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Guanfacine ER Coupon - Guanfacine ER 1mg tablet

guanfacine ER

Generic Intuniv
Used for ADHD
Used for ADHD

Guanfacine ER (Intuniv) is used to treat attention-deficit hyperactivity disorder (ADHD) in kids ages 6 to 17 years old. Guanfacine ER (Intuniv) isn't a controlled substance and can be an alternative to stimulant-based ADHD medications. Keep in mind that only the extended-release (ER) version of guanfacine, under the brand name Intuniv ER, is approved to treat ADHD. It's taken by mouth, typically once daily. Some common side effects of guanfacine ER (Intuniv) include sleepiness and tiredness. Guanfacine ER (Intuniv) is available as a lower-cost generic medication.

Last reviewed on May 18, 2023
basics-icon

What is Guanfacine ER (Intuniv)?

What is Guanfacine ER (Intuniv) used for?

  • Attention-deficit hyperactivity disorder (ADHD)

How Guanfacine ER (Intuniv) works

Guanfacine ER (Intuniv) is an alpha-2A agonist. It's not clear how guanfacine ER (Intuniv) works to treat attention-deficit hyperactivity disorder (ADHD). It's thought to work by lowering the amount of norepinephrine (a chemical in your brain) in certain parts of your brain that are involved with attention and focus.

Are you looking for information on guanfacine (Tenex) or guaifenesin (Mucinex) instead?
When does Guanfacine ER (Intuniv) start working?
Time passed since treatment started:
HOURS
DAYS
WEEKS
MONTHS
Full effect

Drug Facts

Common BrandsIntuniv
Drug ClassAlpha 2A-adrenergic receptor agonist
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
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Avg retail price
$256.25(save 94.56%)
GoodRx discount
$13.95
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What are the side effects of Guanfacine ER (Intuniv)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Sleepiness (38%)
  • Tiredness (14%)
  • Low blood pressure (7%)
  • Nausea (6%)
  • Lack of energy (6%)
  • Dizziness (6%)

Other Side Effects

  • Dry mouth
  • Headache
  • Stomach pain
  • Constipation

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Dangerously low blood pressure: feeling dizzy, tired, or out of breath easily
  • Heart problems: lightheadedness, fainting, feeling like your heart is racing
When do Guanfacine ER (Intuniv) possible side effects begin and end?
Time passed since treatment started:
HOURS
DAYS
WEEKS
MONTHS
Sleepiness
Tiredness

Source: DailyMed

The following side effects have also been reported

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision
  • Slow heartbeat—dizziness, feeling faint or lightheaded, confusion, trouble breathing, unusual weakness or fatigue

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

pros-and-cons

Pros and cons of Guanfacine ER (Intuniv)

thumbs-up

Pros

Not a stimulant, so doesn't have same side effects typically linked to stimulants

Can be taken alone or with other medications for ADHD

Available as a lower-cost generic medication

Only taken once daily

Not a controlled substance since there's no concern for abuse and dependence

thumbs-down

Cons

Might take several weeks to start working

Not a long-term medication for ADHD

Commonly causes sleepiness and tiredness

Not approved for adults with ADHD

Might not work as well for older children (13 to 17 years old)

pharmacist-tips

Pharmacist tips for Guanfacine ER (Intuniv)

pharmacist
  • Guanfacine ER (Intuniv) can be taken day or night. You can take guanfacine ER (Intuniv) at night if it makes you sleepy.

    • Avoid taking guanfacine ER (Intuniv) with a high-fat meal. Taking this medication with a high-fat meal will raise the level of medication in your body, which can lead to more side effects, such as sleepiness.

      • Guanfacine ER (Intuniv) can lower your blood pressure and cause you to feel dizzy, especially when you're getting up from a sitting or lying position. If you need to get up, do so slowly. Your provider might recommend you to check your blood pressure regularly, especially when first starting guanfacine ER (Intuniv), or if your dose changes.

        • Don't stop guanfacine ER (Intuniv) suddenly because doing so can cause your blood pressure to rise quickly. If you want to stop this medication, talk with your provider. They can help you stop guanfacine ER (Intuniv) safely by lowering your dose slowly over time.

