Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Guanfacine ER (Intuniv) and guanfacine (Tenex) are both medications that affect alpha-2 receptors in the brain, but they are used for different conditions. Guanfacine ER (Intuniv) is an extended-release medication approved to treat ADHD in children ages 6 to 17, while guanfacine (Tenex) is an immediate-release medication used to treat high blood pressure in people 12 years and older. Guanfacine ER is taken once daily and is not a stimulant, making it a good option for those who can't take stimulant-based ADHD medications. On the other hand, guanfacine is typically taken at night to help manage its common side effects like sleepiness and dizziness. Both medications are available as lower-cost generics, but they should not be used interchangeably. Guanfacine ER is not approved for adults with ADHD, and guanfacine is not a first-choice option for high blood pressure.
Intuniv (guanfacine ER)
Guanfacine
Intuniv (guanfacine ER)
Guanfacine
Summary of Intuniv vs. Tenex
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 Alpha-2 adrenergic receptor agonist
Prescription only
Guanfacine is used to treat high blood pressure, but it's not a first-choice option. It's taken by mouth, typically once a day at nighttime. Common side effects of guanfacine include sleepiness, dizziness, and dry mouth. Some medications, such as sleep medications or certain pain medications, can interact with guanfacine by worsening those side effects. The brand name Tenex is no longer available.