Reported Reactions

Drugs › Central nervous system stimulant

Brand name · Methylphenidate hydrochloride

Ritalin: adverse event reports filed with FDA

6,147 reports list it as a suspect or interacting product, 2004–2026. Class: Central nervous system stimulant. Also reported as Ritalin La, Ritalin Tab, Ritalin Tablet.

6,147
reports as suspect product
0% of all reports · about 273 a year
175
reports, 12 months to June 2026
312 in the 12 months before
75.2%
marked serious by the reporter
45% across the class
3.5%
record death among outcomes, as reported
216 reports · not verified by FDA

6,147 adverse event reports received by FDA list the brand name Ritalin (methylphenidate hydrochloride) as a suspect or interacting product, from January 2004 to June 2026. A further 13,384 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, 175 reports listed it, down 44% from 312 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 273 reports a year and 0% of the 20,646,523 reports in the database, and 5.6% 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 MedDRA terms listed most often are drug ineffective (14.5%), anxiety (7.4%) and depression (6.2%). A report can list several reactions, so shares add to more than 100%; 928 different terms appear across these reports. Drug ineffective is recorded in 14.5% of these reports, about the same share as in the median central nervous system stimulant drug (17.8%).

75.2% of the reports are marked serious by the reporter (45% across the class); 3.5% record death among the outcomes and 18.3% record hospitalisation, as reported. 45.7% of the reports came from consumers, and the largest patient age group is 18 to 44 (17.6%). 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

02754Jul 2021: 12Aug 2021: 10Sep 2021: 12Oct 2021: 14Nov 2021: 14Dec 2021: 122022Jan 2022: 8Feb 2022: 13Mar 2022: 17Apr 2022: 27May 2022: 14Jun 2022: 14Jul 2022: 18Aug 2022: 30Sep 2022: 18Oct 2022: 14Nov 2022: 16Dec 2022: 342023Jan 2023: 21Feb 2023: 25Mar 2023: 36Apr 2023: 30May 2023: 17Jun 2023: 14Jul 2023: 18Aug 2023: 40Sep 2023: 12Oct 2023: 12Nov 2023: 18Dec 2023: 152024Jan 2024: 16Feb 2024: 22Mar 2024: 22Apr 2024: 36May 2024: 20Jun 2024: 12Jul 2024: 30Aug 2024: 15Sep 2024: 25Oct 2024: 28Nov 2024: 21Dec 2024: 312025Jan 2025: 54Feb 2025: 26Mar 2025: 26Apr 2025: 22May 2025: 23Jun 2025: 11Jul 2025: 8Aug 2025: 13Sep 2025: 19Oct 2025: 14Nov 2025: 26Dec 2025: 172026Jan 2026: 11Feb 2026: 18Mar 2026: 8Apr 2026: 13May 2026: 15Jun 2026: 13

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

02304592004: 12120042005: 1992006: 2222007: 20220072008: 2592009: 2712010: 25920102011: 2672012: 3132013: 33220132014: 2932015: 3942016: 45920162017: 3202018: 3652019: 30820192020: 2912021: 1762022: 22320222023: 2582024: 2782025: 25920252026: 78

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Drug ineffectivethe medicine did not work as expected14.5%889
  2. Anxietyanxiety7.4%455
  3. Depressionlow mood6.2%383
  4. Headachehead pain6.1%374
  5. Fatiguetiredness5.4%332
  6. Aggressionaggressive behaviour4.9%299
  7. Feeling abnormalfeeling odd or not right4.9%299
  8. Disturbance in attentiondifficulty concentrating4.8%296
  9. Insomniadifficulty sleeping4.8%293
  10. Somnolencedrowsiness4.5%275
  11. Agitationrestlessness4.1%254
  12. Nauseafeeling sick4.1%253
  13. Drug dependencedependence on a medicine4%245
  14. Decreased appetitereduced appetite3.9%241
  15. Weight decreasedweight loss3.5%217
  16. Suicidal ideationthoughts of suicide3.3%205
  17. Malaisegeneral feeling of being unwell3.3%203
  18. Abnormal behaviourunusual behaviour3.1%191
  19. Tremorshaking3%182
  20. Drug abusemisuse of a medicine2.9%177
  21. Dizzinesslight-headedness or unsteadiness2.8%174
  22. Irritabilityirritability2.6%159
  23. Vomitingbeing sick2.3%143
  24. Palpitationsawareness of the heartbeat2.3%140
  25. Drug interactionan interaction between medicines2.2%134
  26. Overdosea dose above the recommended amount2.1%132
  27. Dyspnoeashortness of breath2.1%131
  28. Off label useused for a purpose or in a way not on the label2.1%130
  29. Tachycardiafast heart rate2.1%128
  30. Painpain, site not specified2%126

Top 30 of 928 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

Death3.5%216
Life-threatening4.1%254
Hospitalisation (initial or prolonged)18.3%1,126
Disability2.5%152
Congenital anomaly0.5%28
Other serious59.3%3,645
Not serious24.8%1,527

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 20.4%23
2 to 119.8%603
12 to 178.8%540
18 to 4417.6%1,080
45 to 646.2%383
65 to 741.4%84
75 and over0.9%55
Age not given55%3,379

Patient sex

Female40.2%2,474
Male48.7%2,994
Not given11%679

Who reported

Physician24.6%1,510
Pharmacist4.7%287
Other health professional17.2%1,060
Lawyer0.5%30
Consumer or non-health professional45.7%2,811
Not given7.3%449

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 40% 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 disorder1,49824.4%
Attention deficit hyperactivity disorder3145.1%
Narcolepsy1642.7%
Psychomotor hyperactivity1011.6%
Depression851.4%
Disturbance in attention701.1%

The indication field is filled in by the reporter and is often blank; shares are of all 6,147 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Ritalin reports
Concerta4637.5%
Adderall3295.4%
Xyrem2934.8%
Vyvanse1552.5%
Methylphenidate1171.9%
Venlafaxine hydrochloride1091.8%
Abilify1021.7%
Bupropion hydrochloride981.6%
Risperdal961.6%
Ergocalciferol831.4%

Other products listed in reports where Ritalin 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

MeasureRitalinCentral nervous system stimulantAll reports
Reports as suspect product6,147109,80420,646,523
Share of that pool—5.6%0%
Reports, latest 12 months175—1,332,454
Marked serious75.2%45%57.4%
Death recorded among outcomes, per 1,000 reports357991
Hospitalisation recorded, per 1,000 reports183129213
Consumer-filed share45.7%57.1%45.8%
Top term, share of reportsDrug ineffective 14.5%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%
Methylphenidategeneric6,48373874.2%
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 Ritalin reports

How many adverse event reports has FDA received for Ritalin?

6,147 reports list Ritalin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 175 of them arrived in the latest 12 months. Another 13,384 list it only as a concomitant medication.

What reactions are recorded in Ritalin reports?

drug ineffective (14.5%), anxiety (7.4%), depression (6.2%), headache (6.1%) and fatigue (5.4%). 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 Ritalin was responsible.

How serious are the reports?

75.2% are marked serious by the reporter. Among the outcomes recorded, 3.5% of reports include death and 18.3% 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?

consumer or non-health professional (45.7%), physician (24.6%) and other health professional (17.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ritalin rising?

175 reports in the 12 months to June 2026, down 44% from 312 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 Ritalin 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 Ritalin?

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 Ritalin as a suspect or interacting product; reports listing it only as a concomitant medication (13,384) 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.