Brand Names for Dexmethylphenidate
Dexmethylphenidate is marketed under the brand name Focalin (immediate-release) and Focalin XR (extended-release). 1, 2, 3
Available Formulations
Immediate-Release (Focalin)
- Focalin is the brand name for immediate-release dexmethylphenidate hydrochloride 3
- Available as D-shaped tablets in 2.5 mg, 5 mg, and 10 mg doses 3
- Requires twice-daily dosing 4
Extended-Release (Focalin XR)
- Focalin XR is the brand name for extended-release dexmethylphenidate hydrochloride 1, 2
- Available as extended-release capsules in 5 mg, 10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 35 mg, and 40 mg strengths 1
- Utilizes a bimodal release profile with immediate-release and delayed-release beads, allowing once-daily administration 1, 2
- Can be opened and sprinkled on applesauce for patients unable to swallow capsules whole 2
Newer Combination Product
Serdexmethylphenidate/Dexmethylphenidate (Azstarys)
- Azstarys is a newer formulation combining serdexmethylphenidate (a prodrug of dexmethylphenidate) with immediate-release dexmethylphenidate 5, 6
- Approved for patients aged ≥6 years with ADHD 6
- Provides once-daily dosing with extended duration of action 5, 7
- The prodrug design potentially reduces abuse potential compared to standard dexmethylphenidate 8
Key Clinical Distinctions
Dexmethylphenidate represents the pharmacologically active d-threo-enantiomer of racemic methylphenidate (Ritalin), allowing for lower dosing compared to mixed-isomer formulations. 1, 3
- Dexmethylphenidate provides effective ADHD management at approximately half the dose of racemic methylphenidate 3
- The extended-release formulation (Focalin XR) mimics two doses of immediate-release dexmethylphenidate given 4 hours apart 2
- Duration of effect extends up to 12 hours post-dose with extended-release formulations 2, 9