Clonidine belongs to the group of medications called antihypertensives or vascular stabilizers. It is used alone or in combination with thiazide diuretics (e.g., hydrochlorothiazide) to treat high blood pressure. It is usually tried when other types of blood pressure medications are ineffective or cannot be used. This medication works by widening the blood vessels, which increases blood flow and lowers blood pressure. Clonidine can also be used to relieve menopausal hot flashes when hormone replacement therapy is not needed or not desired. For hot flashes, clonidine works by helping reduce the response of the blood vessels to stimuli that cause them to narrow and widen. This medication may be available under multiple brand names and/or in several different forms. PO administration: 0.1-0.3 mg q4-6hr; increase by 0.1 mg/day to 0.15-0.75 mg/day if required; do not exceed 2.4 mg/day TD administration: 100-200 mcg/day patch q7Days; initiate 0.1-0.3 mg PO q4-6hr for first 2 days to allow for adequate drug levels Not recommended as routine treatment for hypertension (Beers criteria) Potential for orthostatic hypotension and adverse CNS effects May cause bradycardia Immediate release: Lower initial doses than for nongeriatric adult dosing, as well as gradual adjustments, are recommended Extended release: May require lower initial dose than for nongeriatric adult dosing Skin reactions; patch (15-50%) Dry mouth (40%) Somnolence (19-38%) Headache (19-29%) Fatigue (13-24%) Drowsiness (33%) Dizziness (13-16%) Hypotension, epidural (45%) Postural hypotension, epidural (32%) Anxiety (11%) Epidural clonidine is not recommended for obstetric postpartum or perioperative pain management because the risk of hemodynamic instability (eg, hypotension, bradycardia) may be unacceptable in this population Dilute product with strength of 500 mcg/m L prior to use Epidural: Hemodynamically unstable patients (risk of severe hypotension) Do not discontinue suddenly (risk of rebound hypertension) Patch: May need to remove if severe erythema and/or localized vesicle formation develop at application site or generalized rash; consult physician Severe coronary insufficiency May cause xerostomia Recent MI Cerebrovascular disease Chronic renal failure Raynaud's disease Thromboangiitis obliterans History of depression (may exacerbate depression in cancer patients) May impair ability to perform hazardous tasks Remove patch before MRI (may cause burns) Hypotension may occur; usually responsive to IV fluids and, if necessary, appropriate parenterally administered pressor agents Cardiac conduction abnormalities: Sympatholytic action may worsen sinus node dysfunction and atrioventricular (AV) block, especially if coadministered with other sympatholytic drugs Titrate slowly and monitor vital signs frequently in patients at risk for hypotension, heart block, bradycardia, syncope, cardiovascular disease, vascular disease, cerebrovascular disease or chronic renal failure; measure heart rate and blood pressure prior to initiation of therapy, following dose increases, and periodically while on therapy; avoid concomitant use of drugs with additive effects unless clinically indicated; advise patients to avoid becoming dehydrated or overheated Epidural administration may result in mild respiratory depression (usually with higher than recommended dose) Use with caution in cerebrovascular disease Avoid as first line antihypertensive in the elderly due to high risk for adverse side effects Children may be particularly susceptible to hypertensive episodes when experiencing GI illnesses that lead to vomiting Discontinue oral immediate release formulations within 4 hr of surgery; restart as soon as possible following surgery Due to different pharmacokinetic profiles, oral formulations are not interchangeable with extended release on a mg-mg basis due to different pharmacokinetic profiles Central sympatholytic via stimulation of central alpha receptors; results in reduced sympathetic outflow, causing decreased PVR, HR, BP, and renal vascular resistance; produces presynaptic and postjunctional alpha-2 adrenoreceptor analgesia by preventing pain signal transmission to brain Postsynaptic alpha2-agonist stimulation may regulate subcortical activity in the prefrontal cortex, which may regulate the area of the brain responsible for attention, emotions, and behaviors, and thereby reduces hyperactivity, distractibility, and impulsiveness The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. Where can i buy doxycycline 100mg Tadalafil and vardenafil Valacyclovir 1gm Metformin overdose emedicine Drug interactions may change how your medications work or increase your risk for serious side effects. The first set of drugs that might interact with clonidine don't surprise you much. It makes sense that any other drug that also affects the blood pressure or the heart. Clonidine interaction with Food, Herbs and Alcohol - It is important to know how to take the medication to avoid the drug-food interaction. This interaction can. Combining prescription medications with alcohol can have serious side effects. This is especially the case if the drug used and alcohol have similar effects. One example of a medication abused along with alcohol is clonidine. Clonidine isn’t a scheduled substance because it’s primary purpose is to treat hypertension, and it’s not abused as frequently as opioids and benzodiazepine tranquilizers. Besides hypertension, clonidine – also known by the brand name Catapres – is used to treat anxiety disorders, pain disorders, panic attacks, and attention deficit hyperactivity disorder. It’s available in 0.1 mg, 0.2 mg, and 0.3 mg dosages. The drug classifies as a centrally acting alpha-agonist. It’s available as a patch, an oral tablet, and an oral extended-release tablet. Clonidine extended-release tablets are available as the brand-name drug Kapvay. Clonidine extended-release tablets are used to treat symptoms of attention deficit hyperactivity disorder (ADHD). This drug may be used as part of a combination therapy. In some cases, they may not be available in every strength or form as the brand. That means you may need to take it with other drugs. Clonidine belongs to a class of drugs called centrally acting alpha-agonists. It isn’t known exactly how clonidine extended-release tablets work to reduce symptoms of ADHD. We do know that clonidine works in the part of the brain that helps regulate behavior, attention, and how we express emotion. However, this effect might go away the longer you take it. Mild side effects may go away within a few days or a couple of weeks. Talk to your doctor or pharmacist if they’re more severe or don’t go away. Clonidine interactions Interaction of Morphine and Clonidine on Gastrointestinal Transit in., Clonidine Mechanism of Action & Interactions Buy xenical ukBuy viagra in hong kongOrder cs cialis People who abuse clonidine usually use it in combination with another substance because it tends to amplify the effects of alcohol or another drug. Dangers of Mixing Clonidine and Alcohol - American Addiction Centers. Clonidine Interaction with Food, Herbs and Alcohol - Medindia. Neuropharmacologic and Behavioral Actions of Clonidine.. Clonidine is used alone or together with other medicines to treat high blood pressure hypertension. High blood pressure adds to the workload of the heart and. Médicaments, horaires de prise, alimentation, interactions médicamenteuses Rédigé par AS Delepoulle Dr en pharmacie. Dernière mise à jour le 27/01. Clonidine may interact with other medications. Note You can reduce your chances of drug interactions by having all of.