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The following information is not a substitute for the knowledge and judgement of a healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Always consult with your doctor, nurse, or pharmacist before taking medication.

Tenex Side Effects

Generic Name: guanfacine

Note: This document contains side effect information about guanfacine. Some of the dosage forms listed on this page may not apply to the brand name Tenex.

In Summary

Common side effects of Tenex include: asthenia, constipation, drowsiness, dizziness, fatigue, and xerostomia. Other side effects include: impotence. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to guanfacine: oral tablet, oral tablet extended release

Along with its needed effects, guanfacine (the active ingredient contained in Tenex) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking guanfacine:

More common Less common

Get emergency help immediately if any of the following symptoms of overdose occur while taking guanfacine:

Symptoms of overdose

Some side effects of guanfacine may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common Less common

After you stop using this medicine, it may still produce some side effects that need attention. During this period of time, check with your doctor immediately if you notice the following side effects:

For Healthcare Professionals

Applies to guanfacine: oral tablet, oral tablet extended release

General

The most common adverse reactions were dry mouth, somnolence, headache, fatigue, dizziness, abdominal pain, constipation, appetite decreased, and sedation.[Ref]

Gastrointestinal

Very common (10% or more): Dry mouth (up to 54%), abdominal pain (up to 15%), constipation (up to 15%)
Common (1% to 10%): Vomiting, diarrhea, nausea, abdominal/stomach discomfort
Uncommon (0.1% to 1%): Dyspepsia[Ref]

Nervous system

Very common (10% or more): Somnolence (up to 40.6%), headache (up to 28%), dizziness (up to 16%), sedation (10.2%)
Common (1% to 10%): Lethargy, convulsion, dizziness postural, syncope
Rare (less than 0.1%): Hypersomnia
Postmarketing reports: Tremor, paresthesias, vertigo, taste alteration[Ref]

Other

Very common (10% or more): Fatigue (up to 22%)
Common (1% to 10%): Asthenia
Uncommon (0.1% to 1%): Chest pain
Rare (less than 0.1%): Malaise[Ref]

Metabolic

Very common (10% or more): Appetite decreased (up to 15%)
Common (1% to 10%): Weight increased
Frequency not reported: Body mass index increased
Postmarketing reports: Edema

Psychiatric

Common (1% to 10%): Insomnia, depression, anxiety, affect lability, middle insomnia, nightmare, irritability
Uncommon (0.1% to 1%): Agitation, hallucination
Postmarketing reports: Confusion[Ref]

Cardiovascular

Common (1% to 10%): Hypotension, bradycardia, orthostatic hypotension, tachycardia
Uncommon (0.1% to 1%): Pallor, atrioventricular block first degree, sinus arrhythmia, blood pressure increased, heart rate decreased
Rare (less than 0.1%): Hypertension
Frequency not reported: QTc prolongation
Postmarketing reports: Palpitations

Genitourinary

Common (1% to 10%): Impotence, enuresis
Uncommon (0.1% to 1%): Pollakiuria
Frequency not reported: Urinary frequency increased[Ref]

Dermatologic

Common (1% to 10%): Rash, pruritus
Postmarketing reports: Alopecia, dermatitis, exfoliative dermatitis

Respiratory

Uncommon (0.1% to 1%): Asthma
Postmarketing reports: Dyspnea

Hepatic

Uncommon (0.1% to 1%): ALT increased

Immunologic

Uncommon (0.1% to 1%): Hypersensitivity

Musculoskeletal

Postmarketing reports: Arthralgia, leg cramps, leg pain, myalgia

Ocular

Postmarketing reports: Blurred vision

References

1. "Product Information. Intuniv (guanfacine)." Shire US Inc, Florence, KY.

2. "Product Information. Tenex (guanfacine)." Wyeth-Ayerst Laboratories, Philadelphia, PA.

3. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0

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

More about Tenex (guanfacine)

Consumer resources

Other brands: Intuniv

Professional resources

Related treatment guides

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