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Side effects of Ritalin use: Its severest effects include nervousness, insomnia, pulse changes and heart problems. In June 2005, the U.S. Food and Drug Administration warned that Ritalin and its sister drugs may cause visual hallucinations, suicidal thoughts, psychotic behavior, as well as aggression or violent behavior. Hazards multiply as users up their quantity, grind and snort it, liquefy or inject it, and use it along with ecstasy and other drugs. Abuse in larger doses puts stress on the heart, which can be fatal, and injection causes serious damage to the lungs and eyes.