Doctor insights on:
Focalin Xr Side Effects
What are the side effects of taking focalin (dexmethylphenidate) XR and divalproex together the person is taking 40mg of focalin (dexmethylphenidate) XR and 250mg of divalproex?
See below: There are no known interactions between the two medications so there should be no problems taking both at the same time. ...Read more
I was on Ritalin 120mg day, developed tolerance. Now Adderall 120mg, but unhelpful & side effects. Would Focalin (dexmethylphenidate) be better? & what dose comparable?
See below: Focalin (dexmethylphenidate) XR might feel better than Ritalin for some with ADHD. But tolerance to a medication typically requires being off. Dosing is best left to the psychiatrist who can evaluate you as it will also need to include weighing tolerance, symptoms and side effects. ...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
Whats the difference between dosage? Focalin (dexmethylphenidate) 15 mg compared to Adderall 15. What's the differences between the effects?
Focalin (dexmethylphenidate) a bit more.: Focalin (dexmethylphenidate) is about the same potency of d-amphetamine. Adderall has both d-amphetamine and l-amphetamine, so 15 mg is not quite is about 75% as potent as 15 mg of amphetamine. That said, individual responses to stimulants vary so much that for any given person, Focalin (dexmethylphenidate) might work much better than Adderall or the other way round. Dose needs are highly individual and requires trying different doses. ...Read more
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
It Can Be: Focalin (dexmethylphenidate) xr 40mg is actually the highest dose of Focalin (dexmethylphenidate) officially approved to be used by the fda. So, yes, it is a potentially safe dose. However, whether or not a person should take that dose depends very much on the individual situation and wether the medicine has been well tolerated at lower doses. ...Read more
Possibly: With non-fda approved supplements, it is very difficult to truly understand any medication interactions. I reviewed the lumiday website and it seems they claim balanced serotonin levels so i would be more cautious with depression or other mood disorder meds. Focalin (dexmethylphenidate) xr acts primarily as a stimulant so may be okay but unfortunately i cannot state with certainty. Try exercise, diet, mvitamin, etc. ...Read more
My child has a bad attitude since starting focalin (dexmethylphenidate) xr; have others had this problem?
Common: Since your child is having irritability being on focalin, (dexmethylphenidate) be sure she isn't having caffeine, chocolate, or decongestants. If she is, try discontinuing them. If older, no energy drinks. Another reason for irritability on stimulants is comorbid depression or anxiety. Please discuss with prescribing physician. If none of these are present your doctor may make alterations in the treatment regimen. ...Read moreSee 1 more doctor answer
For what length of time should you wait till you can comuse alcohol after taking focalin (dexmethylphenidate) xr?
Highly: Focalin (dexmethylphenidate) is the active half of methylphenidate (ritalin), so it is twice as potent as the latter. But it still is a stimulant, with same side effects and benefits. With well-diagnosed individuals with adhd, it should be effective and tolerated about 65% of the time (as are all stimulants). It lasts 10-12 hours with a single morning dose. ...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
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
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
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