Details
Stereochemistry | ACHIRAL |
Molecular Formula | C9H9Cl2N3O.ClH |
Molecular Weight | 282.554 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.NC(=N)NC(=O)CC1=C(Cl)C=CC=C1Cl
InChI
InChIKey=DGFYECXYGUIODH-UHFFFAOYSA-N
InChI=1S/C9H9Cl2N3O.ClH/c10-6-2-1-3-7(11)5(6)4-8(15)14-9(12)13;/h1-3H,4H2,(H4,12,13,14,15);1H
Molecular Formula | C9H9Cl2N3O |
Molecular Weight | 246.093 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | ClH |
Molecular Weight | 36.461 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Guanfacine (marketed under the brand names Estulic, Tenex and the extended release Intuniv) is a sympatholytic drug, indicated for the management of hypertension. Tenex (guanfacine hydrochloride) is an orally active antihypertensive agent whose principal mechanism
of action appears to be stimulation of central α2-adrenergic receptors. By stimulating these receptors,
guanfacine reduces sympathetic nerve impulses from the vasomotor center to the heart and blood vessels.
This results in a decrease in peripheral vascular resistance and a reduction in heart rate. Guanfacine is also used in the treatment of attention deficit hyperactivity disorder. Intuniv is an extended-release version of guanfacine that is used to treat symptoms of ADHD. It can be used
by itself or with stimulant medications also used to treat symptoms of ADHD.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1867 |
7.03 null [pKi] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | TENEX Approved UseTenex (guanfacine hydrochloride) is indicated in the management of hypertension. Tenex may be given
alone or in combination with other antihypertensive agents, especially thiazide-type diuretics. Launch Date5.30755191E11 |
|||
Primary | TENEX Approved UseINTUNIV® is a central alpha2A-adrenergic receptor agonist indicated
for the treatment of Attention Deficit Hyperactivity Disorder (ADHD)
as monotherapy and as adjunctive therapy to stimulant medications Launch Date5.30755191E11 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
7 ng/mL |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GUANFACINE plasma | Homo sapiens population: UNKNOWN age: ADOLESCENT sex: UNKNOWN food status: UNKNOWN |
|
10 ng/mL |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GUANFACINE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
2.5 ng/mL |
1 mg 1 times / day multiple, oral dose: 1 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GUANFACINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
116 ng × h/mL |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GUANFACINE plasma | Homo sapiens population: UNKNOWN age: ADOLESCENT sex: UNKNOWN food status: UNKNOWN |
|
162 ng × h/mL |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GUANFACINE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
56 ng × h/mL |
1 mg 1 times / day multiple, oral dose: 1 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GUANFACINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
16 h |
1 mg 1 times / day multiple, oral dose: 1 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GUANFACINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
30% |
1 mg 1 times / day multiple, oral dose: 1 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GUANFACINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
12 mg single, oral Overdose |
unhealthy, 12 years n = 1 Health Status: unhealthy Condition: ADHD and Tourette syndrome Age Group: 12 years Sex: M Population Size: 1 Sources: |
Disc. AE: Hypertensive... AEs leading to discontinuation/dose reduction: Hypertensive (1%) Sources: |
80 mg single, oral Overdose |
unhealthy, 17 years n = 1 Health Status: unhealthy Condition: ADHD Age Group: 17 years Sex: M Population Size: 1 Sources: |
Disc. AE: Cardiogenic pulmonary edema... AEs leading to discontinuation/dose reduction: Cardiogenic pulmonary edema (1%) Sources: |
4 mg 1 times / day steady, oral Recommended Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, children and adolescents n = 513 Health Status: unhealthy Condition: ADHD Age Group: children and adolescents Sex: M+F Population Size: 513 Sources: |
Disc. AE: Somnolence, Fatigue... AEs leading to discontinuation/dose reduction: Somnolence (6%) Sources: Fatigue (2%) Hypotension (1%) Headache (1%) Dizziness (1%) |
4 mg 1 times / day steady, oral Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, children n = 16 Health Status: unhealthy Condition: Attention Deficit Hyperactivity Disorder Age Group: children Population Size: 16 Sources: |
Other AEs: Sedation, Fatigue... Other AEs: Sedation (below serious, 5 patients) Sources: Fatigue (below serious, 3 patients) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Hypertensive | 1% Disc. AE |
12 mg single, oral Overdose |
