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Generic Name: Dexmethylphenidate [dex-METH-il-FEN-i-date]
Names of Brands: Focalin, Focalin XR
Forms of Dosage: Oral capsule, extended release (10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 35 mg, 5 mg, 40 mg),… present both dosage forms.
Drug Class: CNS stimulants

What Is Dexmethylphenidate?

Dexmethylphenidate is a stimulant that can be used to treat ADHD. ( ADHD).Dexmethylphenidate can also be used for reasons not mentioned in this medication guide.

Side effects Of Dexmethylphenidate

Take immediate medical care. If you are experiencing symptoms warning signs of an allergic reaction, such as fever and hives, trouble breathing, or swelling of your lips, face, and tongue,Dexmethylphenidate may cause serious side effects. Consult your doctor immediately if you experience:

  • Symptoms of heart trouble: chest discomfort, difficulty breathing, or feeling like you may faint;
  • Psychosis symptoms include symptoms of psychosis include hallucinations (seeing or hearing objects which aren't real) and new thoughts or behavior issues, anger and hostility;
  • Symptoms of circulatory problems such as numbness, discomfort, a cold feeling, undiagnosed wounds, the appearance of your skin (pale or reddish-blue appearance) in your fingers and toes,
  • Penis erections that are painful or last for four hours or more

Get medical attention immediately in the event that you are suffering from signs associated with serotonin syndrome, for example, hallucinations, agitation, sweating or shivering, an increase in heart rate, muscle stiffness and twitching, loss of coordination, nausea, vomiting, or diarrhea.

Dexmethylphenidate is known to affect the growth rate of children. Your child's weight and height could require regular checks. Discuss with your doctor if you feel your child's height or weight is not increasing at a regular rate.

Common negative side effects of dexmethylphenidate include:

  • Lack of appetite
  • Nausea, stomach pain,
  • Fever.

This isn't a complete list of all the side effects. Other side effects could occur. Contact your physician for advice regarding medical effects.It is possible to report any adverse allergic reactions or symptoms to FDA by calling 1-800-FDA-1088.


Stimulants can cause heart attacks, strokes, and sudden deaths in people suffering from hypertension, coronary disease, or heart defects.

Dexmethylphenidate could trigger an increase or worsening of psychosis (unusual thoughts or behaviors), particularly in the case of a background of depression or mental illness as well as bipolar disorder.Get your doctor's attention immediately. If you notice symptoms of heart trouble—chest discomfort, the sensation of being lightheaded or sluggish—or symptoms of psychosis—paranoia and aggression—or thoughts or behavior issues that are new, as well as hearing or seeing signs that don't exist,

Dexmethylphenidate could be a trigger for addiction. Talk to your doctor if you have a history of drug or alcohol dependence. Place the medication in a place where other people aren't able to access it.

Before you Take this Drug

It is recommended not to take dexmethylphenidate if you have an allergy to either dexmethylphenidate or the chemical methylphenidate (Ritalin, Concerta).

Stimulants have been linked to heart attacks, strokes, and sudden death in some individuals. Tell your doctor if you suffer from any of the following:

  • Heart problems or a congenital heart defect;
  • High blood pressure
  • A family background or a family history of the heart (or sudden demise).

Do not take dexmethylphenidate if you've taken an MAO inhibitor within the last 14 days.Potentially dangerous interactions of a substance could take place.. MAO inhibitors are isocarboxazid, linezolid, Methylene Blue injection, phenelzine, and tranylcypromine.

Consult your doctor if you use any opioid medication, herbal products, or medications for mental illness, depression, Parkinson's disease, migraine headaches, serious infections, or to prevent vomiting and nausea. A reaction with dexmethylphenidate can result in a serious illness known as serotonin syndrome.

Discuss with your doctor if you or someone in your family has ever experienced:

  • Depression or bipolar disorder, mental illness psychosis, depression, suicidal thoughts or behaviors;
  • Problems with blood circulation in the feet and hands blood circulation problems in the feet or hands;
  • Addiction or addiction to drugs.

Being dependent on this medication during pregnancy may result in an unplanned birth or an infant with a low birth weight. See your physician if you are planning to get pregnant. If you are expecting and you are a woman, your name could be added to an OB-GYN registry to track what effects dexmethylphenidate has on the baby.Consult your doctor for advice on whether it is safe to breastfeed while taking this medication.Not permitted for use by anyone less than six years old.

How to Take Dexmethylphenidate?

Follow the directions on the prescription label and study all medication guides or instruction sheets. Your doctor may alter your dosage. Follow the medication precisely as prescribed.Dexmethylphenidate could be habit-forming. Use can result in dependence, overdose, or even death. Keep the medication out of the reach of others who might need it. Giving away or selling this medication is against the law.Dexmethylphenidate should be taken two times each day, at a minimum of four hours apart.

Dexmethylphenidate can be taken with or without food. Take the tablet as usual, two times a day, with at least 4 hours between each. The extended-release capsule should be taken once each day in the early morning.Take your extended-release capsule intact; don't crush or chew on it, break it, or even open it.

If you are unable to take a capsule in its entirety, take it out and mix the medication with applesauce. Take the mixture in a single swallow without chewing.Your doctor should monitor your health regularly. Your blood pressure and heart could also be examined regularly.Inform your doctor if you have any planned procedures.The treatment could also comprise counseling or other forms of treatment.

Close the container tightly to room temperature and away from heat, humidity, and light. Store your medication in a safe place where no one will use it incorrectly.

What Happens if I Miss a Dose?

You should take the medication as quickly as you can. However, avoid any missed doses if you are close to the time of the next dose. Don't take two doses at a time.

What Happens If I Overdose?

For medical emergencies, seek emergency treatment or contact the Poison Help line at 1-800-222-1222. Dexmethylphenidate, in excess, could cause death.

The symptoms of an overdose can include dry mouth, vomiting, agitation, tremors in the muscles, twitches in the muscle, hallucinations, confusion, dilated pupils, muscular pain, or a feeling of weakness and sweating. headache or pounding noises in your ears or neck, heartbeats that are fast or rapid, seizures (convulsions), or coma.

What Should be Avoided?

Follow the instructions of your physician regarding any limitations on foods, drinks, or activities.

Interaction with Other Drugs

Discuss with your doctor any other medications you take, including:

  • An antidepressant
  • Blood pressure medication

This list is not comprehensive. Other drugs can interact with dexmethylphenidate, such as medications that are prescribed and available over the counter, vitamins, and herbal remedies. There are many possible interactions between drugs, which are listed here.



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