Symptoms alleviated considerably: task avoidance, distractibility, hyper-fixation, reactivity, perseveration.

I had already achieved quite a lot in the way of symptom management through cognitive behavioral tools and physical exercise, but consistent application of tools and discipline broadly are exactly what ADHDrs often struggle with. Clearly, it's problematic to rely on a treatment for unreliability which is itself unreliable. So good results, but inconsistent.

The guanfacine has been much more stably effective at reducing the general baseline tendencies. For me, like I said, it was a miracle, since like you, but for a different reason, I can't take simulants.

Are you able to hyper-fixate on things you need to get completed? I rely on that heavily in my life. Without, I am as good as useless.

I've noticed that stimulants can make me hyper-fixate, which often times, can be very beneficial. I relied on hyperfocus prior to being medicated, and it seems like medication is just a on switch for hyperfocusing. At least, some of the time...

Hyper-fixation is good only when you fixate on something that is necessary. My hyper-fixation is always on some side project.

How effective was it on your blood pressure? I'm currently on Modafinil and it's been a life-changer but it doesn't help with some of the killer symptoms of ADHD that still plague me (like task avoidance, distractibility, task completion, time management, planning, consistency, etc.). But I was recently diagnosed with hypertension so need to deal with that. I'm worried the GP will say that I need to discontinue the Modafinil as it's not recommended for people with cardiovascular issues. But maybe with guanfacine it might balance out?

It seemed effective in my case and brought my blood pressure down to the normal 120/80 range from my default of ~140/95.

Did you have any weight gain or sleepiness/fatigue issues?