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Dexmethylphenidate Coupon - Dexmethylphenidate 10mg tablet

dexmethylphenidate

Generic Focalin
Used for ADHD
Used for ADHD

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.

Last reviewed on October 10, 2023
Focalin (dexmethylphenidate) is a controlled substance, which means that it's more likely to be misused or cause dependence. There are federal and state laws that limit the amount of medication that can be prescribed or dispensed within a certain period of time.
basics-icon

What is Focalin (dexmethylphenidate)?

What is Focalin (dexmethylphenidate) used for?

  • Attention deficit-hyperactivity disorder (ADHD)

How Focalin (dexmethylphenidate) works

Focalin (dexmethylphenidate) is a stimulant medication. It's not exactly known how the medication helps to improve attention, focus, and wakefulness. But it's thought to work by raising the levels of chemicals in your brain called norepinephrine and dopamine.

When does Focalin (dexmethylphenidate) start working?
Time passed since treatment started:
MINUTES
HOURS
DAYS
WEEKS
MONTHS
Initial effect
Full effect

Drug Facts

Common BrandsFocalin, Focalin XR
Drug ClassStimulant
Controlled Substance ClassificationSchedule II
Generic StatusLower-cost generic available
AvailabilityPrescription only

More on Focalin (dexmethylphenidate) essentials

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What are the risks and warnings for Focalin (dexmethylphenidate)?

Focalin (dexmethylphenidate) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

risk-warning

Misuse and dependence

  • Risk factors: History of substance or alcohol use disorder | Taking more Focalin (dexmethylphenidate) than prescribed

    Focalin (dexmethylphenidate) has risks of misuse and dependence. Misusing this medication can raise your risk for other serious side effects, such as fast heart rate, high blood pressure, anxiety, aggressive behavior, and even thoughts of hurting yourself or others. You can also develop physical dependence to Focalin (dexmethylphenidate) if you take it for a long period of time. This raises your risk for withdrawal symptoms if you suddenly stop taking the medication. Take Focalin (dexmethylphenidate) exactly as prescribed to you. Don't change the dose or how often you take it without talking to your provider first.

    risk-warning

    Serious heart problems

    • Risk factors: History of heart problems

      There have been reports of sudden death, stroke, and heart attack in people who took stimulant medications like Focalin (dexmethylphenidate) at usual doses. Focalin (dexmethylphenidate) can also raise your blood pressure and heart rate. Tell your provider if you have a history of heart problems before you start Focalin (dexmethylphenidate) to make sure it's safe for you to take. Your provider will check for heart problems before starting treatment with this medication. Contact your provider if you experience unexplained fainting, chest pain with physical activity, or irregular heartbeat while you're taking Focalin (dexmethylphenidate).

      risk-warning

      Changes in behavior or thoughts

      • Risk factors: History of psychotic episodes | Personal or family history of depression, bipolar disorder, depression, or other mental health or mood-related conditions

        Taking a stimulant like Focalin (dexmethylphenidate) can cause mental health problems such as hallucinations (seeing things that aren't really there), abnormal or unclear thinking, and mania. This medication can worsen mood-related problems that you already have. But these changes in mood or behavior can also happen even if you haven't had these problems before. Talk to your provider right away if you have these mood- and behavior-related symptoms while you're taking Focalin (dexmethylphenidate) because you might have to stop taking it.

        risk-warning

        Prolonged and painful erection

        Although rare, some people taking medications similar to Focalin (dexmethylphenidate) have had prolonged and painful erections. Sometimes, this problem might require surgery to treat. This problem was typically reported after the dose was raised, but has also happened when the medication was stopped. Stop taking Focalin (dexmethylphenidate) and get medical attention as soon as possible if you develop a painful erection that lasts longer than 4 hours.

        risk-warning

        Problems with blood circulation (Raynaud's phenomenon)

        Focalin (dexmethylphenidate) might be linked to poor blood circulation problems, such as Raynaud's phenomenon. People with Raynaud's phenomenon can experience episodes of poor blood flow to the fingers and toes, which can cause the skin to turn pale and to feel cold, numb, or painful. If this happens, symptoms are typically mild. But rarely, it can cause sores or ulcers in more serious cases. Let your healthcare provider know if you notice symptoms of circulation problems, such as bouts of numbness or pain in your fingers or toes. Your provider might need to lower your dose of Focalin (dexmethylphenidate) or ask you to consider a different medication.

