- What is dexmethylphenidate, and how does it work (mechanism of action)?
- What are the side effects of dexmethylphenidate?
- Which drugs or supplements interact with dexmethylphenidate?
- Is dexmethylphenidate safe to take if I'm pregnant or breastfeeding?
- What else should I know about dexmethylphenidate?
What is dexmethylphenidate, and how does it work (mechanism of action)?
Dexmethylphenidate is a medication used for treating attention deficit hyperactivity disorder (ADHD). It is chemically similar to methylphenidate (Ritalin, Concerta). It stimulates the central nervous system (CNS or brain) in a manner that is similar to amphetamines; however, its actions are milder than amphetamines.
It stimulates the brain by increasing the level of neurotransmitters, dopamine and norepinephrine, in the brain neurotransmitters are chemicals produced by nerves that are released and attach to other nearby nerves as a means of communication among nerves). The exact mechanism of action of the drug in people with ADHD is unknown. FDA approved dexmethylphenidate extended-release capsules in May 2005.
What brand names are available for dexmethylphenidatel?
Focalin, Focalin XR
Is dexmethylphenidate available as a generic drug?
Yes
Do I need a prescription for dexmethylphenidate?
Yes
What are the side effects of dexmethylphenidate?
Side effects of dexmethylphenidate are increased blood pressure, indigestion, loss of appetite, dry mouth, headache, sleeplessness and anxiety.
Dexmethylphenidate may be abused and it is a Schedule II controlled medication. Long term abuse can cause tolerance, psychological dependence, abnormal behavior, and psychosis. Use cautiously in people with a history of drug or alcohol abuse.
QUESTION
See AnswerWhich drugs or supplements interact with dexmethylphenidate?
Dexmethylphenidate should not be combined with monoamine oxidase inhibitors (MAOIs) such as phenelzine (Nardil), selegiline (Zelapar, Emsam, and Eldepryl), tranylcypromine (Parnate), procarbazine (Matulane), rasagiline (Azilect), and isocarboxazid (Marplan) because of risks of hypertensive crisis. Dexmethylphenidate and MAO inhibitors should be separated by at least 14 days.
Dexmethylphenidate should be used with caution with blood pressure medications or individuals with high blood pressure because it can increase blood pressure and decrease effectiveness of blood pressure medications.
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Is dexmethylphenidate safe to take if I'm pregnant or breastfeeding?
There are no adequate studies done on dexmethylphenidate to determine safe and effective use in pregnant women.
It is not known whether dexmethylphenidate enters breast milk; therefore, it is best to be cautious before using it in nursing mothers.
What else should I know about dexmethylphenidate?
What preparations of dexmethylphenidate are available?
Tablet: 2.5, 5, 10 mg. Capsules (extended-release) dexmethylphenidate: 5, 10, 15, 20, 25, 30, 35, and 40 mg
How should I keep dexmethylphenidate stored?
Store dexmethylphenidate between temperatures of 15 C to 30 C (59 F to 86 F).
Summary
Dexmethylphenidate hydrochloride (Focalin, Focalin XR) is a medication prescribed to treat attention deficit hyperactivity disorder (ADHD) in children ages 6 years and older. Side effects, drug interactions, dosage, and storage information should be reviewed prior to taking this medication.
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Related Disease Conditions
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ADHD in Children
Attention deficit hyperactivity disorder (ADHD) causes the following symptoms in children: excessive activity, problems concentrating, and difficulty controlling impulses. Stimulant medications are the most common medication used to treat ADHD.
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Adult ADHD (Attention Deficit Hyperactivity Disorder)
About 2%-6% of adults have ADHD, a common behavioral problem. Symptoms include impulsivity, hyperactivity, and inattention. Treatment may involve ADHD education, attending a support group, skills training, and medication.
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ADHD in Teens
Attention deficit hyperactivity disorder (ADHD) in teens is a disruption of neurocognitive functioning. Genetics contribute to ADHD. Symptoms of ADHD in teens include inattention, hyperactivity/impulsivity, or a combination of these. Treatment may include cognitive behavioral therapy, behavior therapy, medication, or alternative therapies.
Treatment & Diagnosis
Medications & Supplements
- Stimulants (ADHD Medications)
- Types of Multiple Sclerosis Medications and Treatments
- Azstarys (serdexmethylphenidate and dexmethylphenidate)
- Types of Medicine for ADHD
- Side Effects of Focalin (dexmethylphenidate)
- methylphenidate hydrochloride (Quillivant XR)
- Adhansia XR (methylphenidate HCI)
- Methylin (methylphenidate HCI)
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