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This can be minimized by taking the medication in the morning, developing good sleeping habits and avoiding taking doses close to the time of bed. Severe side effects, such as manic symptoms, heart issues, eye-sight changes or circulatory problems should be reported immediately a physician.<br><br>A thorough medical history is also crucial in identifying any medical conditions that could present with ADHD-like symptoms including seizures, developmental disorders and apnea, thyroid issues, hearing and vision issues as well as substance abuse. Patients with comorbid depression, anxiety, or bipolar disorder or an history of drug or alcohol abuse should be evaluated with greater care and closely monitored for any adverse reactions.<br><br>Medicines are just one component of a comprehensive treatment plan for ADHD and should be used in conjunction with lifestyle modifications, therapy and support for learning. 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