          • It can cause drowsiness, especially when you first start taking guanfacine ER (Intuniv) or with dose increases, so don't drive until you know how guanfacine ER (Intuniv) affects you.

            More on Guanfacine ER (Intuniv) tips

            faqs

            Frequently asked questions about Guanfacine ER (Intuniv)

            How long does guanfacine ER (Intuniv) take to work?
            It can take several weeks before you feel the benefits of guanfacine ER (Intuniv). When you first begin treatment, your provider will start you off with a lower dose of guanfacine ER (Intuniv), typically 1 mg, to minimize the risk of side effects. Depending on how well your body responds to guanfacine ER (Intuniv) and whether or not you're able to tolerate the side effects, your provider will raise your dose slowly over the course of a few weeks to a higher maintenance dose to better treat your symptoms.
            How long do guanfacine ER (Intuniv) side effects last?
            The most common side effects of guanfacine ER (Intuniv) are sleepiness and tiredness. Typically, you'll start to experience these side effects within 2 to 3 weeks of starting the medication. For most people, these side effects become less bothersome over time. Most people who've taken guanfacine ER (Intuniv) for 2 months or longer no longer report these side effects. To minimize the risk of sleepiness and tiredness, your provider will prescribe a lower dose of guanfacine ER (Intuniv) at the start of treatment. They might recommend that you take your dose in the evening closer to bedtime. If the sleepiness and tiredness doesn't ease over time, talk with your provider.
            Can guanfacine ER (Intuniv) be used for anxiety?
            Guanfacine ER (Intuniv) is only FDA-approved to treat ADHD, not anxiety. This medication has been studied in children and adolescents with anxiety problems and results suggest it might help with anxiety, but additional studies are needed in this area. If your child has anxiety, please ask their provider about possible treatment options.
            Can guanfacine ER (Intuniv) be taken by adults?
            Guanfacine ER (Intuniv) is only FDA-approved for use in children ages 6 to 17 years old with ADHD. It isn't included in the 2012 ADHD treatment guidelines in adults. While limited research suggests guanfacine ER (Intuniv) can help with attention and hyperactivity, there's not enough evidence to show that this medication works well in adults. If you're looking to learn more about ADHD treatment for adults, talk with your provider.
            Is guanfacine ER (Intuniv) a stimulant?
            No. Guanfacine ER (Intuniv) isn't a stimulant. It's a non-stimulant medication option for ADHD. It might be a good choice for people who can't take stimulants or who need to take guanfacine ER (Intuniv) in addition to stimulants for better ADHD symptom control. Talk to your provider about the risks and benefits of using guanfacine ER (Intuniv) and see whether this medication is right for you.
            What's the difference between guanfacine (Tenex) and guanfacine ER (Intuniv)?
            Guanfacine (Tenex) is immediate-release (IR) guanfacine that's FDA-approved to treat high blood pressure. Guanfacine ER (Intuniv) is extended-release (ER) guanfacine that's only approved for ADHD treatment in children and adolescents. Both medications are taken by mouth once a day, and can cause a lot of sleepiness. If you're not sure which version you should be taking, check with your provider. Guanfacine (Tenex) and guanfacine ER (Intuniv) aren't the same and one can't be used in place of the other.
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            What are the risks and warnings for Guanfacine ER (Intuniv)?

            Guanfacine ER (Intuniv) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

            risk-warning

            Low blood pressure or heart rate

            • Risk factors: Low blood pressure | Heart problems | Kidney problems | History of fainting | Not enough fluids in the body | Taking other medications that lower blood pressure or slow the heart

              Guanfacine ER (Intuniv) can lower your blood pressure or heart rate, which can cause you to feel faint and dizzy. You're more likely to experience these side effects when you first start guanfacine ER (Intuniv) and when your provider raises your dose. Because of this, your provider will monitor your blood pressure and heart rate regularly while you're receiving treatment, especially if you're taking blood pressure medications. These side effects should lessen over time. Talk to your healthcare provider if you continue to feel dizzy, tired, or run out of breath easily after using guanfacine ER (Intuniv).

              risk-warning

              Extreme sleepiness

              • Risk factors: Taking other medications that cause sleepiness | Drinking alcohol

