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    Dexmethylphenidate molecular structure

    Dexmethylphenidate Stats & Data

    Focalin xr Dextromethylphenidate Dexmethylphenidate er Dexmethylphenidate hcl er Dexmethylphenidate extended-release focalin
    NPS DataHub
    MW233.31
    FormulaC14H19NO2
    CAS40431-64-9
    IUPACmethyl (2R)-2-phenyl-2-[(2R)-piperidin-2-yl]acetate
    SMILESCOC(=O)C(C1CCCCN1)c1ccccc1
    InChIKeyDUGOZIWVEXMGBE-CHWSQXEVSA-N
    Phenethylamines
    Chemical Class Substituted phenidate
    Psychoactive Class Stimulant

    Pharmacology

    DrugBank
    State Solid Vd 2.65L/kg when administered intravenously.

    Description

    Dexmethylphenidate is the dextrorotary form of methylphenidate introduced in 2002. It is a norepinephrine-dopamine reuptake inhibitor (NDRI) and thus a psychostimulant. It is used for treatment of Attention Deficit Hyperactivity Disorder (ADHD). The d-isomer is thought to have greater effect with fewer side effects than the l-isomer or the racemic mixture.

    Mechanism of Action

    Methylphenidate inhibits dopamine and norepinephrine reuptake transporters in synapses, especially in the thalamus and striatum. One study shows no detectable difference in the caudal prefrontal cortex of treated or untreated monkeys, though multiple rat studies show activity on the prefrontal cortex. Imaging of human brains after administration of methylphenidate shows changes to blood flow of various regions of the brain including the striatum, supplementary motor area, and posterior parietal cortex.

    Pharmacodynamics

    Dexmethylphenidate is the d-enantiomer of methylphenidate. This enantiomer is more pharmacologically active than the racemic mixture and may block norepinephrine and dopamine reuptake in synapses.

    Metabolism

    Dexmethylphenidate is metabolised to the inactive metabolite ritalinic acid by carboxylesterase 1A1 in the liver. Other minor pathways metabolise dexmethylphenidate to the inactive metabolites 6-oxo-methylphenidate and p-hydroxy-methylphenidate which are de-esterified and conjugated into other unknown metabolites.

    Absorption

    Taking dexmethylphenidate with or without food does not affect patients in a clinically relevant way. 90% of an oral dose is absorbed but as a result of hepatic first pass metabolism, oral bioavailability of dexmethylphenidate is 23% compared to l-methylphenidate with an oral bioavailability of 5% . Maximum concentration is generally reached in 1-1.5 hours.

    Indication

    Dexmethylphenidate is used as a treatment for ADHD, ideally in conjunction with psychological, educational, behavioral or other forms of treatment.

    Half-life

    The mean terminal half life is approximately 2.2 hours. However other studies have shown 3.8-3.9 hours, or 5.96 hours after intravenous administration and 5.69 hours following an oral dose.

    Protein Binding

    12-15% of dexmethylphenidate is protein bound. However, other studies have observed 15.2±5.2% protein binding in children and 16.2±1.1% in adults.

    Elimination

    Dexmethylphenidate is mainly eliminated renally. After 48 hours, 90% of the dose is collected in the urine and 3.3% is collected from feces.

    Clearance

    0.40L/hr/kg following an intravenous dose and a renal clearance of 0.005L/hr/kg.

    Measured Affinities

    Guide to PHARMACOLOGY

    Measured binding and functional data for dexmethylphenidate, curated by the IUPHAR/BPS Guide to PHARMACOLOGY. Each row cites the paper it came from. Lower concentrations mean tighter binding — a value in the sub-nanomolar range indicates a very potent interaction.

    Target Action Measure Value Concentration Species Source
    DAT SLC6A3 Inhibition pKi 7.6 25.12 nM Human PMID 21129986
    NET Slc6a2 Inhibition pKi 6.57 269.15 nM Rat PMID 17489581

    Reading this. pKi, pEC50 and pIC50 are negative log molar values, so a higher number means a tighter interaction; the concentration column converts them for you. Values from non-human species are laboratory measurements and do not translate directly to human effect. Receptor affinity is not a dose — it describes what a molecule binds, not how much of it is safe to take.

    Receptor data from the IUPHAR/BPS Guide to PHARMACOLOGY (v2026.2), licensed CC BY-SA 4.0. Matched to this substance by InChIKey.

    History & Culture

    Dexmethylphenidate is the dextrorotatory enantiomer of methylphenidate, isolated and developed as a separate pharmaceutical product. It received approval for medical use in the United States in 2001 and was subsequently introduced to the market in 2002 under the brand name Focalin. The rationale for its development was that the d-isomer was believed to be the more pharmacologically active component of the racemic methylphenidate mixture. Since its introduction, dexmethylphenidate has become widely prescribed for the treatment of attention deficit hyperactivity disorder. Generic formulations have become available, expanding access beyond the original brand-name product. By 2023, it had become the 127th most commonly prescribed medication in the United States, with more than 4 million prescriptions written annually.

    Toxicity

    PsychonautWiki PubChem DrugBank

    A toxic dose of methylphenidate is considered to be more than 2 mg/kg or 60 mg of an immediate-release formulation, or more than 4 mg/kg or 120 mg of an intact extended-release formulation. In the majority of cases in one study, methylphenidate overdose was asymptomatic or characterized by minor symptoms even in children under age 6. However, a significant amount of patients (31%) in the study developed symptoms typical of stimulant overdose, most commonly tachycardia, agitation, and paradoxically lethargy. In the 2012 National Poison Data System report, methylphenidate exposure was reported 9,787 times, with 1,609 reporting no adverse effects, 1,009 reporting mild effects, 662 reporting moderate effects, 33 reporting major symptoms, and no cases resulting in death.

