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Side Effects:
Common Side Effects:
- Appetite Loss/Weight Loss: A decrease in appetite is one of the most frequent side effects and may lead to weight loss, especially in children.
- Insomnia: Difficulty falling or staying asleep, especially if taken too late in the day.
- Dry Mouth: A common issue with stimulant medications.
- Headache: Many people report experiencing headaches.
- Nausea or Stomach Pain: Gastrointestinal discomfort, nausea, or upset stomach.
- Dizziness: Some people may feel light-headed.
- Increased Heart Rate or Blood Pressure: Stimulants can lead to elevated heart rate (tachycardia) and/or increased blood pressure, though this may be mild in many patients.
- Irritability or Mood Swings: Emotional changes such as increased irritability or mood fluctuations can occur.
Less Common but Serious Side Effects:
- Cardiovascular Risks:
- Chest pain
- Shortness of breath
- Increased risk of heart attack or stroke, especially in those with underlying heart conditions or high blood pressure.
- Psychiatric Effects:
- Anxiety or Nervousness: Can worsen pre-existing anxiety or cause new anxiety symptoms.
- Depression or Mood Disorders: Some people may experience depression, agitation, or mood swings.
- Psychosis: In rare cases, stimulant medications can cause psychotic or manic symptoms such as hallucinations, delusions, or aggressive behavior, especially at high doses or in people predisposed to such conditions.
- Circulatory Problems:
- Peripheral Vasculopathy, including Raynaud’s Phenomenon: This involves reduced blood flow to the fingers and toes, which may feel cold, numb, or turn blue or red.
- Growth Suppression (in Children): Long-term use of stimulant medications like Aptensio XR may slow growth in children, though this effect is generally reversible when the medication is stopped.
- Seizures: Methylphenidate can lower the seizure threshold, so people with a history of seizures should be monitored closely.
- Allergic Reactions: In rare cases, patients may experience a serious allergic reaction (e.g., rash, itching, swelling, severe dizziness, or trouble breathing).
Rare Side Effects:
- Tics or Worsening of Tics: Stimulants can sometimes cause motor or verbal tics or worsen pre-existing tics.
- Priapism: A rare but serious condition where a prolonged and painful erection occurs, which requires immediate medical attention.
Things to Watch Out For:
- If you or a loved one experiences chest pain, shortness of breath, hallucinations, or other severe mood changes, you should seek immediate medical attention.
- Always follow the prescribing doctor’s advice, and report any unusual side effects or changes in behavior, especially in children.
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