Mixing Codeine (lean) and Methylphenidate (Ritalin)

Caution

The stimulant hides how much the opioid is slowing you; if it wears off first, breathing can stop.

Do this

Take less of each than usual, do not use alone, and keep naloxone nearby.

General answer for Opioids: nothing specific to these two is documented.

Where the risk isTap for why
What “Caution” means

Carries risk that is worth understanding before combining. Reduce doses and do not use alone.

How the ratings work
The longer explanation

Stimulants increase respiration rate, which can allow for a higher dose of opiates normal . If the stimulant wears off first then the opiate may overcome the individual and cause respiratory arrest.

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Other names
Codeine
lean, purple drank, co-codamol, dihydrocodeine
Weak, but metabolised unpredictably between people
Methylphenidate
ritalin, ritalin la, concerta, focalin, dexmethylphenidate, methylin
Not an amphetamine, but mixes much like one — most answers here are Adderall's
Also searched aslean and Ritalin, purple drank and Ritalin, lean and ritalin la, purple drank and ritalin la
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Related combinations

Codeine withWhat not to mix with Codeine →
Methylphenidate withWhat not to mix with Methylphenidate →
All combinations →

Can you mix Codeine (lean) and Methylphenidate (Ritalin)?

MixSafe rates mixing Codeine and Methylphenidate as "Caution" — carries risk that is worth understanding before combining. Reduce doses and do not use alone. No interaction specific to Codeine and Methylphenidate is documented; this is the default for Opioids. Source: TripSit drug combination chart, retrieved 2026-08-20. Educational information, not medical advice.

This is a class-level answer, inherited from Opioids. Nothing specific to this exact pair is documented, so treat it as the default for the class rather than a measurement of these two drugs together.