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This medication carries important safety considerations that require careful attention. Below are key warnings and precautions to ensure safe use. Always consult your healthcare provider if you have any questions or concerns.

• Misuse and Dependence: The drug poses a risk of misuse and dependence. Misuse occurs when the medication is not taken as prescribed, which can lead to serious, potentially life-threatening side effects such as increased heart rate, elevated blood pressure, heart issues, and behavioral changes. Long-term use may lead to physical dependence, causing withdrawal symptoms like irritability, nightmares, and sleep disturbances if stopped abruptly. Adhere strictly to your prescription and consult your provider before making any changes. Increased risk exists for those with a history of substance or alcohol use disorders or those taking higher doses or stopping the drug suddenly.

• Heart-Related Problems: There is potential for sudden death, stroke, or heart attack in individuals with pre-existing heart conditions who take this medication at standard dosages. It can also cause increased heart rate and blood pressure. Inform your doctor of any heart issues prior to starting treatment. Report symptoms such as fainting, chest pain during physical activity, or irregular heartbeat.

• Mental Health Effects: Some users may experience mental health issues like hallucinations, aggressive behavior, confusion, or mania. Those with pre-existing mood disorders may notice worsening symptoms. If you experience these effects, contact your healthcare provider immediately.

• Growth in Children: The medication may affect growth rates in children. Regular monitoring of height and weight is advised. If growth slows, your child's doctor may consider altering the treatment plan.

• Seizures: Although rare, the medication may increase seizure risk, particularly in individuals with a seizure history. Seek immediate medical attention if a seizure occurs.

• Blood Circulation Issues: The drug may cause blood flow problems, such as Raynaud's phenomenon, affecting fingers and toes. Symptoms include color changes, coldness, numbness, or pain. These usually improve with dose adjustment or discontinuation.

• Serotonin Syndrome: This condition, though rare, can be life-threatening and may arise when combining this drug with others that affect serotonin levels, such as certain antidepressants and migraine medications. Symptoms include rapid heart rate, sweating, muscle spasms, fever, and confusion. Seek immediate medical help if these occur.

• Drug Interactions: Dextroamphetamine can interact with many medications, particularly blood pressure treatments, reducing their effectiveness. Inform your healthcare provider about all medicines you are taking.

Contraindications: Do not use this medication if you have a severe allergy to amphetamines, heart or blood vessel problems, hyperthyroidism, glaucoma, severe agitation, a history of substance use disorder, or if you've taken an MAOI in the last 14 days.

Always consult your healthcare provider for personalized advice and before making any changes to your medication regimen.

When taking this medication, you may experience some common side effects, which are generally mild and may include nausea, stomach upset, cramps, loss of appetite, diarrhea, dry mouth, headache, dizziness, nervousness, trouble sleeping, sweating, weight loss, irritability, and restlessness. These effects often subside as your body adjusts to the medication. However, if they persist or worsen, it's advisable to consult your healthcare provider.

In rare instances, more severe side effects can occur, necessitating prompt medical attention. These include signs of blood flow issues in fingers or toes, such as coldness, numbness, pain, or color changes, unusual wounds, significant mood or behavior changes, uncontrolled movements, severe tiredness, significant unexplained weight loss, or frequent and prolonged erections in males.

Serious cardiovascular issues, such as a fast or irregular heartbeat, chest pain, or high blood pressure, may also arise. Neurological problems like seizures, weakness on one side of the body, or difficulty speaking should be addressed immediately. Additionally, serotonin syndrome is a rare but critical condition marked by rapid heartbeat, hallucinations, severe nausea, muscle twitching, and unexplained fever. Seek urgent medical care if you experience any of these symptoms.

Allergic reactions, although rare, can occur and are serious. Symptoms may include rash, itching, swelling, severe dizziness, and difficulty breathing. If any symptoms of an allergic reaction appear, seek medical help immediately. Always communicate with your healthcare provider about any other medications you are taking to manage potential drug interactions effectively.

When taking Dextroamphetamine, it's important to be aware of potential drug interactions. Combining this medication with MAO inhibitors can lead to a severe, possibly life-threatening reaction. Therefore, avoid using MAO inhibitors such as isocarboxazid, Linezolid, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, and Tranylcypromine while on dextroamphetamine. Additionally, most MAO inhibitors should not be taken for at least two weeks before starting dextroamphetamine. Consult your doctor about when it's safe to begin or discontinue this medication.

Dextroamphetamine can also interact with other substances that increase serotonin levels, raising the risk of serotonin syndrome. This includes street drugs like MDMA, herbal supplements like St. John's wort, and certain antidepressants such as SSRIs (e.g., Fluoxetine, paroxetine) and SNRIs (e.g., Duloxetine, Venlafaxine). The risk is heightened when starting or increasing the dosage of these drugs.

Moreover, dextroamphetamine is chemically similar to amphetamine and Lisdexamfetamine, so it's advised not to use these medications concurrently.

Inform your healthcare provider and pharmacist about all medications and supplements you are taking, including over-the-counter products, vitamins, and herbal supplements. Certain products, particularly cough-and-cold medicines and diet aids, can increase heart rate or blood pressure when combined with dextroamphetamine.

Lastly, this medication may affect some laboratory tests, potentially causing inaccurate results. Ensure all your healthcare providers are aware that you are using dextroamphetamine to prevent misinterpretation of test results.