        risk-warning

        Slowed growth in children

        In studies, children taking stimulants like Focalin (dexmethylphenidate) daily throughout the year had a temporary slowing of growth. On average, the children in these studies had about 2 cm less growth in height and about 6 pounds less growth in weight over 3 years. Your child's provider will track your child's growth progress closely. Your child's provider might pause or stop treatment if the provider suspects slowed growth. Talk to your child's provider if you have concerns.

        risk-warning

        Serotonin syndrome

        • Risk factors: Taking monoamine oxidase inhibitors (MAOIs) 14 days before starting Focalin (dexmethylphenidate) | Taking other medications that raise serotonin levels in your brain

          Serotonin syndrome is a rare, but potentially life-threatening condition that happens when there's too much serotonin in the brain. Serotonin is one of the chemicals in your brain responsible for your mood. Most people who report having serotonin syndrome while taking Focalin (dexmethylphenidate) are also taking other medications that affect serotonin levels. These medications can include antidepressants, MAOIs, linezolid (Zyvox), and migraine medications called triptans.

          Tell your provider about all the medications you take or plan to take before you start Focalin (dexmethylphenidate). Be aware of symptoms of serotonin syndrome, such as fast heart rate, sweating, muscle stiffness or spasms, high fever, and confusion. Get medical help right away if you have any of these symptoms.

          risk-warning

          Drug interactions

          Focalin (dexmethylphenidate) can interact with many medications. For example, it counteracts (works against) the effects of many blood pressure medications. This means your blood pressure medications might not work as well for you if you take them with Focalin (dexmethylphenidate). Additionally, avoid taking Focalin (dexmethylphenidate) with monoamine oxidase inhibitors (MAOIs). This combination can raise your risk of having severely high blood pressure. Discuss with your provider and pharmacist about all the medications you take (including over-the-counter medications and supplements) before and during treatment with Focalin (dexmethylphenidate).

          basics-icon

          What are the side effects of Focalin (dexmethylphenidate)?

          The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

          Common Side Effects

          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%)

          Other Side Effects

          • Fast heart rate or racing heart
          • High blood pressure
          • Blurry vision
          • Irritability in children

          Serious Side Effects

          Contact your healthcare provider immediately if you experience any of the following.
          • Allergic reactions: rash; hives; difficulty breathing; swelling of face, lips, tongue, or throat
          • Heart problems: heart attack, fast heart rate, high blood pressure
          • Stroke: sudden headache, weakness or numbness on one side of the body, trouble speaking or walking, drooping face
          • Mental health-related problems: manic episodes, changes in thoughts or behavior, hallucinations
          • Serotonin syndrome: fast heart rate, sweating, muscle stiffness or spasms, fever, confusion
          When do Focalin (dexmethylphenidate) possible side effects begin and end?
          Time passed since treatment started:
          MINUTES
          HOURS
          DAYS
          WEEKS
          MONTHS
          Headache
          Stomach pain
          Low appetite
          Trouble sleeping
          Changes in heart rhythm (e.g., fast heart rate)
          If a line continues to the right, you'll likely keep experiencing this side effect once it starts.

          Source: DailyMed

          The following side effects have also been reported

          Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

          Check with your doctor immediately if any of the following side effects occur:

