The Medical Letter on Drugs and Therapeutics
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1357
Another Extended-Release Alpha2-Agonist for ADHD
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The FDA has approved an extended-release formulation of clonidine hydrochloride (Kapvay – Shionogi) for treatment of attention-deficit/hyperactivity disorder (ADHD) in children 6-17 years old. It is the second alpha2-adrenergic agonist approved for this indication; guanfacine hydrochloride (Intuniv) was the first,1 but only clonidine is approved for use with stimulants.

STANDARD TREATMENT — A stimulant such as an amphetamine or a methylphenidate-based formulation is generally used first for treatment of ADHD.2 The immediate-release formulations of clonidine (Catapres, and others) and guanfacine (Tenex, and others), both marketed for treatment of hypertension, have been used off-label for years for treatment of ADHD, either alone or concurrently with a stimulant, particularly in children ... more      

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Title: Another Extended-Release Alpha2-Agonist for ADHD
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