Reported Reactions

Drugs › Central nervous system stimulant

Brand name · Dexmethylphenidate hydrochloride

Focalin: adverse event reports filed with FDA

1,832 reports list it as a suspect or interacting product, 2004–2026. Class: Central nervous system stimulant. Also reported as Focalin Xr, Focalin Xr Extended Release Capsules, Focalin /01611102/.

1,832
reports as suspect product
0% of all reports · about 83 a year
80
reports, 12 months to June 2026
102 in the 12 months before
39.1%
marked serious by the reporter
45% across the class
0.7%
record death among outcomes, as reported
12 reports · not verified by FDA

Between June 2004 and June 2026, 1,832 adverse event reports received by FDA list the brand name Focalin (dexmethylphenidate hydrochloride) as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,882) are left out of every figure here.

In the 12 months to June 2026, 80 reports listed it, down 22% from 102 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 83 reports a year and 0% of the 20,646,523 reports in the database, and 1.7% of the reports for the central nervous system stimulant class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug ineffective (23.9%), abnormal behaviour (5.5%) and decreased appetite (4.5%). A report can list several reactions, so shares add to more than 100%; 297 different terms appear across these reports. Drug ineffective is recorded in 23.9% of these reports, a larger share than in the median central nervous system stimulant drug (17.8%).

39.1% of the reports are marked serious by the reporter (45% across the class); 0.7% record death among the outcomes and 6.8% record hospitalisation, as reported. 53.4% of the reports came from consumers, and the largest patient age group is 2 to 11 (17.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01223Jul 2021: 7Aug 2021: 6Sep 2021: 6Oct 2021: 4Nov 2021: 10Dec 2021: 22022Jan 2022: 8Feb 2022: 4Mar 2022: 4Apr 2022: 7May 2022: 4Jun 2022: 3Jul 2022: 6Aug 2022: 11Sep 2022: 10Oct 2022: 7Nov 2022: 7Dec 2022: 72023Jan 2023: 12Feb 2023: 8Mar 2023: 13Apr 2023: 13May 2023: 9Jun 2023: 7Jul 2023: 8Aug 2023: 14Sep 2023: 10Oct 2023: 5Nov 2023: 9Dec 2023: 132024Jan 2024: 7Feb 2024: 3Mar 2024: 12Apr 2024: 7May 2024: 5Jun 2024: 6Jul 2024: 6Aug 2024: 6Sep 2024: 8Oct 2024: 8Nov 2024: 5Dec 2024: 32025Jan 2025: 23Feb 2025: 7Mar 2025: 9Apr 2025: 10May 2025: 10Jun 2025: 7Jul 2025: 3Aug 2025: 10Sep 2025: 8Oct 2025: 8Nov 2025: 8Dec 2025: 72026Jan 2026: 4Feb 2026: 9Mar 2026: 10Apr 2026: 2May 2026: 6Jun 2026: 5

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01042072004: 620042005: 162006: 642007: 5320072008: 612009: 402010: 4920102011: 552012: 502013: 4820132014: 672015: 2072016: 13920162017: 1202018: 1122019: 13320192020: 1172021: 742022: 7820222023: 1212024: 762025: 11020252026: 36

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Focalin reports recording the termmedian drug in central nervous system stimulant

