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dexmethylphenidate

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Also known as FOC124, D-TMP, d-threo-methylphenidate, (+)-threo-methylphenidate, methyl (R)-phenyl[(R)-piperidin-2-yl]acetate

Dexmethylphenidate, sold under the brand name Focalin among others, is a central nervous system (CNS) stimulant used in the treatment of attention deficit hyperactivity disorder (ADHD) in those over the age of five years. It is taken by mouth. The immediate-release formulation lasts up to five hours while the extended-release formulation lasts up to twelve hours. It is the more active enantiomer of methylphenidate. Methylphenidate has been shown to be more effective than atomoxetine and superior in treating ADHD symptoms when compared.

Wikidata facts

Mass
233.141579
Show 7 more facts
Commons category
Dexmethylphenidate
name
dexmethylphenidate
chemical formula
C₁₄H₁₉NO₂
canonical SMILES
COC(=O)C(C1CCCCN1)C2=CC=CC=C2
isomeric SMILES
COC(=O)[C@@H]([C@H]1CCCCN1)C2=CC=CC=C2
World Health Organisation international non-proprietary name
dexmethylphenidate
defined daily dose
15.0
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~10 min read

Article

13 sections
Contents
  • Medical uses
  • Contraindications
  • Hypertension
  • Cardiac disease
  • Glaucoma
  • Adverse effects
  • Interactions
  • Pharmacology
  • Pharmacokinetics
  • Mechanism of action
  • Chemistry
  • Notes
  • References

Dexmethylphenidate, sold under the brand name Focalin among others, is a central nervous system (CNS) stimulant used in the treatment of attention deficit hyperactivity disorder (ADHD) in those over the age of five years. It is taken by mouth. The immediate-release formulation lasts up to five hours while the extended-release formulation lasts up to twelve hours. It is the more active enantiomer of methylphenidate. Methylphenidate has been shown to be more effective than atomoxetine and superior in treating ADHD symptoms when compared.

Common side effects include abdominal pain, loss of appetite, and fever. Serious side effects may include psychosis, sudden cardiac death, mania, anaphylaxis, seizures, and priapism. Safety during pregnancy and breastfeeding is unclear.

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