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Guanfacine - Chestnut Hill Child Psychiatry

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Q: Hi ,

Any success stories on Guanfacine? My son is 9 years old, suffers from hyperactivity, impulsivity, and tics. Stimulants are no longer an option and after meeting with his new Pediatric Neurologist, he suggested trying Guanfacine next. We are on day 4, and will slowly titrate up in dosage. He also takes “natural” supplements as well.

Thank you!

Chestnut Hill CAP A: Just out of curiosity, why can your son no longer take stimulants? If it's because of an increase in tics, that is not usually a contraindication unless it is so severe that it is interfering with normal functioning.

Guanfacine is great but it is thought to be more effective for hyperactivity and impulsivity than with focus / concentration. Like Onthemove1971 mentioned, guanfacine is often combined with stimulants -- particularly in the afternoon and evening hours when a stimulant can't be used.

Is he on the immediate release (Tenex) or extended release (Intuniv)? I find that Intuniv tends to be a little less sedating and generally better tolerated.

I wish you good luck! Guanfacine (in either form) can be a very effective medication.

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