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Guanfacine (Intuniv ER): Online prescriptions for ADHD

Guanfacine (Intuniv ER) is a non-stimulant, extended-release medication used to treat ADHD, helping increase attention and decrease restlessness. Licensed psychiatric providers at Talkspace can evaluate your symptoms over video and issue an online guanfacine prescription if it's the right treatment for you, filled locally or through Amazon Pharmacy.

An initial evaluation by a Talkspace psychiatric provider is required before medication is prescribed. If appropriate, medication will be prescribed for home delivery or for pickup at your local pharmacy. Medication prices are not included in the evaluation price. Talkspace psychiatric providers are unable to prescribe controlled substances and stimulants.

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Here’s how it works

Schedule a video assessment

Answer a few questions online, then meet virtually with a psychiatric provider within a week. Appointments covered by insurance are available for members 18 and older.

Get a diagnosis and prescription

During the appointment, your Talkspace provider will listen to and evaluate your symptoms and, if appropriate, prescribe medication. Build a plan together that feels right.

Begin treatment

Your prescription will be sent to your pharmacy, and you'll have follow-up appointments with the same psychiatric provider. 

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Is Guanfacine (Intuniv ER) right for you?

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What is guanfacine used for?

Guanfacine (Intuniv ER) is a non-stimulant, extended release medication that treats ADHD and its symptoms. Guanfacine is prescribed to treat mental health conditions including:

  • Attention-Deficit Hyperactivity Disorder (ADHD)

Who shouldn't take guanfacine?

Guanfacine isn't recommended for people who:

  • Have a known hypersensitivity to guanfacine
  • Have low blood pressure, slow heart rate, or a history of fainting (use with caution and physician guidance)
  • Have cardiovascular disease (use with caution and physician guidance)
  • Are considering stopping the medication abruptly, since this can raise blood pressure and heart rate

What are the side effects of guanfacine?

Medication may be prescribed when clinically appropriate based on an evaluation by a licensed healthcare provider. It’s important to take guanfacine exactly as prescribed by your clinician. Side effects of guanfacine are often mild, but can include blurred vision, sweating, drowsiness, dizziness, weakness, headache, and more. Seek immediate medical attention if you experience any of the above or fainting, irregular heart rate, blurred vision, and confusion.

You may experience side effects when you first begin taking guanfacine that lessen or dissipate once you’ve been taking it for several weeks or months. Treatment results may vary by individual.

Meet the Talkspace licensed providers

Our network of therapists and psychiatric providers have specialization in 150+ conditions, treatment approaches, and mental health needs.

Meet the Talkspace licensed providers

Our network of therapists and psychiatric providers specialize in 150+ mental health conditions and treatment approaches. Get online therapy and medication management on one platform with ongoing care

Depression
Relationships
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Licensed Talkspace provider Elizabeth Keohan, LCSW-C

Elizabeth Keohan, LCSW-C

Licensed Talkspace provider Jill Daino, LCSW-R

Jill Daino, LCSW-R

Chief Medical Officer at Talkspace, Nikole Benders-Hadi

Nikole Benders-Hadi, MD, CMO

Medications we prescribe online

Talkspace psychiatric providers diagnose and treat a wide variety of mental health conditions, including anxiety, depression, ADHD, and others. For some people, their treatment involves medication. Your provider can prescribe you medication if appropriate for your treatment.
Note: Talkspace does not prescribe controlled substances.

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“I found a great therapist on Talkspace and she's noticed that I might be needing some help from a psychiatrist, so she placed a referral. I was able to see a psychiatric ARNP via video visit the next day! I'm definitely on my way to feeling better.

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Any questions?

Find trust-worthy answers on all things mental health at Talkspace.

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Can I get guanfacine online?

Yes, you can get a prescription for guanfacine (or its brand name Intuniv ER) online after a video consultation with a licensed psychiatry provider, if the provider decides that medication is an appropriate treatment for you. Simply sign up for Talkspace Psychiatry then you’ll be matched with a psychiatry provider licensed in your state. You’ll be able to schedule a video appointment with your provider usually within two weeks, often sooner. At your video appointment your psychiatry provider will ask questions about your symptoms and health history, and you can share your questions about medication and anything else. If your provider writes you a prescription for guanfacine they will send it to a local pharmacy of your choice and you will pick up and pay for the medication at the pharmacy. You will have follow-up appointments with your provider every three months for ongoing medication management, to make sure guanfacine is working for you and address any mental health needs.

