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Dexmethylphenidate carries certain risks and it's important to use it responsibly to avoid potential issues. Below are the key safety guidelines and warnings:

• Heart and Blood Pressure Risks: Misusing or abusing dexmethylphenidate can lead to serious, potentially fatal, heart and blood pressure complications.

• Potential for Habit Formation: This medication can be addictive, particularly for individuals with a history of mental health or substance use disorders. If you or your family have a history of such disorders, inform your doctor before starting this medication.

• Dosage and Administration: Always follow your healthcare provider’s instructions on dosage. Do not increase the dose, take it more frequently, or continue it for a longer period than prescribed. Misuse can lead to reduced effectiveness, dependency, or unusual thoughts and behaviors.

• Monitoring After Discontinuation: If dexmethylphenidate has been used for an extended period or in large doses, your doctor may observe your condition after stopping the medication.

Adhering strictly to these guidelines will help mitigate risks and ensure the medication is both safe and effective.

When taking this medication, you may experience some mild side effects such as trouble sleeping, nervousness, dizziness, dry mouth, heartburn, nausea, stomach pain, headache, loss of appetite, or weight loss. These effects are generally not serious, but if they persist or worsen, it is important to consult a healthcare professional.

This drug can also increase your blood pressure, so it is advisable to monitor it regularly. Notify a healthcare provider if you notice any significant changes. Serious side effects are uncommon but require immediate attention. These include signs of blood circulation issues in fingers or toes, unusual wounds, a fast or irregular heartbeat, mood or behavioral changes, uncontrolled muscle movements, or sudden vision changes.

Seek urgent medical help if you experience very serious side effects such as fainting, seizures, heart attack symptoms (like chest pain, shortness of breath), or stroke symptoms (such as weakness, trouble speaking, or confusion). Males may rarely experience a painful or prolonged erection lasting four or more hours; this requires immediate medical attention to prevent lasting damage.

Additionally, although rare, a severe allergic reaction can occur, characterized by rash, swelling, severe dizziness, or difficulty breathing. Immediate medical care is crucial in such cases. If you observe any side effects not mentioned here, reach out to a healthcare provider for guidance.

Avoid using MAO inhibitors with this medication, as this combination can lead to a serious, potentially life-threatening interaction. Do not use MAO inhibitors such as isocarboxazid, Linezolid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, or Tranylcypromine while on this medication. Additionally, most MAO inhibitors should not be used within two weeks prior to starting this treatment. Consult your doctor for guidance on when to begin or discontinue this medication.

Dexmethylphenidate is very similar to Methylphenidate, so avoid taking any medications containing methylphenidate while using dexmethylphenidate.

This medication may affect certain medical or laboratory tests, like brain scans for Parkinson's disease, potentially leading to incorrect results. Inform all healthcare providers and laboratory staff that you are taking this medication.