Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Guanfacine ER (Intuniv) and Adderall (dextroamphetamine/amphetamine salts) are both used to treat ADHD, but they have some key differences. Guanfacine ER is a non-stimulant medication that works by lowering norepinephrine levels in the brain, while Adderall is a stimulant that raises levels of norepinephrine, dopamine, and serotonin. Guanfacine ER is only approved for children ages 6 to 17 and is not a controlled substance, making it less likely to be misused. In contrast, Adderall is approved for both children and adults and is a Schedule II controlled substance due to its high potential for misuse and dependency. Guanfacine ER is typically taken once daily and can cause sleepiness and tiredness, whereas Adderall is taken multiple times a day and can cause trouble sleeping and loss of appetite. Both medications are available in lower-cost generic forms. However, Adderall has additional uses for treating narcolepsy, while Guanfacine ER is specifically for ADHD.
Intuniv (guanfacine ER)
Adderall
Intuniv (guanfacine ER)
Adderall
Summary of Intuniv vs. Adderall
Summary for Alpha 2A-adrenergic receptor agonist
Prescription only
Intuniv (guanfacine extended release) is used to treat attention-deficit hyperactivity disorder (ADHD) in kids ages 6 to 17 years old. It's not a controlled substance and can be used instead of stimulant medications for ADHD. Intuniv (guanfacine ER) belongs to the drug class called alpha-2A agonists. It comes as a tablet that you take by mouth once a day, either in the morning or at bedtime. Common side effects include sleepiness and tiredness. Taking it in the evening might help with these side effects. Intuniv (guanfacine ER) comes as brand-name and generic versions.
Summary for Stimulant
Prescription only
Adderall is a stimulant medication that's used to treat attention deficit-hyperactivity disorder (ADHD) and narcolepsy in adults and children. It contains the instant-release (IR) forms of dextroamphetamine and amphetamine salts. Adderall is available as a brand-name and lower-cost generic tablet that's taken by mouth. Your psychiatrist will adjust the dosage for you based on how well the medication works for you. Common side effects include trouble sleeping and loss of appetite.