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Seek emergency care immediately if any of the following develop: Chest pain or palpitations during or after stimulant use Systolic blood pressure above 180 mmHg (hypertensive urgency) Hyperthermia (body temperature above 104°F/40°C) with agitation and muscle rigidity Psychosis: paranoia, auditory or visual hallucinations, or disorganized thinking Seizures in a person with no prior seizure history following stimulant use Adderall misuse at high doses produces stimulant-induced psychosis through excessive dopamine flooding of mesolimbic D2 receptors, clinically indistinguishable from acute schizophrenic episodes
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2021;65:e2100220
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