Exploring Harm Reduction Advice for Prescription Stimulants on Reddit

Background Psychostimulants such as amphetamine salts and methylphenidate are commonly prescribed for the treatment of attention deficit hyperactivity disorder (ADHD). However, their non-medical use is also prevalent. Both medical and non-medical use of these substances can lead to a range of side effects. Despite this, there is limited research on harm reduction strategies employed by individuals who use prescription stimulants. This study, therefore aimed to explore the harm reduction strategies discussed by individuals using prescription stimulants on Reddit, to provide insights into how these strategies are shared and implemented. Methods A multi-site qualitative analysis was conducted on discussions from four subreddits: r/ADHD, r/drugs, r/stims, and r/nootropics. The data were collected and analysed to identify common themes and strategies related to harm reduction. Results Across all subreddits individuals emphasized the importance of maintaining a balanced diet, engaging in regular exercise, staying hydrated, and practicing good sleep hygiene as crucial components of their harm reduction practices. Redditors on r/drugs, r/nootropics and r/stims frequently recommend various substances, such as depressants, vitamins, and minerals, to mitigate the side effects of stimulants. In contrast, r/ADHD focused more on consulting healthcare professionals and adjusting medication regimens. Conclusions This study highlighted the significant role of online communities in sharing harm reduction strategies and supporting individuals in managing their stimulant use. This study provides important insights for healthcare professionals to inform support and guidance for both medical and non-medical use of prescription stimulants.