Drug intelligence / Profile preview

Methylphenidate + guanfacine

Development stage
Phase 4
Lead developer
Novartis
Modality
Small Molecules
Administration
Oral
01

Overview

Methylphenidate + guanfacine is a combination therapy used primarily in the treatment of attention-deficit/hyperactivity disorder (ADHD), especially in children who have an inadequate response to monotherapy. Methylphenidate is a central nervous system stimulant that inhibits the reuptake of norepinephrine and dopamine, increasing their concentrations in the synaptic cleft. Guanfacine is an alpha-2A adrenergic receptor agonist that acts on prefrontal cortical receptors to enhance executive function and reduce hyperactivity and impulsivity. The combination may provide greater improvements in ADHD symptoms than either drug alone, particularly for visuo-attentional deficits and working memory performance[3][4][8]. However, combined use can affect cardiac rhythm and requires monitoring for potential side effects such as irregular heartbeat or changes in blood pressure[1].

Brand names
Intuniv + Concerta
Other names
d-methylphenidate + guanfacinemethylphenidate hydrochloride + guanfacine hydrochloride
02

Targets

ADRA2A (α2A)DAT (Dopamine plasma membrane transport protein)NET (Norepinephrine Transporter)

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