Doctor insights on:
Focalin Warnings And Recalls
High for startt: focalin (dexmethylphenidate) at 40 mg is the equivalent of Ritalin 80 mg. these are very high starting doses and may cause dose related side effects. If they occur, you may get discouraged from using Focalinwhich at a lower dose would be helpful to you. ...Read moreSee 2 more doctor answers
Not long. : Even though it's called "xr, " it lasts no longer than 4-6 hrs. Most people need three doses of Focalin (dexmethylphenidate) xr to get through a day. But it's a smooth efficient stimulant for add, & deserves consideration if the patient has comorbid anxiety or depression. Or if another stimulant caused depression or anxiety. ...Read moreSee 1 more doctor answer
Methylphenidate: (original trade name ritalin) is a mixture of d- and l-methylphenidate. The d- and i- are enantiomers or molecules that are mirror images of each other. Focalin is d- or dexmethylphenidate which is more potent than the l-methylphenidate. Focalin xr is extended release to last longer. Side effects are similar and some people respond better to one versus the other. Both are good options for adhd. ...Read more
May need to switch.: There are several options available. First option is to switch to a drug of a different class such as adderall. Another option is to get involved in cognitive behavioral therapy specifically designed for add or adhd. Other options are: elavil, norpramin, pamelor, (nortriptyline) tofranil or other tricyclic antidepressants catapres, kapvay, tenex wellbutrin best wishes. ...Read more
Sometimes: Focalin (dexmethylphenidate) is in the the stimulant family, and insomnia is a common side effect of all stimulants. However, children with adhd, even unmedicated, have a fairly high rate of sleeping problems. Trying to take the medication as early in the day as feasible may help in minimizing this side effect. ...Read moreSee 1 more doctor answer
Fast-to several wks: Some effects can be seen wiht first dosing. However, it can take several weeks to attain maximum therapeutic effect. ...Read more
No: Dexmethylphenidate has a 4-6 hour duration of effect (a long-acting formulation, Focalin XR, which spans 12 hours is also available & has been shown to be as effective. It has also been demonstrated to reduce the symptoms of childhood ADHD, & ADHD in adults.] Typical daily doses of dexmethylphenidate are around 20-40 mg for children & 40–60 mg for adults. A maximum of 80 mg can tolerated. ...Read moreSee 1 more doctor answer
About 24 hours: To some degree depends upon the dose you were taking it in our you were dividing it up for the day, but in general if you were taking a once a day dose then it would be expected that would be out of your system in about 24hr according to the data on the Focalin (dexmethylphenidate) xr website. Since it is a medication that is extended release with the second release occurring about 4 to 6 hours afterwords, it's very difficult to speak in terms of elimination half-life per se. The curve on the website shows however that after a single dose of Focalin (dexmethylphenidate) exr it is out of the system at 24 hours. ...Read more
Wait about 10 hours: after your last dose for it to wear off. Stimulants do not " build up" or stay in the bloodstream at a steady state. Any symptoms you have that are side-effects of Focalin (dexmethylphenidate) will be gone completely after 24 hours after your last dose. If your symptoms persist longer than that, they are not related to Focalin (dexmethylphenidate). ...Read moreSee 1 more doctor answer
Does focalin (dexmethylphenidate) work better or worse or differently than the other add drugs on kids?
Same: As the drs. Said, it's the right half of the methylphenidate molecule & the dose is 1/2 that of ritalin. Focalin (dexmethylphenidate) xr's onset is 30 minutes & it lasts ~ 10 hours. Because it releases 1/2 the dose initially & the other 1/2 4 hours later, some kids get "rebound " symptoms late am if they are " rapid metabolizers"& the the first dose wears off before the 2nd kicks in, requiring increasing the dose. ...Read moreSee 2 more doctor answers
Are focalin (dexmethylphenidate) XR capsules dividable into a lower dosage without losing the XR effect?
Not dividable : Focalin (dexmethylphenidate) xr capsules may be swallowed whole or capsule contents can be sprinkled on applesauce (children). Focalin (dexmethylphenidate) xr and/or their contents should not be crushed, chewed, or divided. Discuss a lower dosage with your prescribing doctor. Take care. ...Read more
Is it normal to feel cold when i'm on focalin (dexmethylphenidate) XR 20? Or should I lower the dosage to 15?
No: Your response is unusual. Talk to your doctor about it. ...Read more
I took 4 20 mg focalin (dexmethylphenidate) XR at 8am and it's been 12 hours and i still feel it, when will it wear off?
About 24 hours: It should be gone in about 24 hours. ...Read more
What medicine is close enough to focalin (dexmethylphenidate) to replace it, if you can't find focalin (dexmethylphenidate) to buy?
Many: There are many medications that are used for the same purpose as dexmethyllphenidate (focalin (dexmethylphenidate)). The closest relative is methylphenidate which is generic or branded as Ritalin or a longer acting form concerta. Talk to your doctor who prescribed the focalin (dexmethylphenidate). ...Read more
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