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This medication carries significant risks and requires careful usage to ensure safety and effectiveness. Below are important safety warnings and precautions for its use:

• Misuse and Addiction Risk: This medication, when used differently than prescribed, can result in serious side effects such as increased heart rate, high blood pressure, aggressive behavior, and harmful thoughts. Continued misuse can lead to addiction. It is crucial that this medication is taken exactly as prescribed. If you have concerns about misuse, discuss them with your healthcare provider.

• Dependence and Withdrawal: Long-term use can lead to physical dependence, where normal functioning becomes reliant on the medication. Withdrawal symptoms like irritability, nightmares, and sleep disturbances may occur if the medication is suddenly stopped or the dose is reduced. Always consult your healthcare provider before making any changes to your dosing schedule.

• Heart Problems: Individuals with pre-existing heart conditions may face an increased risk of sudden death or heart attack when using this medication. It can elevate blood pressure and heart rate, so it is not recommended for those with heart issues.

• Mental Health Effects: The medication can cause or worsen mental health symptoms such as hallucinations, aggressive behavior, unclear thinking, and mania. If any mood or behavior changes occur, contact your healthcare provider immediately. Those with a history of mental health conditions should use this medication with caution.

• Impact on Growth in Children: Use of this medication has been associated with slowed growth in height and weight in children. Regular monitoring of your child's growth by their healthcare provider is advised. Adjustments to the medication regimen may be necessary if growth concerns arise.

• Blood Circulation Issues: There is a potential for poor blood circulation, such as Raynaud's phenomenon, which can lead to symptoms like numbness or pain in fingers or toes. Notify your healthcare provider if these symptoms occur.

• Eye Health: Rare cases have reported increased eye pressure leading to glaucoma. Regular eye exams are recommended, and any changes in vision should be reported to a healthcare professional.

• Drug Interactions: This medication can interact with other drugs, notably counteracting blood pressure medications and increasing the risk of high blood pressure when combined with monoamine oxidase inhibitors (MAOIs). Avoid using it with MAOIs.

Contraindications:

• Do not use this medication if you have an allergy to methylphenidate or have taken an MAOI in the past 14 days.

In case of overdose or any severe side effects, seek emergency medical assistance promptly. Always follow your healthcare provider’s instructions closely and communicate openly about any concerns or changes in your health.

When taking this medication, some people may experience mild side effects such as nervousness, trouble sleeping, loss of appetite, weight loss, dizziness, nausea, vomiting, or headache. These effects are typically manageable, but if they persist or worsen, consult your healthcare provider. It's important to monitor your blood pressure as this medication can cause an increase, and discuss any concerns with your doctor.

In some cases, more serious side effects can occur. These include signs of blood flow issues in the fingers or toes, such as coldness, numbness, pain, or skin color changes. Mental health changes like agitation, mood swings, or even thoughts of suicide should be reported immediately. Vision changes, such as blurred or double vision, as well as fast or irregular heartbeat, require prompt attention.

Rarely, some individuals, especially males, may experience a prolonged and painful erection lasting more than four hours, which necessitates urgent medical intervention to prevent lasting damage. Allergic reactions, although uncommon, can be severe, presenting with symptoms like rash, swelling, or difficulty breathing, and should be treated as an emergency.

Other serious concerns include signs of heart attack, stroke, or serotonin syndrome, especially if the medication is taken with certain other drugs. Symptoms such as chest pain, sudden weakness, confusion, or severe fever should not be ignored. If you experience any severe or unlisted side effects, contact your healthcare provider for guidance.

Avoid using MAO inhibitors with this medication as this combination can lead to a severe, potentially life-threatening reaction. MAO inhibitors such as isocarboxazid, Linezolid, and others should not be used during treatment with this medication, and most should be avoided for two weeks before starting it. Consult your doctor for guidance on when to begin or discontinue this medication.

Additionally, refrain from consuming alcohol while taking this medication, as it might cause the drug to be released too quickly, increasing the likelihood of side effects. Since Methylphenidate is closely related to Dexmethylphenidate, do not use medications containing dexmethylphenidate simultaneously.

Lastly, this medication can interfere with certain medical or laboratory tests, including those for Parkinson's disease, potentially leading to inaccurate results. Inform all healthcare providers and laboratory staff that you are using this medication.