Compare Ritalin vs. Focalin

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Helps you focus and stay alert.

Ritalin (methylphenidate) is a first-choice treatment for ADHD that comes in many different forms, but you need to take this medication more often than alternatives.

3.5/ 5 average rating with 526 reviewsforRitalin
Helps you focus and stay alert.

Focalin (Dexmethylphenidate) is a first-choice treatment for ADHD that's available as a generic, but it's a stimulant, so it can cause insomnia and other side effects.

3.3/ 5 average rating with 141 reviewsforFocalin
Upsides
  • First-choice medication to treat ADHD because it is cheap and effective.
  • Ritalin (methylphenidate) is used with counseling and other non-drug therapies to treat ADHD.
  • Available as a generic medication.
  • Available in many different forms: extended-release and immediate-release tablets, chewable tablet, and liquid.
  • Preferred medicine for elderly with ADHD or narcolepsy because it is safer than alternatives for this population.
  • Focalin (Dexmethylphenidate) is used in combination with counseling or other non-drug therapies to treat ADHD.
  • Available as a generic medication.
  • Available in both an immediate-release form, which is given twice a day, and an extended-release form, which is given once a day.
  • Capsules can be opened and sprinkled in water or applesauce for people who don't like swallowing pills.
Downsides
  • Need to take Ritalin (methylphenidate) 2 or 3 times a day compared to other ADHD medications which you can take once daily.
  • Can raise your blood pressure and pulse, so its not safe for people with heart problems.
  • It's a controlled medication (CII), so you may need to get a new prescription each month from your doctor.
  • Ritalin (methylphenidate) may affect growth in children and teens in some cases.
  • Ritalin (methylphenidate) contains a mixture of active and inactive compounds (dexmethylphenidate and methylphenidate, respectively), which may not work as well for some people.
  • Needs to be taken in the morning and early afternoon, or else it can cause insomnia later that night.
  • It's a controlled medication and should be locked up to prevent potential abuse.
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Used for
Dosage forms
  • Pill
  • Chewable tablet
  • Liquid
  • Pill
  • Extended release
Price
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Reviews
526 reviews so far
60%
saidit'sworth it
42%
saiditworked well
19%
saidit'sa big hassle

Have you used Ritalin (methylphenidate)?

Leave a review
141 reviews so far
55%
saidit'sworth it
35%
saiditworked well
21%
saidit'sa big hassle

Have you used Focalin (Dexmethylphenidate)?

Leave a review
Side effects
17possible side effects
  • Lowered appetite
    25%
  • Headache
    22%
  • Dry mouth
    14%
  • Nausea
    13%
  • Difficulty sleeping
    12%
  • Anxiety
    8%
  • Weight loss
    7%
  • Dizziness
    7%
  • Irritability
    6%
  • Fast heartbeat
    5%
  • Sweating
    5%
  • Depression
    4%
  • Stomach pain
    2%
  • Loss of appetite
    2%
  • Vomiting
    2%
  • Blurry vision
    2%
  • Aggressive behavior
    2%
See more detailed side effects
The Focalin (Dexmethylphenidate) FDA package insert doesn’t have numbers about how common side effects are.
Risks and risk factors
  • Abuse and dependence
    • History of drug abuse
    • Alcoholism
  • Serious or life-threatening heart problems
    • History of heart problems
  • Aggressive behavior and psychiatric symptoms
    • History of psychotic episodes
    • History of bipolar disorder
    • History of Tourette's syndrome
  • Height and weight delay in children
    • Children
  • Seizures
    • History of seizures
  • Circulation problems in the hands and feet
See more detailed risks and warnings
  • High blood pressure
    • Taking monoamine oxidase inhibitors (MAOI) 14 days before starting
  • Abuse and dependence
    • History of drug abuse
  • Serious or life-threatening cardiovascular events
    • History of heart problems
  • Aggressive behavior and psychosis
    • History of psychotic episodes
    • History of Bipolar Disorder
  • Long-term growth suppression
    • Ages 7 to 10
  • Seizures
    • History of seizures
  • Prolonged erection
  • Circulation problems in the hands and feet
  • Vision changes
See more detailed risks and warnings