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    Serdexmethylphenidate

    Aliases: Sdx, Kp415, Azstarys

    Summary TheDrug.Wiki

    Serdexmethylphenidate is a prodrug of dexmethylphenidate designed to provide extended therapeutic effects with reduced abuse potential through delayed onset. FDA-approved in 2021 as part of Azstarys for ADHD treatment in patients 6 years and older. The substance is metabolized in the lower gastrointestinal tract to release dexmethylphenidate gradually.

    Dose Information TheDrug.Wiki

    ROA Light Common Strong Heavy
    Oral 26.1mg(with5.2mgdexmethylphenidate) - - -
    Light Common Strong Heavy

    Onset, Duration & After-effects TheDrug.Wiki

    ROA Onset Comeup Peak Offset
    Oral 1-2 hrs 2-3 hrs 4-8 hrs 3-5 hrs

    Effect Profile

    Scores (1–10) curated from multiple sources:

    • Effect keyword matching from PsychonautWiki catalog
    • Weighted by importance: core (×3), major (×2), minor (×1)

    Full methodology

    Stimulant 6.4
    Strong 6/10

    Strong euphoria and anxiety/jitters with moderate focus, mild stimulation

    Stimulation / Energy ×3
    5
    stimulation wakefulness
    Euphoria / Mood Lift ×2
    10
    physical euphoria cognitive euphoria motivation enhancement
    Focus / Productivity ×2
    7
    focus enhancement analysis enhancement motivation enhancement
    Anxiety / Jitters ×1
    8
    anxiety increased heart rate vasoconstriction

    Tolerance

    Build-up develops over days to weeks of regular use
    Reset 3–7 days for acute tolerance; longer for full reset

    Tolerance Decay

    Full tolerance 14d Half tolerance 7d Baseline ~28d

    Model extrapolated from stimulant-class patterns (methylphenidate/amphetamines) and clinical experience; high individual variability. Drug holidays may partially reverse tolerance but should only be done with medical guidance. Data quality is limited for SDX specifically.

    Effects TheDrug.Wiki

    Positive
    • Stimulation
    • Physical Euphoria
    • Creativity Enhancement
    Negative
    • Increased heart rate
    • Nausea
    • Increased blood pressure
    • Increased perspiration
    • Vasoconstriction
    Neutral
    • Sedation
    • Difficulty urinating
    Positive
    • Focus enhancement
    • Motivation enhancement
    • Wakefulness
    • Cognitive euphoria
    • Analysis enhancement
    • Cognitive Euphoria
    Negative
    • Anxiety
    • Irritability
    Neutral
    • Time distortion
    • Time Distortion
    Positive
    • Tactile Enhancement
    • Increased Music Appreciation
    • Increased libido
    • Pattern Recognition Enhancement
    • Synaesthesia
    Negative
    • Appetite suppression
    • Light sensitivity
    Neutral
    • Auditory hallucination
    • Dulled perception
    • Auditory distortion

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