*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.
What happens if you take Concerta with alcohol? Consuming alcohol and Concerta together can be dangerous and is not recommended. Alcohol is a depressant.1 while Concerta is a stimulant medication used to treat ADHD.2 Combining the two can have adverse effects on the body and increase the risk of serious health complications.3
It is important to consult with your prescriber about the risks of using alcohol with Concerta. If you are considering Concerta or want to discuss your current medication treatment with a provider, Talkiatry is an online psychiatry platform that can and will prescribe stimulant medications, which are controlled substances. They can connect you with a provider quickly, who can then determine your best treatment options, answer any questions you have about taking your medication, and provide new prescriptions as appropriate.
Boxed Warning: Methylphenidate (Concerta) – Risk of medication misuse or abuse
Methylphenidate, the active ingredient in Concerta, has a black box warning. These are the most serious types of warnings from the Food and Drug Administration (FDA). Concerta has a risk of misuse (abuse) which can lead to dependence on the medication.
Concerta is a controlled substance, which means that it’s more likely to be misused or cause dependence. There are federal and state laws that limit the amount of medication that can be prescribed or dispensed within a certain period of time.
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Talkiatry can match you with a psychiatrist who takes your insurance. Their clinicians can evaluate you for ADHD and prescribe medication. This can include controlled substances if they’re right for you and allowed by your state. Get started with a short online assessment.
What Is Concerta?
Concerta is a prescription medication that contains the active ingredient methylphenidate and belongs to the class of medications known as stimulants. It affects certain brain and nerve chemicals that contribute to impulse control and hyperactivity. Concerta primarily treats attention-deficit hyperactivity disorder (ADHD) in children (ages 6-17) and adults.
It is only available as an extended-release tablet that gradually releases the medication throughout the day, offering long-lasting symptom control. Concerta should be taken as prescribed by a healthcare professional.2
Can You Drink Alcohol on Concerta?
Mixing alcohol and Concerta is not recommended. Alcohol is a central nervous system depressant, while Concerta is a stimulant medication. Combining these substances can have conflicting effects on the body and may increase the risk of adverse reactions. 3
Concerta is designed to help improve focus, attention, and impulse control,2 while alcohol can impair cognitive function and judgment.1 Additionally, Concerta and alcohol both raise blood pressure and heart rate, which increases the risk of cardiovascular problems.1, 2
What are the Side Effects of Mixing Alcohol & Concerta?
It’s important to note that no interaction of alcohol and Concerta was reported in clinical trials, but it is still possible that there is an interaction. The combination of alcohol and Concerta can intensify the medication’s side effects.3 These can include increased heart rate, dizziness, nausea, difficulty sleeping, impaired judgment, and mood swings.
Side effects of mixing alcohol and Concerta may include:*
- Increased heart rate and blood pressure
- Dizziness and lightheadedness
- Nausea and vomiting
- Headaches and migraines
- Difficulty sleeping or insomnia
- Impaired judgment and decision-making
- Agitation and irritability
- Mood swings and emotional instability
- Worsening of Concerta’s side effects, such as anxiety or nervousness
- Increased chance of accidental mishaps or injuries as a result of decreased coordination and mental capacity
Some people may experience serious side effects from mixing alcohol and Concerta. The combination of alcohol and Concerta can potentially lead to serious adverse effects on the cardiovascular system and respiratory function.3
Serious side effects of mixing alcohol and Concerta may include:*
- High blood pressure
- Rapid heartbeat
- Irregular heart rhythm
- Increased risk of stroke
- Respiratory difficulties
- Severe dizziness
*All medications, including Concerta, can cause side effects that can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.
ADHD Diagnosis & Treatment at Talkiatry
Talkiatry can match you with a psychiatrist who takes your insurance. Their clinicians can evaluate you for ADHD and prescribe medication. This can include controlled substances if they’re right for you and allowed by your state. Get started with a short online assessment.
Why is it Dangerous to Mix Alcohol & Concerta?
Drinking and Concerta can be dangerous due to the contrasting effects of alcohol consumption and the use of Concerta. Alcohol works as a central nervous system depressant, causing decreased coordination, impaired judgment, and sedation.1 When combined with Concerta, a stimulant medication, the interaction can mask the sedative effects of alcohol, potentially leading to increased drinking and higher alcohol consumption.
