Chart in Pages
| A | B | |
|---|---|---|
| 9 | ADHD/Narcolepsy - Stimulants | Clonidine ER - Kapvay® Guanfacine ER - Intuniv® |
| 10 | ||
| 11 | Clonidine IR - Catapres® Clonidine Patch - Catapres-TTS® Guanfacine IR - Tenex® Note - Diagnosis is only required for clonidine IR, clonidine patch and guanfacine IR if the recipient is younger than 21 years of age | |
| 12 |
Precautions
Guanfacine Description Guanfacine tablets, USP are a centrally acting antihypertensive with α 2 -adrenoceptor agonist properties in tablet form for oral administration. The chemical name of Guanfacine hydrochloride is N-amidino-2- (2,6-dichlorophenyl) acetamide monohydrochloride and its molecular weight is 282.55. Its structural formula is:
What is the chemical name of guanfacine?
Guanfacine is contraindicated in patients with a history of a hypersensitivity reaction to Guanfacine extended-release tablets or its inactive ingredients, or other products containing Guanfacine. Rash and pruritus have been reported.
What are the contraindications for guanfacine?
Guanfacine tablets, USP are indicated in the management of hypertension. Guanfacine may be given alone or in combination with other antihypertensive agents, especially thiazide-type diuretics. Guanfacine tablets, USP are contraindicated in patients with known hypersensitivity to Guanfacine hydrochloride, USP.
What is the USP for guanfacine?
Adverse Reactions. Adverse reactions noted with Guanfacine are similar to those of other drugs of the central α 2 adrenoreceptor agonist class: dry mouth, sedation (somnolence), weakness (asthenia), dizziness, constipation, and impotence. While the reactions are common, most are mild and tend to disappear on continued dosing.
What are the side effects of guanfacine?
What is the ICD-10 diagnosis code for ADHD?
F90. 1, Attention-deficit hyperactivity disorder, predominantly hyperactive type.
What is the ICD-10 code for medication?
ICD-10 Code for Other long term (current) drug therapy- Z79. 899- Codify by AAPC.
What is diagnosis code Z71 89?
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
What ICD-10 code is used for drug screening?
Z03.89ICD-10-CM Codes that Support Medical Necessity For monitoring of patient compliance in a drug treatment program, use diagnosis code Z03. 89 as the primary diagnosis and the specific drug dependence diagnosis as the secondary diagnosis.
What is the ICD-10 code for medication refill?
ICD-10 Code for Encounter for issue of repeat prescription- Z76. 0- Codify by AAPC.
What is the ICD-10 code for long term medication use?
The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes.
Can Z76 89 be a primary diagnosis?
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
What does CPT code 99401 mean?
Preventative medicine counselingCPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.
Can Z codes be listed as primary codes?
Z codes are for use in any healthcare setting. Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter.
What is the ICD 10 code 80307?
CPT® 80307, Under Presumptive Drug Class Screening Procedures. The Current Procedural Terminology (CPT®) code 80307 as maintained by American Medical Association, is a medical procedural code under the range - Presumptive Drug Class Screening Procedures.
What is the ICD 10 code for substance abuse?
10 for Other psychoactive substance abuse, uncomplicated is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
Can you bill 80307 and G0480 together?
b. Drug confirmation testing is considered included in CPT codes 80305 – 80307 and HCPCS codes G0480 – G0483, G0659, and is not eligible for separate reimbursement.
What is the chemical formula for Guanfacine?
The chemical name of Guanfacine hydrochloride, USP is N-amidino-2- (2,6-dichlorophenyl) acetamide hydrochloride and its molecular weight is 282.56. Its structural formula is: Guanfacine hydrochloride, USP is a white to off-white powder; sparingly soluble in water and alcohol and slightly soluble in acetone. Each tablet, for oral administration, ...
What is the USP for Guanfacine?