          More common

          Anxiety

          Less common

          Discouragement

          fast, pounding, or irregular heartbeat or pulse

          feeling sad or empty

          fever

          irritability

          lack of appetite

          loss of interest or pleasure

          mood swings

          tiredness

          trouble concentrating

          trouble sleeping

          Incidence not known

          Agitation

          arm, back or jaw pain

          black, tarry stools

          bleeding gums

          blood in the urine

          bloody nose

          blurred vision

          chest pain or discomfort

          chest tightness or heaviness

          chills

          confusion

          cough

          dark urine

          diarrhea

          difficulty in speaking

          difficulty swallowing

          dizziness

          double vision

          drowsiness

          fainting

          feeling that others are watching you or controlling your behavior

          feeling that others can hear your thoughts

          feeling, seeing, or hearing things that are not there

          headache

          heavier menstrual periods

          hives, itching, or skin rash

          inability to move the arms, legs, or facial muscles

          inability to speak

          large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or genitals

          muscle cramps, pain, stiffness, or spasms

          nausea

          nervousness

          overactive reflexes

          painful or difficult urination

          pale skin

          pinpoint red spots on the skin

          poor coordination

          pounding in the ears

          puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

          redness, soreness, or itching skin

          restlessness

          right upper quadrant tenderness

          seizures

          severe mood or mental changes

          shivering

          slow speech

          slowed growth in children

          sore throat

          sores, ulcers, or white spots on the lips or in the mouth

          sores, welts, or blisters

          stuffy or runny nose

          sweating

          swollen glands

          talking or acting with excitement you cannot control

          trembling or shaking

          tremor

          troubled breathing with exertion

          twitching, twisting, uncontrolled repetitive movements of the tongue, lips, face, arms, or legs

          unusual behavior

          unusual bleeding or bruising

          unusual tiredness or weakness

          weight loss

          yellow eyes or skin

          Get emergency help immediately if any of the following symptoms of overdose occur:

          Symptoms of overdose

          Agitation

          bigger, dilated, or enlarged pupils (black part of the eye)

          dry eyes, mouth, nose, or throat

          false or unusual sense of well-being

          feeling of warmth

          holding false beliefs that cannot be changed by fact

          increased sensitivity of the eyes to light

          loss of consciousness

          muscle twitching

          overactive reflexes

          redness of the face, neck, arms, and occasionally, upper chest

          unusual excitement, nervousness, or restlessness

          Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

          More common

          Belching

          heartburn

          indigestion

          stomach discomfort, upset, or pain

          vomiting

          Incidence not known

          Hair loss

          Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

          Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

          pros-and-cons

          Pros and cons of Focalin (dexmethylphenidate)

          thumbs-up

          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

          thumbs-down

          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

          pharmacist-tips

          Pharmacist tips for Focalin (dexmethylphenidate)

          pharmacist
          • It's best to take your first dose of Focalin (dexmethylphenidate) in the morning. Try to avoid taking your dose(s) too late in the day so you don't have trouble sleeping later at night.

            • Swallow the immediate-release tablets and extended-release capsules whole. Don't crush or chew them.

              • For the extended-release capsules: If you're having trouble swallowing the capsules, you can open them and sprinkle all of the small beads inside the capsule over a spoonful of applesauce. Once the medication is sprinkled on top, swallow the applesauce right away without chewing. Don't save it for a later time.

                • Take Focalin (dexmethylphenidate) exactly as prescribed. Don't change your dose or stop taking the medication without talking to your provider first. Doing so can lead to bothersome withdrawal symptoms, such as daytime sleepiness, large appetite, trouble sleeping, irritation, and depression.

                  • You can take Focalin (dexmethylphenidate) with or without food. Some people who take this medication might have a lower appetite, so try to follow a healthy and balanced diet. Tell a provider if you or your child appears to have a lower appetite or have had concerning weight changes during treatment.

                    • You might want to avoid driving during the first few days after you start Focalin (dexmethylphenidate) and after dose changes until you know how the medication affects you. Focalin (dexmethylphenidate) might cause dizziness and blurry vision, which might affect your ability to drive safely.

                      • Make sure your provider knows about the medications you're taking before you start Focalin (dexmethylphenidate). And don't start any new medications without talking to your provider or pharmacist first once you start treatment. Focalin (dexmethylphenidate) can have harmful drug interactions, so your providers can check that all your medications are safe for you to take.

                        • Accidentally taking too much Focalin (dexmethylphenidate) can lead to an overdose. Symptoms of an Focalin (dexmethylphenidate) overdose include restlessness, quick breathing, fast heartbeat, irritability, aggression, and fever. It's important for you and your loved ones to know how to recognize an overdose. Call 911 if you think an overdose has happened.