unhealthy, 12 years n = 1 Health Status: unhealthy Condition: ADHD and Tourette syndrome Age Group: 12 years Sex: M Population Size: 1 Sources: |
Cardiogenic pulmonary edema | 1% Disc. AE |
80 mg single, oral Overdose |
unhealthy, 17 years n = 1 Health Status: unhealthy Condition: ADHD Age Group: 17 years Sex: M Population Size: 1 Sources: |
Dizziness | 1% Disc. AE |
4 mg 1 times / day steady, oral Recommended Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, children and adolescents n = 513 Health Status: unhealthy Condition: ADHD Age Group: children and adolescents Sex: M+F Population Size: 513 Sources: |
Headache | 1% Disc. AE |
4 mg 1 times / day steady, oral Recommended Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, children and adolescents n = 513 Health Status: unhealthy Condition: ADHD Age Group: children and adolescents Sex: M+F Population Size: 513 Sources: |
Hypotension | 1% Disc. AE |
4 mg 1 times / day steady, oral Recommended Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, children and adolescents n = 513 Health Status: unhealthy Condition: ADHD Age Group: children and adolescents Sex: M+F Population Size: 513 Sources: |
Fatigue | 2% Disc. AE |
4 mg 1 times / day steady, oral Recommended Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, children and adolescents n = 513 Health Status: unhealthy Condition: ADHD Age Group: children and adolescents Sex: M+F Population Size: 513 Sources: |
Somnolence | 6% Disc. AE |
4 mg 1 times / day steady, oral Recommended Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, children and adolescents n = 513 Health Status: unhealthy Condition: ADHD Age Group: children and adolescents Sex: M+F Population Size: 513 Sources: |
Fatigue | below serious, 3 patients | 4 mg 1 times / day steady, oral Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, children n = 16 Health Status: unhealthy Condition: Attention Deficit Hyperactivity Disorder Age Group: children Population Size: 16 Sources: |
Sedation | below serious, 5 patients | 4 mg 1 times / day steady, oral Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, children n = 16 Health Status: unhealthy Condition: Attention Deficit Hyperactivity Disorder Age Group: children Population Size: 16 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 16.0 |
no | |||
Page: 15.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 15.0 |
no | |||
Page: 15.0 |
no | |||
Page: 15.0 |
no | |||
Page: 15.0 |
no | |||
Page: 16.0 |
no | |||
Page: 15.0 |
no |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 10.0 |
major | yes (co-administration study) Comment: There was a significant decrease in the rate and extent of guanfacine exposure when co-administered with rifampin, a CYP3A4 inducer. The exposure to guanfacine decreased by 70% (AUC) Page: 10.0 |
||
Page: 18.0 |
weak | |||
Page: 10.0 |
yes | yes (co-administration study) Comment: There was a substantial increase in the rate and extent of guanfacine exposure when administered with ketoconazole; the guanfacine exposure increased 3-fold (AUC) Page: 10.0 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Does guanfacine cause hallucinations in children? | 1999 |
|
Guanfacine and secondary mania in children. | 1999 Aug |
|
Dystonia as a side effect of nonneuroleptics. | 1999 Jul |
|
Pharmacokinetic and pharmacodynamic drug interactions in the treatment of attention-deficit hyperactivity disorder. | 2001 |
|
Alpha2 adrenergic agonists for the management of opioid withdrawal. | 2001 |
|
Effects of alpha(2)-adrenergic agonists on lipopolysaccharide-induced aqueous flare elevation in pigmented rabbits. | 2001 May-Jun |
|
Clonidine-induced nitric oxide-dependent vasorelaxation mediated by endothelial alpha(2)-adrenoceptor activation. | 2001 Nov |
|
Alpha 2-adrenoceptor stimulation in the periventricular nucleus increases urine flow rate with minimal effects on blood pressure. | 2002 |
|
Testosterone dependence of salt-induced hypertension in Sabra rats and role of renal alpha(2)-adrenoceptor subtypes. | 2002 Jan |
|
Attention deficit disorder in adults. | 2002 Jun |
|
Imidazoline drugs stabilize lysosomes and inhibit oxidative cytotoxicity in astrocytes. | 2002 Mar 1 |
|
Seizures and extrapyramidal symptoms in a patient with Tourette's syndrome, Asperger's syndrome, and multiple sclerosis treated with interferon beta-1a and clomipramine. | 2002 Nov |
|
Psychopharmacology of ADHD in adolescents. | 2002 Oct |
|
Mutation of the alpha2A-adrenoceptor impairs working memory performance and annuls cognitive enhancement by guanfacine. | 2002 Oct 1 |
|
Enhancement of alpha-adrenoceptor-mediated responses in prostate of testosterone-treated rat. | 2002 Oct 25 |
|
Why have drug treatments been so disappointing? | 2003 |
|
Non-stimulant treatment of attention-deficit/hyperactivity disorder. | 2003 Apr |
|