                Guanfacine ER (Intuniv) lowers your ability to focus, think, and react for the first few days until you get used to it. Be careful and avoid activities that require you to be alert, such as driving a car or operating machinery, until you know how this medication affects you. Talk to your provider if this doesn't go away after a few days.

                risk-warning

                Rebound high blood pressure

                • Risk factors: High blood pressure

                  If you have been taking guanfacine ER (Intuniv) for a while, stopping it suddenly can cause a "rebound" effect and lead to high blood pressure. Some other rebound symptoms include headache, fast heart rate, nausea, chest tightness, or feeling nervous or anxious. Try not to miss any doses and don't stop taking guanfacine ER (Intuniv) without talking to your healthcare provider first. They'll help you get off this medication slowly and safely.

                  risk-warning

                  Heart problems

                  • Risk factors: History of heart problems

                    Guanfacine ER (Intuniv) can raise your risk of irregular rhythm. If you're taking medications that affect your heart rhythm, talk to your provider. They might have to make changes to your medications.

                    dosage

                    Guanfacine ER (Intuniv) dosage forms

                    The average cost for 30 tablets of 1mg of Guanfacine ER (Intuniv) is $17.83 with a free GoodRx coupon. This is 93.04% off the average retail price of $256.25.
                    tablet
                    Tablet
                    DosageQuantityPrice as low asPrice per unit
                    1mg30 tablets$17.83$0.59
                    2mg30 tablets$18.00$0.60
                    3mg30 tablets$13.95$0.46
                    4mg30 tablets$18.00$0.60

                    Typical dosing for Guanfacine ER (Intuniv)

                    The typical starting dose is 1 mg by mouth once daily, either in the morning or evening. Your provider will raise the dose based on your body weight, age, and whether or not you're taking other medications for ADHD. The typical maintenance dose ranges from 2 mg to 7 mg daily.

                    More on Guanfacine ER (Intuniv) dosage forms

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                    How much does Guanfacine ER (Intuniv) cost?

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                    alternatives

                    What are alternatives to Guanfacine ER (Intuniv)?

                    There are a number of medications that your doctor can prescribe in place of Guanfacine ER (Intuniv). Compare a few possible alternatives below.
                    Guanfacine ER (Intuniv)
                    Used for:
                    • Attention-deficit hyperactivity disorder (ADHD)

                    $13.95 Lowest GoodRx priceView Prices
                    Used for:
                    • Attention-deficit hyperactivity disorder (ADHD)

                    $22.50 Lowest GoodRx priceView Prices
                    Used for:
                    $27.00 Lowest GoodRx priceView Prices
                    images

                    Guanfacine ER (Intuniv) images

                    White Oval Teva And 5960 - Guanfacine 1mg Extended-Release Tablet
                    This medicine is White, Oval Tablet Imprinted With "Teva" And "5960".White Oval Teva And 5960 - Guanfacine 1mg Extended-Release Tablet
                    Orange Round 850 And Logo - Guanfacine 1mg Extended-Release Tablet
                    This medicine is Orange, Round Tablet Imprinted With "Logo" And "850".Orange Round 850 And Logo - Guanfacine 1mg Extended-Release Tablet
                    White Round M And Gh 1 - Guanfacine 1mg Extended-Release Tablet
                    This medicine is White, Round Tablet Imprinted With "M" And "Gh 1".White Round M And Gh 1 - Guanfacine 1mg Extended-Release Tablet
                    White Round A533 And 1Mg - Guanfacine 1mg Extended-Release Tablet
                    This medicine is White, Round Tablet Imprinted With "1Mg" And "A533".White Round A533 And 1Mg - Guanfacine 1mg Extended-Release Tablet
                    White Round Apo And Gu1 - Guanfacine 1mg Extended-Release Tablet
                    This medicine is White, Round Tablet Imprinted With "Gu1" And "Apo".White Round Apo And Gu1 - Guanfacine 1mg Extended-Release Tablet
                    White Round Yh And 116 - Guanfacine 1mg Extended-Release Tablet
                    This medicine is White, Round Tablet Imprinted With "Yh" And "116".White Round Yh And 116 - Guanfacine 1mg Extended-Release Tablet

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                    References

                    Best studies we found
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