Protecting Youth from Prescription Drug Misuse
A teen might take a friend’s ADHD medication because they believe it will help them study. Or a teen might take more of their prescribed pain medication than directed because they are still experiencing pain. In both situations, the medication is being misused in a way that wasn’t intended or prescribed.
It can be easy for kids and teens to think that prescription pills are safe simply because they come from a doctor or pharmacy, might be shared in the family or among friends, or just by nature of being medicine. But prescriptions can have powerful effects on the body, and the right medication and dose can be different for every person.
This is one reason it’s important for parents to talk openly with their teens about prescription medicines, including medications that may seem familiar or harmless.
According to the 2026 Missouri Student Survey, in the Kansas City Northland:
- 98% of our 6-12th grade students reported not using prescription or over the counter (OTC) medicine to get high.
- While misuse among our youth is low, it has remained stable and even increased, with an average of 1.2% of our youth reporting medicine misuse.
What are the Risks to Youth?
The effects of prescription drug misuse can vary depending on the medication, dose, how it is taken, and whether it is combined with other substances.
Three categories are especially important for parents to understand:
Opioids are prescription medications used to treat moderate to severe pain. Examples include hydrocodone, oxycodone, and codeine.
Risks: Opioids can slow breathing and, especially at higher doses or when combined with alcohol or other substances, can lead to overdose and death. Prescription opioids can also lead to dependence and addiction.
Stimulant medications are commonly prescribed to treat ADHD and certain other conditions. Examples include Adderall, Vyvanse, and Ritalin.
Risks: Stimulants can increase heart rate, blood pressure, and breathing. Misuse can cause problems such as severe anxiety, agitation, paranoia, irregular heartbeat, or seizures. Stimulants can also become addictive when they are misused.
Central Nervous System (CNS) Depressants are medications that can be prescribed for anxiety, sleep problems, and other conditions. Examples include Valium and Xanax.
Risks: CNS depressants can impair memory, judgment, coordination, and breathing. Taking higher-than-directed doses, or combining these medications with alcohol or other substances, can increase the risk of overdose and other serious effects.
6 Facts Parents Need to Know
As parents, it’s important we understand these 6 facts about prescriptions before we talk with our kids:
- Prescription medications can be safe and effective when they’re prescribed to a person and taken exactly as directed.
- When a doctor prescribes medication, they consider factors such as a person’s age, weight, medical history, other medications, and potential drug interactions.
- Prescription drug misuse happens when someone takes a medication that was prescribed for someone else or uses their own medication in a way that is different from the directions on the label.
- Taking medication prescribed for someone else—or taking more than directed—can create serious health risks.
- Teens and young adults are particularly vulnerable to medicine misuse and addiction because their brains continue developing into their mid- to late-20s.
- Prescription medications are often shared or obtained through people a teen already knows. In fact, research has found most teens and young adults who report misusing prescription medications obtained them from friends, family members, or acquaintances.
What Can Parents Do?
Parents are one of the strongest and most critical protective factors in a young person’s life. Open conversations, consistent boundaries, and a supportive relationship can delay drug use, reduce harm, and prevent addiction. You don’t have to have all the answers—just being present, listening, and sharing your values goes a long way.
Parent Up encourages parents to use the 4Cs – CARE, CONNECT, COMMUNICATE and pay CAREFUL ATTENTION – to keep our kids safe. Together, we can help our kids grow up healthy, confident, and safe—ready to make choices that support their bright futures.
Of course parents and caregivers care about their kids, but we’re asking to extend that to kids’ developing brains. Caring for the developing brain means learning about and supporting the things that help it grow – and limiting what hurts it, like medicine misuse.
Care Action Steps
- Educate yourself and others about the harmful effects of substance use on the developing brain and make it a priority to protect your child from engaging in any substance use.
- Talk often to let your child know you care about their health and safety, and that you are speaking from a place of concern, love, and support. Learn more about how addictive substances like prescription pills can affect the developing adolescent brain by watching this video and visiting our Why Parent Up? page.
- Explore the risk factors that can increase the likelihood of addiction, and use that knowledge to strengthen the protective factors in your child’s life.
- Share what you learn with other parents and caregivers. Together, adults can create a stronger culture of support and prevention for kids and teens.
Strong connections help teens thrive. When young people have stable, supportive relationships with caring adults, they are more likely to make healthy choices, build resilience, and feel confident navigating life’s challenges.
Parents and trusted adults have a powerful opportunity to make a lasting impact by listening, being present, spending quality time together, and checking in regularly. When teens feel seen, valued, and supported, they are more likely to open up, better understand their emotions, and turn to you for guidance and encouragement.
Connect Action Steps
- Set aside regular one-on-one time with your child to connect and have fun together. Simple moments matter most—whether it’s taking a walk, drawing, reading, driving together, or simply talking about the day.
- Watch this TED Talk for practical and inspiring ideas on building stronger, more meaningful connections with kids and teens.
