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The following are discussed in more detail in other sections of the labeling:

  • Abuse and Dependence
  • Known hypersensitivity to methylphenidate or other ingredients of Ritalin and Ritalin-SR
  • Hypertensive crisis with Concomitant Use of Monoamine Oxidase Inhibitors
  • Serious Cardiovascular Reactions
  • Blood Pressure and Heart Rate Increases
  • Psychiatric Adverse Reactions
  • Priapism
  • Peripheral Vasculopathy, including Raynaud’s Phenomenon
  • Long-term Suppression of Growth

The following adverse reactions associated with the use of all Ritalin, Ritalin-SR, and other methylphenidate products were identified in clinical trials, spontaneous reports, and literature. Because these reactions were reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency reliably or to establish a causal relationship to drug exposure.

Common side effects include:

  • fast heart beat
  • abnormal heartbeat (palpitations)
  • headache
  • trouble sleeping
  • nervousness
  • sweating a lot
  • decreased appetite
  • dry mouth
  • nausea
  • stomach pain

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