Methylphenidate Facts
Stimulant;
Dose and durationby route · individual sensitivity varies
Oral(mg)
Threshold< 5 mgLight10 – 20 mgCommon20 – 40 mgStrong40 – 60 mgHeavy60+ mg
Starts in 15 – 30 minLasts 3 – 6 hoursAfter-effects 2 – 4 hours
Also recorded: Insufflated. See full page: psychedex.org/substances/methylphenidate
Body and dependence
- Acute toxicity
- Low
- Chronic toxicity
- Moderate
- Physical dependence
- Low
- Psychological dependence
- Moderate
- Withdrawal
- Mild
- Compulsive redosing
- Moderate
Tolerance
- Builds
- Rapid
- Fully resets after
- 7 days
- Carries over to
- amphetamine;
dexmethylphenidate; cocaine
Effectslikely at a common dose
- Perception
- none likely · 4 possible
- Body
- Stimulation;
Appetite suppression; Wakefulness; +20 possible, including Vasoconstriction, Heart rate perception changes, Insomnia - Thinking
- Focus enhancement;
+10 possible, including Compulsive redosing urge - Feeling
- none likely · 8 possible, including Anxiety, Emotional lability, Depression
- Self
- none likely · 6 possible, including Craving, Ego inflation
- Awareness
- Sustained attention (vicara);
+1 possible
Who shouldn't take it
Absolute
MAOI use (concurrent or within 14 days)
Relative
Structural heart abnormalities; Uncontrolled hypertension; Cardiac arrhythmias; Seizure disorder; Psychotic disorders; Bipolar disorder; Pregnancy and breastfeeding; Hyperthyroidism; Angle-closure glaucoma
Combinations62 recorded
Lethal (2)
Ibogaine; Tramadol
Dangerous (29)
Alpha-2 adrenergic receptor antagonist; Amphetamines; Benzodiazepines, Barbiturates; Ephedrine, Pseudoephedrine; Local anesthetics; MAOIs; MDMA, Amphetamines; MDMA, MDA; NDRIs (Wellbutrin); NRIs; Opioids; SSRIs; Stimulants; Anticholinergics; Antipsychotics; Buspirone; Caffeine; Dopamine agonists; DXM; GHB, Baclofen; GHB, GBL; Ketamine, DXM, PCP; Lithium; NSAIDs; and 5 more, see full page
Caution (28)
See full page: psychedex.org/substances/methylphenidate
Not graded (3)
Not listed never means safe.
Seek help immediately if
- Chest pain; racing, pounding, or irregular heartbeat
- Very high body temperature; heavy sweating; hot, flushed skin
- Severe agitation, paranoia, panic, or confusion
- Severe headache; muscle rigidity or twitching
- Seizures
- Signs of stroke — face drooping, one-sided weakness, slurred speech
- Difficulty breathing; collapse or unconsciousness
What to do
- Call emergency services for chest pain, overheating, seizure, or unresponsiveness
- Move them to a cool, quiet place and reduce stimulation
- Cool the body — remove excess clothing, apply cool damp cloths, fan them
- Keep them calm; reassure — panic worsens the cardiovascular strain
- If seizing, protect from injury (don't restrain); recovery position afterward
- Monitor breathing and be ready to give rescue breaths / CPR
Most stimulant overdoses settle with cooling, a calm environment, and time. The medical danger is hyperthermia, cardiac events (arrhythmia, heart attack, stroke), and seizures — get help immediately if any appear.
988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE
psychedex.org/substances/methylphenidate · Version r1 · Not medical adviceValues as of