Compare Tenex vs. Propranolol

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Tenex (Guanfacine)

Prescription only

Inderal (Propranolol)

Prescription only
Treats ADHD and lowers blood pressure.

Tenex (Guanfacine) can be used to treat both blood pressure and ADHD, but it's not recommended as a first-line treatment for either problem.

Lowers blood pressure and controls heart rate.

Inderal (Propranolol) is good for treating many heart problems and other problems in the body, but it has more side effects than other beta blockers. You can't miss doses.

5.4/ 7 average rating with 61 reviewsforPropranolol
Upsides
  • The same medication treats two different things, high blood pressure and attention deficit hyperactivity disorder (ADHD).
  • It's not a "controlled medication".
  • Used to control ADHD when stimulant medications haven't worked or can't be used due to other medical problems.
  • Available as a generic medication, so it should be more affordable than other options.
  • A first-choice treatment to prevent chest pain (angina).
  • A first-choice treatment for heart failure, heart attack, heart valve disorders, and abnormal heart rhythm.
  • Also treats and prevents many non-heart problems, such as tremors, anxiety, migraines, and liver disease symptoms.
Downsides
  • Doesn't control ADHD as well as stimulants do, so it's used as a second-line medication.
  • Not a preferred drug to control blood pressure.
  • Can't be stopped suddenly, especially for blood pressure, since the blood pressure can dramatically increase.
  • Taking a beta blocker might make you feel more tired or out of breath during exercise or normal daily routines. This gets better for most people, but for some might not go away.
  • Has more side effects than some beta blockers because it crosses into the brain and central nervous system.
  • Not a first-choice treatment for high blood pressure according to the latest guidelines, except if you have heart failure or heart disease. As a second choice, your doctor might add it to medicines you're already taking if your blood pressure is still too high.
  • Can hide symptoms of low blood sugar if you're diabetic.
  • You can't miss doses. Stopping Propranolol suddenly can cause your blood pressure to go up suddenly, which raises the risk of heart attack and stroke.
Used for
Dosage forms
  • Pill
  • Extended release
  • Pill
  • Extended release
  • Liquid
Price
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$4
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$9.99
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Reviews
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61 
66%
think this treatment is worth it
62%
think this treatment works well
15%
think this treatment is a hassle

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Side effects
7possible side effects
  • Dry Mouth
    10%
  • Somnolence
    10%
  • Headache
    7%
  • Fatigue
    5%
  • Any side effect
    5%
  • Asthenia
    3%
  • Dizziness
    2%
See more detailed side effects
3possible side effects
  • Dizziness
    7%
  • Fatigue
    5%
  • Constipation
    3%
See more detailed side effects
Risks and warnings
  • Sedation

    Taking other medications that cause sedation or sleepiness

  • Rebound high blood pressure

    Stopping Tenex (Guanfacine) suddenly to treat high blood pressure

See more detailed risks and warnings
  • Increased chest pain or risk of heart attack

    Suddenly stopping Inderal (Propranolol)

  • Increased risks during surgery

    Major surgery requiring anesthesia

  • Masked symptoms of low blood sugar

    Diabetes

  • Low blood pressure

    Concurrent use of non-dihydropyridine calcium channel blockers, digoxin or clonidine

See more detailed risks and warnings