ADHD Medication and Treatment Reviews
Return to Focalin XR Overview

Focalin XR

Focalin XR is an extended-release stimulant ADHD medication used to treat symptoms of attention deficit hyperactivity disorder in children and adults. Learn about it uses, side effects, and dosages here. Generic Name: dexmethylphenidate HCL

19 Comments & Reviews: Focalin XR

  1. My daughter tried a number of medications for help for her ADD, and most caused extreme meltdown symptoms after a week or so of honeymoon behavior. She has been on Focalin XR for many years now, starting with 5 and increasing to 10 mg. just in the last three years. Her handwriting and other abilities go from looking like a kindergarden child to a fifth grader within 1/2 hour of taking it. It’s extremely beneficial to her even in social situations. The only drawbacks I can note is her emotional volatility at the end of the cycle and her lack of appetite. Terrible choices to have to make but none the less, this medicine definitely changes her functioning level.

  2. I’m an adult, who was dx’d as an adult, even though I’ve suspected it since about 13 years old. I’m one of those people who develop tolerances to most medications (not just ADHD ones); so for a couple years, I would switch back and forth between Adderall-based and Ritalin-based medications. I first tried Focalin XR in my early 20s and it worked great, but the positive effects waned as I grew used to the medication. After that, I did go back on it again, probably within the next year after first trying it, and I was surprised that, this time, I did not develop a tolerance to it. I would have stayed on it, but I switched psychiatrists, and was put on generic Ritalin. Over time, it just wasn’t working, so I requested again the Focalin XR. I had to get a formulary exception for it, as my insurance did not have Focalin XR on their formulary. They did approve it, which I was actually quite surprised. And that was well over a year ago, and it is still working. If I had any side effects from it, they were either too mild to even notice, or had the same side effects of any of the other meds I do take. I don’t get rebound from it, but I do take it twice a day. About 6 hours apart. It has never, ever, worked longer than 6 hours for me. So the 2nd dose I take in the afternoon, anywhere between 1pm and 3pm.

  3. I’m 19 years old and was switched to Vyvanse from this medication after realizing I had a rare allergic reaction to it. I had trouble breathing and my face broke out in a horrific rash. My doctor told me it wasn’t the Focalin XR but I later learned that it was. There isn’t much about this adverse reaction online– so I’m confirming it exists! This medication works very well for a lot of people, but if you or your child decides to start it please be mindful of rare reactions like mine!!

  4. My 13 yrs old was switched to this in January after 7 years of different doses of Vyvanse and the issues we were seeing, crying, zombie,tics, picking off skin, roller coasters..all changed, it’s all gone and he has even gained too much weight at this point. He takes a 20 mg dose about 7:45 a.m, but it is gone before the end of the school day at 2:55. We have added and afternoon 5 mg of Focalin, to try and get him through homework. He still cannot sit long enough to get work done or stay on track, but the extra efforts I have to do to help him, far outway the side effects of the other medicine and he can tell a huge difference also.

  5. This worked well short-term but caused our daughter many side effects (loss of appetite, significant weight loss, anxiety, sleeplessness, irritability). After taking since Sep 2013, we took her off the medication in January of this year. This medication did nothing to help with impulse control. We are now doing supplements, mindfulness, and restricting electronic devices substantially. The issues we were facing previously are still there (distractedness, hyperactivity, impulse control issues) but my child is not irritable all the timei, she is willing to try new foods, is eating and sleeping better, and is willing to try new things. It continues to be a long road, but for us medication was not the answer.

  6. My son, 12, currently is taking 15 mg of Focalin XR. Since he only takes 1 dose fairly early in the day (around 7:00 a.m.), it wears off by the time he goes to bed. However, sometimes he still has trouble going to sleep and on those nights, he takes valerian root.

  7. My daughter, 9, also takes Focalin XR. We just increased her dosage to 15 mg a couple of weeks ago due to her inattention and hyperactivity increasing. She had been doing very well on the 10 mg dosage for quite some time. She also has sleep issues. Our pediatrician prescribed 0.1 mg of Clonidine to help her sleep. We also give her 6 mgs of melatonin with the Clonidine (okayed by the pediatrician) before we want her to go to sleep.

  8. My son, at 8, was on Focalin XR. He started at 10mg (which the pediatrician said was a low dose) and went up to 30mg. It was wonderful. Unfortunately, we had to switch to another med after about a year, because the Focalin started to wear off way too soon and the rebound effect became really bad.

  9. My 8-year-old son has been on Focalin XR for almost a year at 10mg (morning dose only), paired with 1mg of Intuniv. He seems to be doing okay at school, but the effects seem to wear off by the afternoon.

