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Guanfacine is a centrally acting antihypertensive agent. Guanfacine lowers both systolic and diastolic blood pressure by activating the central nervous system α-2 adrenergic receptors, which results in reduced sympathetic outflow leading to reduced vascular tone. Its adverse reactions include dry mouth, sedation, and constipation.

Generic Status


Guanfacine is the generic name for the drug Tenex.

Side effects


Usual: Dizziness, drowsiness, headache, constipation, gas pains, diarrhea, loss of appetite, fatigue, and nasal congestion may occur.

Rare: chest pain, shortness of breath, skin rash, swelling of the hands or feet, blurred vision, yellowing of the eyes or skin.

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Guanfacine - Familydoctor.org - Information for patients in English and Spanish.

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