Comparing The ADHD Medications Adderall and Focalin - Which Is Better?

Understanding Adderall and Focalin

Attention deficit hyperactivity disorder (ADHD) is one of the most commonly diagnosed mental health conditions. The CDC estimates that nearly 10% of children and 4% of adults have ADHD. The hallmarks of ADHD include difficulty paying attention, excessive activity, and impulsivity.

To manage their symptoms, many people with ADHD take prescription stimulant medications like Adderall and Focalin. But what exactly sets these two medications apart?

What is Adderall?

Adderall is the brand name for a combination drug containing four amphetamine salts:

• Dextroamphetamine saccharate
• Amphetamine aspartate
• Dextroamphetamine sulfate
• Amphetamine sulfate

It is used to treat ADHD and narcolepsy. Adderall works by increasing the activity of the brain chemicals dopamine and norepinephrine. This provides symptom relief by improving focus and attention span while decreasing hyperactivity and impulsivity.

What is Focalin?

Focalin contains the active ingredient dexmethylphenidate hydrochloride, which is the more potent d-enantiomer of racemic methylphenidate. Simply put, it is a refined version of the chemical in Ritalin. Focalin increases dopamine and norepinephrine activity in a similar manner to other stimulants.

Comparing Adderall and Focalin

While Adderall and Focalin are both effective ADHD medications, there are some key differences between these central nervous system stimulants:

Onset and Duration

Adderall kicks in faster, usually within an hour after taking it. Its effects tend to last approximately 4 to 6 hours. Focalin is slower to take effect, taking about 2 hours to peak. In turn, it sticks around longer with symptoms relief lasting 6 to 8 hours.

Active Ingredients

As mentioned previously, Adderall contains a combination amphetamine salts while the main component of Focalin is dexmethylphenidate. Even though they work in similar ways, slight variation in brain chemistry impacts make their effects differ slightly.

Approved Ages

Adderall can be prescribed for patients ages 3 and up. Focalin is only approved for patients age 6 years and older.

Strengths Available

Both brand name and generic Adderall is available in immediate-release and extended-release oral formulations. Doses range from 5mg to 30mg. The maximum daily dose for children ages 3 to 5 is 40mg per day while older patients can take up to 60mg daily.

Focalin comes in immediate and extended release doses from 2.5mg up to 20mg with 40mg being the max daily amount. There is a new dexmethylphenidate extended release capsule called Focalin XR that provides symptom relief for 12 hours.

Side Effects

As stimulants, Adderall and Focalin share common side effects like:

• Headaches
• Trouble sleeping
• Decreased appetite
• Stomach aches
• Mood changes

However, Adderall tends to be associated with slightly more sweating, dry mouth, and nervousness. Since amphetamines also activate dopamine receptors, it has higher abuse potential. Focalin is less likely to cause appetite loss and usually does not lead to severe crashes when it wears off.

Key Considerations in the Adderall vs Focalin Debate

If your first ADHD medication isn’t providing enough symptom improvement, switching from Adderall to Focalin is an option. There is no clinical evidence showing one is substantially more effective than the other though. Key factors in selecting between the two include:

1. Individual Body Chemistry

Every patient responds a bit differently to various stimulant formulations based on their unique biology and brain chemistry. While Focalin works well for many, others seem to tolerate Adderall better.

2. Comorbid Conditions

Some people with ADHD also live with anxiety, depression, sleep disorders, tics, substance abuse issues, and more psychiatric conditions. The differences between Adderall vs Focalin side effects and interactions may make one more suitable depending on each person’s needs.

3. Release Formulations

Fast-acting versus extended release medication can be an essential detail if problems sleeping or multiple daily doses are undesirable for you. The ability to fine tune with various Focalin and Adderall products is advantageous.

4. Access and Affordability Challenges

Unfortunately, getting your ideal ADHD med covered by insurance or available at the pharmacy isn't always easy. Adderall shortages have been increasingly common. Being open to alternatives like Focalin could allow for more consistent symptom control.

Frequently Asked Questions

Is Focalin more expensive than Adderall?

Generally speaking, brand name Focalin XR tends to be more expensive than generic Adderall IR. However, the Adderall shortage has caused price spikes and access issues with both medications.

Can you take Focalin and Adderall together?

No, combining both medications is not recommended and could dangerously elevate heart rate and blood pressure. Work closely with your prescribing doctor to determine the ideal ADHD medication plan for your situation.

Which works better for studying - Adderall or Focalin?

For many college students and adults trying to maximize productivity, small doses of these stimulants allow longer periods of intense studying with less distraction. Both are cognition enhancing medications though personalized effects vary.

Determining Which ADHD Medication is Right For You

Finding the most effective ADHD treatment requires working closely with your mental health providers and being willing to experiment. Keep track of subtle differences in symptom control and side effects every time you try Adderall, Focalin, or another new medication.

Don't hesitate to be your own best advocate if something isn't working well or you want to explore other prescription options. Finding the best match when it comes to stimulants for ADHD often entails a little trial and error.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.