HomeNDC LookupIngredientsClonidine Hydrochloride › 59651-0232-01
Clonidine Hydrochloride .1 mg Tablet, 100-count — NDC 59651-0232-01 package photo

Clonidine Hydrochloride .1 mg Tablet, 100-count

by Aurobindo Pharma Limited · 100 TABLET in 1 BOTTLE (59651-232-01)
NDC 59651-0232-01
🏷️ FDA NDC (as labeled) 59651-232-01 billing pads the product segment with a zero
This package
Contains100-count Cost per ea$0.0245 NADAC Per package$2.45 / 100 tablets Pack sizes2 compare ↓
Also priced by: Medicaid pays $0.1906/unit · Part D plans $0.0688/unit — full pricing hub ↓
Rx only Generic On market Non-controlled
🗂️ Data synced Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

🆔 Identity & classification

FDA NDC (as labeled) 59651-232-01
Product NDC 59651-232
11-digit billing NDC 59651023201
NCPDP billing unit EA — each (per item)
RxCUI 884173, 884185, 884189
UNII W76I6XXF06
Application # ANDA070886
SPL Set ID 2b75c20c-9dcc-4a63-854a-e9cdd2d7c1fb
Established class (EPC) Central alpha-2 Adrenergic Agonist
Mechanism of action Adrenergic alpha2-Agonists
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2021-06-02
Route ORAL
Dosage form TABLET
Substance CLONIDINE HYDROCHLORIDE
GPI-14 36201010100305
GCN Seq No 000346
GCN 01390
HICL code 000113
Ingredient (HICL) Clonidine Hcl
HIC1 code A
Therapeutic class — broad (HIC1) Cardiovascular System
HIC2 code A4
Therapeutic class — intermediate (HIC2) Antihypertensives
HIC3 code A4B
Therapeutic class — specific (HIC3) Antihypertensives, Sympatholytic
AHFS code 24:24.00.00
AHFS class Central Alpha-Agonists
FDB label name CLONIDINE HCL 0.1 MG TABLET
FDB brand name Clonidine Hcl
Legend status F — Federal legend — prescription drug or device
TE code (Orange Book) AB · RLD · RS
Why two NDCs? The FDA registers this code as 59651-232-01 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 59651-0232-01. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

🏷️ RxNorm drug class

This medicine belongs to the Central alpha-2 Adrenergic Agonist class.

Pharmacologic class Central alpha-2 Adrenergic Agonist
Drug family (ATC) Imidazoline receptor agonists, Other antimigraine preparations, Sympathomimetics in glaucoma therapy
How it works Adrenergic alpha2-Agonists
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

🏭 Manufacturer & labeler

LabelerAurobindo Pharma Limited
Application holderAUROBINDO PHARMA LTD
FDA applicationANDA070886 (ANDA)
Labeler code59651
First marketedJun 2021
Product typeHuman Prescription Drug
Portfolio1,449 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

🩺 Clinical

Label name CLONIDINE HCL 0.1 MG TABLET Ingredient Clonidine Hcl
📗 Our plain-language guide HelloPharmacist
  • You're right that it's used for several different conditions — that can be confusing. Depending on the product, clonidine is prescribed to lower high blood pressure in adults, to t...
  • What exactly is clonidine used for — I've seen it mentioned for totally different things?
  • Drowsiness is one of the most common side effects, especially when you first start or when your dose goes up. Many people find it eases a bit over time. Until you know how it affec...
  • Will clonidine make me too sleepy to function?
📖 Read our full Clonidine guide →
1
Nutrient depletion considerations

Clonidine may be associated with lower levels of 1 nutrient — worth a chat with your pharmacist, not a cause for alarm.