- Make family meals a priority when possible. Regular meals together can strengthen communication, build trust, and reduce risky behaviors, including substance use! Our Support Youth page offers a free Meaningful Meals Kit with tips, tools, and resources to help make mealtimes more engaging and rewarding.
- Work together to identify sources of stress in your child’s life and explore healthy ways to manage it, such as getting enough sleep, spending time outdoors, taking breaks from screens, or practicing relaxation techniques. Inviting your child into the conversation helps build problem-solving skills and strengthens your relationship.
You don’t need to wait until you’re worried about your child to start the conversation. Talking openly and calmly about prescription medications can help your teen understand that “prescription” doesn’t automatically mean “harmless” or “safe for everyone.”
Communicate Action Steps
- Talk about the risks medicines can pose to your child’s developing brain, health, and future. Remind them that your guidance comes from love and a desire to keep them healthy.
- Set clear expectations with your child around medicine use. Help them understand protecting young people during important brain development reduces the risk of harm and addiction.
- Look for everyday “teachable moments” to spark conversation. News stories, TV shows, social media, school events, and pop culture can all create natural opportunities to talk about nicotine products and decision-making.
- Make regular conversations and check-ins part of daily life. Even small moments of connection can strengthen trust and help your child feel comfortable coming to you.
- Help establish expectations, encourage healthy communication, and support positive decision-making with our tools for Setting Expectations and Communication Guides.
- Talk with your teen about why medications should only be taken by the person they were prescribed for and exactly as directed.
- Encourage your teen to ask a doctor or pharmacist before taking any medication—even if a friend or family member says it is safe.
- Remind them that sharing prescription medication can put another person at risk.
- Keep prescription medications stored securely and dispose of unused medications appropriately.
- Create an environment where your teen feels comfortable telling you about a medication they took or a situation they’re concerned about. Your first response can be an opportunity to help them stay safe.
Most importantly, keep the conversation going. Giving them accurate information—and letting them know they can come to you with questions—can help them make safer decisions.
As a general practice, know where your kids are at, who they are with, and be sure to check in when they get home. Watch for any early signs or symptoms of medicine misuse and be on alert for changes in behaviors, friend groups, or attitudes. You know your child’s “normal” best, so trust your gut if something feels off.
Careful Attention Action Steps
- Monitor the prescription drugs you have in your home, and keep track of how many you have, in case some go missing. Keeping track of medications is key to preventing access to these drugs.
- Secure the prescriptions in your home. Instead of having them easily accessible in a medicine cabinet, put them some place only you know about, or put them in a locked cabinet or safe to assure they are out of reach of teens and children. This will help prevent misuse and accidental poisonings.
- Safely dispose of unwanted, unused, or expired medication. You can safely dispose of them in your own home, participate in a DEA Drug Take Back Day, or find a permanent drug drop box near you (in the Kansas City Northland).
- Talk to family and other parents about monitoring, securing, and disposing of medications as well.
- Be on the look out for warning signs that your child might be misusing prescription drugs (see below).
- Secretive habits, lying, hiding items, or avoiding close friends or family members
- Drop in grades, work performance, or failing to meet basic daily tasks
- Missing money, valuables, or needing cash often
- Stealing or selling pills
- Taking higher doses than prescribed
- Excessive mood swings, anxiety, depression, irritability or hostility
- Poor decision-making
- Requesting early refills or continually “losing” prescriptions
- Very small pupils
- Drowsiness or sleepiness
- Confusion
- Slowed breathing
- Poor coordination
- Constipation
- Flu-like symptoms (sweating, chills, nausea, vomiting, or body aches)
Signs of a Severe Overdose – Call 911
- Unable to wake up or respond
- Lips, fingertips, or skin appear blue, gray, or pale
- Pulse is slow, weak, or random
- Breathing is slow, shallow, random, or has stopped
- Making snoring, choking, or bubbling sounds
- Limp or floppy body
- Large (dilated) pupils
- Sensitivity to light
- Excessive sweating
- Unexplained weight loss and decreased appetite
- Trouble sleeping
- Twitching or jaw clenching
- Restlessness, “hyper-active”
- Talking and/or jumping between ideas rapidly
- Excessive mood swings, irritability or hostility
- Paranoia, anxiety, or panic attacks
Signs of a Severe Overdose – Call 911
- High body temperature
- Fast heart rate
- Pain or pressure in chest
- Seizure, stroke, or heart attack
- Extreme sleepiness or drowsiness
- Trouble speaking or slurred or slow speaking
- Confusion, poor judgement, memory problems, or trouble concentrating
- Dizzy, movements unsteady or uncoordinated
- Slowed or shallow breathing
- Feeling light-headed or fainting
Signs of a Severe Overdose – Call 911
- Unable to wake up or respond
- Lips, fingertips, or skin appear blue, gray, or pale
- Slow, weak, or random pulse
- Breathing is slow, shallow, random, or has stopped
- Making snoring, choking, or bubbling sounds
- Limp or floppy body
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