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Probe · clonidine · 3 min read

Is clonidine 0.1 mg only a blood-pressure tablet?

Hypertension is the indication on the immediate clonidine tablet file. Tablets may be used alone or with other antihypertensives. Kapvay (clonidine extended-release) is indicated for ADHD as monotherapy or adjunct to stimulants in children and adolescents 6 to 17 in its own trials. This vault does not write a pediatric immediate-tablet ADHD schedule. The product on the order must be named.

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Updated

01What use does the 0.1 mg tablet file name?

Forest-green still life: one indication line chosen on a card

Clonidine hydrochloride tablets are indicated in the treatment of hypertension. They may be employed alone or concomitantly with other antihypertensive agents.

Adequate pediatric trials on the immediate tablet insert have not established safety and effectiveness.

02What should the order actually say?

Write the INN, the product (immediate tablet versus extended-release versus patch), the milligram, and the indication the clinician owns.

clonidine 0.1 mg locks the immediate 0.1 mg hypertension line. The strength lock explains 0.2 mg and 0.3 mg stamps.

03Does every high cuff get 0.1 mg?

Pheochromocytoma hypertension is not expected to respond to clonidine tablets. The cause still has to be named.

ADHD, sleep, and pressure are different jobs. A 0.1 mg stamp does not pick the diagnosis.

04What if the chart already uses IR 0.1 mg at night for sleep?

Off-label use does not rewrite the tablet indication. Rebound after a cold stop still applies to regular evening 0.1 mg.

This page will not invent an adult or pediatric sleep schedule. missed-dose rebound stays in force.

05Can I swap IR 0.1 mg for Kapvay milligram for milligram?

The ER file recommends against substituting other clonidine products on a mg-per-mg basis because the kinetic profiles differ.

Do not use Kapvay with other clonidine-containing products such as Catapres. Two clonidine products stacked raise bradycardia and hypotension risk.

06Which clonidine product names ADHD?

Kapvay extended-release clonidine is indicated for ADHD as monotherapy and as adjunctive therapy to stimulant medications.

Efficacy in that file rests on two controlled trials in ages 6 to 17 with DSM-IV hyperactive or combined subtypes. That is not the 0.1 mg immediate start of 0.1 mg twice daily for pressure.

Sources

  1. DailyMed clonidine hydrochloride tablet, setid e9b22c56-a3fc-46df-b745-11c4ac309a91
  2. FDA Kapvay (clonidine hydrochloride extended-release) label, NDA 022331

Checked against the current label and reviewed by Dr. Mateo Ruiz. See Probe, Assay, Glow-check, Seal.

Vault consult

Answers follow the U.S. clonidine (Catapres) label.

Anja S. School asked for IR 0.1 mg ADHD directions.

Vault reply

This vault stays on the adult tablet hypertension label. ADHD dosing belongs to the named ER product and the clinician who wrote it. We will not invent a pediatric IR schedule.

Rafael T. Can I split Kapvay to match 0.1 mg IR?

Vault reply

ER clonidine must be swallowed whole on its insert. Do not crush or split it to mimic a Catapres tablet.

Chiara B. Adult ADHD. Same 0.1 mg twice daily as BP?

Vault reply

The immediate tablet file names hypertension. An ADHD indication has to be named on the product that carries it. Do not copy the BP start onto an unnamed ADHD plan.

Before you start, stop, or change any medicine, speak with your prescriber or pharmacist - they hold your chart, this vault card does not. Open the vault disclaimer.