An association is not a deficiency. Educational only — don't start or stop anything without professional guidance.
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

💊 What it looks like

Color Green / Yellow / Blue
ShapeOval
ImprintCL;73
Size9 mm
ScoringScored — splits in 2
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

🧪 Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII 35SW5USQ3G
    A synthetic yellow dye used to color medicines. It helps make tablets, capsules, and liquids visually distinct so patients can easily identify their medication.
  • UNII H3R47K3TBD
    FD&C Blue No. 1 is a synthetic blue dye approved for use in foods and medicines. It serves as a colorant to give the medication its distinctive appearance and help with product identification.
  • UNII 0VUT3PMY82
    Hypromellose 2910 is a plant-derived thickening agent made from cellulose. In medicines, it forms protective coatings on tablets or capsules, controls how fast the drug releases, and thickens liquid formulations.
  • UNII EWQ57Q8I5X
    Lactose monohydrate is a natural sugar derived from milk. It serves as a filler and binder in tablets and capsules, helping create the proper size, texture, and consistency of the medicine.
  • UNII 70097M6I30
    Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
  • UNII 7T9FYH5QMK
    A plant-derived powder that serves as a binder and filler in tablets and capsules. It helps hold ingredients together, adds bulk, and aids in smooth tablet disintegration when swallowed.
  • UNII 6OZP39ZG8H
    Polysorbate 80 is a synthetic emulsifier derived from sorbitol and oleic acid. It helps mix oil and water-based ingredients together in medications and improves how the product disperses in the body.
  • UNII O8232NY3SJ
    A plant-based carbohydrate derived from corn kernels. It acts as a filler to add bulk, a binder to hold ingredients together, and a disintegrant to help the tablet break apart in your stomach for absorption.

8 inactive ingredients listed in the exact product block matched to this NDC.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMedingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

💲 Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eaPer package
Retail pharmacies payNADAC · weekly $0.025 $2.45 / 100 tablets
Medicaid paysCMS SDUD · 12 mo $0.1906 $19.06 / 100 tablets
Medicare drug plans payPart D · Q2 2026 $0.0688 $6.88 / 100 tablets
NADAC price history (per ea) — tap or hover for the price & month
Dec 2023 Dec 2025 Apr 2026 Aug 2026 $0.028 $0.025
▼ Down 11% over the last 12 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

