Addiction Drug Use How Ritalin Can Be Addictive Why abusing this stimulant drug used to treat ADHD can lead to addiction By Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. Learn about our editorial process Updated on October 20, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Richard Seagraves / Getty Images Ritalin is widely prescribed for both children and adults who have ADHD, but it also has the potential for abuse — begging the question, "Is Ritalin addictive?" Unfortunately, the answer isn't a simple one. Here's why. How Ritalin Works Ritalin, also known as methylphenidate, is a stimulant drug that's commonly used to treat attention problems in both adults and children, many of whom have described the effects of the drug positively. It works predominantly by increasing the neurotransmitters norepinephrine and dopamine in the brain. Among other functions, dopamine is associated with pleasure, movement, and attention. When taken in larger doses than prescribed, Ritalin produces euphoria, increasing the potential for addiction in some individuals. Adderall, an amphetamine, is also often prescribed for ADHD and works similarly to Ritalin. Stimulant drugs are typically abused to enhance performance by speeding up mental processing and physical responses, to experience euphoria or to suppress appetite. They may appeal to people with eating disorders, food addiction or problems with obesity, because of the appetite-suppressant and energy-releasing effects. Teens report that it helps their academic performance and some parents are even condoning it. People who take drugs for these reasons may have emotional vulnerabilities that could potentially contribute to addiction. The Importance of Adhering to Prescribed Use If taken according to the prescribed dosage, Ritalin is generally not considered to be addictive. As there is no set dose of Ritalin and the dosage usually starts low and is increased until ADHD symptoms are controlled, the prevalence of addiction to Ritalin is not known. A survey of 12th graders, however, indicated that more than 3% admitted taking Ritalin without a prescription in the past year. Some concerns include: Ritalin can be a gateway drug for some people, who go on to take other drugs. Taking Ritalin can also create early experiences of drug dealing for some students. And if the drug is taken in higher doses, or through routes that intensify the effects — such as snorting the drug through the nose or injecting it — the risk of addiction increases. If you or a loved one are struggling with substance use or addiction, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. Side Effects of Ritalin Although Ritalin is generally considered safe, there are several unpleasant side effects as well as potential longer-term medical effects. These include: Abdominal pain and other gastrointestinal symptomsCardiovascular side effects (tachycardia and palpitations)Decreased appetiteHeadacheIncreases in blood pressureInsomniaNervousness Some critics of the current medication approach to treating ADHD have argued that the risks of side effects are unacceptable, and that prescriptions of Ritalin, Adderall, and other drugs are inappropriate for children particularly in the widespread fashion in which they are prescribed in the USA — when the behavior being targeted may often simply reflect a lack of suitable outlets for childhood energy rather than pathology. Options for ADHD Treatment Although medications are typically the first line of treatment offered to control the symptoms of ADHD, Ritalin and other drugs are not the only effective treatment for ADHD. And different medical groups have somewhat varying recommendations. In the U.K, for example, the National Institute of Clinical Excellence (NICE) guidelines advise that medication be offered only if environmental and psychotherapeutic modifications have been ineffective. Stimulants can also be considered in less-severe cases for those who don't respond to psychotherapeutic approaches. Non-drug treatments for ADHD include a range of social, psychological and behavioral interventions. Most of these interventions involve working directly with the child, but some involve parents, guardians, and teachers. Dietary interventions may also be helpful when particular foods aggravate hyperactivity. For example, neurotherapy has been shown in a few studies to be an effective, long-term, drug-free option for attentional disorders in some cases. Parents are often confused by the use of stimulants to calm down a child with ADHD. The exact mechanism of this is complex, but stimulants improve attention and functioning of the frontal cortex in the brain, allowing better regulation of behavior and impulsivity. 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Clemow DB. Misuse of Methylphenidate. Curr Top Behav Neurosci. 2017;34:99-124. doi:10.1007/7854_2015_426 Storebø OJ, Pedersen N, Ramstad E, et al. Methylphenidate for attention deficit hyperactivity disorder (ADHD) in children and adolescents - assessment of adverse events in non-randomised studies. Cochrane Database Syst Rev. 2018;5:CD012069. doi:10.1002/14651858.CD012069.pub2 Friese B, Moore RS, Grube JW, Jennings VK. How Parents of Teens Store and Monitor Prescription Drugs in the Home. J Drug Educ. 2013;43(3):223-233. doi:10.2190/DE.43.3.b Lakhan SE, Kirchgessner A. Prescription stimulants in individuals with and without attention deficit hyperactivity disorder: misuse, cognitive impact, and adverse effects. Brain Behav. 2012;2(5):661-677. doi:10.1002/brb3.78 Ly V, Bottelier M, Hoekstra PJ, Arias Vasquez A, Buitelaar JK, Rommelse NN. Elimination diets' efficacy and mechanisms in attention deficit hyperactivity disorder and autism spectrum disorder. Eur Child Adolesc Psychiatry. 2017;26(9):1067-1079. doi:10.1007/s00787-017-0959-1 Enriquez-Geppert S, Smit D, Pimenta MG, Arns M. Neurofeedback as a Treatment Intervention in ADHD: Current Evidence and Practice. Curr Psychiatry Rep. 2019;21(6):46. doi:10.1007/s11920-019-1021-4 Additional Reading Alhambra, M.A., Fowler, T.P., & Alhambra, A.A. "EEG biofeedback: A new treatment option for ADD/ADHD." Journal of Neurotherapy, 1:39-43. 1995. Baughman, Jr., M.D., F. & Hovey, C. The ADHD Fraud: How Psychiatry Makes “Patients” of Normal Children. Victoria, BC: Trafford Publishing. 2005. Fuchs, T., Birbaumer, N., Lutzenberger, W., Gruzelier, J., & Kaiser, J. "Neurofeedback treatment for attention-deficit / hyperactivity disorder in children: A comparison with methyphenidate." Applied Psychophysiology and Biofeedback, 28:1-12. 2003. Kaiser, D.A., & Othmer, S. "Effect of neurofeedback on variables of attention in a large multi-center trial." Journal of Neurotherapy, 4:5-15. 2000. Linden, M., Habib, T, & Radojevic, V. "A controlled study of the effects of EEG biofeedback on cognition and behavior of children with attention deficit disorder and learning disabilities." Biofeedback and Self Regulation, 21:35-49. 1996. Lubar, J., Swartwood, M., Swartwood, J. & O'Donnell, P. "Evaluation of the effectiveness of EEG neurofeedback training for ADHD in a clinical setting as measured by changes in T.O.V.A. scores, behavioral ratings, and WISC-R performance." Biofeedback and Self Regulation, 20:83-99. 1995. Monastra, V., Monastra, D. & George, S. "The effects of stimulant therapy, EEG biofeedback, and parenting style on the primary symptoms of attention-deficit/hyperactivity disorder." Applied Psychophysiology and Biofeedback, 27:231-249. 2002. National Institute for Health and Clinical Excellence (NICE). "Methylphenidate, atomoxetine and dexamfetamine for attention deficit hyperactivity disorder (ADHD) in children and adolescents." 2006. National Institutes of Health. "NIDA InfoFacts: Stimulant ADHD Medications - Methylphenidate and Amphetamines." Retrieved 29 November 2009. Rossiter, T. & La Vaque, T. "A comparison of EEG biofeedback and psychostimulants in treating attention deficit/hyperactivity disorders." Journal of Neurotherapy, 1:48-59. 1995. Swingle, P. Biofeedback for the Brain: How Neurotherapy Effectively Treats Depression, ADHD, Autism and More. New York: Rutgers University Press. 2008. By Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Get Treatment for Addiction Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.