U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

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
Structure of GUANFACINE HYDROCHLORIDE

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

HIDE SMILES / InChI

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

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
TENEX

Approved Use

Tenex (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 Date

5.30755191E11
Primary
TENEX

Approved Use

INTUNIV® 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 Date

5.30755191E11
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
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

AUC

ValueDoseCo-administeredAnalytePopulation
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

T1/2

ValueDoseCo-administeredAnalytePopulation
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

Funbound

ValueDoseCo-administeredAnalytePopulation
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

Doses

DosePopulationAdverse events​
12 mg single, oral
Overdose
Dose: 12 mg
Route: oral
Route: single
Dose: 12 mg
Sources:
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
Dose: 80 mg
Route: oral
Route: single
Dose: 80 mg
Sources:
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%)
Fatigue (2%)
Hypotension (1%)
Headache (1%)
Dizziness (1%)
Sources:
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)
Fatigue (below serious, 3 patients)
Sources:
AEs

AEs

AESignificanceDosePopulation
Hypertensive 1%
Disc. AE
12 mg single, oral
Overdose
Dose: 12 mg
Route: oral
Route: single
Dose: 12 mg
Sources:
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
Dose: 80 mg
Route: oral
Route: single
Dose: 80 mg
Sources:
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

Overview

Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
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
weak
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

Tox targets

Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
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

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
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 Fri Dec 16 16:44:25 UTC 2022
Edited
by admin
on Fri Dec 16 16:44:25 UTC 2022
Record UNII
PML56A160O
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
GUANFACINE HYDROCHLORIDE
JAN   MART.   MI   ORANGE BOOK   USAN   USP   USP-RS   VANDF   WHO-DD  
USAN  
Official Name English
GUANFACINE HYDROCHLORIDE [VANDF]
Common Name English
BS-100-141
Code English
N-Amidino-2-(2,6-dichlorophenyl)acetamide monohydrochloride
Systematic Name English
BENZENEACETAMIDE, N-(AMINOIMINOMETHYL)-2,6-DICHLORO-, MONOHYDROCHLORIDE
Common Name English
GUANFACINE HYDROCHLORIDE [MI]
Common Name English
GUANFACINE HYDROCHLORIDE [ORANGE BOOK]
Common Name English
BS 100-141
Code English
GUANFACINE HYDROCHLORIDE [MART.]
Common Name English
SPD503
Code English
GUANFACINE HYDROCHLORIDE [USAN]
Common Name English
GUAFACINE HYDROCHLORIDE
Common Name English
GUANFACINE HYDROCHLORIDE [USP-RS]
Common Name English
GUANFACINE HYDROCHLORIDE [USP MONOGRAPH]
Common Name English
GUANFACINE HCL
Common Name English
INTUNIV
Brand Name English
Guanfacine hydrochloride [WHO-DD]
Common Name English
GUANFACINE HYDROCHLORIDE [JAN]
Common Name English
TENEX
Brand Name English
Classification Tree Code System Code
NCI_THESAURUS C29709
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
NCI_THESAURUS C270
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
Code System Code Type Description
RS_ITEM_NUM
1302101
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
DRUG BANK
DBSALT000509
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
CAS
29110-48-3
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
RXCUI
862004
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
ALTERNATIVE
ECHA (EC/EINECS)
249-443-3
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
MERCK INDEX
M5866
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY Merck Index
EPA CompTox
DTXSID2045157
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
ChEMBL
CHEMBL862
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
EVMPD
SUB02427MIG
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
DAILYMED
PML56A160O
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
NCI_THESAURUS
C47550
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
FDA UNII
PML56A160O
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
PUBCHEM
71401
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
RXCUI
203142
Created by admin on Fri Dec 16 16:44:25 UTC 2022 , Edited by admin on Fri Dec 16 16:44:25 UTC 2022
PRIMARY
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PARENT -> SALT/SOLVATE
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ACTIVE MOIETY