Information about Focalin: Includes the warnings, side effects, precautions and drug interactions.
IMPORTANT NOTE | TITLE | HOW TO PRONOUNCE | COMMON BRAND NAMES | USES | OTHER USES | HOW TO TAKE | SIDE EFFECTS | PRECAUTIONS | DRUG INTERACTIONS | OVERDOSE | NOTES | MISSED DOSE | STORAGE
The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.
TITLE DEXMETHYLPHENIDATE - ORAL
HOW TO PRONOUNCE (dex-meth-ill-FEN-eh-date)
COMMON BRAND NAMES Focalin
Dexmethylphenidate should be used cautiously by people
who may be emotionally unstable or have a history of alcohol or drug abuse. Such
patients may be more likely to increase their doses of this drug unnecessarily.
Abuse of this medication may lead to abnormal behavior. If this medication must
be stopped, it should be stopped gradually over time. Do not suddenly stop
taking this medication because it may cause severe depression or hidden
hyperactivity to occur. In some people, long-term monitoring may be required
after this medication is stopped.
Dexmethylphenidate is used to treat Attention Deficit
Hyperactivity Disorder (ADHD). It is chemically related to methylphenidate;
another type of stimulant medication used to treat ADHD.
This drug may also be used for sleep disorders (e.g.,
narcolepsy) and mild depression.
HOW TO TAKE
Take this medication by mouth usually twice daily either
with or without food, or as directed by your doctor. Take the first dose of this
medication in the morning and the second dose at least 4 hours later. Taking
this medication later in the day may cause trouble sleeping (insomnia). The
dosage is based on your medical condition and response to therapy. Your doctor
may adjust your dose frequently (e.g., weekly) to find the dose that is best for
you. Use this medication exactly as prescribed. Do not increase your dose, take
it more frequently, or use it for a longer period of time than prescribed
because this drug can be habit forming and increase your risk of side effects.
When used for an extended period, this medication may not work as well and may
require different dosing. Talk with your doctor if this medication stops working
well. Your doctor may recommend "drug holidays" where your medication is stopped
temporarily and behavior is re-evaluated.
Trouble sleeping, nausea, diarrhea, upset stomach,
dizziness, headache, nervousness, loss of appetite, dry mouth, or weight loss
may occur. If any of these effects persist or worsen, notify your doctor.
Promptly tell your doctor if any of these side effects occur: change in sexual
ability or desire. Tell your doctor immediately if any of these serious side
effects occur: stomach pain, fever, unusual weakness or tiredness, mental/mood
changes. Tell your doctor immediately if any of these unlikely but serious side
effects occur: unusually fast heartbeat, blurred vision, uncontrolled muscle
movements (e.g., rigidity, tics, tremors), severe sweating, fever, chest pain,
seizures. If you notice other effects not listed above, contact your doctor or
This medication is not recommended for use if you have
the following medical conditions: heart or blood vessel-related diseases (e.g.,
arteriosclerosis, cardiovascular disease), severe high blood pressure,
over-active thyroid (hyperthyroidism), eye problems (e.g., glaucoma), emotional
instability (e.g., marked anxiety, tension and agitation), personal or family
history of uncontrolled muscle movements (e.g., tics, Tourette's syndrome),
history of drug abuse. Tell your doctor your medical history, especially of:
seizure disorders, other mental/mood problems (e.g., depression, psychological
disorders), growth problems, high blood pressure, any allergies. This may make
you dizzy and can affect your alertness. Use caution engaging in activities
requiring alertness such as driving or using machinery. Though uncommon,
depression itself can lead to thoughts or attempts of suicide. Tell your doctor
immediately if you have any suicidal thoughts, or other mental/mood changes.
Keep all medical appointments so your doctor can monitor your progress closely.
This medication should be used only when clearly needed during pregnancy.
Discuss the risks and benefits with your doctor. It is not known if this
medication passes into breast milk. Consult your doctor before breast-feeding.
Certain medications taken with this product could result
in serious, even fatal, drug interactions. Avoid taking MAO inhibitors (e.g.,
furazolidone, linezolid, moclobemide, phenelzine, procarbazine, selegiline,
isocarboxazid, tranylcypromine) within 2 weeks before or after treatment with
this medication. Consult your doctor or pharmacist for additional information.
Before using this medication, tell your doctor of all prescription and
nonprescription medication you may use, especially: "blood thinners" (e.g.,
warfarin), antidepressants (e.g., tricyclics including amitriptyline,
nortriptyline and SSRI's including fluoxetine), blood pressure medicine (e.g.,
beta blockers, clonidine, guanethidine), anti-seizure medicine (e.g.,
phenobarbital, phenytoin, primidone), other stimulant medications (e.g.,
amphetamines). Check the labels on all your medicines (e.g., cough-and-cold
products, diet aids) because they may contain ingredients that could increase
your heart rate or blood pressure. Ask your pharmacist about the safe use of
these products. Avoid drinking large amounts of beverages containing caffeine
(e.g., coffee, tea, colas). Caffeine can increase the side effects of this
medication. Do not start or stop any medicine without doctor or pharmacist
If overdose is suspected, contact your local poison
control center or emergency room immediately. US residents can call the US
national poison hotline at 1-800-222-1222. Canadian residents should call their
local poison control center directly. Symptoms of overdose may include:
vomiting, severe mental/mood changes, confusion, severe or persistent headache,
sweating, severe restlessness, fast breathing, dilated eyes/pupils, seizures.
Do not share this medication with others. Laboratory
and/or medical tests (e.g., blood pressure, blood counts) may be performed to
monitor your progress. It is recommended that you attend a total treatment
program that includes educational, psychological, and social/behavioral
If you miss a dose, use it as soon as you remember in
the morning hours. If it is later in the day or near the time of the next dose,
skip the missed dose and resume your usual dosing schedule. Do not double the
dose to catch up.
Store at room temperature at 77 degrees F (25 degrees C)
away from light and moisture. Brief storage between 59 and 86 degrees F (15 and
30 degrees C) is permitted.