KAPVAY
What it isClonidine ER (KAPVAY, 2010) is a central alpha-2 agonist reducing sympathetic output; nonstimulant ADHD treatment, approved ages: 6-17.
Why this oneDuration of action 12-16 h (Carlat Table 1); it is more sedating and blood-pressure lowering than guanfacine ER, which can help when insomnia accompanies ADHD.
What limits itSomnolence, bradycardia and hypotension limit use; titrate weekly, avoid abrupt stop to prevent rebound hypertension.
NO BOXED WARNINGS
Principal riskRebound hypertension on abrupt withdrawal

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