Do not take this medicine with any of the following medications:

-MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
-other stimulant medicines for attention disorders, weight loss, or to stay awake
This medicine may also interact with the following medications:

-certain medicines for blood pressure, heart disease, irregular heart beat
-general anesthetics like halothane, isoflurane
-risperidone

They need to know if you have any of these conditions:

-circulation problems in fingers or toes (Raynaud''s disease)
-heart attack
-heart disease or a heart defect
-high blood pressure
-history of alcohol or medicine abuse or addiction
-irregular heartbeat or rhythm
-lack or loss of appetite
-stroke
-mental health disease
-suicidal thoughts, plans, or attempt; previous suicide attempt by you or a family member
-taken an MAOI such as Marplan, Nardil, or Parnate in the last 14 days
-an unusual or allergic reaction to dexmethylphenidate, serdexmethylphenidate, methylphenidate, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your health care provider for regular checks on your progress. Tell your health care provider if your symptoms do not start to get better or if they get worse. This prescription requires that you follow special procedures with your doctor and pharmacy. You will need to have a new written prescription from your doctor or health care provider every time you need a refill.

This medicine has a risk of abuse and dependence. Your health care provider will check you for this while you take this medicine.

If you or your family notice any changes in your behavior, such as new or worsening depression, thoughts of harming yourself, anxiety, other unusual or disturbing thoughts, or memory loss, call your health care provider right away.

Do not take this medicine close to bedtime. It may prevent you from sleeping

Tell your health care provider right away if you notice unexplained wounds on your fingers or toes while taking this medicine. You should also tell your health care provider if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.

Keep out of the reach of children and pets. This medicine can be abused. Keep it in a safe place to protect it from theft. Do not share it with anyone. It is only for you. Selling or giving away this medicine is dangerous and against the law.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from moisture. Keep the container tightly closed. Get rid of any unused medicine after the expiration date.

This medicine may cause harm and death if it is taken by other adults, children, or pets. It is important to get rid of the medicine as soon as you no longer need it or it is expired. You can do this in two ways:


-Take the medicine to a medicine take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medicine, check the label or package insert to see if the medicine should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your health care provider. If it is safe to put it in the trash, take the medicine out of the container. Mix the medicine with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.