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Serious Side Effects Serious side effects Serious liver problems Priapism (a painful and long-lasting penile erection) Problems passing urine Slowed growth (height or weight) in children Serious allergic reactions Heart-related problems, including: Increased blood pressure and heart rate Sudden death in people with heart problems Sudden death, stroke, and heart attack in adults Mood problems, including Hallucinations (seeing things or hearing voices that arent real) Delusions (believing things that arent true) Hostile or aggressive behavior Suicidal thoughts and behaviors in children and adolescents with ADHD (boxed warning) If youre experiencing suicidal or self-harming thoughts and require immediate assistance, contact a crisis hotline, such as 911, 988 suicide & crisis lifeline (toll-free), or Samaritans (116-123 or via chat)

Tolerated, increase the dosage to 3 mg (0.3 mL) once daily

[1] Rotating injection sites weekly prevents repeated trauma to the same area

Support model: A personal health coach alongside their clinical team, led by Chief Medical Officer Dr Earim Chaudry

Pharmacotherapy 1993;13:508-9