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Original Article
Neuropsychopharmacology (1999) 20 460-470.10.1038/sj.npp.1395310

Guanfacine, But Not Clonidine, Improves Planning and Working Memory Performance in Humans

Pekka Jäkälä MD, Minna Riekkinen MD, Jouni Sirviö Ph.D, Esa Koivisto BSc, Kosti Kejonen BSc, MattiVanhanen BSc and Paavo Riekkinen Jr MD
Department of Neuroscience and Neurology, University and University Hospital of Kuopio, Kuopio, Finland

Correspondence: Dr Paavo Riekkinen, Department of Neuroscience and Neurology, University Hospital of Kuopio, Canthia Building, Kuopio, P.O. Box 70211, Finland

ABSTRACT

The present study compares, using a double-blind, placebo controlled design the effects of two alpha2-agonists, clonidine (0.5, 2, and 5 mug/kg) and guanfacine (7 and 29 mug/kg) on spatial working memory, planning and attentional set-shifting, functions thought to be dependent on the "central executive" of the prefrontal cortex. Blood pressure and the subjective feeling of sedation were affected equally by clonidine and guanfacine. The 0.5 mug/kg and 5 mug/kg doses of clonidine disrupted spatial working memory, but the medium dose had no effect. The 0.5 and 2 mug/kg doses of clonidine increased impulsive responding in the planning test. The 5 mug/kg dose of clonidine slowed responding at effortful levels of planning and attentional set-shifting tests. The 29 mug/kg dose of guanfacine improved spatial working memory and planning. Guanfacine had no effect on attentional set-shifting. These data indicate that guanfacine improved planning and spatial working memory, but clonidine dose-dependently disrupted performance. It is possible that the greater selectivity of guanfacine for alpha2A-adrenoceptor subtype may underlie its differences from clonidine.

Keywords: Planning; Working memory; Attentional set-shifting; alpha2-Adrenoceptors; Human
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