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guanethidine

Drug monograph

CDSCO approved
EXCRETION
not curated
INTERACTIONS
1 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 3
  • TizanidineSevereDatabaseDDInter

Mechanism

Not yet extracted

Indications

Antihypertensive (historically, no longer in use)

Pharmacokinetics

Protein binding
Guanethidine is a 'hit and run' drug, meaning its effect lasts much longer than the drug itself.

Side effects

Serious
  • marked side effects

Drug interactions

Tizanidine
Severe
Database

Clinical effect not specified

Source: DDInter

Minoxidil
Moderate
Database

Additive hypotensive effect; orthostatic hypotension risk

Monitor BP closely; adjust doses

Source: Kimi deep-research + Cla

Xylometazoline
Moderate
Database

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.

Related guidelines

Other Unclassified drugs

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Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team