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Avoid taking MAO inhibitors (e.g., furazolidone, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, isocarboxazid, tranylcypromine) within 2 weeks before, during, or after treatment with this medication. Consult your doctor or pharmacist for additional information.

If you are currently taking any of these medications listed above, tell your doctor or pharmacist before starting this medication.

Before using this medication, tell your doctor of all prescription and nonprescription medication you may use, especially: "blood thinners" (e.g., warfarin), antidepressants (e.g., tricyclics such as amitriptyline/nortriptyline, SSRIs such as fluoxetine/paroxetine, venlafaxine), medication for high blood pressure (e.g., beta blockers, guanethidine), medications that increase blood pressure/decongestants (e.g., epinephrine, phenylephrine, pseudoephedrine), anti-seizure medicine (e.g., phenobarbital, phenytoin, primidone), other stimulant medications (e.g., amphetamines).

Also report the use of drugs which might increase seizure risk (decrease seizure threshold) when combined with dexmethylphenidate such as bupropion, isoniazid (INH), phenothiazines (e.g., thioridazine), theophylline, or tricyclic antidepressants (e.g., imipramine) among others. Consult your doctor or pharmacist for details.

Check the labels on all your medicines/herbal products (e.g., cough-and-cold products, diet aids) because they may contain ingredients that could increase your heart rate or blood pressure (e.g., pseudoephedrine, phenylpropanolamine, ephedra/ma huang). Ask your pharmacist about the safe use of these products.

Do not use prescription or non-prescription antacids/heart burn relievers/acid blockers (e.g., famotidine, omeprazole, magnesium/aluminum hydroxide, calcium carbonate) without talking with your doctor. Changing the amount of acid in your stomach may affect how this medication works. Consult your doctor or pharmacist for details.

Avoid drinking large amounts of beverages containing caffeine (e.g., coffee, tea, colas). Caffeine can increase the side effects of this medication.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include: severe mental/mood changes, confusion, severe/persistent headache, irregular/pounding heartbeat, severe restlessness, fast breathing, flushing, sweating, and widened pupils.

NOTES: Do not share this medication with others. It is against the law.

Laboratory and/or medical tests (e.g., blood pressure, blood counts) may be performed to monitor your progress or check for side effects.

MISSED DOSE: If you miss a dose, take it as soon as you remember in the morning hours. If it is later in the day or near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE: Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Information last revised May 2010 Copyright(c) 2010 First DataBank, Inc.