🔁 Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Clonidine Hydrochloride .1 mg 00228-2127-10 Actavis 100 tablets $0.025 AB Availability likely
Clonidine Hydrochloride .1 mg 00904-7442-61 Major 100 tablets $0.025 AB Availability likely
clonidine hydrochloride .1 mg 29300-0468-01 Unichem 100 tablets $0.025 AB Availability likely
Clonidine Hydrochloride .1 mg 43547-0565-10 Solco 100 tablets $0.025 AB Availability likely
clonidine hydrochloride .1 mg 50268-0192-15 AvPAK 50 tablets $0.025 AB Availability likely
Clonidine hydrochloride .1 mg 52817-0180-00 TruPharma, 1000 tablets $0.025 Availability likely
Clonidine Hydrochloride .1 mg 58657-0647-01 Method 100 tablets $0.025 AB Availability likely
Clonidine Hydrochloride .1 mgthis 59651-0232-01 Aurobindo 100 tablets $0.025 AB Availability likely
Clonidine Hydrochloride .1 mg 60687-0113-01 American 100 tablets $0.025 AB Availability likely
Clonidine Hydrochloride .1 mg 68001-0237-00 BluePoint 100 tablets $0.025 AB Availability likely
Clonidine Hydrochloride .1 mg 00615-2572-05 NCS 15 tablets AB FDA listed
clonidine hydrochloride .1 mg 46708-0306-10 Alembic 100 tablets AB FDA listed
clonidine hydrochloride .1 mg 50090-5577-00 A-S 30 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 50090-6744-00 A-S 30 tablets AB FDA listed
clonidine hydrochloride .1 mg 50090-6946-00 A-S 90 tablets AB FDA listed
clonidine hydrochloride .1 mg 50090-7009-00 A-S 50 tablets AB FDA listed
clonidine hydrochloride .1 mg 50090-7475-00 A-S 30 tablets AB FDA listed
clonidine hydrochloride .1 mg 50090-7477-00 A-S 90 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 51655-0353-52 Northwind 30 tablets AB FDA listed
Clonidine hydrochloride .1 mg 51655-0445-18 Northwind 180 tablets FDA listed
Clonidine Hydrochloride .1 mg 55154-0189-00 Cardinal 10 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 55154-2576-00 Cardinal 10 tablets AB FDA listed
clonidine hydrochloride .1 mg 60760-0057-30 St. 30 tablets AB FDA listed
clonidine hydrochloride .1 mg 60760-0992-30 St. 30 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 61919-0605-30 DirectRX 30 tablets AB FDA listed
clonidine hydrochloride .1 mg 62332-0054-10 Alembic 100 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 63187-0202-30 Proficient 30 tablets FDA listed
Clonidine Hydrochloride .1 mg 63629-2314-01 Bryant 500 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 63629-2315-01 Bryant 100 tablets AB FDA listed
clonidine hydrochloride .1 mg 67296-2120-01 Redpharm 500 tablets AB FDA listed
clonidine hydrochloride .1 mg 67296-2260-01 Redpharm 10 tablets AB FDA listed
clonidine hydrochloride .1 mg 68071-2210-06 NuCare 60 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 68071-2699-01 NuCare 100 tablets AB FDA listed
clonidine hydrochloride .1 mg 68071-3625-02 NuCare 120 tablets AB FDA listed
Clonidine hydrochloride .1 mg 68071-3987-01 NuCare 100 tablets FDA listed
Clonidine hydrochloride .1 mg 68071-4545-01 NuCare 12 tablets FDA listed
Clonidine Hydrochloride .1 mg 68071-4661-02 NuCare 120 tablets AB FDA listed
clonidine hydrochloride .1 mg 68788-7145-01 Preferred 100 tablets AB FDA listed
clonidine hydrochloride .1 mg 68788-8494-01 Preferred 100 tablets AB FDA listed
clonidine hydrochloride .1 mg 70518-1035-05 REMEDYREPACK 90 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 70518-1962-00 REMEDYREPACK 30 tablets AB Discontinued
clonidine hydrochloride .1 mg 70518-3162-00 REMEDYREPACK 30 tablets AB Discontinued
Clonidine Hydrochloride .1 mg 70518-4342-00 REMEDYREPACK 30 tablets AB FDA listed
clonidine hydrochloride .1 mg 71205-0570-12 Proficient 12 tablets AB FDA listed
Clonidine hydrochloride .1 mg 71205-0588-12 Proficient 12 tablets FDA listed
clonidine hydrochloride .1 mg 71335-0777-00 Bryant 24 tablets AB FDA listed
clonidine hydrochloride .1 mg 71335-2266-00 Bryant 24 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 71335-2489-00 Bryant 24 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 72162-1679-01 Bryant 100 tablets AB FDA listed
Clonidine Hydrochloride .1 mg 72162-2609-00 Bryant 1000 tablets AB FDA listed
clonidine hydrochloride .1 mg 72789-0091-08 PD-Rx 8 tablets AB FDA listed
clonidine hydrochloride .1 mg 76420-0066-01 Asclemed 100 tablets AB FDA listed
Clonidine hydrochloride .1 mg 76420-0283-01 Asclemed 100 tablets FDA listed
clonidine hydrochloride .1 mg 83939-0005-01 VERITYRX, 1 tablet AB FDA listed
clonidine hydrochloride .1 mg 83939-0006-01 VERITYRX, 1 tablet AB FDA listed
clonidine hydrochloride .1 mg 87063-0181-01 ASCLEMED 100 tablets AB FDA listed
Clonidine hydrochloride .1 mg 87441-0023-01 Unit 30 tablets FDA listed
Clonidine hydrochloride .1 mg 71335-0922-00 Bryant 24 tablets FDA listed
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2021
On the market since
Jun 2021
📍
2026
Currently FDA-listed
5 years listed
🔓
·
Generic on the market
this product is a generic
This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