  10. My 8-year-old daughter has been on Focalin XR 10 mg for about a year now. By the end of the last school year she was on 15 mg. and doing really well. But I was concerned about how much weight she had lost. She had dropped almost 10 lbs., and while all the blood work came back okay and she was still in ‘healthy guidelines,’ I was concerned. So for the summer our neurologist brought her back down to 10 mg. And that was fine for the summer, but now that school is back in I’m finding that the 10 mg. isn’t quite “holding” (for lack of a better word) her through the day and I’m going to request that she be brought back up to 15 mg. My girl is also very active in extra curricular activities in the evenings and we are considering opening up the discussion to maybe giving her Intuniv in the evenings.

  11. My son is 11 and is on a 25 mg dosage of Focalin XR. He has done very well on it. The teachers and I have noticed that the meds have been starting to wear off late in the afternoon, which is causing some problems with missing assignments that impact his grades. His doctor is prescribing a 5 mg dose of regular Focalin to be taken after lunch that will get him through the rest of the day.

  12. We have had tremendous success with Focalin. The only troubling part is that typically the more effective the medicine, the more likely you will also experience side effects. So we have made accommodations for our son since Focalin is the most effective as noticed by family, us as parents, school, and even my son. At 85 pounds, my son takes 25mg XR with 7.5 mg (regular) at lunch for a boost that lasts through homework time.

  13. Our son was on Focalin during 1st grade. We noticed major tics in his eyes, and later on, he chewed his nails and twirled his hair. After switching to Concerta, all of that stopped.

  14. Both my kids have been prescribed Focalin XR. My son is 17 and my daughter is 12. My daughter’s creativity doesn’t seem to be impacted; however, my son, who was a very creative, outside the box thinker will no longer take his meds because he isn’t as creative when on them. More organized and less forgetful, yes, but not as creative.

  15. Focalin XR works very well for me. I was recently diagnosed with ADHD as a middle-aged woman and use 5 mg of Focalin XR daily, often supplemented with 2.5 mg of regular Focalin in the afternoon if I know I’m going to have a long evening or it’s been an unusually stressful day. If I have to get up very early or know I will be up late, I take an additional 5 mg of XR in early afternoon.

    From the first dose, there was a clarity and quietness of mind that I had never experienced before. I tried Vyvanse and found that it made me feel jittery and gave me a “roller coaster effect” of feeling odd then better.

    Higher doses of Focalin XR make me feel a little hyper and talkative. For well over 6 months now, I’ve done just fine at the 5 mg level.

  16. My son started Focalin when he was diagnosed at 6 years old. He is on 5mg of Focalin XR daily (taken in the morning). He cried easily when we first put him on it, so we decided to try Ritalin and then Adderall. Both had terrible side effects. He would go into fits of rage that would last for hours. We then put him back on the Focalin but also gave him 1.5 mg. of Tenex with it. The combination has been great. He does sometimes take a quick little catnap in the afternoon at school. We tried to give him short acting pill of Focalin when he got home from school to give him little boost while doing his homework. After 3 days, he went back to throwing huge fits (one was at school). We immediately took him off of it and decided to just deal with the homework after school.

  17. My 13 year old switched to Focalin last year from Concerta, which he was on since he was 6. His doctor switched him because, even though the Concerta worked fine, he had horrible insomnia and the doctor said the side effects were better with Focalin. So far it’s been great. One pill at 6:30 am lasts until about 4 pm. He takes 15mg of Focalin XR.

  18. The first ADD medication we tried for my daughter was Vyvanse. Her concentration improved, but her emotions were right on the surface and she would frequently burst into tears over the most insignificant things. We switched her to Focalin XR and had much better (less emotional) results, but by the time we got to homework the medication had worn off and it took 90 minutes to complete 2 workbook pages. Because she’s already so petite her doctor didn’t want to add a booster dose. We have switched to Intuniv over the summer; we will see how she does once school starts.

Tips for Good Medication and Treatment Reviews

  • Post reviews only for medications or treatments you have used or prescribed.
  • In your description, mention whether you're reviewing the medication or treatment for a child or for an adult (yourself or another adult), and as a patient or as a medical professional.
  • Mention what medical condition you were using the medication or treatment to address.
  • Mention the brand, dose, and period of time that you used the medication or treatment.
  • Please share your positive and negative experiences with the medication or treatment in detail. Note effectiveness, ease of use, side effects; and compare it with other treatments you have used.
  • Do not include any personal information or links in your review.

Add Your Review