• ADHD

ADHD:

Indications for FOCALIN:

Attention deficit hyperactivity disorder.

Adults and Children:

<6yrs: not established. Individualize. ≥6yrs: initially 2.5mg twice daily at least 4hrs apart; may increase by 2.5–5mg weekly; max 20mg/day. Switching from racemic methylphenidate (eg, Ritalin): ½ of racemic methylphenidate dose.

Contraindications:

During or within 14 days of MAOIs.

Boxed Warning:

Abuse and dependence.

Warnings/Precautions:

High potential for abuse and dependence; monitor. Increased risk of sudden death, stroke, and MI; assess for presence of cardiac disease before initiating. Avoid in known structural cardiac abnormalities, cardiomyopathy, serious arrhythmias, coronary artery disease, and other cardiac problems. Pre-existing psychotic disorder. Bipolar disorder. Screen for risk factors of developing a manic episode prior to initiation. Consider discontinuing if new psychotic/manic symptoms occur. Peripheral vasculopathy, including Raynaud's Phenomenon; monitor for digital changes. Monitor growth (esp. children), BP, HR. Reduce dose or discontinue if paradoxical aggravation of symptoms occur. Reevaluate periodically. Pregnancy. Nursing mothers: monitor infants.

See Also:

Pharmacologic Class:

CNS stimulant.

Interactions:

See Contraindications. Hypertensive crisis with MAOIs. Avoid concomitant use with halogenated anesthetics (eg, halothane). May antagonize antihypertensives. Risk of serotonin syndrome with serotonergic drugs.

Adverse Reactions:

Dyspepsia, dry mouth, decreased appetite, headache, anxiety, pharyngolaryngeal pain, anorexia, nausea, abdominal pain, fever; weight loss, hypertension, tachycardia, priapism.

Metabolism:

Hepatic.

Elimination:

Renal.

Generic Availability:

XR 5mg, 10mg, 15mg, 20mg, 30mg, 40mg (YES); 25mg, 35mg (NO); tabs (YES)

How Supplied:

XR caps, tabs—100

Pricing for FOCALIN

10mg tablet (Qty: 60)
Appx. price $33
GoodRx