
(gwahn’ fa seen)
IntunivDNC, Tenex
PREGNANCY CATEGORY B
Drug Classes
Antihypertensive
Sympatholytic (centrally acting)
Therapeutic Actions
Stimulates central (CNS) alpha2-adrenergic receptors, reduces sympathetic nerve impulses from the vasomotor center to the heart and blood vessels, decreases peripheral vascular resistance, and lowers systemic BP.
Indications
Management of hypertension, alone or with a thiazide diuretic
Treatment of ADHD as monotherapy or as adjunctive therapy with stimulants (ER tablets)
Unlabeled uses: Amelioration of symptoms in heroin withdrawal; reduced frequency of migraine headaches and reduced nausea and vomiting; Tourette syndrome
Contraindications and Cautions
Contraindicated with hypersensitivity to guanfacine, labor and delivery, lactation.
Use cautiously with severe coronary insufficiency, recent MI, CV disease, chronic renal or hepatic failure, pregnancy.
Available Forms
Tablets—1, 2 mg; ER tabletsDNC—1, 2, 3, 4 mg
Dosages
Adults and children 12 yr and older
Hypertension: Recommended dose is 1 mg/day PO given at bedtime to minimize somnolence. If 1 mg/day does not give a satisfactory result after 3–4 wk of therapy, doses of 2 mg and then 3 mg may be given, although most of the drug’s effect is seen at 1 mg. If BP rises toward the end of the dosing interval, divided dosage should be used. Higher daily doses (rarely up to 4 mg/day in divided doses) have been used, but adverse reactions increase with doses larger than 3 mg/day, and there is no evidence of increased efficacy. Taper ER form when discontinuing; decrease by no more than 1 mg every 3–7 days.
Adults and children 6 yr and older

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