Tizanidine
Severe
Database
Clinical effect not specified
Source: DDInter
Drug monograph
Not yet extracted
Clinical effect not specified
Source: DDInter
Additive hypotensive effect; orthostatic hypotension risk
Monitor BP closely; adjust doses
Source: Kimi deep-research + Cla
Increased blood pressure, reduced efficacy of guanethidine.
Use with caution. Monitor blood pressure closely. Consider alternative decongestants. Guanethidine is rarely used now, but the interaction mechanism is relevant.
9 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.
Continue into a citation-backed clinical answer with the drug context already attached.
Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team