Reported Reactions

Drugs › Central nervous system stimulant

Generic name

Methylphenidate: adverse event reports filed with FDA

6,483 reports list it as a suspect or interacting product, 2004–2026. Class: Central nervous system stimulant. Also reported as Methylphenidate Sr, Methylphenidate Er, Methylphenidate Er 36mg.

6,483
reports as suspect product
0% of all reports · about 291 a year
738
reports, 12 months to June 2026
822 in the 12 months before
74.2%
marked serious by the reporter
45% across the class
11.9%
record death among outcomes, as reported
769 reports · not verified by FDA

6,483 adverse event reports received by FDA list methylphenidate, a generic name as a suspect or interacting product, from April 2004 to June 2026. A further 9,090 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 738 reports listed it, down 10% from 822 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 291 reports a year and 0% of the 20,646,523 reports in the database, and 5.9% of the reports for the central nervous system stimulant class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are drug ineffective (15.5%), product substitution issue (9.2%) and toxicity to various agents (8.7%). A report can list several reactions, so shares add to more than 100%; 999 different terms appear across these reports. Drug ineffective is recorded in 15.5% of these reports, about the same share as in the median central nervous system stimulant drug (17.8%).

74.2% of the reports are marked serious by the reporter (45% across the class); 11.9% record death among the outcomes and 25% record hospitalisation, as reported. 34.1% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (29.5%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

077154Jul 2021: 29Aug 2021: 19Sep 2021: 26Oct 2021: 27Nov 2021: 30Dec 2021: 382022Jan 2022: 32Feb 2022: 33Mar 2022: 35Apr 2022: 58May 2022: 30Jun 2022: 30Jul 2022: 37Aug 2022: 45Sep 2022: 58Oct 2022: 49Nov 2022: 41Dec 2022: 682023Jan 2023: 90Feb 2023: 57Mar 2023: 67Apr 2023: 66May 2023: 40Jun 2023: 84Jul 2023: 53Aug 2023: 68Sep 2023: 60Oct 2023: 51Nov 2023: 27Dec 2023: 402024Jan 2024: 47Feb 2024: 33Mar 2024: 66Apr 2024: 123May 2024: 59Jun 2024: 32Jul 2024: 115Aug 2024: 50Sep 2024: 39Oct 2024: 46Nov 2024: 43Dec 2024: 422025Jan 2025: 87Feb 2025: 63Mar 2025: 49Apr 2025: 65May 2025: 154Jun 2025: 69Jul 2025: 57Aug 2025: 30Sep 2025: 41Oct 2025: 58Nov 2025: 40Dec 2025: 842026Jan 2026: 50Feb 2026: 58Mar 2026: 56Apr 2026: 73May 2026: 127Jun 2026: 64

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

03997972004: 420042005: 162006: 62007: 420072008: 52009: 82010: 8820102011: 1182012: 1532013: 29720132014: 2842015: 2472016: 18220162017: 5152018: 3762019: 34920192020: 3232021: 3692022: 51620222023: 7032024: 6952025: 79720252026: 428

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Methylphenidate reports recording the termmedian drug in central nervous system stimulant

  1. Drug ineffectivethe medicine did not work as expected15.5%1,003
  2. Product substitution issuea problem after switching products9.2%597
  3. Toxicity to various agentspoisoning or toxic effect of one or more substances8.7%567
  4. Off label useused for a purpose or in a way not on the label5.6%362
  5. Drug abusemisuse of a medicine5.5%357
  6. Anxietyanxiety5%321
  7. Drug interactionan interaction between medicines4.4%284
  8. Agitationrestlessness4.2%272
  9. Headachehead pain4.2%271
  10. Aggressionaggressive behaviour4.1%268
  11. Completed suicidedeath by suicide4.1%264
  12. Tachycardiafast heart rate3.8%247
  13. Insomniadifficulty sleeping3.4%222
  14. Disturbance in attentiondifficulty concentrating3.3%211
  15. Somnolencedrowsiness3.3%211
  16. Irritabilityirritability3.2%209
  17. Overdosea dose above the recommended amount3.2%209
  18. Condition aggravatedthe condition being treated got worse3%194
  19. Hypertensionhigh blood pressure3%193
  20. Suicidal ideationthoughts of suicide2.9%188
  21. Nauseafeeling sick2.9%187
  22. Fatiguetiredness2.6%169
  23. Intentional overdosea deliberate overdose2.5%163
  24. Depressionlow mood2.5%159
  25. Decreased appetitereduced appetite2.4%155
  26. Abnormal behaviourunusual behaviour2.1%135
  27. Drug dependencedependence on a medicine2.1%133
  28. Vomitingbeing sick2.1%133
  29. Product quality issuea problem with the product itself1.9%121
  30. Suicide attempta suicide attempt1.9%120

