Experience Clearer Thinking and Improved Focus
Get clinician-approved Guanfacine for brain fog and cognitive dysfunction.
Join the waitlist to be notified when this treatment is available
How It Works
(Step by Step)
1
Fill Out a Safety Assessment
Your condition is unique, so we make sure the treatment is safe for you. We look at your diagnoses, current medications, allergies, vitals (for relevant medications), and symptoms to identify potential contraindications and treatment interactions. Safety is always the first concern.
2
Clinician Review
An expert clinician in complex illnesses like Long COVID, ME/CFS, MCAS, and POTS will review your assessment. If approved, they will prescribe your treatment and build a safe dosage plan, often starting low and tapering up gradually only as tolerated. Pay zero fees if you're not approved.
3
Talk to a Clinician About Your Medication
Once your prescription is approved, you'll have the option to schedule a Medication Consultation with a RTHM clinician. Use this visit to ask questions related to your prescription, discuss side effects, dosing, or any medication-related concerns.
4
Pick Up Your Prescription
Pick up and pay for your prescription at your local pharmacy or, if applicable, the mail-order compounding pharmacy will ship it to you. You can often begin treatment within 1 business day for medications that are not compounded or filled at mail order pharmacies.
Pricing Example
RTHM Safety Assessment
Only charged if approved
$59
Pharmacy Cost
90-day supply + shipping
$15
Total for 90 days
With RTHM discount
$74
RTHM Safety
Assessment Fee
Paid every 90 days
(only charged if prescription is approved)
$59
Pharmacy
Cost
90-day supply + shipping, paid to the pharmacy
$15
Estimated total
for 90 days
With RTHM discount
$74
Key Benefits
Clearer Cognition
Guanfacine acts on the prefrontal cortex, improving memory, attention, and executive functioning to help clear brain fog and restore mental clarity.
Improved Focus
By strengthening neural connections, guanfacine helps maintain sustained attention and reduces distractibility, making daily tasks more manageable.
Blood Pressure Control
Guanfacine helps stabilize blood pressure by reducing sympathetic nervous system activity, beneficial for those with dysautonomia-related hypertension.
Is Guanfacine right for me?
What Does the Research Say?
What People Are Saying About
Their Experience with Guanfacine
u/No_Understanding9301
reddit.com
I was able to go back to school, work full time. I didn't crash, didn't have PEM. After getting to 1mg I had energy and mental stamina that allowed me to use my brain for more than an hour a day!
u/GlitteringAutist
reddit.com
Brain fog improved from 4 to 7. I never thought my brain fog would improve. All because of guanfacine.
u/ErmintrudeFanshaw
reddit.com
I had moderate cfs/me with moderate brain fog… once I changed the dose, the brain fog went away completely!
Safety Is Our
Top Priority
All treatments, including Guanfacine, are carefully reviewed by RTHM clinicians and pharmacists.
We use dosing protocols designed to minimize side effects and ensure safe use
Comprehensive treatment guides are vetted by our expert clinical team. As you navigate your health journey, we're here to provide safe and effective care.
Stuart Malcolm, MD
Provider and Medical Director, RTHM Clinic
Sarah Almilli
PharmD, APh., IA, Clinical Pharmacist
Ilene S. Ruhoy
MD, PhD, Neurologist
Jennifer Curtin, MD
Chief Medical Officer and Cofounder, RTHM