Ritalin Withdrawal: Symptoms, Timeline & Detox

Ritalin Withdrawal Guide

Ritalin (methylphenidate) is a psychostimulant drug that is prescribed to treat Attention Deficit Hyperactivity Disorder (ADHD) and narcolepsy. It has been approved by the FDA and recommended by doctors worldwide. Ritalin can also be prescribed on its own or with other drugs for treating depression, anxiety disorders, and addiction to cocaine, methamphetamine, nicotine, alcohol, marijuana, and other drugs. People may abuse Ritalin for the euphoria or energy boost it produces, but taking Ritalin in large amounts can have unpleasant or harmful side effects.

Ritalin Withdrawal

What Is Ritalin Withdrawal?

Withdrawal from Ritalin is a condition that occurs when the person who has been taking Ritalin for a long time stops taking it suddenly. This can cause lethargy, depression, and confusion symptoms. The withdrawal is not severe and is usually resolved with time. However, it can become more severe if the person continues to take Ritalin despite experiencing some of its side effects or if they do not have any other source of dopamine in their body.

Symptoms of Withdrawal

The withdrawal symptoms associated with Ritalin have been widely discussed in medical literature and are found to be quite common. In many cases, a time-related discontinuation syndrome occurs in response to stopping Ritalin. The primary Ritalin withdrawal symptoms include:
• Lethargy
• Fatigue
• Hypersomnia (sleeping more than usual)
• Headaches and migraines
• Extreme feelings of sadness and depression
• Loss of appetite (sometimes associated with nausea)

A person may even become physically ill, such as having colds or viruses, over two months after stopping the drug.

Signs of Ritalin Dependence

Signs of Ritalin dependence are often difficult to recognize, but as with any drug, it’s essential to learn them early and watch for warning signs. Check for these side effects if you’re worried about someone you love using Ritalin:
• Persistent thinking that something good will happen if treated with Ritalin
• Craving for Ritalin
• Increasing use of Ritalin to cope with emotional issues
• Attempting to withdraw from Ritalin without professional help
• Taking large amounts of over-the-counter medications to get rid of withdrawal symptoms
• Spending a lot of money on Ritalin

Side Effects of Ritalin

Side effects of Ritalin vary from mild to severe and include standard, mild, and uncommon side effects. Those results commonly reported by clients include:
• Headaches
• Nausea
• Dizziness
• Loss of appetite
• Slight increase in heart rate or blood pressure

In rare cases, some clients report severe side effects that include:
• Severe rash
• Suicidal thoughts or actions
• Seizures
• Hallucinations
• Breast enlargement
• Problems with male sexual function

In some cases, Ritalin was also associated with mood changes. Other serious side effects include cardiovascular conditions, such as chest pains or heart palpitations, sudden death in individuals with undiagnosed heart problems, and suicide attempts, including completed suicides.

Precautions When Using Ritalin

Tell your doctor and pharmacist about any allergies you have or if you have had severe nausea, vomiting, irregular heartbeat, chest pain, or mental/mood changes. Also, let your doctor know if you are using this medication for a child who has had these symptoms.

Your medical history is essential when taking Ritalin and other stimulant drugs. Discuss any heart, mental, or mood problems with your doctor or pharmacist. This includes recurring headaches, high blood pressure symptoms, seizures, diabetes, glaucoma, trouble urinating due to an enlarged prostate gland, or any other medical conditions. Tell your doctor if you have or have ever had any mental problems such as bipolar illness, suicidal thoughts, or actions.

Overdose of Ritalin

Symptoms of overdose include loss of appetite, delusions, thinking and moving very fast or describing movements as slow, distorted vision and hearing, high fever, trips, and falls due to overactive reflexes.

If you have missed a dose, take it right away. If the following dosage is due, do not double the dose. Ritalin should be taken as prescribed.

Who Should Avoid Ritalin?

There are certain groups of people who should avoid Ritalin. These include:
• People who have bipolar disorder
• People who have a severe psychiatric condition like schizophrenia
• People who are pregnant or planning to get pregnant

These groups of people should be cautious about using Ritalin. They should also avoid using it for extended periods, increasing the risk of developing a Ritalin dependence. If you think that you or someone you know should not be prescribed Ritalin, always practice safe drug use.

How to Safely Withdraw From Ritalin

When removing a stimulant from your system, you may experience several withdrawal symptoms. These are typically “crash” signs or “withdrawal” symptoms. Most people who decide to withdraw from stimulants like Ritalin do so by slowly discontinuing their medications. However, many people will self-administer benzodiazepines to get rid of their withdrawal symptoms. This is a dangerous practice as it can make the symptoms of withdrawal much worse.

These are some safe withdrawal tips for safely withdrawing from Ritalin:

1. Take it slowly – It is not uncommon for people to gradually cut back their Ritalin use. They may start by reducing their dose by 10% each day until they are taking the smallest amount that will control their ADHD symptoms.

2. Try non-stimulant medication – If your withdrawal symptoms make you feel sluggish, try taking non-stimulant medicines like Advil, Tylenol, or Excedrin. Vitamin supplements, amino acids, or other nutritional supplements can help with many withdrawal symptoms like headaches, muscle aches, fatigue, and depression.

3. Get plenty of sleep – Sleep disturbances are widespread during withdrawal and are caused by the medication staying in the system longer.

4. Avoid caffeine – Caffeine is one of the most common “crash” symptoms during withdrawal. Avoid caffeine-containing beverages and foods as much as possible.

