Call your doctor for medical advice about side effects. Use Focalin Dexmethylphenidate exactly as directed on the label, or as prescribed by your doctor.
Do not use in larger or smaller amounts or for longer than recommended. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed. Dexmethylphenidate may be habit-forming.
Misuse can cause addiction, overdose, or death. Keep the medication where others cannot get to it. Selling or giving away this medicine is against the law. You may take dexmethylphenidate with or without food. Take the regular tablet twice daily, at least 4 hours apart. Take the extended-release capsule once daily in the morning. If you cannot swallow a capsule whole, open it and mix the medicine with applesauce. Swallow the mixture right away without chewing.
Your doctor will need to check your progress on a regular basis. Your heart and blood pressure may also need to be checked often. Store tightly closed at room temperature, away from moisture, heat, and light. Keep your medicine in a place where no one can use it improperly. Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose.
Do not take two doses at one time. Overdose symptoms may include dry mouth, vomiting, agitation, tremor, muscle twitches, confusion, hallucinations, dilated pupils, muscle pain or weakness, fever, sweating, headache, pounding in your neck or ears, fast or pounding heartbeats, seizure convulsions , or coma.
Health Topics. Measure content performance. Develop and improve products. List of Partners vendors. Focalin XR dexmethylphenidate hydrochloride is an oral, extended-release stimulant approved for treatment of attention deficit hyperactivity disorder ADHD for children ages 6 to 12, teenagers, and adults.
Focalin XR begins to work an average of 45 minutes after it is taken. ADHD is a disorder of the brain that can cause inattention, hyperactivity, and impulsivity. The most common treatment has been prescription-strength stimulant medications, which are believed to maintain alertness and help people with ADHD concentrate and focus. It is believed that there may be a combination of genetic and environmental factors that lead to ADHD, and that stimulant drugs may reduce some of the symptoms by increasing neurotransmitter activity in certain regions in the brain.
The idea behind Focalin is that the dexmethylphenidate HCl isomer may have a more potent therapeutic effect than the methylphenidate in Ritalin and may produce fewer side effects.
Because of this difference, Focalin is often prescribed at half the dose of Ritalin with equivalent therapeutic effects. Long-acting or extended-release stimulants have been considered advantageous because they can be taken fewer times per day, reducing the risk of missed doses or symptom fluctuations throughout the day.
However, when you consider that Daytrana, Ritalin LA, and Concerta are all long-acting forms of Ritalin methylphenidate , the number of choices is not quite as extensive as it appears in terms of the pharmacological action of these medications. At this time, there have not been convincing studies proving that Focalin is better or safer than Ritalin, Adderall, or other stimulants.
Focalin XR is available in 5, 10, 15, 20, 25, 30, 35, and mg capsules. For example, if you or your child has taken Focalin 10 mg twice per day, then the Focalin XR dose would be 20 mg once per day. Focalin XR, as well as Ritalin LA, are capsules composed of 50 percent immediate-release beads and 50 percent delayed-release beads, trying to mimic twice-daily dosing.
If you or your child is given a prescription for Focalin XR, it should be taken in the morning. It can be taken with or without food. You should not cut or chew the capsule because this will impact its ability to be properly absorbed by your body.
Instead, if you have a hard time swallowing it, the capsule can be opened and the contents sprinkled on to food, which should be small enough to be swallowed without chewing. Focalin XR might not be safe for you if you have a heart condition, glaucoma , psychiatric illness, thoughts of suicide, tics , high blood pressure, vascular disease, or seizures.
It can potentially interact with a variety of medications, such as antidepressants, blood thinners, anticonvulsants, and blood pressure medications, so be sure that your prescribing healthcare provider is aware of anything you are taking. He gained 30 pounds and 5 inches over this past year and looks great. Since school started though, he quickly dropped 10 pounds as he runs out the door at refusing to eat or drink breakfast, and has no appetite until nearly 7pm.
I wondered if this was teen hormones. He finally realized yesterday, that he is hungry and tired. We have had tremendous success with Focalin. He responds wonderfully. My 6 year old started today on 5 mg of Focalin, but I am noticing some facial tics. The doctor recommended to discontinue and try a non stimulant as the tics would likely happen on any of the stimulants. Intuniv is up next. My older son developed random tics on Focalin.
Chewing gum helped him stop the tic. My son, at 8, was on Focalin XR. He started at 10mg which the pediatrician said was a low dose and went up to 30mg. It was wonderful. Unfortunately, we had to switch to another med after about a year, because the Focalin started to wear off way too soon and the rebound effect became really bad. My 8-year-old son has been on Focalin XR for almost a year at 10mg morning dose only , paired with 1mg of Intuniv. He seems to be doing okay at school, but the effects seem to wear off by the afternoon.
My 8-year-old daughter has been on Focalin XR 10 mg for about a year now. By the end of the last school year she was on 15 mg. But I was concerned about how much weight she had lost. She had dropped almost 10 lbs. So for the summer our neurologist brought her back down to 10 mg. My girl is also very active in extra curricular activities in the evenings and we are considering opening up the discussion to maybe giving her Intuniv in the evenings.
My son is 11 and is on a 25 mg dosage of Focalin XR. He has done very well on it. The teachers and I have noticed that the meds have been starting to wear off late in the afternoon, which is causing some problems with missing assignments that impact his grades. His doctor is prescribing a 5 mg dose of regular Focalin to be taken after lunch that will get him through the rest of the day. The only troubling part is that typically the more effective the medicine, the more likely you will also experience side effects.
So we have made accommodations for our son since Focalin is the most effective as noticed by family, us as parents, school, and even my son. At 85 pounds, my son takes 25mg XR with 7. Our son was on Focalin during 1st grade. We noticed major tics in his eyes, and later on, he chewed his nails and twirled his hair.
After switching to Concerta, all of that stopped. Both my kids have been prescribed Focalin XR. My son is 17 and my daughter is He is more organized and less forgetful, yes, but not as creative.
Focalin XR works very well for me. If I have to get up very early or know I will be up late, I take an additional 5 mg of XR in early afternoon. From the first dose, there was a clarity and quietness of mind that I had never experienced before. Higher doses of Focalin XR make me feel a little hyper and talkative. I have recently been diagnosed with adult ADHD at age 20 and my doctor prescribed a starting dose of 2.
I think this would be a great option for someone who is very hyperactive because it definitely is very calming.
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