A member asked:

Beginning which dose can ritalin (methylphenidate) make you psychotic ? which dose is considered risky ?

5 doctors weighed in across 2 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

If you have bipolar: Disorder or a bipolar predisposition than it would be possible for any dose of Ritalin (methylphenidate) or other stimulant to trigger mania or hypomania. Psychosis can sometimes occur with mania.

Answered 7/1/2014

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Dr. Lincoln Bickford answered

Specializes in Psychiatry

Depends on person: Most people would not experience psychosis except at very high doses if at all. A few may become psychotic or manic at very low doses. Management by a psychiatrist who can observe symptoms clinically is crucial. A history of psychotic or manic symptoms, or a family history of these would be reason for extra caution.

Answered 4/19/2014

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