Generic Name: clonidine (oral) (KLOE ni deen)
Brand Names: Catapres, Kapvay, Kapvay Dose Pack

What is Kapvay?

Kapvay (clonidine) is a prescription medicine used for the treatment of Attention-Deficit Hyperactivity Disorder (ADHD). Your doctor may prescribe Kapvay alone or together with certain other ADHD medicines. Clonidine is not a central nervous system (CNS) stimulant.

Kapvay may also be used for purposes not listed in this medication guide.

Important information

Before you take Kapvay, tell your doctor if you have heart disease or severe coronary artery disease, a heart rhythm disorder, slow heartbeats, low blood pressure, a history of heart attack or stroke, kidney disease, or if you have ever had an allergic reaction to a clonidine.

Slideshow: Does Your Child Have ADHD? Recognizing Signs & Treatment Options

Do not take two forms of clonidine at the same time.

If you need surgery, tell the surgeon ahead of time that you are using Kapvay. You may need to stop using the medicine for a short time.

Do not stop using Kapvay suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.

Kapvay may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Before taking this medicine

You should not take Kapvay if you are allergic to clonidine.

To make sure Kapvay is safe for you, tell your doctor if you have:

  • heart disease or severe coronary artery disease;

  • heart rhythm disorder, slow heartbeats;

  • low blood pressure;

  • a history of heart attack or stroke;

  • pheochromocytoma (tumor of the adrenal gland);

  • kidney disease; or

FDA pregnancy category C. It is not known whether Kapvay will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

See also: Pregnancy and breastfeeding warnings (in more detail)

Clonidine can pass into breast milk and may harm a nursing baby. Do not take Kapvay without telling your doctor if you are breast-feeding a baby.

Do not give this medicine to a child younger than 6 years old.

How should I take clonidine?

Take Kapvay exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take Kapvay in larger or smaller amounts or for longer than recommended.

Do not take two forms of clonidine at the same time.

Kapvay may be taken with or without food. The extended release tablets must be swallowed whole and never crushed, cut, or chewed. Breaking the tablet may cause too much of the medicine to be released at one time. Tell your doctor if you cannot swallow the tablets whole. You may need a different medicine.

If you need surgery, tell the surgeon ahead of time that you are using Kapvay. You may need to stop using the medicine for a short time.

Do not stop using Kapvay suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.

Store at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath) followed by low blood pressure (feeling light-headed, fainting), cold feeling, shallow breathing, weakness, fainting, or pinpoint pupils.

What should I avoid?

Avoid becoming overheated or dehydrated during exercise and in hot weather.

Drinking alcohol can increase certain side effects of Kapvay.

Kapvay may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Kapvay side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Kapvay: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • fast or pounding heartbeats, tremors;

  • a very slow heart rate (fewer than 60 beats per minute);

  • feeling short of breath, even with mild exertion;

  • swelling, rapid weight gain;

  • confusion, hallucinations;

  • flu symptoms;

  • urination problems; or

  • feeling like you might pass out.

Other common Kapvay side effects may include:

  • drowsiness, dizziness;

  • feeling tired or irritable;

  • cold symptoms such as runny or stuffy nose, sneezing, cough, sore throat;

  • mood changes;

  • sleep problems (insomnia), nightmares;

  • headache, ear pain;

  • mild fever;

  • feeling hot;

  • constipation, diarrhea, pain in your upper stomach;

  • dry mouth, increased thirst; or

  • loss of interest in sex, impotence, difficulty having an orgasm.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Kapvay?

Taking Kapvay with other drugs that make you sleepy or slow your breathing can increase these effects. Ask your doctor before taking this medicine with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Kapvay, especially:

  • clonidine transdermal skin patches (Catapres TTS);

  • digoxin, digitalis;

  • an antidepressant such as amitriptyline, clomipramine, doxepin, imipramine, nortriptyline, and others;

  • a beta-blocker such as atenolol, carvedilol, labetalol, metoprolol, nadolol, propranolol, sotalol, and others;

  • heart or blood pressure medicine such as amlodipine, diltiazem, nifedipine, verapamil, and others;

  • medicines to treat psychiatric disorders, such as chlorpromazine, clozapine, fluphenazine, haloperidol, olanzapine, perphenazine, prochlorperazine, risperidone, thiothixene, trifluoperazine, and others; or

  • any other drugs to treat high blood pressure or heart problems.

This list is not complete. Other drugs may interact with Kapvay, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

  • Your pharmacist can provide more information about Kapvay.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Kapvay only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2014 Cerner Multum, Inc. Version: 8.02. Revision Date: 2013-01-05, 4:42:56 PM.

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