  1. Drug ineffectivethe medicine did not work as expected23.9%437
  2. Abnormal behaviourunusual behaviour5.5%100
  3. Decreased appetitereduced appetite4.5%82
  4. Anxietyanxiety4.4%80
  5. Disturbance in attentiondifficulty concentrating4%74
  6. Feeling abnormalfeeling odd or not right3.9%71
  7. Aggressionaggressive behaviour3.8%69
  8. Headachehead pain3.6%66
  9. Treatment failurethe treatment did not work3.4%62
  10. Insomniadifficulty sleeping3.3%60
  11. Depressionlow mood2.9%53
  12. Irritabilityirritability2.7%50
  13. Anger2.6%48
  14. Abdominal pain upperupper stomach pain2%36
  15. Weight decreasedweight loss1.9%34
  16. Malaisegeneral feeling of being unwell1.6%30
  17. Nauseafeeling sick1.6%30
  18. Wrong technique in product usage processthe product was used in the wrong way1.6%30
  19. Fatiguetiredness1.5%28
  20. Tic1.5%28
  21. Agitationrestlessness1.5%27
  22. Off label useused for a purpose or in a way not on the label1.5%27
  23. Product substitution issuea problem after switching products1.5%27
  24. Suicidal ideationthoughts of suicide1.5%27
  25. Product availability issuethe product was not available1.4%25
  26. Attention deficit/hyperactivity disorder1.3%24
  27. Somnolencedrowsiness1.3%24
  28. Dizzinesslight-headedness or unsteadiness1.3%23

Top 30 of 297 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 26 drugs in the central nervous system stimulant class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death0.7%12
Life-threatening2.2%41
Hospitalisation (initial or prolonged)6.8%125
Disability2%37
Congenital anomaly0.1%2
Other serious31.7%581
Not serious60.9%1,116

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 109,804 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.1%2
2 to 1117.8%327
12 to 177.8%143
18 to 445.5%100
45 to 642%36
65 to 740.3%6
75 and over0.1%1
Age not given66.4%1,217

Patient sex

Female27.6%506
Male54%990
Not given18.3%336

Who reported

Physician23.6%432
Pharmacist3.1%56
Other health professional11.2%206
Lawyer0.3%6
Consumer or non-health professional53.4%978
Not given8.4%154

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 97.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Attention deficit/hyperactivity disorder38220.9%
Attention deficit hyperactivity disorder975.3%
Major depression20.1%
Psoriasis20.1%
Tic20.1%

The indication field is filled in by the reporter and is often blank; shares are of all 1,832 reports.

In context

MeasureFocalinCentral nervous system stimulantAll reports
Reports as suspect product1,832109,80420,646,523
Share of that pool—1.7%0%
Reports, latest 12 months80—1,332,454
Marked serious39.1%45%57.4%
Death recorded among outcomes, per 1,000 reports77991
Hospitalisation recorded, per 1,000 reports68129213
Consumer-filed share53.4%57.1%45.8%
Top term, share of reportsDrug ineffective 23.9%median 17.8%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the central nervous system stimulant class

DrugName typeReportsLatest 12 monthsMarked serious
Vyvansebrand17,54662725.7%
Daytranabrand13,703545.6%
Concertabrand10,83428165.2%
Adderallbrand10,07462238%
Methylphenidategeneric6,48373874.2%
Ritalinbrand6,14717575.2%
Methylphenidate hydrochloridegeneric5,91670357.7%
Excedrinbrand5,5304727.5%
Excedrin Migrainebrand4,6629712.1%
Amphetaminegeneric4,38848696.1%
Lisdexamfetamine dimesylategeneric4,30071373.1%
Caffeinegeneric3,72134892.8%
Excedrin Extra Strengthbrand3,2425330.1%
Quillivantbrand2,0109211.1%
Amphetamine sulfategeneric1,4748993.7%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Focalin reports

How many adverse event reports has FDA received for Focalin?

1,832 reports list Focalin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 80 of them arrived in the latest 12 months. Another 1,882 list it only as a concomitant medication.

What reactions are recorded in Focalin reports?

drug ineffective (23.9%), abnormal behaviour (5.5%), decreased appetite (4.5%), anxiety (4.4%) and disturbance in attention (4%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Focalin was responsible.

How serious are the reports?

39.1% are marked serious by the reporter. Among the outcomes recorded, 0.7% of reports include death and 6.8% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (53.4%), physician (23.6%) and other health professional (11.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Focalin rising?

80 reports in the 12 months to June 2026, down 22% from 102 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Focalin was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Focalin?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Focalin as a suspect or interacting product; reports listing it only as a concomitant medication (1,882) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.