Top 30 of 999 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 26 drugs in the central nervous system stimulant class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death11.9%769
Life-threatening4.8%314
Hospitalisation (initial or prolonged)25%1,622
Disability3.1%199
Congenital anomaly1.7%113
Other serious50.7%3,289
Not serious25.8%1,675

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 109,804 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 21%63
2 to 1116.2%1,049
12 to 1714.5%939
18 to 4429.5%1,915
45 to 649%586
65 to 741.4%89
75 and over0.8%55
Age not given27.6%1,787

Patient sex

Female36.8%2,385
Male50.6%3,280
Not given12.6%818

Who reported

Physician25.9%1,682
Pharmacist5.9%380
Other health professional34.1%2,212
Lawyer0.3%19
Consumer or non-health professional27.8%1,804
Not given6%386

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 51.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Attention deficit hyperactivity disorder1,51423.4%
Attention deficit/hyperactivity disorder97215%
Narcolepsy841.3%
Autism spectrum disorder631%
Depression560.9%
Disturbance in attention350.5%

The indication field is filled in by the reporter and is often blank; shares are of all 6,483 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Methylphenidate reports
Risperidone3996.2%
Aripiprazole3976.1%
Quetiapine3705.7%
Clonazepam3475.4%
Sertraline2934.5%
Pregabalin2644.1%
Fluoxetine2453.8%
Diazepam2113.3%
Concerta2033.1%
Olanzapine1993.1%

Other products listed in reports where Methylphenidate is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureMethylphenidateCentral nervous system stimulantAll reports
Reports as suspect product6,483109,80420,646,523
Share of that pool—5.9%0%
Reports, latest 12 months738—1,332,454
Marked serious74.2%45%57.4%
Death recorded among outcomes, per 1,000 reports1197991
Hospitalisation recorded, per 1,000 reports250129213
Consumer-filed share27.8%57.1%45.8%
Top term, share of reportsDrug ineffective 15.5%median 17.8%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the central nervous system stimulant class

DrugName typeReportsLatest 12 monthsMarked serious
Vyvansebrand17,54662725.7%
Daytranabrand13,703545.6%
Concertabrand10,83428165.2%
Adderallbrand10,07462238%
Ritalinbrand6,14717575.2%
Methylphenidate hydrochloridegeneric5,91670357.7%
Excedrinbrand5,5304727.5%
Excedrin Migrainebrand4,6629712.1%
Amphetaminegeneric4,38848696.1%
Lisdexamfetamine dimesylategeneric4,30071373.1%
Caffeinegeneric3,72134892.8%
Excedrin Extra Strengthbrand3,2425330.1%
Quillivantbrand2,0109211.1%
Focalinbrand1,8328039.1%
Amphetamine sulfategeneric1,4748993.7%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Methylphenidate reports

How many adverse event reports has FDA received for Methylphenidate?

6,483 reports list Methylphenidate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 738 of them arrived in the latest 12 months. Another 9,090 list it only as a concomitant medication.

What reactions are recorded in Methylphenidate reports?

drug ineffective (15.5%), product substitution issue (9.2%), toxicity to various agents (8.7%), off label use (5.6%) and drug abuse (5.5%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Methylphenidate was responsible.

How serious are the reports?

74.2% are marked serious by the reporter. Among the outcomes recorded, 11.9% of reports include death and 25% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (34.1%), consumer or non-health professional (27.8%) and physician (25.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Methylphenidate rising?

738 reports in the 12 months to June 2026, down 10% from 822 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Methylphenidate was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Methylphenidate?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Methylphenidate as a suspect or interacting product; reports listing it only as a concomitant medication (9,090) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.