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Tenex Side Effects

Generic Name: guanfacine

Please note - some side effects for Tenex may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

Side Effects of Tenex - for the Consumer

Tenex

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Tenex:

Constipation; dizziness; drowsiness; dry mouth; tiredness.

Seek medical attention right away if any of these SEVERE side effects occur when using Tenex:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in heartbeat; inability to have sex; pounding in the chest.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

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Side Effects by Body System - for Healthcare Professionals

General

Guanfacine is generally well-tolerated. In a study of 580 hypertensive patients, only 7% withdrew due to adverse side effects. In addition, most side effects were mild, dose-related, and resolved over time.

Nervous system

Nervous system side effects have included fatigue or a sedative effect and dizziness in 33% and 15% of patients, respectively. After one year of therapy, the incidence of these side effects falls to 6% and 1%, respectively. Headaches occur in less than 5% of patients. Nervous system side effects associated with the extended-release formulation have included somnolence (38%), fatigue (14%), headache (24%), lethargy (6%), dizziness (6%), and postural dizziness (less than 2%).

Gastrointestinal

Gastrointestinal side effects have included dry mouth in up to 60% of patients. Constipation has been associated with the use of this drug in 14% of patients. After one year of therapy the incidence of dry mouth and constipation averages 15% and 3%, respectively. Gastrointestinal side effects associated with the extended-release formulation have included dry mouth (4%), upper abdominal pain (10%), nausea (6%), and dyspepsia (less than 2%).

Cardiovascular

Cardiovascular side effects have included orthostatic hypotension and palpitations, each of which is rare. There is limited, indirect (ECG) evidence of left ventricular hypertrophy resolution after guanfacine therapy. Cardiovascular side effects associated with the extended-release formulation have included hypotension/decreased blood pressure (6%), atrioventricular block (less than 2%), bradycardia (less than 2%), and sinus arrhythmia (less than 2%) .

Genitourinary

Genitourinary complaints in male patients are limited to impotence, which is associated with higher doses (daily doses of 3 mg or more).

Metabolic

Metabolic side effects associated with the extended-release formulation have included decreased appetite (5%), and constipation (3%).

Psychiatric

Psychiatric side effects associated with the extended-release formulation have included irritability (6%)

Respiratory

Respiratory side effects associated with the extended-release formulation have included asthma (less than 2%).

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