intermediateclonidineguanfacinealpha-2 agonistADHDpediatricadjunctive therapy
A 9-year-old male with ADHD and comorbid oppositional defiant disorder has responded partially to methylphenidate but continues to have significant hyperactivity, emotional dysregulation, and difficulty falling asleep. The PMHNP considers adding an alpha-2 adrenergic agonist as adjunctive therapy. Which of the following best compares clonidine and guanfacine for this clinical scenario?