Clonidine: Drug Effects, Side Effects, Dosage and Uses

Products

Clonidine is commercially available in many countries as tablets and as a solution for injection and has been approved since 1970 (Catapresan). In some countries, clonidine is approved for the treatment of ADHD (eg, Kapvay sustained-release tablets). This article refers to its use in ADHD.

Structure and Properties

Clonidine (C9H9Cl2N3, Mr = 230.1 g/mol) is present in drugs as clonidine hydrochloride, a white crystalline powder that is soluble in water. It is a chlorinated imidazoline derivative.

Effects

Clonidine (ATC C02AC01) is effective against ADHD symptomatology. The effects are due to agonism at central alpha2 receptors. The exact mechanism of action is not known. Clonidine also has antihypertensive properties and was originally developed as an antihypertensive.

Indications

  • Attention-deficit/hyperactivity disorder ADHD.
  • Hypertension

Dosage

According to the professional information. The tablets are usually taken in the morning and evening and regardless of meal times.

Abuse

Unlike stimulants, clonidine is not a narcotic, is not addictive, and is not abused as an intoxicant.

Contraindications

  • Hypersensitivity

For complete precautions, see the drug label.

Interactions

Drug-drug interactions are possible with central depressant medications, tricyclic antidepressants, certain heart medications (eg, digitalis), and antihypertensives.

Adverse effects

Possible adverse effects include drowsiness, fatigue, respiratory infections, irritability, sore throat, insomnia, nightmares, congestion, stuffy nose, increased body temperature, dry mouth, and earache.