Hallucinations associated with initiation of guanfacine. | 2003 Dec |
|
Growth hormone response to guanfacine in boys with attention deficit hyperactivity disorder: a preliminary study. | 2003 Fall |
|
Pharmacological characterization of unique prazosin-binding sites in human kidney. | 2003 Jul |
|
Evaluation of the genes for the adrenergic receptors alpha 2A and alpha 1C and Gilles de la Tourette Syndrome. | 2003 May 15 |
|
Novel hypotensive agents from Verbesina caracasana: structure, synthesis and pharmacology. | 2003 Sep |
|
The anticonvulsant and proconvulsant effects of alpha2-adrenoreceptor agonists are mediated by distinct populations of alpha2A-adrenoreceptors. | 2004 |
|
Role of central sympathoexcitation in enhanced hypercapnic chemosensitivity in patients with heart failure. | 2004 Dec |
|
[Tourette syndrome: an analysis of its comorbidity and specific treatment]. | 2004 Feb |
|
The alpha(2A)-adrenergic agonist guanfacine improves visuomotor associative learning in monkeys. | 2004 Jan |
|
New options in the pharmacological management of attention-deficit/hyperactivity disorder. | 2004 Jul |
|
Pharmacological management of attention-deficit hyperactivity disorder. | 2004 Jun |
|
[Centrally-acting antihypertensive drugs]. | 2004 Mar |
|
Evidence-based pharmacotherapy for attention-deficit hyperactivity disorder. | 2004 Mar |
|
Loss of glutamatergic pyramidal neurons in frontal and temporal cortex resulting from attenuation of FGFR1 signaling is associated with spontaneous hyperactivity in mice. | 2004 Mar 3 |
|
Potential noradrenergic targets for cognitive enhancement in schizophrenia. | 2004 May |
|
Alpha-2 adrenoceptor activation inhibits phencyclidine-induced deficits of spatial working memory in rats. | 2005 Aug |
|
Impaired visuospatial divided attention in the spontaneously hypertensive rat. | 2005 Feb 28 |
|
Aripiprazole in children and adolescents: clinical experience. | 2005 Jul |
|
Yohimbine disrupts prepulse inhibition in rats via action at 5-HT1A receptors, not alpha2-adrenoceptors. | 2005 Jul |
|
The safety of non-stimulant agents for the treatment of attention-deficit hyperactivity disorder. | 2005 Mar |
|
An open-label, prospective study of guanfacine in children with ADHD and tic disorders. | 2005 Nov |
|
Central sympathetic inhibition augments sleep-related ultradian rhythm of parasympathetic tone in patients with chronic heart failure. | 2005 Sep |
|
New developments in the treatment of ADHD. | 2006 Jan |
|
Effect of noradrenergic system on the anxiolytic-like effect of DOI (5-HT2A/2C agonists) in the four-plate test. | 2006 Jan |
|
Noradrenergic modulation of space exploration in visual neglect. | 2006 Jan |
|
Yohimbine acts as a putative in vivo alpha2A/D-antagonist in the rat prefrontal cortex. | 2006 Jul 24 |
|
Tourette's Syndrome. | 2006 Jun |
|
Relative contribution of intracellular and extracellular Ca2+ to alpha2-adrenoceptor-mediated contractions of ovine pulmonary artery. | 2006 Sep |
|
Differential noradrenergic influence on seizure expression in genetically Fast and Slow kindling rat strains during massed trial stimulation of the amygdala. | 2007 Feb |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/guanfacine.html
Usual Adult Dose for Hypertension
Initial dose: 1 mg orally once a day at bedtime; may increase to 2 mg once a day if satisfactory result not achieved after 3 to 4 weeks.
Usual Pediatric Dose for Attention Deficit Disorder
6 YEARS TO LESS THAN 18 YEARS:
Initial dose: 1 mg orally once a day, either in the morning or evening, at approximately the same time each day; may adjust in increments of no more than 1 mg/week.
Recommended target dose: 0.05 to 0.12 mg/kg/day (total daily dose between 1 and 7 mg) once a day, depending on clinical response and tolerability
Maximum dose: 6 to 12 years: Doses above 4 mg/day have not been evaluated; 13 to 17 years: Doses above 7 mg/day have not been evaluated.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/2884339
Guanfacine and clonidine at relatively high concentrations (10(-6)-10(-4) M) produced contractions of the rat vas deferens which were antagonized by prazosin.
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 16 16:44:25 UTC 2022
by
admin
on
Fri Dec 16 16:44:25 UTC 2022
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Record UNII |
PML56A160O
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Record Status |
Validated (UNII)
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Record Version |
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C29709
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C270
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M5866
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PARENT -> SALT/SOLVATE |
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ACTIVE MOIETY |