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Focalin vs. Dexedrine

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Dexmethylphenidate (Focalin, Focalin XR) and dextroamphetamine (Dexedrine Spansule, ProCentra, Zenzedi) are both stimulant medications used to treat ADHD, but they have some differences. Dexmethylphenidate is typically taken as an immediate-release tablet twice a day or an extended-release capsule once a day, whereas dextroamphetamine can be taken as immediate-release tablets, oral liquid, or extended-release capsules, with dosing varying by age and condition. Dexmethylphenidate primarily affects norepinephrine and dopamine, while dextroamphetamine also impacts serotonin levels. Both medications can cause side effects like trouble sleeping and loss of appetite, but dextroamphetamine is also used to treat narcolepsy. Additionally, dextroamphetamine has a liquid form, which can be easier for some people to take. Both medications carry risks of misuse and dependence, so it's important to take them exactly as prescribed.

Focalin

(dexmethylphenidate)

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Dextroamphetamine

 

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Summary for Focalin

Prescription only

Dexmethylphenidate (Focalin, Focalin XR) is a stimulant medication that's used for treating attention deficit-hyperactivity disorder (ADHD) in adults and children. It's thought to work by balancing certain chemicals in your brain to help you focus. This medication is available as an immediate-release tablet that you take twice per day and an extended-release capsule you take once per day. Side effects can include stomach upset and nervousness. It can also cause withdrawal symptoms if it's suddenly stopped after long-term use. Focalin (dexmethylphenidate) is available as both a brand-name and lower-cost generic medication.

Indications for Focalin

  • Attention deficit-hyperactivity disorder (ADHD)

Pros and Cons for Focalin

Pros

  • Works well to treat ADHD in children and adults
  • Available as immediate-release tablets and extended-release capsules for a more flexible dosing schedule
  • Available as a lower-cost generic

Cons

  • A controlled substance because of the risk for misuse and dependency
  • Might cause trouble sleeping if you take too late in the day
  • Not the best option if you have heart problems
  • Not available as a liquid

Common Side Effects for Focalin

Immediate-release tablet Age 6 to 17 years:

  • Stomach pain (15%)
  • Nausea (9%)
  • Low appetite (6%)

Extended-release capsule Age 6 to 17 years:

  • Difficulty sleeping (up to 17%)
  • Vomiting (up to 9%)
  • Low appetite (up to 7%)

Age 17 to 60 years:

  • Headache (up to 39%)
  • Dry mouth (up to 20%)
  • Anxiety (up to 11%)
  • Indigestion (up to 9%)
  • Throat pain (up to 7%)

Warnings for Focalin

  • Misuse and dependence
  • Serious heart problems
  • Changes in behavior or thoughts
  • Prolonged and painful erection
  • Problems with blood circulation (Raynaud's phenomenon)
  • Slowed growth in children
  • Serotonin syndrome
  • Drug interactions

Summary for Dexedrine

Prescription only

Dextroamphetamine is used for the treatment of attention deficit-hyperactivity disorder (ADHD). It can also be used to treat uncontrollable daytime sleepiness (narcolepsy). Some side effects of the medication include difficulty sleeping, restlessness, and loss of appetite (that might lead to possible weight loss).

Indications for Dexedrine

  • Attention deficit-hyperactivity disorder (ADHD)
  • Narcolepsy (extreme daytime sleepiness)

Pros and Cons for Dexedrine

Pros

  • Available as a lower-cost generic medication
  • Available in immediate-release tablets and extended-release capsules
  • Available as a liquid solution if you have difficulty swallowing pills
  • Tablets and solution are okay to use in children as young as 3 years old

Cons

  • Has a risk of misuse and dependency
  • A controlled medication, so there are special requirements for getting the prescription filled
  • Can cause trouble sleeping if taken late in the day
  • Not the best option if you have heart problems

Common Side Effects for Dexedrine

  • Fast heartbeat
  • Loss of appetite
  • Stomach upset
  • Dry mouth
  • Dizziness
  • Headache
  • Tremors
  • Trouble sleeping

Warnings for Dexedrine

  • Misuse and dependence
  • Serious heart-related problems
  • Aggressive behavior and psychosis
  • Slowed growth in children
  • Seizures
  • Blood circulation problems (such as Raynaud's phenomenon)
  • Serotonin syndrome
  • Interactions with other medications

Prices with our coupons for Focalin vs. Dexedrine

Price Card Drug Icon
Dexmethylphenidate60 tablets / 10mg
$25.01$156.61
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Dextroamphetamine60 tablets / 10mg
$44.41$151.69
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