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*Side Effects*
*Common (may affect up to 1 in 10 people):*
Headache, Joint pain, Blurred vision, Tension headache, Dry mouth, Thirst, Trouble falling asleep, High temperature (fever), Reduced libido, Unusual hair loss or thinning, Muscle tightness, Muscle cramps, Loss of appetite or decreased appetite, Inability to develop or maintain an erection, Itching, Rash or raised red itchy rashes (hives), Feeling unusually sleepy, drowsy or tired, Clenching to grinding teeth, Feeling of panic, Tingling feeling, prickling, or numbness of the skin, Cough, Sore throat, Upper respiratory tract infection, Sinus infection, High blood pressure, Fast heartbeat (tachycardia), Dizziness (vertigo), Feeling weak, Movements which you cannot control, Feeling aggressive, agitated, anxious, depressed, irritable, tense, or jittery, Upset stomach or indigestion, Stomach pain, Diarrhoea, Feeling sick, Stomach discomfort and being sick.
*Uncommon (may affect up to 1 in 100 people):*
Dry eyes, Constipation, Chest discomfort, Blood in the urine, Listlessness, Shaking or trembling, Increased need to pass urine, Muscle pain, Muscle twitching, Shortness of breath or chest pain, Feeling hot, Anger, Feeling restless or tearful, Talking too much, Excessive awareness of surroundings, Problems sleeping.
*Rare (may affect up to 1 in 1,000 people):*
Feeling disoriented, Confusion, Trouble seeing or double vision, Swelling of the breast tissue in men, Excessive sweating, Redness of the skin, Red raised skin rash.
*Very Rare (may affect up to 1 in 10,000 people):*
Muscle cramps, Small red marks on the skin, Abnormal liver function including liver failure and coma, Changes in test results-including liver and blood tests, Abnormal thinking, Lack of feeling emotion, Doing things over and over again, being obsessed with one thing, Temporary low mood, Fingers and toes feeling numb, tingling and changing colour.
*Effects on Growth:*
When used for more than a year. methylphenidate may cause reduced growth in some children. This affects less than 1 in 10 children:
There may be a lack of weight gain or height growth
Your doctor will carefully watch your child’s height and weight as well as how well they are eating.
*Alcohol:*
Do not take this medication with alcohol as it may increase or worsen unwanted side-effects.
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