Guanfacine tablets, USP are available in 2 tablet strengths of Guanfacine (as the hydrochloride salt) as follows: 1 mg: white, oval, flat-faced, beveled-edge tablet with “AN” on one side and “711” on the other side. They are available as follows: Bottles of 100: NDC 42291-310-01.
How does Guanfacine affect the heart?
By stimulating these receptors, Guanfacine reduces sympathetic nerve impulses from the vasomotor center to the heart and blood vessels. This results in a decrease in peripheral vascular resistance and a reduction in heart rate.
How long is guanfacine given?
An open-label postmarketing study involving 21,718 patients was conducted to assess the safety of Guanfacine hydrochloride 1 mg/day given at bedtime for 28 days. Guanfacine hydrochloride was administered with or without other antihypertensive agents. Adverse events reported in the postmarketing study at an incidence greater than 1% included dry mouth, dizziness, somnolence, fatigue, headache and nausea. The most commonly reported adverse events in this study were the same as those observed in controlled clinical trials.
How long does it take for Guanfacine to peak?
Relative to an intravenous dose of 3 mg, the absolute oral bioavailability of Guanfacine is about 80%. Peak plasma concentrations occur from 1 to 4 hours with an average of 2.6 hours after single oral doses or at steady-state.
Where is guanfacine excreted?
In individuals with normal renal function, Guanfacine and its metabolites are excreted primarily in the urine. Approximately 50% (40 to 75%) of the dose is eliminated in the urine as unchanged drug; the remainder is eliminated mostly as conjugates of metabolites produced by oxidative metabolism of the aromatic ring.
Is guanfacine mutagenic?
No carcinogenic effect was observed in studies of 78 weeks in mice at doses more than 150 times the maximum recommended human dose and 102 weeks in rats at doses more than 100 times the maximum recommended human dose. In a variety of test models, Guanfacine was not mutagenic.
What is the ICd 10 code for caffeine?
Poisoning by caffeine, intentional self-harm 1 T43.612 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM T43.612 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of T43.612 - other international versions of ICD-10 T43.612 may differ.
What is the secondary code for Chapter 20?
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code.
Guanfacine Description
This medication is used alone or with other medications to treat high blood pressure (hypertension).
May Treat: Hypertension · Attention-deficit hyperactivity disorder
Brand Names: Tenex · Intuniv ER
Drug Class: Attention Deficit-Hyperact. Disorder (ADHD)- alpha-2 Receptor Agonist · Central Alpha-2 Receptor Agonists
Availability: Prescription Required
Pregnancy: Consult a doctor before using
May Treat: Hypertension · Attention-deficit hyperactivity disorder
Brand Names: Tenex · Intuniv ER
Drug Class: Attention Deficit-Hyperact. Disorder (ADHD)- alpha-2 Receptor Agonist · Central Alpha-2 Receptor Agonists
Availability: Prescription Required
Pregnancy: Consult a doctor before using
Lactation: Consult a doctor before using
Alcohol: Limit intake while taking this medication
Driving: May cause drowsiness or dizziness. Use caution
Precautions
- May make you drowsy or dizzy. Drive with caution
- May make you drowsy or dizzy. Drive with caution
- Avoid alcohol/other drugs that make you sleepy
- Be careful not to stand up too quickly
- For tablet products : MD may need to reduce the dose before you stop it. Check warnings on OTC medications. May take weeks for full benefit of therapy. Tell Dr/dentist on drug prior to any surgery. Tell doctor your complete medical history. It is important to check blood pressure regularly.
- For tablet, extended release 24 hr products : If available, read the patient package insert. Do not chew or crush. OK to split tablet if scored. Avoid taking with high fat foods-they interfere. Caution. Do not stop medicine without calling doctor. Immediately report to MD any thoughts of suicide.
Guanfacine - Clinical Pharmacology
Indications and Usage For Guanfacine
Contraindications
Precautions
Adverse Reactions
Overdosage
Guanfacine Dosage and Administration
How Is Guanfacine Supplied
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