Concerta and alcohol consumption can increase the risk of alcohol poisoning, heart problems, and other serious health complications.3 Both Concerta and alcohol have FDA warnings against their combination due to the increased risks and potential adverse effects on health.1, 2
Serious effects from mixing Concerta and alcohol include:
- Alcohol poisoning: Alcohol poisoning is a condition that could be fatal; it occurs when high levels of alcohol overwhelm the body’s ability to metabolize it. When combined with Concerta, the stimulant properties can mask the sedative effects of alcohol, increasing the likelihood of alcohol poisoning and increasing the amount of alcohol consumed.4
- Heart problems: Drinking alcohol and Concerta can place excessive strain on the cardiovascular system, potentially leading to increased heart rate, high blood pressure, irregular heart rhythm, and an increased risk of heart-related complications.3
- Breathing difficulties: The combination of alcohol and Concerta can affect respiratory function, causing breathing difficulties (i.e., short breath), including respiratory failure in severe situations.3
- Impaired judgment and risk-taking behavior: The interaction between alcohol and Concerta can impair judgment, leading to increased risk-taking behavior and potentially dangerous actions.5
- Increased risk of accidents and injuries: Both alcohol and Concerta can impact coordination and cognitive function. Combined, they can further impair these abilities, increasing the risk of accidents and injuries.5
Symptoms of a Concerta Overdose
Using Concerta while drinking alcohol can increase the risk of a Concerta overdose, especially when factors such as dosage, individual tolerance, and binge drinking are involved.4 Call 9-1-1 or get straight to the nearest emergency room if someone is intoxicated and exhibiting serious adverse effects or an overdose. If you suspect another person has overdosed or is overdosing on both substances, immediately seek emergency medical assistance.
Symptoms of an overdose of Concerta include:
- Rapid heartbeat
- Increased blood pressure
- Excessive sweating
- Severe headache
- Dilated pupils
- Tremors
- Nausea and vomiting
Alcohol & Concerta Withdrawal
When alcohol and Concerta are used together, there is a risk of experiencing withdrawal symptoms from both substances. Withdrawal can happen when someone stops abruptly or significantly reduces their alcohol or Concerta intake after prolonged use.1 It is strongly advised not to attempt withdrawal from Concerta or alcohol without professional guidance due to the potential complications and risks involved.
Symptoms of withdrawal from alcohol include:
- Tremors (shakes)
- Anxiety
- Irritability
- Insomnia
- Nausea and vomiting
- Sweating
- Headaches or migraines
- Confusion
Symptoms of withdrawal from Concerta include:
- Fatigue
- Depression
- Irritability
- Sleep disturbances
- Increased appetite
- Lack of concentration
- Mood swings
How Long After Taking Concerta Can You Drink Alcohol?
If you’re wondering, “Can I drink alcohol while taking Concerta?” it is recommended to avoid alcohol entirely while on this medication.2 It is important to wait until Concerta is fully out of your system before consuming alcohol. But by the time Concerta is fully out of your system, you should be preparing for your next dose.
Skipping a dose of Concerta to drink alcohol is unsafe, as consistent and proper medication usage is crucial for managing your condition.2 Specifically, lowering the dose of Concerta or intentionally adjusting the medication for the purpose of drinking alcohol is not recommended. It’s important to understand that there is no safe way or time to drink alcohol while using Concerta. It’s best to follow the guidance of your healthcare provider about Concerta and alcohol to prioritize your health.
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Why Do People Mix Alcohol With Concerta?
People may mix alcohol with Concerta for various reasons. However, it’s important to recognize the specific risk factors for substance abuse that can contribute to developing a substance use disorder for both of these substances.
First, individuals with a history of substance abuse or addiction may be more prone to misuse alcohol and Concerta concurrently. Additionally, those predisposed to impulsive behaviors or seeking thrill and novelty may be at higher risk. Co-occurring mental health conditions, such as anxiety and depression, can also increase vulnerability.
Environmental factors, such as peer influence or easy access to alcohol and Concerta, may further contribute to the likelihood of mixing these substances. Furthermore, unresolved emotional issues, stress, or social pressure can play a role in seeking escape or self-medication through substance use.6
What Are the Signs of Concerta & Alcohol Misuse?
The signs of Concerta and alcohol misuse include increased tolerance, withdrawal symptoms, and unsuccessful attempts to cut down or quit using both substances. When Concerta and alcohol are used together, the risk of dependence and addiction is further elevated.6
Misusing and becoming dependent on Concerta and alcohol can profoundly affect a person’s emotional state, compromising their mental health and stability. The physical toll can be substantial, with potential consequences including disrupted sleep patterns, increased fatigue, and impaired cognitive function.6
Seeking Professional Help for Concerta & Alcohol Use
If you or someone you know is in danger due to Concerta and alcohol consumption, seeking professional help is crucial. Have an open and honest discussion with your psychiatrist about your concerns regarding the interactions and potential side effects of using alcohol alongside Concerta. If you feel the need to explore alternative treatments or if you require a new psychiatrist, online psychiatry options are available to provide convenient and accessible care.
