Full Answer
What is dexmethylphenidate ER capsule used for?
Indications and Usage for Dexmethylphenidate ER Capsule. Dexmethylphenidate HCl extended-release capsules are indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in patients aged 6 years and older.
What is dexmethylphenidate extended release (XR)?
Dexmethylphenidate extended release (XR) [Focalin XR] is a CNS stimulant indicated for the treatment of attention-deficit hyperactivity disorder (ADHD) in patients aged > or = 6 years. Dexmethylphenidate contains the d-threo-enantiomer of methylphenidate.
How much does dexmethylphenidate ER cost?
It is available in brand and generic versions. Generic dexmethylphenidate ER is covered by some Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. The lowest GoodRx price for the most common version of dexmethylphenidate ER is around $85.44, 66% off the average retail price of $252.15.
How much dexmethylphenidate should I take for the first time?
Patients New to Methylphenidate. The recommended starting dose of Dexmethylphenidate HCl extended-release capsules for patients who are not currently taking dexmethylphenidate or racemic methylphenidate, or for patients who are on stimulants other than methylphenidate, is 5 mg/day for pediatric patients and 10 mg/day for adult patients.
What is the income requirements for Novartis patient assistance?
To be eligible for NPAF assistance, you must:Household SizeAnnual Household Income Threshold2 People< USD 100 0003 People< USD 125 0004 People< USD 150 000> 5 PeopleAdd USD 25 000 for each additional person1 more row
How do you get prescribed Focalin?
How to get Prescription Assistance. The first step in obtaining Focalin prescription assistance is to become a Simplefill member by applying online or calling us at 1(877)386-0206. In 24 hours or less, you'll be called by one of our trained advocates to participate in a brief interview.
Is Dexmethylphenidate er addictive?
Warnings: Misuse or abuse of dexmethylphenidate may result in serious (possibly fatal) heart and blood pressure problems. This medication can be habit-forming and should be used cautiously by people who have mental/mood disorders or a substance use disorder (such as overuse of or addiction to drugs/alcohol).
How much is a bottle of Focalin?
The cost for Focalin XR oral capsule, extended release 5 mg is around $1,412 for a supply of 100 capsules, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans....Oral Capsule, Extended Release.QuantityPer unitPrice100$14.12$1,411.93
Which is better Focalin or Adderall?
Is Focalin or Adderall better? Both Focalin and Adderall are effective treatment options for ADHD. Studies suggest that Focalin is better for treating children and adolescents while Adderall is better for treating adults with ADHD. Both drugs are available in immediate-release and extended-release versions.
Can Focalin make you emotional?
People who chronically abuse Focalin may also experience psychological side effects, such as depression or anxiety. There is an increased risk of suicidal thoughts or behaviors with long-term use of Focalin and other stimulants.
Can Focalin cause brain damage?
But that's not true with regard to medications like or Focalin or Metadate or Concerta or any of the other stimulants popular for A.D.H.D. There is now substantial evidence that these medications may damage the nucleus accumbens, an area of the brain crucial to motivation and drive.
What does being on Focalin feel like?
Focalin is effective in treating ADHD and narcolepsy because it helps to increase focus and concentration. However, it is also these effects that make it attractive to people who abuse the drug recreationally because it can produce feelings of euphoria, increased confidence and well-being.
Does dexmethylphenidate give you energy?
Dexmethylphenidate (Focalin) is a stimulant that treats attention-deficit/hyperactivity disorder (ADHD) by increasing norepinephrine and dopamine activity in the brain, which affects attention and behavior.
How can I get ADHD meds without insurance?
There are county medical clinics in all states. These clinics provide medical care for uninsured families with low incomes. They may be able to arrange for services with outside specialists if they cannot perform the treatment themselves. These clinics may also provide help with medication.
Is Focalin stronger than Concerta?
According to the Swiss drug major, Focalin XR 20mg and 30mg also demonstrated better symptom control versus Concerta 36mg and 54mg respectively, from 30 minutes to six hours. Symptom control was demonstrated as early as 30 minutes post-dose with Focalin XR 2mg and 30mg vs placebo.
Is Dexmethylphenidate er the same as Focalin XR?
Focalin XR is a brand (trade) name for extended-release (XR) dexmethylphenidate. Dexmethylphenidate is a component of racemic methylphenidate (methylphenidate contains two isomers: d-threo-methylphenidate [which is dexmethylphenidate] and l-threo-methylphenidate).
Is Focalin similar to Adderall?
Although both Focalin and Adderall work similarly by blocking the reuptake of norepinephrine and dopamine, they are not the same. The difference between Adderall and Focalin is that Focalin only contains one kind of amphetamine salt, dexmethylphenidate, while Adderall contains four kinds of amphetamine salts.
Which is better Focalin or Vyvanse?
Focalin has an average rating of 5.7 out of 10 from a total of 126 ratings on Drugs.com. 42% of reviewers reported a positive effect, while 36% reported a negative effect. Vyvanse has an average rating of 7.4 out of 10 from a total of 875 ratings on Drugs.com.
Is Focalin stronger than Concerta?
