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Non-Prescribed Stimulant Use in Students and Workplaces: Risks and Where to Get Help

Using someone else's ADHD stimulant to study or work: what NIDA and reviews say about risks, what is known about benefit, and where to turn for help. Non-judgmental information.

Content last updated . This page has not been medically reviewed.

Urgent first

Call 911 (US) if someone has chest pain, a very fast or irregular heartbeat, a seizure, confusion, extreme agitation, or a very high body temperature after taking a stimulant. NIDA lists dangerously high body temperature and an irregular heartbeat as possible results of high stimulant doses. [1] Poison Help in the US is 1-800-222-1222. If you are in distress or having thoughts of harming yourself, call or text 988. [2]

The question

Many people feel pressure to keep up. This page is for students, workers and parents who have heard that prescription stimulants such as those used for ADHD can help people study or work, and want to know what is actually known. It is not a judgment and it gives no amounts or ways to use these medicines. Stimulants are prescription medicines for a doctor to decide on.

Evidence labels used here: insufficient evidence, evidence of harm, Proper evidence not found.

What these medicines are for

NIDA says stimulants are prescribed for only a few conditions, including ADHD and narcolepsy. [1] MedlinePlus lists the amphetamine-type medicine as part of an ADHD treatment program. [3] For people with a diagnosis, the right amount and monitoring are decided by their prescriber. See ADHD in adults.

What research found

QuestionWhat the source foundStrength
How common is non-prescribed use?A systematic review of 111 studies found self-reported rates in population samples ranging from 2.1% to 58.7%, with most studies examining college students. [4]Wide range, differing definitions
Does it improve grades or work in people without ADHD?The review found little evidence that academic performance is improved in people without ADHD, even though improving performance was the most common reason people gave. [4]Insufficient evidence
Is it harmful?The review found most use linked to no or minor medical effects, but adverse outcomes, including death, occur in some people. [4] NIDA lists addiction, cardiovascular events and psychosis as potential risks of non-medical use for cognitive enhancement. [1]Evidence of harm in some people
Workplace-specific dataNIDA says some professionals report using stimulants to increase productivity. [1] Rates and outcomes at work: Proper evidence not found in the sources we read (NIDA, PubMed review, MedlinePlus).Not established

A study in people with ADHD does not tell us what happens in people without it, and the reverse is also true. We make no claim about effects in healthy adults beyond what the review above stated.

Dependence and withdrawal

NIDA says people can become dependent on or addicted to prescription stimulants, and that stopping can bring fatigue, depression and disturbed sleep. [1] Repeated misuse of some stimulants can lead to hostility, paranoia or even psychosis. [1] MedlinePlus says the amphetamine-type medicine can be habit-forming. [3]

Sharing and selling

MedlinePlus warns that selling or giving away the medicine may harm others and is against the law, and advises storing it where nobody else can take it. [3]

Interactions, pregnancy, heart, and who should ask first

NIDA lists cardiovascular events among the risks of non-medical use. [1] Stimulants can also interact with other medicines. We did not read a complete interaction list for this page; ask a pharmacist (see medication interactions). Pregnancy, breastfeeding, teenagers and older adults need clinician guidance before any stimulant. This is not a decision to make from a website.

Where to get help

Frequently asked questions

Do ADHD stimulants help students without ADHD?

A systematic review found little evidence that academic performance improves in people without ADHD. [4]

Is borrowing a friend's prescription dangerous?

It can be. NIDA lists addiction, cardiovascular events and psychosis among the risks, and MedlinePlus says sharing the medicine may harm others and is illegal. [1][3]

How common is it?

Self-reported rates in population samples ranged from 2.1% to 58.7% in a review, partly because studies define it differently. [4]

What if I already take someone else's pills?

Speak with a doctor or pharmacist, and do not make changes to a prescribed medicine without your prescriber. NIDA notes stopping can cause fatigue, depression and disturbed sleep. [1]

Where can I get emotional support?

In the US, call or text 988. [2]

References
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.