There are various treatment options to consider. One example is intensive outpatient treatment, which offers comprehensive support and therapy while allowing individuals to continue their daily activities. This type of treatment can be particularly beneficial for those needing more structure and support than traditional outpatient care but doesn’t require the intensity of residential treatment.
Treating alcohol use disorders and mental health conditions together is paramount, as they often co-occur.6 Addressing both simultaneously increases the likelihood of successful recovery and reduces the risk of relapse. Remember, there are professionals trained to assist you in navigating these challenges.
Questions to Ask Your Health Team About Alcohol & Concerta Use
When using alcohol and Concerta together, you must clearly understand how these substances interact with your body. Those who are unaware of the potential effects and risks are more susceptible to experiencing adverse reactions. Don’t hesitate to ask important questions and seek guidance from your medical provider.
Questions to ask your doctor about alcohol and Concerta include:
- Is there a safe amount of alcohol that I can consume while taking Concerta?
- If I choose to drink, should I skip or adjust my Concerta dosage for that day?
- Are there alternative stimulants or ADHD medications that are not negatively affected by alcohol?
- What should I do if I experience an adverse reaction after drinking alcohol while on Concerta?
- Can combining alcohol and Concerta increase the risk of certain side effects or interactions?
- Are there specific warning signs or symptoms I should be aware of if I drink while on Concerta?
- How does alcohol consumption impact the effectiveness of Concerta in managing my condition?
- Are there any specific lifestyle changes or precautions I should take if I consume alcohol while on Concerta?
- Can alcohol use worsen the side effects of Concerta or interfere with its intended effects?
- Are any additional resources or support groups available for individuals managing alcohol use while taking Concerta?
In My Experience
In my experience, talk with your healthcare provider when considering using Concerta and alcohol together. The main question posed by this article, whether it is safe to mix Concerta and alcohol, has a clear answer: it is not recommended. Mixing these substances can increase the risk of adverse effects and potentially lead to serious health complications.2
If you struggle with substance use or dependence, I highly encourage you to reach out to your healthcare provider or seek professional help. Substance use disorders require comprehensive treatment that addresses the condition’s physical and psychological aspects.6 This may involve therapy, counseling, and possibly medication management.
With the right support and guidance, you can make positive changes in your situation.7 Your healthcare provider can help develop a personalized treatment plan tailored to your specific needs. Remember, you are not alone in this journey.
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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Mukherjee S. (2013). Alcoholism and its effects on the central nervous system. Current neurovascular research, 10(3), 256–262. Retrieved from https://doi.org/10.2174/15672026113109990004
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LABEL: CONCERTA- (methylphenidate HCl) Extended-Release Tablets. Janssen Pharmaceuticals, Inc. Retrieved from https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/CONCERTA-pi.pdf
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Meisner, J. R., Darredeau, C., McLarnon, M. E., & Barrett, S. P. (2008). Extended release stimulant medication misuse with alcohol co-administration. Journal of the Canadian Academy of Child and Adolescent Psychiatry; Journal de l’Academie canadienne de psychiatrie de l’enfant et de l’adolescent, 17(4), 181–182. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2583913/
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Ingebrigtsen, E., Persett, P.S., Brekke, M. et al. Poisoning with central stimulant drugs: an observational study from Oslo, Norway. Int J Emerg Med 15, 54 (2022). Retrieved from https://doi.org/10.1186/s12245-022-00457-x
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Surgeon General. (2014). Sidebar: The Many Consequences of Alcohol and Drug Misuse | Surgeon General’s Report on Alcohol, Drugs, and Health. Surgeongeneral.gov. Retrieved from https://addiction.surgeongeneral.gov/sidebar-many-consequences-alcohol-and-drug-misuse
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Substance Abuse and Mental Health Services Administration (SAMHSA). (2023). Evidence-Based Resource Guide Series: Treating Concurrent Substance Use Among Adults. U.S. Department of Health and Human Services. Retrieved from https://store.samhsa.gov/sites/default/files/pep21-06-02-002.pdf
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Agarwal, R., Goldenberg, M., Perry, R., & IsHak, W. W. (2012). The quality of life of adults with attention deficit hyperactivity disorder: a systematic review. Innovations in clinical neuroscience, 9(5-6), 10–21. Retrieved from https://pubmed.ncbi.nlm.nih.gov/22808445/
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