                          faqs

                          Frequently asked questions about Focalin (dexmethylphenidate)

                          How long does it take for Focalin (dexmethylphenidate) to work?
                          The immediate-release tablet of Focalin (dexmethylphenidate) takes about 30 to 45 minutes to work. The extended-release capsule of dexmethylphenidate (Focalin XR) starts to work within 30 minutes.
                          How long does Focalin (dexmethylphenidate) last?
                          Studies show that the immediate-release tablet of Focalin (dexmethylphenidate) can last for up to 6 hours. Studies also show that the extended-release capsule of dexmethylphenidate (Focalin XR) can last for about 11 to 12 hours.
                          Is Focalin (dexmethylphenidate) a stimulant?
                          Yes, Focalin (dexmethylphenidate) is a stimulant medication that's used for ADHD. Other stimulants that are used for ADHD include methylphenidate and Adderall (dextroamphetamine / amphetamine salts).
                          Is Focalin (dexmethylphenidate) a controlled substance?
                          Yes. Focalin (dexmethylphenidate) is a schedule II controlled substance because it has a risk of misuse and dependence. Misuse is when a medication is used for non-medical reasons for its physical or emotional effects (e.g., a "high" feeling). People can also misuse the medication when they take it even though it's not prescribed for them (e.g., for its effects on mental focus). Misuse can lead to serious symptoms like fast heart rate, high blood pressure, trouble sleeping, anxiety, and aggression. Dependence can lead to having withdrawal symptoms like irritation, sleep problems, and distress if you suddenly stop taking the medication after long-term use. Only take Focalin (dexmethylphenidate) as prescribed by your provider to lower your risks for misuse and dependence. Speak with your provider if you're concerned about these risks.
                          Is there a risk for addiction with Focalin (dexmethylphenidate)?
                          Yes, there's a risk for addiction when Focalin (dexmethylphenidate) gets misused for its physical or emotional effects (e.g., a "high" feeling, mental focus). Not only can misuse lead to changes in behavior and serious heart problems, it can also lead to substance use disorder, which in severe cases can lead to addiction. To lower your risk for misuse and addiction, only take Focalin (dexmethylphenidate) as prescribed by your provider. Discuss with your provider about the risk for addiction with Focalin (dexmethylphenidate) if you're concerned.
                          What's the difference between Focalin (dexmethylphenidate) and Adderall?
                          Focalin (dexmethylphenidate) and Adderall (dextroamphetamine / amphetamine salts) are different stimulant medications that treat ADHD. The two medications have similar side effects and potential risks, and they both have immediate-release and extended-release forms. But ADHD experts might recommend Focalin (dexmethylphenidate) and Adderall for different age groups based on research about how well the medications work and how safe they are for adults and children. For example, Adderall might be the preferred choice for adults, whereas Focalin (dexmethylphenidate) might be the preferred choice for children and adolescents. Speak with your provider about the appropriate choice for you if you need medication to treat your ADHD.
                          Does Focalin (dexmethylphenidate) cause weight loss?
                          Some people taking Focalin (dexmethylphenidate) have reported weight loss during clinical studies. Note that Focalin (dexmethylphenidate) can lower your appetite, which might contribute to any weight loss that you might experience. Keep in mind that this medication isn't approved or recommended to be used as a primary way to lose weight. Intentionally using Focalin (dexmethylphenidate) for this purpose is considered substance misuse and can be unsafe. Talk to your provider about currently available options if you're looking for safe weight loss methods.
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                          dosage

                          Focalin (dexmethylphenidate) dosage forms

                          The average cost for 60 tablets of 10mg of Focalin (dexmethylphenidate) is $29.92 with a free GoodRx coupon. This is 71.35% off the average retail price of $104.44.
                          tablet
                          Tablet
                          DosageQuantityPrice as low asPrice per unit
                          2.5mg30 tablets$9.97$0.33
                          5mg30 tablets$12.65$0.42
                          10mg60 tablets$29.92$0.50

                          Typical dosing for Focalin (dexmethylphenidate)

                          Your dose will depend on your age and whether you were previously taking other stimulant medications. Your provider will adjust your dose based on how well Focalin (dexmethylphenidate) is working for you and whether you're having side effects.

                          • Immediate-release tablet (Focalin and generic): The typical starting dose is 2.5 mg by mouth twice a day (at least 4 hours apart). The maximum dose is 20 mg per day.

                          • Extended-release capsule (Focalin XR and generic)

                            • Adults: The typical starting dose is 10 mg by mouth once a day in the morning. The maximum dose is 40 mg per day.

                            • Children: The typical starting dose is 5 mg mouth once a day in the morning. The maximum dose is 30 mg per day.

                          • People who are currently taking a methylphenidate medication: The dose of Focalin (dexmethylphenidate) depends on the dose of methylphenidate you were previously taking. In general, the typical starting dose of Focalin (dexmethylphenidate) is half of your total daily dose of methylphenidate.

