Which side effect should be discussed with a patient receiving clonidine?

When a patient is receiving clonidine, it is essential to discuss hypotension as a potential side effect. Clonidine is an alpha-2 adrenergic agonist commonly used to manage hypertension and attention-deficit hyperactivity disorder (ADHD). One of the primary actions of clonidine is to lower blood pressure by reducing the release of norepinephrine, which subsequently leads to vasodilation and a decrease in heart rate.

Hypotension can occur because of this blood pressure-lowering effect, leading to symptoms such as dizziness, lightheadedness, or fainting, especially when transitioning from a sitting to a standing position. Patients should be made aware of these risks, particularly when they are starting the medication or if the dose is increased.

Additionally, it is crucial for patients to be informed about the importance of monitoring their blood pressure regularly and to report any symptoms of low blood pressure to their healthcare provider. This discussion helps ensure patients manage the medication safely and effectively while being aware of how it may affect their overall well-being.