Is it okay to combine Adderall and Ritalin?

Short answer... no. Long answer... yes

I am a med student and I understand that not everybody understands med terminology. I will try to break this down as simply as possible, giving you only what you need to know, and not what you don't. If you want to know how all this works, I suggest google, or perhaps taking a Chemistry class.

Short answer explanation: Mixing drugs is never a good idea, especially when no formal training or experience has been plugged into the equation. The best thing you can do is stay away from mixing or taking drugs that are not prescribed by a physician

Long answer explanation: Ritalin (methylphenidate) is a stimulant that is almost identical to street cocaine, and our body is unable to tell the difference between the two. This upper sends your body into an up regulation of all systems including blood pressure, heart rate, breathing rate, etc. among many other things. Tylenol 3 (acetaminophen with 30 mg codeine) is designed to be a pain killer. It does this through the inhibition of prostaglandins through cyclooxygenase. Not going to get into what number of PG's or what number of COX, just know that this is how it works on a basic level.

So we have a stimulant and a pain killer. Taken in a small enough dose, most likely a slight feeling of euphoria will occur. Taken in a high enough dose, a feeling closer to taking MDMA (ecstasy) will occur. Warmness, tingling, euphoria, and an ope mind-heart will occur. Taken in too high of a dose, death will surely occur as both these drugs can, and have been in the past, easily overdosed on

Think of mixing these two drugs like mixing Orange Juice and milk. One is acidic, the other is basic. Sounds gross, but look at the creamsicle, it works right? Drugs can work great in unison, they just need to be monitored and set up by somebody who knows what they are doing. I tell anybody who asks me "never mess around with drugs... but if you are going to do it no matter what I say, at least run it by me so I can tell you if you have a winner or a loser of an idea". If you don't understand drug half lifes, and drug interactions, adverse reactions, or how to monitor vital signs, I don't suggest you do this. However, if you have a friend or if you yourself have been training in this field, I say experiment! I have learned alot about pharmacology by just experimenting on myself in small loading doses trying to see what would happen by mixing different drugs. I can honestly say, Ritalin and Tylenol 3 is one of the better combonations out there, but there are combonations I have discovered that mimic MDMA much better, I have even found a few that mimic LSD and being REALLY drunk from alcohol without drinking at all.

Have fun, be safe, and remember... if you're not trained, don't fool around!