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    HomeMedication GuideClonidine Safety
    Central alpha-2 agonist

    Clonidine: What to Know Before You Take It

    Also sold as Catapres, Kapvay

    What Clonidine Is Used For

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

    Warnings

    WARNINGS Withdrawal Patients should be instructed not to discontinue therapy without consulting their physician. Sudden cessation of clonidine treatment has, in some cases, resulted in symptoms such as nervousness, agitation, headache, and tremor accompanied or followed by a rapid rise in blood pressure and elevated catecholamine concentrations in the plasma. The likelihood of such reactions to discontinuation of clonidine therapy appears to be greater after administration of higher doses or continuation of concomitant beta-blocker treatment and special caution is therefore advised in these situations. Rare instances of hypertensive encephalopathy, cerebrovascular accidents and death have been reported after clonidine withdrawal. When discontinuing therapy with clonidine hydrochloride tablets, the physician should reduce the dose gradually over 2 to 4 days to avoid withdrawal symptomatology. An excessive rise in blood pressure following discontinuation of clonidine hydrochloride tablets therapy can be reversed by administration of oral clonidine hydrochloride or by intravenous phentolamine. If therapy is to be discontinued in patients receiving a beta-blocker and clonidine concurrently, the beta-blocker should be withdrawn several days before the gradual discontinuation of clonidine hydrochloride tablets. Because children commonly have gastrointestinal illnesses that lead to vomiting, they may be particularly susceptible to hypertensive episodes resulting from abrupt inability to take medication.

    Contraindications

    CONTRAINDICATIONS Clonidine hydrochloride tablets should not be used in patients with known hypersensitivity to clonidine (see PRECAUTIONS ).

    Clonidine Drug Interactions (11)

    Clonidine + Carvedilol
    ( 7.1 , 7.5 ) Hypotensive agents (e.g., reserpine, MAO inhibitors, clonidine) may increase the risk of hypotension and/or severe bradycardia.
    Moderate interaction
    Clonidine + Insulin Aspart
    Drugs That May Increase or Decrease the Blood Glucose Lowering Effect of NOVOLOG Drugs: Alcohol, beta-blockers, clonidine, and lithium salts.
    Moderate interaction
    Clonidine + Insulin Glargine
    Drugs That May Increase or Decrease the Blood Glucose Lowering Effect of BASAGLAR Drugs: Alcohol, beta-blockers, clonidine, and lithium salts.
    Moderate interaction
    Clonidine + Amiodarone
    Negative Chronotropes digoxin, beta blockers, verapamil, diltiazem, clonidine, ivabradine Potentiates the electrophysiologic and hemodynamic effects of amiodarone, resulting in bradycardia, sinus arrest, and AV block.
    Minor interaction
    Clonidine + Amitriptyline
    Amitriptyline in combination with clonidine enhances the manifestation of corneal lesions in rats (see Toxicology ).
    Minor interaction
    Clonidine + Atenolol
    Beta-blockers may exacerbate the rebound hypertension which can follow the withdrawal of clonidine.
    Minor interaction
    Clonidine + Diltiazem
    Clonidine : Sinus bradycardia resulting in hospitalization and pacemaker insertion has been reported in association with the use of clonidine concurrently with diltiazem.
    Minor interaction
    Clonidine + Glimepiride
    Beta-blockers, clonidine, and reserpine may lead to either potentiation or weakening of glimepiride’s glucose-lowering effect.
    Minor interaction
    Clonidine + Metoprolol
    ( 7.3 ) Concomitant use of glycosides, clonidine, and diltiazem and verapamil with beta-blockers can increase the risk of bradycardia.
    Minor interaction
    Clonidine + Propranolol
    The antihypertensive effects of clonidine may be antagonized by beta-blockers.
    Minor interaction
    Clonidine + Verapamil
    Clonidine: Sinus bradycardia resulting in hospitalization and pacemaker insertion has been reported in association with the use of clonidine concurrently with verapamil.
    Minor interaction

    Check Clonidine against your full medication list in our free Interaction Checker

    Most-Reported Side Effects

    Based on 56,141 reports in the FDA Adverse Event Reporting System (FAERS). Reports do not prove the drug caused the effect.

    drug ineffective4,361fatigue3,469pain3,459nausea3,400headache3,354off label use3,331hypertension3,223dyspnoea2,710diarrhoea2,596vomiting2,414dizziness2,262chronic kidney disease2,234

    Explore full Clonidine safety data in our free FDA Safety Explorer

    FDA Recalls (11)

    Class IIOngoingMar 19, 2026

    CGMP Deviations: use of an unapproved raw material

    Recalling firm: Teva Pharmaceuticals USA, Inc

    Class IIOngoingMar 19, 2026

    CGMP Deviations: use of an unapproved raw material

    Recalling firm: Teva Pharmaceuticals USA, Inc

    Class IIOngoingMar 19, 2026

    CGMP Deviations: use of an unapproved raw material

    Recalling firm: Teva Pharmaceuticals USA, Inc

    Class IIITerminatedSep 19, 2022

    Product mix-up:0.2 mg strength Clonidine Hydrochloride Tablets, USP in a 100-count bottle of 0.3 mg strength Clonidine Hydrochloride Tablets,

    Recalling firm: UNICHEM PHARMACEUTICALS USA INC

    Class IITerminatedJun 9, 2022

    Defective Delivery System: Out of specification for release liner removal force results at the 3-month CRT stability timepoint.

    Recalling firm: Mayne Pharma Inc

    Class IITerminatedApr 13, 2022

    cGMP deviations: Temperature abuse

    Recalling firm: Mckesson Medical-Surgical Inc. Corporate Office

    Class IIITerminatedOct 28, 2021

    Failed Impurities/Degradation Specifications

    Recalling firm: Teva Pharmaceuticals USA

    Class IIITerminatedMay 26, 2020

    Failed Impurities/Degradation Specifications: potential migration of benzophenone at very low level into the product from container.

    Recalling firm: UNICHEM PHARMACEUTICALS USA INC

    Class IIITerminatedJan 29, 2020

    Failed Impurities/Degredation Specifications: This recall is initiated as a precautionary measure due to potential migration of Benzophenone at very low level into product from container label.

    Recalling firm: UNICHEM PHARMACEUTICALS USA INC

    Class IIITerminatedMar 29, 2019

    Labeling: Label Error on Declared Strength: Side carton panel incorrectly lists the concentration as "500 mcg Clonidine Hydrochloride" rather than the correct concentration of "100 mcg Clonidine Hydrochloride" per mL.

    Recalling firm: X-Gen Pharmaceuticals Inc.

    Class IIITerminatedJul 17, 2014

    Labeling: Label Error On Declared Strength: The side label description incorrectly states "Each mL contains 500 mcg Clonidine Hydrochloride" instead of stating "Each mL contains 100 mcg Clonidine Hydrochloride".

    Recalling firm: X-Gen Pharmaceuticals Inc.

    This information is educational — not medical advice.

    This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.

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