Why is this medication prescribed?

Intuniv is a medication that is primarily prescribed for the treatment of attention deficit hyperactivity disorder (ADHD). It contains the active ingredient guanfacine, which belongs to a class of medications known as alpha-2 adrenergic agonists.

Intuniv is specifically used to manage ADHD symptoms in children and adolescents aged 6 to 17. It works by stimulating certain receptors in the brain, which helps to reduce hyperactivity, impulsiveness, and improve attention span. It is often prescribed as part of a comprehensive treatment plan that may also include behavioral therapy, counseling, and educational interventions.

Intuniv is different from other ADHD medications, such as stimulants like Ritalin or Adderall, which work by increasing the levels of certain chemicals in the brain. Intuniv is a non-stimulant medication and is often considered as an alternative for individuals who do not respond well to or cannot tolerate stimulant medications.

How should this medicine be used?

When using Intuniv, it’s important to follow the instructions provided by your healthcare provider and the information on the prescription label. However, it’s essential to note that specific dosages and administration instructions may vary depending on the individual’s age, weight, and medical condition. Always consult with your doctor or pharmacist for personalized advice.

In general, here are some guidelines for using Intuniv:

• Dosage: The starting dose is usually low and gradually increased over time to achieve the desired therapeutic effect. The recommended initial dose for children aged 6 to 17 years is 1 mg once daily, taken orally. The dose may be increased weekly in increments of 1 mg until an optimal response is achieved, up to a maximum recommended dose of 7 mg per day.
• Administration: Intuniv tablets should be taken whole, swallowed with water, and can be taken with or without food. It’s important not to crush, chew, or break the tablets before swallowing.
• Timing: Intuniv is usually taken in the morning or as directed by your healthcare provider. Taking it at the same time each day can help establish a routine.
• Follow-up: Regularly follow up with your healthcare provider to monitor the effectiveness and any potential side effects of Intuniv. They may adjust the dosage or recommend additional treatments based on your individual response.
• Discontinuation: If you and your doctor decide to stop using Intuniv, it’s important to gradually reduce the dosage over time. Suddenly stopping the medication may lead to withdrawal symptoms or a return of ADHD symptoms.

Other uses for this medicine

While Intuniv is FDA-approved for ADHD in children and adolescents, it is sometimes prescribed off-label for adults with ADHD. The efficacy and safety of Intuniv for adult ADHD have been studied, but it is important to discuss this option with a healthcare professional.

What special precautions should I follow?

Precautions for using Intuniv:

• Hypotension (low blood pressure): Intuniv can lower blood pressure, and caution should be exercised when using it in patients with pre-existing hypotension or cardiovascular conditions. Blood pressure should be monitored regularly during treatment with Intuniv.
• Bradycardia (slow heart rate): Intuniv may cause bradycardia, which is an unusually slow heart rate. It is important to monitor heart rate regularly, especially in individuals with pre-existing cardiac conditions.
• Sedation and drowsiness: Intuniv may cause drowsiness and sedation, particularly when starting or adjusting the dose. It is advised to avoid activities requiring alertness, such as driving or operating heavy machinery, until the individual’s response to the medication is known.
• Abrupt discontinuation: Intuniv should not be abruptly stopped, as it may lead to a temporary increase in blood pressure and heart rate. The medication should be tapered off gradually under the guidance of a healthcare professional.
• Potential for drug interactions: Intuniv may interact with other medications, including certain blood pressure medications, central nervous system depressants, and CYP3A4 inhibitors. Inform your healthcare provider about all medications you are taking to avoid potential interactions.

It’s important to note that the information provided here is not exhaustive, and specific precautions and uses may vary depending on individual circumstances. It is always recommended to consult a healthcare professional or pharmacist for personalized advice regarding the use of Intuniv or any other medication.

What special dietary instructions should I follow?