What is Guanfacine?

Guanfacine (Intuniv ER) is a non-stimulant, extended release medication that can be used to treat ADHD and its symptoms.

Can I get guanfacine (Intuniv ER) over the counter?

No. Guanfacine (and its brand name, Intuniv ER) is a prescription medication, so you cannot purchase it over-the-counter. You will need to have guanfacine prescribed to you by a licensed provider who is able to prescribe medications, like a doctor or nurse practitioner. You can get a prescription for guanfacine online through Talkspace after a video consultation with a licensed psychiatry provider, if the provider decides that guanfacine is an appropriate treatment for you. 

What are the most common side effects of guanfacine (Intuniv ER)?

Side effects of guanfacine are often mild, but can include blurred vision, sweating, drowsiness, dizziness, weakness, headache, and more. Seek immediate medical attention if you experience fainting, irregular heart rate, blurred vision, and confusion. It’s important to take guanfacine exactly as prescribed by your healthcare provider. 

Can I get a new guanfacine (Intuniv ER) prescription or prescription refill from Talkspace?

Yes, you can get a Guanfacine (Intuniv ER) prescription or refill from Talkspace, after a video consultation with one of our licensed psychiatry providers (assuming the provider determines that it is an appropriate treatment for you). Simply sign up for Talkspace Psychiatry then you’ll be matched with a psychiatry provider licensed in your state. At your video appointment your psychiatry provider will ask questions about your symptoms and health history. If you are already taking guanfacine and simply want to continue with a renewal of your prescription or refill, your Talkspace provider can continue your prescription if they determine it is medically appropriate. You will have follow-up appointments with your provider every three months for ongoing medication management, to make sure guanfacine is working for you and address any mental health needs.

Can I use my health insurance for online guanfacine (Intuniv ER) prescriptions and refills?

Talkspace is in-network with most major health insurance plans, which means that when you have a video appointment with a Talkspace psychiatric provider to receive a guanfacine (Intuniv ER) prescription or refill, Talkspace will bill your insurance plan directly for your online prescription appointment and you will only have to pay a copay (typically around $15, though many covered members pay $0). You will pay for the guanfacine (Intuniv ER) medication itself when you pick it up from a pharmacy of your choice, and you can have the pharmacy bill your insurance plan for the medication.

How much does guanfacine (Intuniv ER) cost?

The price you pay for guanfacine (Intuniv ER) will depend on whether or not you’re paying with insurance and what your insurance copay is. The prices of prescription medications sometimes vary a lot by pharmacy, so to get the best price for guanfacine you might want to look at websites like GoodRx and CostPlusDrugs. You should also contact your insurance company to find out the most affordable way to get your prescription for guanfacine. Some insurance companies charge less when you fill your prescriptions through their mail-order pharmacies.

How do you take guanfacine (Intuniv ER)?

Guanfacine is taken in different forms, dosages, and frequency, depending on your mental health condition and the treatment plan prescribed by your provider.

Why is guanfacine taken at night?

Guanfacine may be taken at night instead of the morning in order to help lessen any daytime drowsiness.

What does Guanfacine do to the body?

When guanfacine is used to treat ADHD, it impacts the part of the brain that controls attention and impulsivity. It works to treat restlessness and inattention in children and adults.When used to treat high blood pressure, it decreases heart rate and relaxes the blood vessels, causing blood to more easily flow through the body.

What are other related medications to Guanfacine?

There are several medications your psychiatrist may prescribe for ADHD.

Other medications prescribed at Talkspace for ADHD include:

  • Atomoxetine (Strattera)

What is guanfacine used to treat?

Guanfacine is a high blood pressure medication that is also prescribed to treat attention deficit-hyperactivity disorder (ADHD). Guanfacine treats ADHD by increasing attention and decreasing restlessness in children and adults who have difficulty concentrating for long periods or struggle with impulsivity and distractibility. Unlike some ADHD medications, guanfacine is not a stimulant and is not a controlled substance. 

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Disclaimer
Talk to your psychiatrist or healthcare professional about the possible risks and benefits associated with the above medications before starting treatment. It’s up to your psychiatric clinician’s professional judgment whether medication is prescribed. If you are in a life threatening situation – don’t use this site. Call +1 (800) 273-8255 or use these resources to get immediate help.