Earlier quoted context omitted.
We're talking about ADHD though, not someone looking to just pull some all-nighters or cram on a Sunday night. When I realized there was a low dose medication that could basically cure me of ADHD (thus cure me of underperformance, procrastinating my ambitions, low professional self-esteem), the choice was obvious. Know what also does harm? Underperformance, procrastinating my ambitions, low professional self-esteem.…
Stimulant addictions are one of the most common functional addictions. I don't think most people would consider someone servicing an active physical dependency to have a "perfect bill of health", even if you are totally free from disease.
Of course, many medications that aren't psychotropic fit the bill. Corticosteroids, for a common example, lead to physical dependency too. Most medications lead to some kind of physical dependency after prolonged use, it's just sometimes of very low grade.
The second option is much better from any pathological point of view.
To note, perfect health doesn't exist. We're all broken in some way :)