Client education · After your consultation
Daily or situational

Guanfacine

Tenex; Intuniv (extended-release) · Brand names vary by country and preparation.

Give the medication exactly as prescribed. Do not increase, decrease, repeat, combine, or discontinue medication unless instructed by your veterinarian.
Immediate-release and extended-release preparations are not interchangeable. Use the exact preparation prescribed. Do not crush, chew or split extended-release tablets; contact the clinic if administration is difficult.

Why this medication may be prescribed

May be prescribed in selected cases involving fear, anxiety, panic or excessive arousal, sometimes alongside a daily medication. Veterinary evidence is limited, particularly in cats. The schedule depends on the individual treatment plan.

How it works

It activates alpha-2 receptors that reduce noradrenaline signalling, part of the body’s stress response. This may reduce arousal, but it can also lower blood pressure and slow heart rate.

When should I expect an effect?

Onset and duration vary with the animal and the preparation. Reliable clinical timing ranges are not established for every dog or cat, and immediate-release and extended-release products behave differently. Follow the timing in your prescription and record when useful effects begin and wear off.

What improvement might look like

Depending on the treatment goal, improvement may mean less intense reactions, faster recovery, less avoidance, better rest or greater ability to respond to familiar cues. Complete disappearance of behaviour is not required to see progress.

Medication can reduce fear, anxiety, arousal, impulsivity, or other factors that interfere with learning. Behaviour modification and environmental management remain important parts of treatment.

Common side effects

Possible effects include sleepiness, digestive upset and changes in sleep. Low blood pressure or a slow heart rate may cause weakness. Report new restlessness or agitation to the clinic.

Mild effects may be temporary. Persistent or pronounced changes should be discussed with the clinic; do not assume they are harmless.

When should I contact the clinic?

Contact the clinic for persistent vomiting or diarrhea, marked appetite loss, pronounced sedation, stumbling, weakness, unexpected worsening or significant new behaviour. Report difficulty passing urine promptly; inability to pass urine needs urgent veterinary assessment.

When is it an emergency?

Collapse, seizures, marked difficulty breathing, extreme weakness, profound unresponsiveness or rapidly worsening signs require immediate veterinary assessment. Contact the nearest emergency veterinary hospital. Suspected overdose also requires immediate veterinary advice, even if your animal seems well. This list is not exhaustive.

What if I miss a dose?

Follow any missed-dose instructions supplied with your prescription. If none were provided, contact the clinic or your veterinarian for advice about the next dose. Do not double, repeat or make up a dose on your own.

What if I administered an extra dose?

Contact your veterinarian or an emergency veterinary hospital immediately for case-specific advice, even if no signs are visible. Have the packaging and the amount and time given available for the veterinarian. Do not induce vomiting unless instructed. This website cannot determine a safe extra amount.

Can I stop this medication suddenly?

Do not stop regular treatment suddenly. Abrupt withdrawal can cause a rise in blood pressure; your veterinarian will advise on any gradual reduction needed.

Do not reduce or discontinue this medication without discussing it with your veterinarian.

Medication and supplement interactions

Other sedating medicines or medicines that lower blood pressure or slow heart rate may intensify effects. Medicines that change how guanfacine is broken down can also affect its action. Tell the clinic about every medication and supplement, and tell the attending veterinarian before sedation or anaesthesia.

Inform the clinic before adding a prescription, over-the-counter medicine, supplement, herbal product or calming product. This is not a complete interaction list.

What should I monitor?

  • Intensity of reactions and recovery time
  • Alertness, sleep and ability to stand or walk normally
  • Appetite and digestive changes
  • Onset and duration, and any new agitation

Bring your observations to follow-up.

Educational information; effects vary between dogs, cats and individuals.