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  • Stop taking methylphenidate and call your doctor at once if you have: new or worsening symptoms such as mood swings, aggression, hostility, or changes in personality or behavior; panic, delusion, extreme fear, hallucinations, unusual behavior, motor tics (muscle twitches); chest pain, fast or slow heart rate, pounding heartbeats or fluttering in your chest, feeling like you might pass out numbness
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