Ask the Experts

Mixing Medication with Alcohol

“I am a 36-year-old male who was recently diagnosed with ADHD, and am currently taking Metadate. Should I refrain from taking my ADHD medication on days I plan to drink alcohol?”

There are no firm guidelines for using methylphenidate (Concerta, Metadate) and alcohol. My personal experience plus those of others I have discussed this with is that methylphenidate will potentiate the effect of the alcohol. This means that it will take less alcohol to feel the buzz or to get high.

My first suggestion is not to be on medication if you are going out and know you will drink. If you must use medication while working and you must taste wine at work, be a little more cautious than if you were not on medication.