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Clonidine: Effects
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Clonidine may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
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Clonidine can cause dry mouth, constipation, nausea, daytime sleepiness, weakness, and lethargy. These side effects may take several weeks to disappear. In some cases, these side effects can be eliminated with dosage readjustment. In addition, clonidine may cause eye dryness, loss of sex drive, and decreased sexual activity.
Clonidine is regularly prescribed to opiate addicts to help alleviate their withdrawals. It is mainly used to combat the dopesickness in the first couple days of withdrawals. It helps take away the sweating, hot/cold flashes, and general restlessness. The sedation effect is ... useful.
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The general treatment of Clonidine overdosage may include intravenous fluids as indicated. Bradycardia can be treated with intravenous atropine sulfate and hypotension with dopamine infusion in addition to intravenous fluids. Hypertension, associated with overdosage, has been treated with intravenous furosemide or diazoxide or alpha-blocking agents such as phentolamine. Tolazoline, an alpha- blocker, in intravenous doses of 10 mg at 30-minute intervals, may reverse clonidine's effects if other efforts fail. Routine hemodialysis is of limited benefit, since a maximum of 5% of circulating clonidine is removed.
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Cardiac effects: Clonidine frequently causes decreases in heart rate. Rarely, atroventricular block greater than first degree has been reported. Clonidine does not alter the hemodynamic response to exercise but may mask the increase in heart associated hypovolemia.
Clonidine is usually prescribed as a 0.1 mg tablet or as a patch. Small doses (0.05 mg or 1/2of a TTS 1 patch) may be all that is needed to help control overly aggressive ADHD children. There have been some reports of adverse side effects of combining Ritalin and Clonidine.
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