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At a glance

Clonidine Hydrochloride is a centrally acting antihypertensive medication used for the treatment of hypertension, migraine prevention, menopausal flushing, and ADHD.

Indications
  • Hypertension (high blood pressure)
  • Migraine prophylaxis
  • Menopausal flushing
  • Opioid and alcohol withdrawal syndrome
  • Attention Deficit Hyperactivity Disorder (ADHD)
Pharmacology

Clonidine Hydrochloride stimulates alpha adrenoceptors in the brain stem. With immediate-release clonidine, 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.

Dosage

Adult Dose (Oral - Hypertension): Initial: 50-100 mcg three times daily, increased every 2nd or 3rd day; Maintenance: 300-1200 mcg/day; Max: 2400 mcg/day.

Adult Dose (Migraine prophylaxis/Menopausal flushing): 50 mcg twice daily, increased to 75 mcg twice daily if no remission after 2 weeks.

ADHD: IR: 5 mcg/kg/day; ER: 0.1 mg/day for 8 weeks.

Alcohol withdrawal: 0.3-0.6 mg every 6 hours.

Pediatric Dose (<12 years): Safety and efficacy not established.

Renal Dose: CrCl <10 mL/min: 50-75% of usual dose.

Side effects

Common Side Effects (dose-related):

  • Dizziness
  • Sleepiness
  • Dry mouth
  • Constipation
  • Sedation
  • Ear pain
  • Irritability
  • Diarrhea
  • Abdominal pain
  • Nausea
Use in pregnancy

[CONSULT YOUR DOCTOR] Clonidine Hydrochloride may be unsafe to use during pregnancy. Pregnancy Category C.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • [UNSAFE] Clonidine Hydrochloride may cause blurring of your vision for a short time just after its use. Do not drive until your vision is clear.
  • May cause dizziness or sleepiness; avoid driving or activities requiring concentration.
  • Rise slowly if you have been sitting or lying down (orthostatic hypotension).
  • May cause dryness of eyes; caution while using contact lenses.
  • Do not stop suddenly without consulting your doctor (withdrawal symptoms: nervousness, agitation, headache, tremor, rapid rise in blood pressure).
  • Caution during pregnancy and lactation.
Overdose effects

Overdose symptoms: Hypotension, Bradycardia, Respiratory Depression, Hypothermia, Sedation, Abnormal Reflexes, Weakness & Miosis.

Storage conditions

Keep below 30°C temperature, away from light & moisture. Keep out of reach of children.

Clonidine Hydrochloride — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.