Intuniv (generic name: guanfacine) is a medication primarily prescribed to treat attention deficit hyperactivity disorder (ADHD) in children and adolescents. While there are no specific dietary instructions associated with Intuniv, it is generally recommended to take the medication with or without food, according to your preference or as directed by your healthcare provider. However, it’s always best to consult with your doctor or pharmacist to ensure that there are no specific considerations or interactions based on your individual health status or any other medications you may be taking.

What should I do if I forget a dose?

If you forget to take a dose of Intuniv, you should take it as soon as you remember, unless it is close to the time for your next scheduled dose. In that case, it is advisable to skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one. If you have any concerns or questions about missed doses, it is recommended to contact your healthcare provider for guidance.

What side effects can this medication cause?

Like any medication, Intuniv can potentially cause side effects in some individuals. The most common side effects associated with Intuniv include:

• Drowsiness: Intuniv can cause drowsiness or fatigue, particularly when starting or increasing the dosage. This effect is more pronounced at higher doses.
• Low blood pressure: Guanfacine can lower blood pressure, leading to symptoms such as dizziness, lightheadedness, or fainting.
• Bradycardia: Intuniv may lower heart rate, resulting in bradycardia or a slower heart rate than normal.
• Dry mouth: Some individuals may experience a dry mouth while taking Intuniv. This side effect can usually be managed by maintaining good oral hygiene and drinking water frequently.
• Constipation: Intuniv may cause constipation in certain individuals. Ensuring an adequate intake of fluids and fiber can help alleviate this side effect.
• Sedation: The medication may induce sedation, which can affect concentration and alertness. It is typically advised to avoid activities that require mental alertness until you understand how the medication affects you.
• Headache: Some people may experience headaches while taking Intuniv.
• Nausea and vomiting: Although less common, Intuniv can cause nausea or vomiting in some individuals.

It’s important to note that not everyone will experience these side effects, and some individuals may experience different or no side effects at all. Additionally, the severity and frequency of side effects can vary from person to person. If you have concerns about the side effects of Intuniv, it is recommended to discuss them with your healthcare provider who can provide personalized information and guidance based on your specific situation.

What should I know about storage and disposal of this medication?

1. Storage: Store Intuniv at room temperature, away from excessive heat and moisture. Keep it in a secure place, out of reach of children and pets.
2. Disposal: Proper disposal of medication helps prevent accidental ingestion by others and protects the environment. Follow these guidelines for safe disposal:
   • Do not flush Intuniv down the toilet or pour it down the drain unless specifically instructed to do so.
   • Check with your local pharmacy or waste management facility for take-back programs or community disposal options.
   • If no specific disposal instructions are available, mix the medication with an undesirable substance like coffee grounds or cat litter in a sealed plastic bag and throw it in the regular trash.

In case of emergency/overdose

• Contact emergency services: If someone has overdosed or is experiencing severe symptoms, call your local emergency number immediately (e.g., 911 in the United States).
• Poison Control Center: You can also contact your local poison control center for guidance. They can provide immediate assistance and help determine the next steps to take. Keep the Intuniv packaging or bottle handy, as it contains important information that can assist healthcare professionals.

What other information should I know?

• Dosage and administration: Take Intuniv exactly as prescribed by your healthcare provider. Do not change the dosage or stop taking it without consulting your doctor. The medication is usually taken once daily, and it may be taken with or without food.
• Potential side effects: Intuniv may cause side effects, including drowsiness, fatigue, low blood pressure, dizziness, dry mouth, constipation, and stomach pain. If you experience any severe or persistent side effects, contact your healthcare provider.
• Interactions: Inform your doctor about all the medications, supplements, and herbal products you are taking, as some substances can interact with Intuniv. This includes other ADHD medications, blood pressure medications, and certain antidepressants.
• Precautions and warnings: Intuniv should be used with caution in individuals with low blood pressure, liver disease, heart problems, or a history of fainting. It is important to disclose your medical history to your healthcare provider before starting the medication.

Remember, the information provided here is a general overview, and it’s always best to consult your doctor or pharmacist for specific guidance regarding the storage, disposal, and emergency procedures related to Intuniv.