🗺️ Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for 59651-0232-01, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q4 2025 · 4 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
4.7K
Units reimbursed last 4 qtrs
214.3K
Gross reimbursed last 4 qtrs
$40.9K
Avg / prescription
$8.69
Avg / unit
$0.1906
Latest quarter Q4 2025
457Rx
Medicaid pays / ea
$0.1906
gross reimbursed
vs
NADAC / ea
$0.0245
acquisition cost
=
Spread
+$0.1661
+678% vs cost
What Medicaid paid per ea (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care
20% FFS 80% MCO
Fee-for-service · 933 Rx Managed care · 3,768 Rx
State Medicaid map
Alaska: no data reported AK Maine: no data reported ME Washington: no data reported WA Idaho: no data reported ID Montana: no data reported MT North Dakota: 3,758 units · 480 per 100k residents ND Minnesota: 5,112 units · 89.1 per 100k residents MN Wisconsin: 9,031 units · 153 per 100k residents WI Michigan: 4,888 units · 48.7 per 100k residents MI New York: 5,064 units · 25.9 per 100k residents NY Vermont: no data reported VT New Hampshire: no data reported NH Oregon: no data reported OR Nevada: no data reported NV Wyoming: no data reported WY South Dakota: 661 units · 71.9 per 100k residents SD Iowa: 12,194 units · 380 per 100k residents IA Illinois: 2,188 units · 17.4 per 100k residents IL Indiana: 202 units · 2.9 per 100k residents IN Ohio: 7,255 units · 61.6 per 100k residents OH Pennsylvania: 33,531 units · 259 per 100k residents PA New Jersey: 2,041 units · 22.0 per 100k residents NJ Massachusetts: no data reported MA California: 6,934 units · 17.8 per 100k residents CA Utah: no data reported UT Colorado: 2,400 units · 40.8 per 100k residents CO Nebraska: no data reported NE Missouri: no data reported MO Kentucky: no data reported KY West Virginia: 12,318 units · 696 per 100k residents WV Virginia: 5,065 units · 58.1 per 100k residents VA Maryland: 2,180 units · 35.3 per 100k residents MD Connecticut: no data reported CT Rhode Island: no data reported RI Arizona: 8,882 units · 120 per 100k residents AZ New Mexico: no data reported NM Kansas: 1,088 units · 37.0 per 100k residents KS Arkansas: no data reported AR Tennessee: 870 units · 12.2 per 100k residents TN North Carolina: 30,169 units · 278 per 100k residents NC South Carolina: 7,726 units · 144 per 100k residents SC Delaware: no data reported DE Oklahoma: no data reported OK Louisiana: 34,624 units · 757 per 100k residents LA Mississippi: no data reported MS Alabama: no data reported AL Georgia: no data reported GA D.C.: no data reported DC Hawaii: no data reported HI Texas: 1,780 units · 5.8 per 100k residents TX Florida: 5,650 units · 25.0 per 100k residents FL
Units reimbursed · per 100k residents
2.9757
gray = no data reported
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 Louisiana 757 /100k
2 West Virginia 696 /100k
3 North Dakota 480 /100k
4 Iowa 380 /100k
5 North Carolina 278 /100k
6 Pennsylvania 259 /100k
7 Wisconsin 153 /100k
8 South Carolina 144 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

💊 Medicaid utilization by pack size

Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.
1000 tablets59651-0232-99 245,565 Rx · $1,685,058
Drug total (last 4 qtrs): 250,266 Rx · 14,360,777 units · $1,725,908 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.

📦 Packaging — all sizes for this product

Package NDCDescription Per unit Per pack Marketing startStatus
59651-0232-01 You're viewing this 100 TABLET in 1 BOTTLE (59651-232-01) $0.0245 / ea $2.45 2021-06-02 Active
59651-0232-99 1000 TABLET in 1 BOTTLE (59651-232-99) $0.0245 / ea $24.51 2021-06-02 Active

You're viewing the smallest of 2 pack sizes for this product.

This pack has the lowest per-ea cost of the 2 priced pack sizes ($0.0245 NADAC).

