Guanfacine

69 interactions 361 cited references
Also sold as: Intuniv Intuniv® Tenex®
About Guanfacine

Guanfacine is a centrally acting alpha-adrenergic medication used to treat high blood pressure and ADHD symptoms. Read the full Guanfacine drug information page →

Dr. Brian Staiger, PharmD, BCPS
Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated Aug 9, 2026 · Editorial policy · Data sources

Sources: FDA prescribing information (Structured Product Labeling), the published literature cited in each entry, DDInter 2.0 (a major open-access drug-interaction database), and legacy DrugBank interaction data distributed by the NIH's RxNav service (decommissioned in 2024) — analyzed and reviewed by our pharmacist team. How we build this library →

Moderate

Guanfacine Amitriptyline Elavil Decreased antihypertensive effectiveness Details Guanfacine Aprepitant Aponvie Increased guanfacine exposure Details Guanfacine Artemether Reduced CYP3A4 substrate exposure and reduced efficacy of CYP3A4 substrate Details Guanfacine Atazanavir Reyataz Increased guanfacine exposure Details Guanfacine Boceprevir Increased guanfacine exposure Details Guanfacine Bosentan Decreased guanfacine exposure Details Guanfacine Carbamazepine Carbatrol Decreased guanfacine exposure Details Guanfacine Clarithromycin Biaxin Increased guanfacine exposure Details Guanfacine Cobicistat Tybost Increased guanfacine exposure Details Guanfacine Desipramine Norpramin Decreased antihypertensive effectiveness Details Guanfacine Diltiazem Cardizem Increased guanfacine exposure Details Guanfacine Dronedarone Multaq Increased guanfacine exposure Details Guanfacine Efavirenz Decreased guanfacine exposure Details Guanfacine Enzalutamide Xtandi Decreased guanfacine exposure Details Guanfacine Erythromycin Erythrocin Stearate Increased guanfacine exposure Details Guanfacine Fluconazole Diflucan Increased guanfacine exposure Details Guanfacine Fosaprepitant Emend Injection Increased guanfacine exposure Details Guanfacine Fosphenytoin Cerebyx Decreased guanfacine exposure Details Guanfacine Idelalisib Zydelig Increased guanfacine exposure Details Guanfacine Imatinib Gleevec Increased guanfacine exposure Details Guanfacine Imipramine Decreased antihypertensive effectiveness Details Guanfacine Indinavir Increased guanfacine exposure Details Guanfacine Itraconazole Sporanox Increased guanfacine exposure Details Guanfacine Ketoconazole Extina Increased guanfacine exposure Details Guanfacine Kratom Increased CYP3A substrate exposure Details Guanfacine Letermovir Prevymis Increased guanfacine exposure Details

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Educational information only, not medical advice. Always confirm interactions with your pharmacist or prescriber before making any change to your medications.