others. Discontinuing the medication suddenly after prolonged use can cause withdrawal symptoms.

• Potential Heart Problems: There is a risk of serious heart-related issues such as sudden death, stroke, and heart attack, even when taken as directed. Individuals with a history of heart problems should inform their healthcare provider before starting treatment. Monitoring may include a physical exam and medical history review. If you experience fainting, chest pain during physical activity, or an irregular heartbeat, seek medical attention immediately.

• Mental Health Changes: Some people may experience new or worsening mental health symptoms, including hallucinations, aggressive behavior, or mania. If you notice any changes in your mental health, contact your healthcare provider promptly, as you may need to stop using the medication.

• Prolonged and Painful Erection: Although rare, this medication can cause prolonged and painful erections, sometimes requiring medical intervention. If you experience an erection lasting more than 4 hours, discontinue use and seek immediate medical help.

• Blood Circulation Issues: This medication might cause poor blood circulation, such as Raynaud's phenomenon, leading to symptoms like numbness or pain in fingers or toes. Notify your healthcare provider if these symptoms occur.

• Growth Concerns in Children: Prolonged use may slow growth in children. Regular monitoring of height and weight is recommended. Consult your healthcare provider if you have concerns about your child's development.

• Contraindications: Do not use this medication if you are currently taking or have recently taken MAO inhibitors (such as selegiline, phenelzine, or tranylcypromine), or if you have an allergy to methylphenidate or dexmethylphenidate.

In case of overdose, seek emergency medical attention immediately. Always consult your healthcare provider for advice tailored to your health history and current condition.

When taking this medication, you might experience some mild side effects such as trouble sleeping, nausea, stomach pain, indigestion, vomiting, dizziness, low appetite, weight loss, or feelings of nervousness and anxiety. These are generally not severe, but if they persist or worsen, it's advisable to consult your healthcare provider for guidance.

Keep in mind that this medication may also lead to an increase in blood pressure. Regular monitoring is recommended, and any significant changes should be reported to your healthcare provider. Other noted side effects that might occur include dry mouth, blurry vision, muscle or joint pain, and sudden changes in emotions.

In terms of more serious side effects, it's important to stay vigilant for symptoms indicating blood flow problems in the fingers or toes, such as coldness, numbness, or skin color changes, as well as unusual wounds. Fast or irregular heartbeat, severe mood or behavior changes, uncontrolled muscle movements, or vision changes also warrant immediate medical attention.

On rare occasions, this medication may cause severe conditions like heart attack or stroke, which manifest as chest pain, shortness of breath, or sudden weakness on one side of the body. Seizures and severe mental health changes, including manic episodes or hallucinations, are also critical concerns. If you experience any signs of a serious allergic reaction, such as rash, swelling, or trouble breathing, seek medical help immediately.

For males, particularly young boys and teens, a rare but serious side effect is a painful or prolonged erection lasting four or more hours. Immediate medical intervention is necessary to prevent long-term issues. Always consult your healthcare provider if you notice any other unusual effects.