This pack accounts for about 1.9% of this product's recent Medicaid fills; most go to the 1000 tablets pack. See all packs ↓

Pack size FAQ

What quantity is in NDC 59651-0232-01?
NDC 59651-0232-01 is a 100-count package — 100 tablet in 1 bottle.
What is the difference between NDC 59651-0232-01 and NDC 59651-0232-99?
Both are Clonidine Hydrochloride .1 mg Tablet — the drug itself is identical. NDC 59651-0232-01 is the 100-count package, while NDC 59651-0232-99 is the 1000 tablets package.
What NDC number is used to bill for this package of Clonidine Hydrochloride .1 mg Tablet?
Bill NDC 59651-0232-01 — the 11-digit billing format is 59651023201. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.

📄 Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 26 words

INDICATIONS AND USAGE Clonidine hydrochloride tablets are indicated in the treatment of hypertension. Clonidine hydrochloride tablets may be employed alone or concomitantly with other antihypertensive agents.

⏱️ Dosage and Administration 175 words

DOSAGE AND ADMINISTRATION Adults The dose of clonidine hydrochloride tablets must be adjusted according to the patient's individual blood pressure response. The following is a general guide to its administration. Initial Dose 0.1 mg tablet twice daily (morning and bedtime).

Elderly patients may benefit from a lower initial dose. Maintenance Dose Further increments of 0.1 mg per day may be made at weekly intervals if necessary until the desired response is achieved. Taking the larger portion of the oral daily dose at bedtime may minimize transient adjustment effects of dry mouth and drowsiness.

The therapeutic doses most commonly employed have ranged from 0.2 mg to 0.6 mg per day given in divided doses. Studies have indicated that 2.4 mg is the maximum effective daily dose, but doses as high as this have rarely been employed. Renal Impairment Patients with renal impairment may benefit from a lower initial dose.

Patients should be carefully monitored. Since only a minimal amount of clonidine is removed during routine hemodialysis, there is no need to give supplemental clonidine following dialysis.

Contraindications 18 words

CONTRAINDICATIONS Clonidine hydrochloride tablets should not be used in patients with known hypersensitivity to clonidine (see PRECAUTIONS ).

⚠️ Warnings 202 words

WARNINGS Withdrawal Patients should be instructed not to discontinue therapy without consulting their physician. Sudden cessation of clonidine treatment has, in some cases, resulted in symptoms such as nervousness, agitation, headache, and tremor accompanied or followed by a rapid rise in blood pressure and elevated catecholamine concentrations in the plasma. The likelihood of such reactions to discontinuation of clonidine therapy appears to be greater after administration of higher doses or continuation of concomitant beta-blocker treatment and special caution is therefore advised in these situations.

Rare instances of hypertensive encephalopathy, cerebrovascular accidents and death have been reported after clonidine withdrawal. When discontinuing therapy with clonidine hydrochloride tablets, the physician should reduce the dose gradually over 2 to 4 days to avoid withdrawal symptomatology. An excessive rise in blood pressure following discontinuation of clonidine hydrochloride tablets therapy can be reversed by administration of oral clonidine hydrochloride or by intravenous phentolamine.

If therapy is to be discontinued in patients receiving a beta-blocker and clonidine concurrently, the beta-blocker should be withdrawn several days before the gradual discontinuation of clonidine hydrochloride tablets. Because children commonly have gastrointestinal illnesses that lead to vomiting, they may be particularly susceptible to hypertensive episodes resulting from abrupt inability to take medication.

🤒 Adverse Reactions ~1 min read

ADVERSE REACTIONS Most adverse effects are mild and tend to diminish with continued therapy. The most frequent (which appear to be dose-related) are dry mouth, occurring in about 40 of 100 patients; drowsiness, about 33 in 100; dizziness, about 16 in 100; constipation and sedation, each about 10 in 100. The following less frequent adverse experiences have also been reported in patients receiving clonidine hydrochloride tablets, but in many cases patients were receiving concomitant medication and a causal relationship has not been established.

