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Methylphenidate usage comes with important safety considerations. Misuse or abuse of this medication can lead to serious, potentially fatal, heart and blood pressure issues. It is important to use methylphenidate cautiously, particularly if you have mental health concerns or a history of substance use problems, including addiction to drugs or alcohol.

• Inform your healthcare provider if you have a personal or family history of substance use disorders before starting this medication.
• Adhere strictly to your prescribed dosage and usage instructions. Do not increase the dose, frequency, or duration of use without consulting your doctor, as this can reduce the medication's effectiveness and increase the risk of dependence or unusual thoughts and behaviors.
• Your healthcare provider may choose to monitor you after discontinuation of the medication, especially if it has been used for an extended period or at high doses.

Following these guidelines can help ensure safe and effective use of methylphenidate.

When taking this medication, you might experience some common side effects such as nervousness, difficulty sleeping, loss of appetite, weight loss, dizziness, nausea, vomiting, or headaches. These are usually manageable, but if they persist or worsen, make sure to inform your healthcare provider.

Monitoring your blood pressure is important as this medication may cause an increase. Should you notice a significant elevation, consult your healthcare provider promptly. Serious side effects, although less common, require immediate attention. These include issues with blood flow to the fingers or toes, such as coldness, numbness, pain, or skin color changes, unusual wounds, irregular or fast heartbeat, mood or behavior changes, uncontrolled muscle movements, or vision changes.

Seek urgent medical help if you experience very serious side effects like fainting, seizures, symptoms indicative of a heart attack, such as chest pain, shortness of breath, or signs of a stroke, including sudden vision changes or confusion. Additionally, males may experience a rare but serious condition of a prolonged erection lasting over four hours, which requires immediate medical intervention to avoid long-term complications.

Allergic reactions to this drug are uncommon but could be severe. Look out for signs such as rash, swelling, severe dizziness, or difficulty breathing, and seek medical help immediately if these occur. This overview does not include all possible side effects, so contacting your healthcare provider if you notice anything unusual is advised.