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QuickView for guanfacine (compound)


PubChem
Name: Guanfacine
PubChem Compound ID: 3519
Description: A centrally acting antihypertensive agent with specificity towards ADRENERGIC ALPHA-2 RECEPTORS.
Molecular formula: C9H9Cl2N3O
Molecular weight: 246.093 g/mol
Synonyms:
NCGC00024950-01; EINECS 249-442-8; Tocris-1030; Guanfacine; Guanfacina [INN-Spanish]; Benzeneacetamide, N-(aminoiminomethyl)-2,6-dichloro-; NCGC00015469-01; CAS-29110-48-3; NCGC00015469-02; 29110-48-3.
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DrugBank
Identification
Name: Guanfacine
Name (isomeric): DB01018
Drug Type: small molecule
Description: A centrally acting antihypertensive agent with specificity towards ADRENERGIC ALPHA-2 RECEPTORS.
Synonyms:
Guanfacine HCl; SPD 503; Guanfacinum [INN-Latin]; Guanfacine Hydrochloride; Guanfacina [INN-Spanish]
Brand: Intuniv, Estulic, Tenex
Category: Sympatholytics, Adrenergic alpha-Agonists, Antihypertensive Agents
CAS number: 29110-47-2
Pharmacology
Indication: For use alone or in combination with other classes of antihypertensive agents in the management of hypertension. Has also been used for the treatment of attention deficit hyperactivity disorder (ADHD) in pediatric patients.
Pharmacology: Guanfacine is a phenylacetyl-guanidine derivative hypotensive and a centrally-acting, alpha(2)-adrenergic receptor agonist used alone or in combination with other drugs for the treatment of hypertension.
Mechanism of Action:
Guanfacine selectively stimulates central alpha(2)-adrenergic receptors, resulting in inhibition of sympathetic vasomotor centers, which contributes predominantly to the hypotensive effects of the drug. Central effects of guanfacine lead to reduced peripheral sympathetic nerve impulses from the vasomotor center to the heart and blood vessels. This ...
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Absorption: Rapid and complete, with an oral bioavailability of approximately 80%.
Protein binding: Approximately 70% bound to plasma proteins, independent of drug concentration.
Biotransformation: Hepatic
Route of elimination: In individuals with normal renal function, guanfacine and its metabolites are excreted primarily in the urine.
Half Life: 17 hours (range 10-30 hours)
Toxicity: Symptoms of overdose include drowsiness, lethargy, bradycardia and hypotension. LD50=165mg/kg (orally in mice)
Affected organisms: Humans and other mammals
Interactions
Drug interaction:
TrimipramineTrimipramine may reduce the antihypertensive effect of the alpha2-agonist, Guanfacine. Trimipramine may also increase the rebound hypertensive effect of Clonidine. Consider alternate therapy or monitor for changes in the therapeutic and adverse effects of Clonidine if Trimipramine is initiated, discontinued or dose changed. Guanfacine should be withdrawn very gradually to reduce the risk of hypertensive crisis.
TreprostinilAdditive hypotensive effect. Monitor antihypertensive therapy during concomitant use.

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