Body as a Whole: Fatigue, fever, headache, pallor, weakness, and withdrawal syndrome. Also reported were a weakly positive Coombs’ test and increased sensitivity to alcohol. Cardiovascular: Bradycardia, congestive heart failure, electrocardiographic abnormalities (i.e., sinus node arrest, junctional bradycardia, high degree AV block and arrhythmias), orthostatic symptoms, palpitations, Raynaud’s phenomenon, syncope, and tachycardia.

Cases of sinus bradycardia and atrioventricular block have been reported, both with and without the use of concomitant digitalis. Central Nervous System: Agitation, anxiety, delirium, delusional perception, hallucinations (including visual and auditory), insomnia, mental depression, nervousness, other behavioral changes, paresthesia, restlessness, sleep disorder, and vivid dreams or nightmares. Dermatological: Alopecia, angioneurotic edema, hives, pruritus, rash, and urticaria.

Gastrointestinal: Abdominal pain, anorexia, constipation, hepatitis, malaise, mild transient abnormalities in liver function tests, nausea, parotitis, pseudo-obstruction (including colonic pseudo-obstruction), salivary gland pain, and vomiting. Genitourinary: Decreased sexual activity, difficulty in micturition, erectile dysfunction, loss of libido, nocturia, and urinary retention. Hematologic: Thrombocytopenia.

Metabolic: Gynecomastia, transient elevation of blood glucose or serum creatine phosphokinase, and weight gain. Musculoskeletal: Leg cramps and muscle or joint pain. Oro-otolaryngeal: Dryness of the nasal mucosa.

Ophthalmological: Accommodation disorder, blurred vision, burning of the eyes, decreased lacrimation, and dryness of eyes.

🔄 Drug Interactions ~1 min read

Drug Interactions Clonidine may potentiate the CNS-depressive effects of alcohol, barbiturates or other sedating drugs. If a patient receiving clonidine hydrochloride is also taking tricyclic antidepressants, the hypotensive effect of clonidine may be reduced, necessitating an increase in the clonidine dose. If a patient receiving clonidine is also taking neuroleptics, orthostatic regulation disturbances (e.g., orthostatic hypotension, dizziness, fatigue) may be induced or exacerbated.

Monitor heart rate in patients receiving clonidine concomitantly with agents known to affect sinus node function or AV nodal conduction, e.g., digitalis, calcium channel blockers and beta-blockers. Sinus bradycardia resulting in hospitalization and pacemaker insertion has been reported in association with the use of clonidine concomitantly with diltiazem or verapamil. Amitriptyline in combination with clonidine enhances the manifestation of corneal lesions in rats (see Toxicology ).

Based on observations in patients in a state of alcoholic delirium it has been suggested that high intravenous doses of clonidine may increase the arrhythmogenic potential (QT-prolongation, ventricular fibrillation) of high intravenous doses of haloperidol. Causal relationship and relevance for clonidine oral tablets have not been established. Toxicology In several studies with oral clonidine hydrochloride, a dose-dependent increase in the incidence and severity of spontaneous retinal degeneration was seen in albino rats treated for six months or longer.

Tissue distribution studies in dogs and monkeys showed a concentration of clonidine in the choroid. In view of the retinal degeneration seen in rats, eye examinations were performed during clinical trials in 908 patients before, and periodically after, the start of clonidine therapy. In 353 of these 908 patients, the eye examinations were carried out over periods of 24 months or longer.

Except for some dryness of the eyes, no drug-related abnormal ophthalmological findings were recorded and, according to specialized tests such as electroretinography and macular dazzle, retinal function was unchanged. In combination with amitriptyline, clonidine hydrochloride administration led to the development of corneal lesions in rats within 5 days.

🤰 Pregnancy 205 words

Pregnancy Teratogenic Effects: Reproduction studies performed in rabbits at doses up to approximately 3 times the oral maximum recommended daily human dose (MRDHD) of clonidine hydrochloride tablets produced no evidence of a teratogenic or embryotoxic potential in rabbits. In rats, however, doses as low as 1/3 the oral MRDHD (1/15 the MRDHD on a mg/m 2 basis) of clonidine were associated with increased resorptions in a study in which dams were treated continuously from 2 months prior to mating. Increased resorptions were not associated with treatment at the same time or at higher dose levels (up to 3 times the oral MRDHD) when the dams were treated on gestation days 6 to 15.

