Guanfacine Treatment Report

Category: Prescription Drugs

Most Popular Types: Intuniv, Tenex

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Generic Name: Guanfacine

What is Guanfacine?

An example of Guanfacine

Guanfacine is used for the management of hypertension (high blood pressure). Off label it is used for Attention Deficit Hyperactivity Disorder (ADHD), tic disorder, and aggression.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
17 7 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
5 2 Efficacy_major Efficacy_slight
4 2 Efficacy_moderate Efficacy_slight
2 1 Efficacy_cant_tell
1 1 Efficacy_moderate
1 1 Efficacy_major

See all 25 patients currently taking Guanfacine

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Reported Side Effects

Side effects as an overall problem

Severe
1
Moderate
5
Mild
1
None
6

Reported Dosages

  daily 0.5 mg daily 1 mg daily 1.5 mg daily 2 mg daily 2.5 mg daily 3 mg daily 4 mg daily
  1 Number of Patients: 1 1 Number of Patients: 1 9 Number of Patients: 9 1 Number of Patients: 1 9 Number of Patients: 9 1 Number of Patients: 1 2 Number of Patients: 2 3 Number of Patients: 3  

Reported Stop Reasons

Why Patients Stopped Taking Guanfacine (multiple reasons could be selected)
Reason # Patients Percentage of patients
Did not seem to work 4   Did not seem to work: 44%
Side effects too severe 4   Side effects too severe: 44%
Other 3   Other: 33%
Expense 1   Expense: 11%
Course of treatment ended 1   Course of treatment ended: 11%

See all 9 patients who’ve stopped taking Guanfacine

Currently Taking Guanfacine

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0
0

Stopped Taking Guanfacine

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Guanfacine

Always
12 92%
Usually
0 0%
Sometimes
0 0%
Never
1 8%

Burden

Difficulty being on treatment

Burden of Guanfacine

Very
0 0%
Somewhat
0 0%
A little
1 8%
Not at all
12 92%

Cost

Paid out of pocket

Cost of Guanfacine

$200+
0 0%
$100-199
0 0%
$50-99
0 0%
$25-49
1 11%
< $25
8 89%

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3 patient evaluations for Guanfacine

Purposes: ADHD (Attention Deficit/Hyperactivity Disorder), Generalized Anxiety Disorder, and Memory problems (Started Jul 28, 2011)
Date Dosage ADHD (Attention Deficit/Hyperactivity Disorder) Perceived effectiveness Generalized Anxiety Disorder Perceived effectiveness Memory problems Perceived effectiveness Side Effects Adherence Burden
Aug 14, 2011 1 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4 ModerateModerateModerateModerate AlwaysAlwaysAlwaysAlways A littleA littleA littleA little
Aug 06, 2011 1 mg Daily Led_efficacy_2Led_efficacy_2Led_defaultLed_default Led_efficacy_2Led_efficacy_2Led_defaultLed_default ? NoneNoneNoneNone AlwaysAlwaysAlwaysAlways A littleA littleA littleA little
Side effects:
Depressed mood, Excessive daytime sleepiness (somnolence)
Date
Aug 14, 2011
Advice & Tips
It does help with memory, attention and cognitive abilities. I started writing much more coherently a few day after I had started guanfacine. One of its listed side effects is depression, and that is what happened. I got depressed and had to stop guanfacine and start an antidepressant treatment.
Cost
$25-49 monthly
Date
Aug 06, 2011
Advice & Tips
Just started it less than a week ago. I intend to take it for at least 9 weeks as per clinical trials. I shall re-evaluate it then.
Cost
$25-49 monthly
  • Icon_thumb_off 0 helpful marks
Purpose: ADHD (Attention Deficit/Hyperactivity Disorder) (Started Oct 22, 2009)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Oct 31, 2009 4 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Oct 31, 2009
Advice & Tips
I take this at night.
  • Icon_thumb_off 0 helpful marks
Purpose: Tourette Syndrome (Started Sep 01, 2006)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Aug 01, 2007 2 mg Daily Led_efficacy_1Led_defaultLed_defaultLed_defaultNone NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Aug 01, 2007
Advice & Tips
MISDIAGNOSED WITH TOURETTE SYNDROME BY AN RXHAPPY DOCTOR. Barely even remember taking this medication. Didn't do anything but no notable negative side effects.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks

10 additional evaluations for Guanfacine are not currently shared publicly.

What is guanfacine?

Guanfacine reduces nerve impulses in your heart and blood vessels. Guanfacine works by relaxing blood vessels, which lowers blood pressure and improves blood flow.

Guanfacine is used to treat high blood pressure (hypertension). It is sometimes given together with other blood pressure medications.

Guanfacine may also be used for other purposes not listed in this medication guide.


Precautions

You should not use this medication if you are allergic to guanfacine.

Before taking guanfacine, tell your doctor if you are allergic to any drugs, or if you have:

  • heart disease;
  • coronary artery disease or a history of stroke;
  • kidney disease;
  • liver disease; or
  • if you have recently had a heart attack.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take guanfacine.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether guanfacine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Guanfacine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid drinking alcohol. It can increase some of the side effects of guanfacine.

Tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by guanfacine.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include drowsiness, weakness, slow heart rate, or feeling like you might pass out.

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

  • fast or slow heart rate;
  • pounding heartbeats, chest tightness;
  • numbness or tingling; or
  • feeling like you might pass out.

Less serious side effects may include:

  • drowsiness, dizziness;
  • dry mouth;
  • headache;
  • sleep problems (insomnia);
  • weakness;
  • constipation, diarrhea;
  • stomach pain;
  • impotence, loss of interest in sex; or
  • mild itching or skin rash.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

The following drugs can interact with guanfacine. Tell your doctor if you are using any of these:

  • a barbiturate such as amobarbital (Amytal), butabarbital (Butisol), mephobarbital (Mebaral), secobarbital (Seconal), or phenobarbital (Luminal, Solfoton);
  • diazepam (Valium) or similar medicines such as alprazolam (Xanax), lorazepam (Ativan), temazepam (Restoril), triazolam (Halcion), and others; or
  • phenothiazines such as chlorpromazine (Thorazine), mesoridazine (Serentil), prochlorperazine (Compazine), thioridazine (Mellaril), and others.

This list is not complete and there may be other drugs that can interact with guanfacine. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Other Names

Tenex and guanfacine

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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