NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Cocaine and Methylphenidate: what the published research says

PubMed indexes 8 records that name Cocaine and Methylphenidate together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Cocaine and Methylphenidate. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Cocaine and Methylphenidate.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Methylphenidate and cocaine: a placebo-controlled drug interaction study.

Pharmacology, biochemistry, and behavior · 2006 · PMID 16916538

Controlled Clinical TrialResearch Support, N.I.H., Extramural

“MPH did not significantly alter the pharmacokinetics of cocaine. The study results suggest that MPH at the doses studied can likely be used safely in an outpatient setting with active cocaine users.”

Winhusen et al. · From the abstract

Names both Cocaine and Methylphenidate in its title.

Methylphenidate for the Treatment of Cocaine Use Disorder: A Systematic Review and Meta-analysis.

Journal of addiction medicine · 2025 · PMID 41131674

“Evidence on the efficacy of MPH for the treatment of CUD is still limited and inconclusive. However, there might be a rationale for its use in patients with both CUD and ADHD, therefore, further clinical studies are needed in this particular category.”

Biso et al. · Authors' conclusion

Names both Cocaine and Methylphenidate in its title.

Methylphenidate with or without fluoxetine triggers reinstatement of cocaine seeking behavior in rats.

Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024 · PMID 38086900

Research Support, N.I.H., ExtramuralAnimal study

“The low dose of MP (2 mg/kg) with or without FLX did not reinstate cocaine seeking behavior. Our results suggest that acute exposure to a high dose of MP, with or without FLX, may increase the risk for relapse in individuals who used cocaine during the juvenile period.”

Lamoureux et al. · From the abstract

Names both Cocaine and Methylphenidate in its title.

Chronic oral methylphenidate plus fluoxetine treatment in adolescent rats increases cocaine self-administration.

Addiction neuroscience · 2023 · PMID 38274857

“Chronic oral treatment during adolescence with the combination of MP plus FLX resulted in increased cocaine use after 2 weeks of cocaine self-administration in rats. These novel findings suggest that the combined exposure to these two drugs chronically, during adolescence, may produce increased vulnerability towards cocaine abuse during young adulthood.”

Senior et al. · Authors' conclusion

Names both Cocaine and Methylphenidate in its title.

Acute methylphenidate administration reduces cocaine-cue attentional bias.

Progress in neuro-psychopharmacology & biological psychiatry · 2020 · PMID 32454161

Research Support, N.I.H., ExtramuralResearch Support, U.S. Gov't, Non-P.H.S.Human subjects

“Although the small sample should be considered, these findings indicate acute manipulation of dopaminergic activity reduced cue-related attentional allocation related to cocaine use disorder. Future research evaluating alternative dopaminergic agents and applications within a clinical setting are needed to determine the clinical significance of targeting this neurobehavioral mechanism.”

Alcorn et al. · From the abstract

Names both Cocaine and Methylphenidate in its title.

Clinical potential of methylphenidate in the treatment of cocaine addiction: a review of the current evidence.

Substance abuse and rehabilitation · 2015 · PMID 26124696

Review

“Clinical studies evaluating MPH substitution for cocaine dependence have provided inconsistent findings. However, the negative findings may be explained by specific study characteristics, among them dosing, duration of treatment, or sample size. This needs to be considered when discussing the potential of MPH as replacement therapy for cocaine dependence. Finally, based on the results, we suggest possible directions for future research.”

Dürsteler et al. · Authors' conclusion

Names both Cocaine and Methylphenidate in its title.

Methylphenidate and cocaine: the same effects on gene regulation?

Trends in pharmacological sciences · 2007 · PMID 17963850

Research Support, N.I.H., ExtramuralReviewHuman subjects

“Other effects, notably those on the expression of opioid peptides and postsynaptic density molecules (Homer 1a), differ between methylphenidate and cocaine or amphetamine treatment. These differences support the notion that methylphenidate produces less neuroadaptations than cocaine and amphetamine, and might provide a molecular basis for reduced addiction liability of methylphenidate compared with these other psychostimulants.”

Yano et al. · From the abstract

Names both Cocaine and Methylphenidate in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Cocaine, Methylphenidate, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.