5. Be patient – It can take several weeks or even months for a person to withdraw from Ritalin completely.

The Long-Term Effects of Withdrawal From Ritalin

As a person withdraws from Ritalin, their brain still has a “high” from its medication. This can cause the brain to “overdrive” and to fall back into a routine. This can create several long-term effects, including:
• Memory deficits
• Cognitive deficits
• Neuro-developmental problems
• Psychosis
• Developmental disorders

Levels of Care in Ritalin Addiction Treatment

The levels of care in Ritalin addiction recovery treatment may vary from one client to another. This is because different programs are usually administered based on the levels of care of each client. Whether it’s a higher level or a lower one, every person is given the proper care during the recovery program.

1. Drug Detox

Drug detox is a process by which an addict stops taking the drugs they use. This process should always be supervised by a medical professional. They will monitor your drug withdrawal symptoms, make sure your liver is not damaged, and ensure that you are safe.

Clients who undergo drug detox can expect to feel intense flu-like symptoms, including sudden urges to vomit, extreme fatigue, and muscle aches. You should also be given medications to make them vomit if you are under the impression that you will vomit.

After Ritalin detox, you will be required to spend a few days in the hospital to make sure you are stable. Some people will need a few days in the hospital or a more extended stay in a rehab facility to make sure they are stable before they are released.

2. Medical Detox

Physicians can prescribe medications that can help with long-term drug use withdrawal symptoms. However, many clients feel uncomfortable undergoing medical detox due to the side effects of drugs or the fear of withdrawal.

Medical detox is a medically supervised process that involves you taking medications for some time to help your body eliminate the drugs from your system. This does not guarantee that you will stop using drugs, but it allows you to recover more quickly, and it reduces the risk of seizures, infections, and death.

3. Inpatient Rehab

Inpatient rehabilitation programs help you deal with drug use’s physical, emotional, and psychological symptoms. These programs are short-term treatments and are usually completed within 30 days. You are placed under supervision and are closely monitored for behavioral changes.

Clients who attend inpatient rehabilitation programs often report feeling more comfortable and confident after treatment. Inpatient programs allow you to focus on your recovery by providing a structured environment to help you recover from the addictions. These programs are equipped with psychiatrists and nurses who can provide medications and treatments to effectively manage withdrawal symptoms and other symptoms associated with drug use.

4. Outpatient Rehab

Clients who are not ready for inpatient treatment can also receive outpatient treatment. Outpatient programs are helpful if you have a busy schedule or a history of relapse.

Outpatient programs are less intensive than inpatient programs, and you do not have to stay in the program for a set period. However, these programs are meant to be a continuous, ongoing care and treatment program for those with plans to return if you should relapse.

Outpatient programs are also often equipped with psychiatrists and nurses who can provide medications and treatments to effectively manage withdrawal symptoms and other symptoms associated with drug use.

5. Aftercare

Aftercare is an essential component of treatment that helps you manage your disease symptoms and stay in contact with family members to ensure you are OK. Aftercare is the process by which clients remain in treatment for at least one year after completing a program in order to provide continued support and supervision. Aftercare is especially important for mental illness clients because untreated symptoms can be difficult to manage without treatment.

Types of Treatment Therapies

There are a variety of treatment therapies available to choose from. We believe it is best practice to evaluate each client individually at every stage of their rehabilitation in assessing which components of treatment, in which combination, and in what sequence, are most likely to enable them to achieve their goals, leading to successful rehabilitation outcomes.

1. Medical-Assisted Treatment

Medical-Assisted Treatment is when a doctor prescribes medication to help you withdraw safely from Ritalin. Different drugs can be prescribed to help with the withdrawal process. The most common medicine used to remove Ritalin safely is tapering. Tapering is a gradual reduction of the amount of Ritalin you are taking. This can be done by taking Ritalin at a shallow dose every day or taking a low dose of Ritalin every other day. A doctor will also prescribe tapering.

2. Individual Therapy

Individual therapy is when you meet with a mental health professional regularly to help you learn how to cope with life after withdrawal. This can be done through group therapy or therapy in which you meet with an individual therapist.

3. Group Therapy

Group therapy can help people withdrawing from Ritalin cope with the emotional side effects of withdrawing from Ritalin. Group therapy can be done either in a group setting or online, and it can help you learn how to cope with the emotional and social side effects of withdrawing from Ritalin.

4. Online Counselling

One of the best ways to stop using Ritalin is to talk to a counselor online. The Ritalin withdrawal timeline allows you to communicate with a counselor via chat, phone, or video. This means you don’t have to take time away from your responsibilities to go to a professional’s office. Online counseling also means that you can get the support you need when you need it.

Withdrawal can be a complex process, and there are many different things that you must take into account to withdraw from Ritalin successfully. You must figure out which method works best for you, whether that is natural or pharmaceutical. In addition, you need to make sure that the medication you choose is the proper one. After you figure out which treatment methods and remedies are right for you, the remaining task will be to make sure you have a solid and supportive network around you to help keep your progress going. Withdrawing from Ritalin can be extremely difficult, so having positive people around you who can motivate you will help alleviate some of the pain and struggle you may experience.

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Reviewed By:

Dr. John Elgin Wilkaitis

Dr. John Elgin Wilkaitis completed medical school at The University of Mississippi Medical Center and residency in general psychiatry in 2003. He completed a fellowship in Child and Adolescent Psychiatry at Cincinnati Children’s Hospital in 2005. Following this, he served as Chief Medical Officer for 10 years of Brentwood Behavioral Healthcare a private health system including a 105-bed hospital, residential treatment, and intensive outpatient services.

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