If ADHD medications like Ritalin are chemically similar to substances like cocaine and amphetamines, does that mean they are addictive? Technically, the answer is no.  Although both Ritalin (methylphenidate) and cocaine stimulate the production of dopamine, Ritalin takes longer to metabolize while cocaine works instantly. For pleasure-seeking recreational users who want the immediate gratification of stimulants, this makes all the difference in the world.  The effects of cocaine wear off faster than Ritalin, causing the user to crave for more drugs to sustain the high. Based on this major difference, experts conclude that ADHD medications metabolize too slowly to be habit-forming – as long as kids and teens take their pills as instructed by their doctor, that is.

But as it turns out, not all teens that use ADHD medications take them as prescribed.  In fact, many of them might not even have ADHD. According to a new study published in the journal Pediatrics, the number of teens who overdosed on ADHD medications rose 76% over the last seven years.

Researchers looked at data gathered by American Association of Poison Control Centers, which was based on calls from 13- to 19-year olds between the years 1998 and 2005. Throughout this time, nationwide calls for ADHD drug misuse increased from 330 to 581 yearly.  Around 42% of affected teens experienced moderate to severe side-effects such as aggression, seizures, personality changes, and psychosis. Most had to be rushed to the hospital for emergency treatment, while four of these cases resulted in death.

Indeed, abuse of Ritalin and other prescription drugs is a phenomenon college guidance counselors struggle with every year.  From the point of view of a teenager, the short-term side effects of ADHD medications are very desirable. Not only does Ritalin suppress appetite and cause weight loss; the drugs help students stay up all night while they frantically finish papers or study for exams. It’s common practice for teens to crush the tablets and snort the medicine as though it were cocaine; this makes the methylphenidate metabolize faster. Unfortunately, ADHD medications do have a strong potential for abuse if they are taken this way.

The study’s authors did not have information as to whether the abusers were diagnosed with ADHD or not. However, anecdotal evidence and previous research suggests that many of these teens did not have ADHD. According to a study by the University of Miami, students who were prescribed ADHD medications were least enthusiastic about taking them. On the other hand, non-prescribed students were more eager to use these drugs, which can be obtained from ADHD peers who are more than happy to sell or trade extra pills. It’s not uncommon for teens without ADHD to fake the symptoms so that they can obtain a prescription from a doctor.

Even though there are only hundreds of overdose cases compared to the millions of children who take Ritalin and other stimulants, the rising numbers are consistent and reflect a major increase in teenage substance abuse problems.  If your child or teen is taking medications for ADHD, make sure that you’re aware of where the pills are stored, how many there are, and who has access to these drugs.  Better yet, keep them in a place where your child can’t sneak them out.  Watch out for signs of abuse, which include difficulty focusing and increased agitation. You may also want to consider trying a non-medical approach to manage ADHD, especially if your child no longer shows improvements after years of taking medication.

The researchers have found that children taking Ritalin and other psychostimulants had a 7 times greater risk of suffering from suddent unexplained death !

Don’t take the risk with your child. Look into natural ADHD alternatives.

Dr. Pauli