                          More on Focalin (dexmethylphenidate) dosage forms

                          interactions

                          Interactions between Focalin (dexmethylphenidate) and other drugs

                          Focalin (dexmethylphenidate) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Focalin (dexmethylphenidate). Please note that only the generic name of each medication is listed below.

                          Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

                          Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                          • Desflurane
                          • Enflurane
                          • Halothane
                          • Iobenguane I 131
                          • Isoflurane
                          • Methoxyflurane
                          • Risperidone
                          • Sevoflurane
                          drug-cost

                          How much does Focalin (dexmethylphenidate) cost?

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                          contraindications-icon

                          Focalin (dexmethylphenidate) contraindications

                          Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Focalin (dexmethylphenidate) will not be safe for you to take.
                          alternatives

                          What are alternatives to Focalin (dexmethylphenidate)?

                          There are a number of medications that your doctor can prescribe in place of Focalin (dexmethylphenidate). Compare a few possible alternatives below.
                          Focalin (dexmethylphenidate)
                          Used for:
                          • Attention deficit-hyperactivity disorder (ADHD)

                          $9.97 Lowest GoodRx priceView Prices
                          Used for:
                          • Attention-deficit hyperactivity disorder (ADHD)

                          $21.30 Lowest GoodRx priceView Prices
                          Used for:
                          • Attention-deficit hyperactivity disorder (ADHD)

                          $17.83 Lowest GoodRx priceView Prices
                          images

                          Focalin (dexmethylphenidate) images

                          White D-Shaped D And 10 - Dexmethylphenidate Hydrochloride 10mg Tablet
                          This medicine is White, D-Shaped Tablet Imprinted With "D" And "10".White D-Shaped D And 10 - Dexmethylphenidate Hydrochloride 10mg Tablet
                          White Round A3 - Dexmethylphenidate Hydrochloride 10mg Tablet
                          This medicine is White, Round Tablet Imprinted With "A3".White Round A3 - Dexmethylphenidate Hydrochloride 10mg Tablet
                          Blue Round 10 And Np046 - Dexmethylphenidate Hydrochloride 10mg Tablet
                          This medicine is Blue, Round Tablet Imprinted With "10" And "Np046".Blue Round 10 And Np046 - Dexmethylphenidate Hydrochloride 10mg Tablet

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                          References

                          Best studies we found
                          View All References (13)

                          Khajehpiri, Z., et al. (2014). Adverse reactions of Methylphenidate in children with attention deficit-hyperactivity disorder: Report from a referral center. Journal of Research in Pharmacy Practice.

                          Liu, F., et al. (2006). Dexmethylphenidate hydrochloride in the treatment of attention deficit hyperactivity disorder. Neuropsychiatric Disease and Treatment.

                          MedlinePlus. (2023). Drug use and addiction.

                          Moen, M. D., et al. (2009). Dexmethylphenidate extended release: A review of its use in the treatment of attention-deficit hyperactivity disorder. Central Nervous System Drugs.

                          Nanda, A., et al. (2023). Adverse effects of stimulant interventions for attention deficit hyperactivity disorder (ADHD): A comprehensive systematic review. Cureus.

                          National Institute on Drug Abuse. (2020). Misuse of prescription drugs research report: Overview.

                          Novartis Pharmaceuticals Corporation. (2023). Focalin- dexmethylphenidate hydrochloride tablet [package insert]. DailyMed.

                          Novartis Pharmaceuticals Corporation. (2023). Focalin XR- dexmethylphenidate hydrochloride capsule, extended release [package insert]. DailyMed.

                          Shin, J. Y., et al. (2016). Cardiovascular safety of methylphenidate among children and young people with attention-deficit/hyperactivity disorder (ADHD): Nationwide self controlled case series study. British Medical Journal (Clinical Research Edition).

                          Steingard, R., et al. (2019). New formulations of stimulants: An update for clinicians. Journal of Child and Adolescent Psychopharmacology.

                          U.S. Food and Drug Administration. (2024). Some medicines and driving don’t mix.

                          Wigal, S., et al. (2004). A double-blind, placebo-controlled trial of dexmethylphenidate hydrochloride and d,l-threo-methylphenidate hydrochloride in children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry.

                          World Health Organization. (2009). Withdrawal management. Clinical Guidelines for Withdrawal Management and Treatment of Drug Dependence in Closed Settings.

                          GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
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