What Is Focalin XR?

Focalin XR is a prescription extended-release capsule used to treat attention deficit hyperactivity disorder (ADHD) in patients aged 6 and older. It contains Dexmethylphenidate Hydrochloride, the more pharmacologically active form of Methylphenidate — the same ingredient found in Ritalin and Concerta.

Manufactured by Novartis Pharmaceuticals, Focalin XR was approved by the FDA and is classified as a Schedule II controlled substance due to its potential for abuse and dependence. It belongs to the class of central nervous system (CNS) stimulants.

Brand vs. Generic

Focalin XR is the brand name. The generic equivalent is Dexmethylphenidate Hydrochloride extended-release capsules, which is manufactured by several companies and is significantly cheaper. You may also hear it referred to as Dexmethylphenidate ER or d-Methylphenidate.

The immediate-release version is sold as Focalin (without the "XR") and is taken two to three times per day.

What Is Focalin XR Used For?

Focalin XR is FDA-approved for the treatment of ADHD in patients aged 6 years and older. This includes both children and adults.

ADHD is a neurodevelopmental condition characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with daily functioning. Focalin XR helps improve focus, attention, and impulse control. For a plain-English explanation of how it works in your brain, see our guide on how Focalin XR works.

Off-Label Uses

Some doctors prescribe Focalin XR off-label for conditions including treatment-resistant depression (as an augmentation strategy), narcolepsy, cancer-related fatigue, and idiopathic hypersomnia. Off-label use means the drug is being prescribed for a condition it hasn't been specifically FDA-approved to treat.

How Is Focalin XR Taken?

Focalin XR is taken once daily in the morning, with or without food. The extended-release capsule is designed to release medication in two phases — about half immediately and the other half approximately 4 hours later — providing coverage throughout the day.

Available Strengths

Focalin XR comes in 8 strengths: 5 mg, 10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 35 mg, and 40 mg.

Typical Dosing

• Children (ages 6+): Starting dose is usually 5 mg once daily. The doctor may increase by 5 mg per week. Maximum dose is 30 mg/day.
• Adults: Starting dose is usually 10 mg once daily. The doctor may increase by 10 mg per week. Maximum dose is 40 mg/day.

How to Take It

• Swallow the capsule whole with water
• Alternatively: Open the capsule and sprinkle the beads onto a spoonful of applesauce. Swallow the mixture immediately without chewing the beads.
• Do not crush, chew, or break the beads — this would release the full dose at once
• Do not store sprinkled applesauce for later use
• Always take it in the morning to avoid insomnia

Who Should Not Take Focalin XR?

Focalin XR is not safe for everyone. You should not take it if you have:

• A known allergy to Methylphenidate or any ingredient in Focalin XR
• Glaucoma
• Motor tics, or a family history or diagnosis of Tourette's syndrome
• Taken an MAO inhibitor (such as Phenelzine or Selegiline) within the past 14 days

Use with caution if you have:

• Pre-existing heart conditions, high blood pressure, or structural heart problems
• A history of psychiatric disorders including psychosis, bipolar disorder, or severe anxiety
• A seizure disorder
• A history of substance abuse

Focalin XR is not approved for children under 6 years of age. It is not recommended during pregnancy or breastfeeding unless your doctor determines the benefits outweigh the risks.

For a complete list of medications that interact with Focalin XR, see our drug interactions guide. For information on side effects, read our side effects guide.

How Much Does Focalin XR Cost?

The cost of Focalin XR varies significantly depending on whether you get the brand-name or generic version.

• Brand-name Focalin XR: $250-$580 for a 30-day supply (30 capsules), depending on the strength
• Generic Dexmethylphenidate ER: $40-$100 with a coupon for a 30-day supply. Prices can be as low as $29.92 with GoodRx.

Insurance Coverage

Generic Dexmethylphenidate ER is covered by most insurance plans. Brand-name Focalin XR may require prior authorization or step therapy (trying the generic first). Medicare Part D typically covers the generic with copays around $60-$80.

Savings Options

Novartis offers a manufacturer savings card where eligible patients pay the first $10 of their copay and Novartis covers up to $60 per fill. This is not available for patients on government insurance (Medicare, Medicaid, Tricare).

For a complete breakdown of savings programs, coupons, and patient assistance, see our guide to saving money on Focalin XR.

Availability in 2026

Focalin XR has been affected by the ADHD stimulant shortage that began in late 2022. As of early 2026, some strengths remain difficult to find at certain pharmacies. If you're having trouble filling your prescription, use Medfinder to check which pharmacies near you have Focalin XR in stock.

Final Thoughts

Focalin XR is a well-established ADHD medication that provides all-day symptom control with a single morning dose. Whether you're newly diagnosed or considering switching from another medication, understanding what Focalin XR is, how to take it, and what it costs can help you have a more informed conversation with your doctor.

Ready to find Focalin XR near you? Search on Medfinder to locate pharmacies with stock in your area.