Increases in resorption were observed at much higher dose levels (40 times the oral MRDHD on a mg/kg basis; 4 to 8 times the MRDHD on a mg/m 2 basis) in mice and rats treated on gestation days 1 to 14 (lowest dose employed in the study was 500 mcg/kg). No adequate, well-controlled studies have been conducted in pregnant women. Clonidine crosses the placental barrier (see CLINICAL PHARMACOLOGY, Pharmacokinetics ).

Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

🧒 Pediatric Use 21 words

Pediatric Use Safety and effectiveness in pediatric patients have not been established in adequate and well-controlled trials (see WARNINGS, Withdrawal ).

🆘 Overdosage ~1 min read

OVERDOSAGE Hypertension may develop early and may be followed by hypotension, bradycardia, respiratory depression, hypothermia, drowsiness, decreased or absent reflexes, weakness, irritability and miosis. The frequency of CNS depression may be higher in children than adults. Large overdoses may result in reversible cardiac conduction defects or dysrhythmias, apnea, coma and seizures.

Signs and symptoms of overdose generally occur within 30 minutes to two hours after exposure. As little as 0.1 mg of clonidine has produced signs of toxicity in children. There is no specific antidote for clonidine overdosage.

Clonidine overdosage may result in the rapid development of CNS depression; therefore, induction of vomiting with ipecac syrup is not recommended. Gastric lavage may be indicated following recent and/or large ingestions. Administration of activated charcoal and/or a cathartic may be beneficial.

Supportive care may include atropine sulfate for bradycardia, intravenous fluids and/or vasopressor agents for hypotension and vasodilators for hypertension. Naloxone may be a useful adjunct for the management of clonidine-induced respiratory depression, hypotension and/or coma; blood pressure should be monitored since the administration of naloxone has occasionally resulted in paradoxical hypertension. Tolazoline administration has yielded inconsistent results and is not recommended as first-line therapy.

Dialysis is not likely to significantly enhance the elimination of clonidine. The largest overdose reported to date involved a 28-year old male who ingested 100 mg of clonidine hydrochloride powder. This patient developed hypertension followed by hypotension, bradycardia, apnea, hallucinations, semicoma, and premature ventricular contractions.

The patient fully recovered after intensive treatment. Plasma clonidine levels were 60 ng/ml after 1 hour, 190 ng/ml after 1.5 hours, 370 ng/ml after 2 hours, and 120 ng/ml after 5.5 and 6.5 hours. In mice and rats, the oral LD 50 of clonidine is 206 and 465 mg/kg, respectively.

🧬 Clinical Pharmacology ~2 min read

CLINICAL PHARMACOLOGY Clonidine stimulates alpha-adrenoreceptors in the brain stem. This action results in reduced sympathetic outflow from the central nervous system and in decreases in peripheral resistance, renal vascular resistance, heart rate, and blood pressure. Clonidine hydrochloride tablets act relatively rapidly.

The patient’s blood pressure declines within 30 to 60 minutes after an oral dose, the maximum decrease occurring within 2 to 4 hours. Renal blood flow and glomerular filtration rate remain essentially unchanged. Normal postural reflexes are intact; therefore, orthostatic symptoms are mild and infrequent.

Acute studies with clonidine hydrochloride in humans have demonstrated a moderate reduction (15% to 20%) of cardiac output in the supine position with no change in the peripheral resistance: at a 45° tilt there is a smaller reduction in cardiac output and a decrease of peripheral resistance. During long term therapy, cardiac output tends to return to control values, while peripheral resistance remains decreased. Slowing of the pulse rate has been observed in most patients given clonidine, but the drug does not alter normal hemodynamic response to exercise.

Tolerance to the antihypertensive effect may develop in some patients, necessitating a reevaluation of therapy. Other studies in patients have provided evidence of a reduction in plasma renin activity and in the excretion of aldosterone and catecholamines. The exact relationship of these pharmacologic actions to the antihypertensive effect of clonidine has not been fully elucidated.

