dexmethylphenidate Side Effects
Also known as: Focalin, Focalin XR
Analysis of 4,083 adverse event reports submitted to the FDA from 2004 to 2025.
Total Reports
4,083
Death-Related
36
0.9% of reports
Hospitalizations
384
9.4% of reports
Top Indication
Product Used For Unknown Indication
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 36 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| DEATH | 16 |
| COMPLETED SUICIDE | 4 |
| OFF LABEL USE | 4 |
| ASTHENIA | 3 |
| CHEST PAIN | 3 |
| FATIGUE | 3 |
| FEELING ABNORMAL | 3 |
| SUICIDAL IDEATION | 3 |
| ACUTE RESPIRATORY FAILURE | 2 |
| CONSTIPATION | 2 |
| CONVULSION | 2 |
| DECREASED APPETITE | 2 |
| DYSPNOEA | 2 |
| INCORRECT DOSE ADMINISTERED | 2 |
| INFLUENZA | 2 |
| LETHARGY | 2 |
| MYALGIA | 2 |
| MYOCARDIAL INFARCTION | 2 |
| NAUSEA | 2 |
| PAIN | 2 |
Reactions in Hospitalization Reports
Top reactions in 384 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| DRUG INEFFECTIVE | 24 |
| FATIGUE | 23 |
| DEPRESSION | 22 |
| DYSPNOEA | 22 |
| ASTHENIA | 21 |
| PYREXIA | 21 |
| HEADACHE | 19 |
| SUICIDAL IDEATION | 19 |
| PAIN | 18 |
| ANXIETY | 17 |
| MALAISE | 17 |
| AGGRESSION | 16 |
| CONVULSION | 16 |
| PNEUMONIA | 16 |
| SUICIDE ATTEMPT | 16 |
| INSOMNIA | 15 |
| VOMITING | 15 |
| CHEST PAIN | 14 |
| DIZZINESS | 14 |
| NAUSEA | 14 |
Nearby — Related Medications
What the FAERS Data Reveals About dexmethylphenidate Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 4,083 voluntary reports linked to dexmethylphenidate and its brand equivalents (Focalin, Focalin XR), spanning 2004 through 2025. Of those, 36 (0.9%) listed death as an outcome and 384 (9.4%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.
Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 40% were female and 56% male; age distribution skews toward 0-17, with 1,161 reports in that bracket. The single most reported reaction is drug ineffective with 740 submissions, followed by nausea and anxiety.
FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.
Read our methodology — how this data is sourced, computed, and verified.