    Carcinogenicity

    No indication of carcinogenicity to humans (not listed by IARC).

    Addiction & dependence

    In terms of its tolerance, methylphenidate can be used multiple days in a row for extended periods of time and is often prescribed to be used in this way. Tolerance to many of the effects of methyphenidate develops with prolonged and repeated use. This results in users having to administer increasingly large doses to achieve the same effects.

    Toxicity (DrugBank)

    There is no difference in effect across genders. The difference in effect across racial groups, patients under 6 years, renal impairment, hepatic impairment, pregnancy, lactation, and geriatric patients has not been well studied. Patients with renal impairment are not expected to need dose adjustment as the drug is not mainly cleared renally. Animal studies in pregnant and lactating rats showed delayed fetal skeletal ossification, and reduced weight gain in male offspring. Due to these studies, caution must be exercised and the benefits and risks of taking this drug must be weighed. It is unlikely that dexmethylphenidate is carcinogenic but B6C3F1 mice, which are sensitive to the development of hepatic tumours, developed hepatoblastomas at 2 times the maximum recommended human dose. Methylpheidate was not found to be mutagenic but is weakly clastogenic in Chinese Hamster Ovary cells. Methylphenidate does not impair fertility in animal studies.

    Effect Profile

    Curated + 7 Reports
    Stimulant 4.2

    Strong euphoria with moderate anxiety/jitters, mild stimulation

    Stimulation / Energy×3
    4
    Euphoria / Mood Lift×2
    9
    Focus / Productivity×2
    0
    Anxiety / Jitters×1
    6
    Based on reports from:

    Tolerance & Pharmacokinetics

    drugs.wiki

    Tolerance Decay

    Full tolerance 1d Half tolerance 12d Baseline ~21d

    Cross-Tolerances

    Amphetamine
    Methamphetamine
    Lisdexamfetamine
    2-FA
    2-FMA
    3-FA
    4-FA
    4-FMA

    Experience Report Analysis

    Erowid
    15 Reports
    7 Single-substance
    2004–2015 Date Range
    7 With Age Data
    3 Effects Detected

    Demographics

    Gender Distribution

    Too few reports for a chart: gender is known from 15 reports, and a split is drawn only from 20 reports or more. Counts are shown instead. Why 20?

    • Male 14 of 15
    • Female 1 of 15

    Age Distribution

    Reports Over Time

    Effect Analysis

    Erowid

    Effects aggregated from 7 experience reports (7 single-substance Erowid)

    7 Reports
    3 Effects Detected
    2 Positive
    1 Adverse
    0 Neutral

    Effect Sentiment Distribution

    Confidence Distribution

    Each bar is the share of reports mentioning the effect; its whisker, and the band on the rows below, is the 95% interval: where the share could plausibly be with other reports of the same kind.

    Too few reports for bars: these effects come from 7 single-substance Erowid reports, and a bar is drawn only from 20 reports or more. With fewer, a percentage cannot tell a common effect from a rare one. Counts are shown instead. Why 20?

    Positive Effects 2

    Euphoria 6 of 7 70%
    Focus Enhancement 3 of 7 70%

    Adverse Effects 1

    Anxiety 3 of 7 70%

    Also reported in combinations. In the 8 Dexmethylphenidate reports where another drug was taken too, 1 mentions hospital, emergency services or an overdose, 0 a seizure and 0 psychosis (too few reports for percentages). In the 7 single-substance reports: 2, 0 and 0. These are not in the figures above: they cannot be put down to Dexmethylphenidate alone, and a mention is not always something that happened to the writer.

    Real-World Dose Distribution

    Erowid

    From 30 of 30 recorded dose entries: those that state a weight (mg, g or µg), in routes with at least five of them. Values above Q3 + 3×IQR, far above what people typically take, are left out; they can include real heavy doses and overdoses, not only mistakes.

    Insufflated (n=14)

    Median: 10.0mg 25th: 10.0mg 75th: 27.5mg 90th: 30.0mg

    Oral (n=16)

    Median: 10.0mg 25th: 5.0mg 75th: 20.0mg 90th: 25.0mg

    Common Combinations

    Most co-occurring substances, as a share of all 15 reports filed under Dexmethylphenidate

    Too few reports for bars: these combinations come from 15 reports, and a bar is drawn only from 20 reports or more. With fewer, a percentage cannot tell a common effect from a rare one. Counts are shown instead. Why 20?

    • THC 3 of 15

    Form / Preparation

    Most common forms and preparations, as a share of the 10 reports that give one

    Too few reports for bars: these forms come from 10 reports, and a bar is drawn only from 20 reports or more. With fewer, a percentage cannot tell a common effect from a rare one. Counts are shown instead. Why 20?

    • Ground / Crushed 7 of 10
    • Pill / Tablet 2 of 10

    Body-Weight Dosing

    Dose per kg of body weight, one dose per report (the first listed), from reports giving a weight of 30–250 kg. Doses above Q3 + 3×IQR, far above what people typically take, are left out of the median and range and listed under each route.

    Median: 0.163 mg/kg IQR: 0.147–0.252 mg/kg n=7

    Redose Patterns

    Redosing behavior across 11 reports

    6 of 11 Redosed
    2.2 Avg Doses
    75m Median Interval

    Too few reports for a chart: redosing is known from 11 reports, and a split is drawn only from 20 reports or more. Counts are shown instead. Why 20?

    • Single dose 5 of 11
    • Redosed 6 of 11

    Legal Status

    Country Status Notes
    United States Prescription medication Marketed as a prescription product under the brand name Focalin since November 2001. Generic formulations (Dexmethylphenidate HCl) are also available from multiple pharmaceutical manufacturers including Sandoz and Adare Pharmaceuticals.
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