Clonidine acutely stimulates growth hormone release in both children and adults, but does not produce a chronic elevation of growth hormone with long-term use. Pharmacokinetics The pharmacokinetics of clonidine is dose-proportional in the range of 100 to 600 mcg. The absolute bioavailability of clonidine on oral administration is 70% to 80%.

Peak plasma clonidine levels are attained in approximately 1 to 3 hours. Following intravenous administration, clonidine displays biphasic disposition with a distribution half-life of about 20 minutes and an elimination half-life ranging from 12 to 16 hours. The half-life increases up to 41 hours in patients with severe impairment of renal function.

Clonidine crosses the placental barrier. It has been shown to cross the blood-brain barrier in rats. Following oral administration about 40% to 60% of the absorbed dose is recovered in the urine as unchanged drug in 24 hours.

About 50% of the absorbed dose is metabolized in the liver. Neither food nor the race of the patient influences the pharmacokinetics of clonidine. The antihypertensive effect is reached at plasma concentrations between about 0.2 and 2.0 ng/mL in patients with normal excretory function.

A further rise in the plasma levels will not enhance the antihypertensive effect.

📦 How Supplied / Storage and Handling 165 words

HOW SUPPLIED Clonidine hydrochloride tablets. USP are supplied in the following dosage strengths: Clonidine Hydrochloride Tablets USP, 0.1 mg are green colored, oval, biconvex tablets, debossed with “CL lip break line 71” on one side and plain on other side. Bottles of 100 NDC 59651-232-01 Bottles of 1,000 NDC 59651-232-99 Clonidine Hydrochloride Tablets USP, 0.2 mg are yellow colored, oval, biconvex tablets, debossed with “CL lip break line 72” on one side and plain on other side.

Bottles of 100 NDC 59651-233-01 Bottles of 500 NDC 59651-233-05 Clonidine Hydrochloride Tablets USP, 0.3 mg are blue colored, oval, biconvex tablets, debossed with “CL lip break line 73” on one side and plain on other side. Bottles of 100 NDC 59651-234-01 Bottles of 500 NDC 59651-234-05 Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Dispense in tight, light-resistant container.

Distributed by: Aurobindo Pharma USA, Inc. 279 Princeton-Hightstown Road East Windsor, NJ 08520 Manufactured by: Aurobindo Pharma Limited Hyderabad–500 032, India Revised: 06/2021

📋 Description 133 words

DESCRIPTION Clonidine hydrochloride USP is a centrally acting alpha-agonist hypotensive agent available as tablets for oral administration in three dosage strengths: 0.1 mg, 0.2 mg and 0.3 mg. The 0.1 mg tablet is equivalent to 0.087 mg of the free base. The inactive ingredients are corn starch, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polysorbate 80, in addition 0.1 mg and 0.2 mg contains D&C Yellow No.

10, 0.1 mg and 0.3 mg contains FD&C Blue No. 1, and 0.3 mg contains FD&C Blue No. 2.

Clonidine hydrochloride is an imidazoline derivative and exists as a mesomeric compound. The chemical name is 2-(2,6-dichlorophenylamino)-2-imidazoline hydrochloride. The following is the structural formula: Clonidine hydrochloride is an odorless, bitter, white or almost white crystalline powder.

Soluble in water and ethanol, slightly soluble in chloroform. Chemical Structure

💬 Information for Patients 89 words

Information for Patients Patients should be cautioned against interruption of clonidine hydrochloride tablets therapy without their physician's advice. Since patients may experience a possible sedative effect, dizziness, or accommodation disorder with use of clonidine, caution patients about engaging in activities such as driving a vehicle or operating appliances or machinery. Also, inform patients that this sedative effect may be increased by concomitant use of alcohol, barbiturates, or other sedating drugs.

Patients who wear contact lenses should be cautioned that treatment with clonidine hydrochloride tablets may cause dryness of eyes.

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.