Drug/Small Molecule:
guanfacine

2D structure

Overview

Generic Names: Guanfacina [INN-Spanish]; Guanfacine HCl; Guanfacine Hydrochloride; Guanfacinum [INN-Latin]; SPD 503; guanfacine
Trade Names: Estulic; Intuniv; Tenex
PharmGKB Accession Id: PA449825

Description

A centrally acting antihypertensive agent. The drug lowers both systolic and diastolic blood pressure by activating the central nervous system alpha-2 adrenoreceptors, which results in reduced sympathetic outflow leading to reduced vascular tone. Its adverse reactions include dry mouth, sedation, and constipation. PubChem (source: Drug Bank)

Indication

For use in the management of hypertension. (source: Drug Bank)

ATC Therapeutic Category

  • C02AC:Imidazoline receptor agonists

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

Guanfacine selectively stimulates central alpha(2)-adrenergic receptors, resulting in inhibition of sympathetic nervous system outflow, reduction of peripheral and renal vascular resistance, and lowering of blood pressure and heart rate. (source: Drug Bank)

Pharmacology

Similar to clonidine, guanfacine is a centrally-acting, alpha(2)-adrenergic receptor agonist used alone or in combination with other drugs for the treatment of hypertension. (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Biotransformation

Hepatic (source: Drug Bank)

Protein Binding

Approximately 70% bound to plasma proteins, independent of drug concentration. (source: Drug Bank)

Absorption

Rapid and complete, with an oral bioavailability of approximately 80%. (source: Drug Bank)

Toxicity

Symptoms of overdose include drowsiness, lethargy, bradycardia and hypotension. LD<sub>50</sub>=165mg/kg (orally in mice) (source: Drug Bank)

Isomeric SMILES Code:

c1cc(c(c(c1)Cl)CC(=O)NC(=N)N)Cl (source: Drug Bank)

A list of non-curated publications that mention this drug along with other genes is available.

Drug Targets

Gene Description
ADRA1B Uncurated Annotation (source: Drug Bank)
ADRA2A Uncurated Annotation (source: Drug Bank)

A list of non-curated publications that mention this drug along with other drugs is available.

LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB01018
KEGG Compound ID:
C07037
PubChem Compound ID:
3519
PubChem Substance ID:
176213
IUPHAR Ligand ID:
522

Common Searches

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Non-Curated Publications

A list of non-curated publications that mention this drug is available.

PharmGKB integrates drug information from different sources: DrugBank, Open Eye Scientific Software.
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