The Consequences of Long Term Use of Ritalin

Blog Submitted by Crystal Karges, MS, RDN, IBCLC for Addiction Hope

The drug Methylphenidate, which is marketed under the brand name of Ritalin, is a psycho stimulant drug which is commonly prescribed for the treatment of attention-deficit hyperactivity disorder (ADHD).

This medication is also used for the treatment of narcolepsy and postural orthostatic tachycardia syndrome.

Ritalin functions by increasing the levels of two critical neurotransmitters in the brain, Dopamine and Serotonin, which are associated with feelings of pleasure and well-being.

In the case of ADHD, Ritalin works by:

  • Improving attention
  • Lessening distractibility
  • Enhancing task-specific signaling [1]

For the child or adult who struggles with ADHD and whose life is impaired by this disorder, Ritalin can be a therapeutic part of treatment for this condition.

Concerning Side Effects of Ritalin

As with all medications, there are concerns about the potential side effects that are involved with the use of a drug, particularly the effects that may result with long-term use. Can Ritalin be taken regularly and safely for long periods of time? What side effects may result from the long-term use of this drug?

Medication, such as Ritalin, is often combined with education and psychotherapy to provide a comprehensive treatment for ADHD. While Ritalin is considered safe for usage under appropriate medical supervision, the long-term effects of stimulant medications are still being researched and studied.

Ritalin Can Sometimes Worsen Symptoms of ADHD

walking-454543_640A recent study found that the long-term use of Ritalin can in fact decrease the effectiveness of the treatment for patients being treated for ADHD and may actually worsen symptoms [2].

Based on the findings gathered from research study, scientists were able to conclude that long-term Ritalin use increases dopamine transporters in the brain, which can decrease the efficacy of Ritalin when used for long-periods of time, or exacerbate symptoms of ADHD if the medication is not taken [2].

Ritalin Is Better for Short-Term Use

Previous studies on the long-term use of Ritalin have revealed contradictory results, with some research showing that patients regularly taking Ritalin adapting to the medication over time, suggesting that short-term use is desirable.

Other findings from research on long-term use of Ritalin have demonstrated that stimulant psychosis can occur with extended therapy with this medication. The majority of research studies have established the safety of the continued use Ritalin.

Speak with a Professional to Better Understand the Treatment

With controversial findings regarding the long-term use of Ritalin, it is always best to discuss all treatment options with your physician and health care provider. It is also important to understand alternative therapies that could be used to treat ADHD, such as psychotherapy, which may offer behavioral management without the side effects from medication.

If you are concerned about the potential long-term effects of Ritalin, be sure to talk with your doctor about any apprehensions, as your physician can help you determine the best course of treatment for you.


  1. VanScoy, H. (2006). What Makes Ritalin Work?. Psych Central. Retrieved on October 4, 2014, from
  2. Wang GJ, Volkow ND, Wigal T, et al. Long-Term Stimulant Treatment Affects Brain Dopamine Transporter Level in Patients with Attention Deficit Hyperactive Disorder. PLOS ONE. 2013.