Handouts · Medications
Stimulants (ADHD Medications)
Includes methylphenidate (Ritalin, Concerta) and amphetamines (Adderall, Vyvanse). Highly effective for ADHD focus and impulse control.
What This Group Is
Stimulants improve focus, attention, and impulse control in ADHD by boosting dopamine and norepinephrine.
They are controlled medicines because they can be misused, so we prescribe and monitor them carefully.
How to Take It
Take in the morning; a second dose (if prescribed) is taken early afternoon to protect sleep.
Take with or without food. Swallow long-acting capsules/tablets whole. Store securely — these are commonly diverted.
Black Box Warning
Stimulants have a high potential for misuse and dependence, which can lead to serious heart and psychiatric problems. Take only as prescribed and keep your supply secure.
Common (Usually Mild) Side Effects
- Reduced appetite and some weight loss.
- Trouble sleeping — take earlier in the day.
- Dry mouth, headache.
- Feeling jittery or irritable, especially as a dose wears off.
Serious — Call Us or Seek Care
- Heart symptoms: chest pain, fainting, or a very fast/irregular heartbeat — seek care.
- Marked rise in blood pressure or heart rate.
- New paranoia, hallucinations, or a “high”/racing mood.
- In children: slowed growth over time; painful, prolonged erections (rare).
Alcohol
Avoid alcohol — it can mask how impaired you are and stress the heart.
Recommended Monitoring
• Heart rate and blood pressure — at baseline and follow-ups
• Weight (and height/growth in children)
• A review of personal and family heart history before starting; an EKG if there are concerns