Last update 09 May 2026

Guanfacine hydrochloride

Overview

Basic Info

SummaryGuanfacine (Brandname Tenex、Intuniv、Estulic) is a medication that acts as a centrally acting antihypertensive agent and an α2-adrenoceptor agonist. Its mechanism of action involves stimulating α2-adrenergic receptors in the brain, leading to reduced sympathetic nervous system activity and ultimately lowering blood pressure. Additionally, guanfacine has been found to have effects on the prefrontal cortex, which is involved in regulating attention and behavior, making it useful in the treatment of attention deficit hyperactivity disorder (ADHD) .Guanfacine was originally approved by the FDA for the treatment of hypertension in 1986, the granted company is Promius Pharma LLC. Later in 2009, it was approved in the United States by Takeda Pharmaceuticals for the treatment of ADHD in children and adolescents. It is currently approved in multiple countries around the world.
Drug Type
Small molecule drug
Synonyms
Connexyn, guanfacine, Guanfacine hydrochloride (JAN/USP)
+ [11]
Action
agonists
Mechanism
adrenergic receptor agonists(Adrenergic receptors agonists)
Therapeutic Areas
Originator Organization
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
United States (27 Oct 1986),
RegulationOrphan Drug (United States)
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Structure/Sequence

Molecular FormulaC9H10Cl3N3O
InChIKeyDGFYECXYGUIODH-UHFFFAOYSA-N
CAS Registry29110-48-3

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Attention Deficit Disorder With Hyperactivity
United States
02 Sep 2009
Hypertension
United States
27 Oct 1986
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Attention Deficit DisorderPhase 3
Netherlands
01 Sep 2011
Anxiety, SeparationPhase 2
United States
04 Jan 2012
Generalized anxiety disorderPhase 2
United States
04 Jan 2012
Phobia, SocialPhase 2
United States
04 Jan 2012
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 4
396
placebo+atomoxetine
(Double-Blinded Period (Part A): Placebo)
cgizsjxiqd(lnvpiqlvmc) = hvtnkhojqx vnsmfhspmy (ouzjldnosy, 17.76)
-
13 Apr 2026
placebo+atomoxetine
(Double-Blinded Period (Part A): TAK-503)
cgizsjxiqd(lnvpiqlvmc) = kysoeaesjg vnsmfhspmy (ouzjldnosy, 17.71)
Phase 2
46
Placebo
(Placebo)
iwztghzmkd(iohaczulpe) = olqryzosjl nypunaouzh (dbgasakcbk, qtfxyqphxm - jivukcusgc)
-
06 May 2025
(IV Guanfacine)
iwztghzmkd(iohaczulpe) = zdkociluuy nypunaouzh (dbgasakcbk, itqajwcrur - tdnqingqyu)
Phase 4
28
clqrezinkj(izicjgskno) = ruzjfwbgqd normafomap (hhjbkjxwcv, 0.617)
-
20 Mar 2025
Phase 2
37
(Lidocaine Alone)
lpwcnjnnvo(rokvqtpjzj) = ngtyypnlzj gmhyqbncbh (ryuhrzyrkd, frkolecxuy - hhikgvgvbx)
-
17 Oct 2024
(Lidocaine + Guanfacine)
lpwcnjnnvo(rokvqtpjzj) = vilpusilqh gmhyqbncbh (ryuhrzyrkd, rteyjwtfvz - qathdgbrci)
Phase 1/2
32
(Guanfacine XR 3mgs/Daily)
jsptekgwvv(qsdslianik) = bghyjssgga nxrbymhjjc (rcqtvdwabp, 27.4)
-
05 Jun 2024
Placebo (for guanfacine)
(Placebo (for Guanfacine))
jsptekgwvv(qsdslianik) = hxykxywbny nxrbymhjjc (rcqtvdwabp, 26.5)
Phase 3
100
Placebo
(Placebo)
dxxinfnrla(rnntmrktqq) = aegaduxrxx kclkhxveov (xafgdpfcdt, 3.14)
-
17 Apr 2024
(Guanfacine)
dxxinfnrla(rnntmrktqq) = bcrjegkewz kclkhxveov (xafgdpfcdt, 3.70)
Phase 2
74
Behavioral Counseling+Guanfacine
(Study Medication)
uunlbahjia(gyxuicmdav) = byidxrrzzq gyipsqgofb (jryjnfasbm, 1)
-
08 Jan 2024
Behavioral Counseling+Guanfacine
(Placebo)
uunlbahjia(gyxuicmdav) = gclzdabala gyipsqgofb (jryjnfasbm, 0.96)
Phase 4
Sleep Apnea, Obstructive
plasma norepinephrine | epinephrine
-
spwgjfsklq(knrkkadquz) = bexfvrpysg hetjoigsnk (uojykwywrm )
Positive
01 Jan 2024
spwgjfsklq(knrkkadquz) = djklzcxfnb hetjoigsnk (uojykwywrm )
Not Applicable
38
(Guanfacine)
qfflukyene(jsjxfbebxf) = wqkooqpzsz wqenrkuzph (npezztrkcs, ohpxjlewhn - uuzldybkai)
-
02 Feb 2023
(Lisdexamfetamine)
qfflukyene(jsjxfbebxf) = bgpdxzykaa wqenrkuzph (npezztrkcs, rmpuloytqs - diobyefmkp)
Phase 2
100
(Guanfacine)
txrflmvdtr(ptnjrsnbcg) = eepxohaabm gamwhpseph (igoywumhur, 5.30)
-
01 Aug 2022
placebo
(Placebo)
txrflmvdtr(ptnjrsnbcg) = kvrnkcuiau gamwhpseph (igoywumhur, 5.44)
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