According to the Swiss drug major, Focalin XR 20mg and 30mg also demonstrated better symptom control versus Concerta 36mg and 54mg respectively, from 30 minutes to six hours. Symptom control was demonstrated as early as 30 minutes post-dose with Focalin XR 2mg and 30mg vs placebo.
How is Focalin different from Ritalin?
The idea behind Focalin is that the dexmethylphenidate HCl isomer may have a more potent therapeutic effect than the methylphenidate in Ritalin and may produce fewer side effects. Because of this difference, Focalin is often prescribed at half the dose of Ritalin with equivalent therapeutic effects.
What is dexmethylphenidate hydrochloride?
Dexmethylphenidate hydrochloride is the d- threo enantiomer of racemic methylphenidate hydrochloride. Dexmethylphenidate hydrochloride extended-release capsules is an extended-release formulation of dexmethylphenidate with a bi-modal release profile. Each bead-filled dexmethylphenidate hydrochloride extended-release capsule contains half the dose as immediate-release beads and half as enteric-coated, delayed-release beads, thus providing an immediate release of dexmethylphenidate and a delayed release of dexmethylphenidate. Dexmethylphenidate hydrochloride extended-release capsules are intended for oral administration and is available as 5 mg, 10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 35 mg, and 40 mg extended-release capsules.
What is the d enantiomer of methylphenidate?
Dexmethylphenidate is the more pharmacologically active d -enantiomer of racemic methylphenidate. Methylphenidate blocks the reuptake of norepinephrine and dopamine into the presynaptic neuron and increase the release of these monoamines into the extraneuronal space.#N#Cardiac Electrophysiology#N#At the recommended maximum total daily dosage of 40 mg, dexmethylphenidate hydrochloride extended-release capsules does not prolong the QTc interval to any clinically relevant extent.
Can dexmethylphenidate cause elevated blood pressure?
Instruct patients that dexmethylphenidate hydrochloride extended-release capsules can cause elevations of their blood pressure and pulse rate [see Warnings and Precautions (5.3) ].
Is dexmethylphenidate a controlled substance?
Advise patients that dexmethylphenidate hydrochloride extended-release capsule is a controlled substance, and it can be abused and lead to dependence. Instruct patients that they should not give dexmethylphenidate hydrochloride extended-release capsules to anyone else. Advise patients to store dexmethylphenidate hydrochloride extended-release capsules in a safe place, preferably locked, to prevent abuse. Advise patients to comply with laws and regulations on drug disposal. Advise patients to dispose of remaining, unused, or expired dexmethylphenidate hydrochloride extended-release capsules by a medicine take-back program if available [see Boxed Warning, Warnings and Precautions (5.1), Drug Abuse and Dependence (9.1, 9.2, 9.3), How Supplied/Storage and Handling (16)].
Does renal impairment affect methylphenidate?
Since renal clearance is not an important route of methylphenidate elimination, renal impairment is expected to have little effect on the pharmacokinetics of dexmethylphenidate hydrochloride extended-release capsules.
Is methylphenidate a racemic?
Dexmethylphenidate is the d-threo enantiomer of racemic methylphenidate. Published studies and post-marketing reports on methylphenidate use during pregnancy have not identified a drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes. There may be risks to the fetus associated with the use of CNS stimulants use during pregnancy ( see Clinical Considerations ). Embryo-fetal development studies in rats showed delayed fetal skeletal ossification at doses up to 5 times the maximum recommended human dose (MRHD) of 20 mg/day given to adults based on plasma levels. A decrease in pup weight in males was observed in a pre- and post-natal development study with oral administration of methylphenidate to rats throughout pregnancy and lactation at doses 5 times the MRHD of 20 mg/day given to adults based on plasma levels ( see Data ).
Do CNS stimulants slow growth?
CNS stimulants have been associated with weight loss and slowing of growth rate in pediatric patients .#N#In a 7-week, double-blind, placebo-controlled study of dexmethylphenidate hydrochloride extended-release capsules, the mean weight gain was greater for pediatric patients (ages 6 to 17 years) receiving placebo (+0.4 kg) than for patients receiving dexmethylphenidate hydrochloride extended-release capsules (-0.5 kg).#N#Careful follow-up of weight and height in pediatric patients ages 7 to 10 years who were randomized to either methylphenidate or non-medication treatment groups over 14 months, as well as in naturalistic subgroups of newly methylphenidate-treated and non-medication treated patients over 36 months (to the ages of 10 to 13 years), suggests that consistently medicated pediatric patients (i.e., treatment for 7 days per week throughout the year) have a temporary slowing in growth rate (on average, a total of about 2 cm less growth in height and 2.7 kg less growth in weight over 3 years), without evidence of growth rebound during this period of development.
How many Americans can't afford medication?
There are over 100 million Americans that either can‚t afford their medication or are struggling to afford their medication. We aim to help each and every American in that situation.
Can methylphenidate be used during pregnancy?
