Dr. Evan Levine, a cardiologist, warns about the potential cardiovascular risks associated with the long-term use of ADHD stimulant medications. While the FDA previously stated that such medications were safe for young and middle-aged adults, Levine critiques the limited data, which was based on an average follow-up of only 1.3 years. He raises concerns about what prolonged use could mean for children or at-risk populations, emphasizing the harmful effects of sustained elevated norepinephrine levels over time, which could lead to serious heart issues.
There are two classes of stimulants for ADHD, Ritalin-derived drugs and amphetamines, both increase norepinephrine levels and can slightly raise blood pressure, posing risks over time.
The study confirming the safety of stimulant medications only had an average follow-up of 1.3 years—insufficient to assess long-term cardiovascular risks in children and adults.
Long-term use of stimulants on children raises alarms about the potential for elevated norepinephrine and adverse cardiovascular effects that the FDA has overlooked.
Levine warns that prolonged use in children or vulnerable populations—like the elderly or those with congenital heart conditions—could lead to serious heart problems.
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