Tell your doctor your medical history, especially of: seizures or motor tics, Tourette's disorder, glaucoma, high blood pressure, severe anxiety, alcoholism, drug dependence, mental conditions, any allergies. If this medication makes you dizzy or lightheaded, use caution driving or engaging in activities requiring alertness. Methylphenidate should be used during pregnancy only when clearly needed. Discuss the risks and benefits with your doctor. It is not known if methylphenidate is excreted into breast milk. Consult your doctor before breast-feeding.
How much does dexmethylphenidate cost?
The lowest GoodRx price for the most common version of dexmethylphenidate ER is around $58.75, 77% off the average retail price of $262.07.
Is it worth asking your doctor about generics?
If you're taking an expensive brand-name-only drug, it may be worth asking your doctor if there are any other less expensive, generic, or over-the-counter options that might work for you.
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Is the XR card valid for Medicare?
Yes No. Patient Ineligible: It doesn't appear that you are eligible for the FOCALIN XR Co-Pay Card, as the offer is not valid under Medicare, Medicaid, or any other federal or state program. If you are unsure about your type of insurance, please contact your insurer or call. 1-800-245-5356.
What is XR in the CNS?
Dexmethylphenidate extended release (XR) [Focalin XR] is a CNS stimulant indicated for the treatment of attention-deficit hyperactivity disorder (ADHD) in patients aged > or = 6 years. Dexmethylphenidate contains the d-threo-enantiomer of methylphenidate. Dexmethylphenidate XR capsules have a bim …
Is dexmethylphenidate XR a controlled substance?
Although dexmethylphenidate XR is a controlled substance in the US, this formulation appears to have a low risk of abuse or misuse. Thus, dexmethylphenidate XR extends the range of first-line pharmacological treatment options for children, adolescents or adults with ADHD, particularly for patients who require a rapid onset and prolonged duration ...
Is dexmethylphenidate a stimulant?
Dexmethylphenidate extended release (XR) [Focalin XR] is a CNS stimulant indicated for the treatment of attention-deficit hyperactivity disorder (ADHD) in patients aged > or = 6 years. Dexmethylphenidate contains the d-threo-enantiomer of methylphenidate. Dexmethylphenidate XR capsules have a bimodal release profile, which mimics two doses of dexmethylphenidate immediate release (IR) given 4 hours apart, and allows once-daily administration. Once-daily dexmethylphenidate XR was effective and generally well tolerated in the treatment of ADHD in children, adolescents and adults in placebo-controlled trials. Improvements in ADHD symptoms were significantly greater for dexmethylphenidate XR versus placebo throughout the day, from as early as 0.5 hours after drug administration up to 11-12 hours after administration. Furthermore, dexmethylphenidate XR showed greater efficacy than osmotic release oral system (OROS) methylphenidate over the first half of the laboratory classroom day in crossover trials; however, assessments late in the day (10-12 hours post-dose) favoured OROS methylphenidate. The once-daily administration regimen with dexmethylphenidate XR avoids the need for a midday dose to be administered at school; administration options are extended in that the contents of the dexmethylphenidate XR capsule can be sprinkled on apple sauce for patients unable to swallow the capsule whole. Although dexmethylphenidate XR is a controlled substance in the US, this formulation appears to have a low risk of abuse or misuse. Thus, dexmethylphenidate XR extends the range of first-line pharmacological treatment options for children, adolescents or adults with ADHD, particularly for patients who require a rapid onset and prolonged duration of action, including children who require a reduction in ADHD symptoms throughout the school day.
Important Note
- 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. METHYLPHENIDATE - ORAL SUSTAINED ACTIO…
Uses
- This medication increases mental alertness. It is used in the treatment of narcolepsy (problems staying awake). It is also used in treatment of hyperactivity or attention deficit disorder. Additionally it is used for treating depression in senile, post-stroke and cancer patients.
How to Use
- This medication must be swallowed whole. Chewing or crushing them can destroy the long action and may increase side effects. This medication is best taken 30-45 minutes before meals. If loss of appetite or stomach upset occurs. It may be taken with or after a meal or snack. Use this medication exactly as prescribed. Do not increase your dose, use i...
Side Effects
- Loss of appetite, blurred vision, dizziness, lightheadedness, dry mouth, headache, stomach upset, sleeplessness, irritability or constipation may occur the first few days as your body adjusts to the medication. If these effects persist or worsen, inform your doctor. Notify your doctor if you experience: weight loss, chest pain, nervousness, pounding heart, difficulty urinating, mood chan…
Precautions
- Tell your doctor your medical history, especially of: seizures or motor tics, Tourette's disorder, glaucoma, high blood pressure, severe anxiety, alcoholism, drug dependence, mental conditions, any allergies. If this medication makes you dizzy or lightheaded, use caution driving or engaging in activities requiring alertness. Methylphenidate should be used during pregnancy only when clear…
Drug Interactions
- Certain medications taken with this drug 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 med…
Overdose
- If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include dilated pupils, vomiting, nervousness, twitching, tremors, flushing, sweating, severe or persistent headache, seizures, and loss of consciousness.
Missed Dose
- If you miss a dose, take as soon as remembered and take any remaining doses for that day at evenly spaced times. Do not "double-up" the dose to catch up.
Storage
- Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom.