Tenoric-LD 50/6.25 Tablet (Atenolol)

Tenoric-LD 50/6.25 Tablet

Tenoric-LD 50/6.25 Tablet is a combination medicine used for the treatment of high blood pressure. Frequent monitoring of blood pressure and electrolytes level is necessary during treatment with this medicine. Patients are advised to follow a strict exercise and diet regimen along with this medicine to get the best possible effect.

Side effects

Major & minor side effects for Tenoric-LD 50/6.25 Tablet
Blurred vision
Difficulty in breathing
Sweating
Cold hands or feet
Anxiety
Chest pain
Dizziness
Decrease in frequency of urination
Increased thirst
Loss of appetite
Trouble sleeping
Diarrhea
Very low blood pressure
Photosensitivity
Constipation
Nausea
Vomiting
Headache

Uses of Tenoric-LD 50/6.25 Tablet

What is it prescribed for?
Essential hypertension
This medicine is used to reduce high blood pressure caused by genetic and/or environmental factors.

Dosage

Tenoric-LD 25/6.25 Tablet
Tenoric-LD 50/6.25 Tablet
Tenoric 25 Tablet
Tenoric 50 Tablet
Tenoric 100 Tablet

When not to use?

Allergy
This medicine is not recommended for use in patients with a known allergy to chlorthalidone, other sulfonamides, atenolol, other beta-blockers, or any other inactive ingredients present along with these medicines.
Cardiogenic shock
This medicine is not recommended for use in patients suffering from a cardiogenic shock due to the increased risk of worsening of the patient’s condition.
Heart block greater than first degree
This medicine is not recommended for use in patients with a heart block greater than first degree due to the increased risk of worsening of the patient’s condition.
Sinus Bradycardia
This medicine is not recommended for use in patients with Sinus bradycardia since it may worsen the patient’s condition.
Uncompensated cardiac failure
This medicine is not recommended for use in patients with an uncompensated cardiac failure since it may worsen the patient’s condition.
Severe pulmonary edema
This medicine is not recommended for use in patients suffering from a severe pulmonary edema due to the increased risk of serious adverse effects.
Anuria
This medicine is not recommended for use in patients with anuria, a condition where the kidney is unable to produce urine.
Severe renal impairment
This medicine is not recommended for use in patients with severe renal impairment (CrCl < 30 ml/min) due to the increased risk of serious adverse effects.
Severe liver impairment
This medicine is not recommended for use in patients with severe liver impairment due to the increased risk of serious adverse effects.

Warnings

Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.
General warnings
Cardiac Failure
This medicine can cause heart failure and reduced blood flow in patients having a heart disease. Close monitoring of heart function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Major surgery
This medicine should be used with caution in patients who are scheduled for a major surgery. An anesthetic agent with little negative inotropic activity should be selected to minimize the effect on the heart.
Lung Diseases
This medicine should be used with caution in patients with lung diseases who do not respond to other antihypertensive medications. Start with the lowest possible dose and increase the dose based on the clinical condition. Replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
Hyperlipidemia
This medicine should be used with caution in patients with hyperlipidemia since it may alter the serum lipid profiles. Appropriate dose adjustments or replacement with a suitable alternative should be considered under your doctor’s supervision.
Sports
Athletes are advised not to indulge in certain sports while using this medicine. Archery, racing, shooting and other high-risk sports should be avoided. Sportspersons should refer to the list of medicines published by World Anti-Doping Agency (WADA) which are not to be taken while participating in specific sports events.
Hyperthyroidism
This medicine should be administered with caution in patients with increased thyroid levels. Abrupt withdrawal of this medicine may lead to a life-threatening condition called thyroid-storm. Frequent monitoring of thyroid hormone levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Liver impairment
This medicine should be used with extreme caution in patients suffering from liver diseases due to an increase in the risk of serious adverse effects. Close monitoring of liver function is advised while taking this medicine. Report any symptoms of confusion or jaundice to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Volume and electrolyte disturbances
This medicine may alter the blood volume and electrolyte levels in some patients. This may cause dizziness, dry mouth, and acid-base imbalance. This risk is especially higher in patients suffering from kidney and liver diseases. Close monitoring of blood pressure and electrolyte levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Renal impairment
This medicine should be used with caution in patients with a known history of renal diseases due to the increased risk of worsening of the patient’s condition. Close monitoring of renal function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Driving or operating machines
This medicine may cause drowsiness or dizziness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating heavy machinery during treatment with this medicine if you experience any of these symptoms.
Diabetes
This medicine should be administered with caution in patients with diabetes due to the increased risk of altered blood sugar levels. Regular monitoring of blood glucose levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

Dosage

Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of dizziness, fainting, a very low blood pressure, changes in pulse rate, etc. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
Interaction with Medicine
Alprazolam
Cisapride
Diltiazem
Lithium
Amiodarone
Insulin
Theophylline
Diclofenac
Ziprasidone
Disease interactions
Asthma
This medicine is not recommended for use in patients with a history of asthma due to the increased risk of worsening of the patient’s condition. Replacement with a suitable alternative should be considered under your doctor’s supervision.
Bradyarrhythmia/ AV Block
This medicine is not recommended for use in patients with Sinus Bradyarrhythmia or a heart block greater than the first degree due to the increased risk of worsening of the patient’s condition. Replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Glaucoma
This medicine should be used with caution in patients with glaucoma because it may lower the intraocular pressure and worsen the patient’s condition. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Diabetes
This medicine should be used with extreme caution in patients suffering from diabetes mellitus due to the increased risk of altered blood sugar levels. Close monitoring of blood sugar levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Pheochromocytoma
This medicine should be used with caution in patients with pheochromocytoma due to the increased risk of worsening of the patient’s condition. Appropriate dose adjustments or replacement with a suitable alternative should be considered under your doctor’s supervision.
Hyperuricemia
This medicine should be used with caution in patients with hyperuricemia since this medicine decreases the uric acid excretion. This may cause serious side effects. Appropriate dose adjustments or replacement with a suitable alternative should be done under your doctor’s supervision.
Hyperlipidemia
This medicine should be used with caution in patients with hyperlipidemia since it may increase the cholesterol and triglyceride levels. Close monitoring of cholesterol and triglyceride levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
Food interactions
Coadministration of multivitamin with minerals and this combination medicine should be avoided since it may decrease the effects of the medicine. A time gap of at least 2 hours should be maintained between the administration of multivitamin with minerals and this combination medicine to avoid their interaction.
Avoid consumption of large amounts of orange juice with this medicine since it may decrease the effectiveness of this medicine.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Take this medicine exactly as advised by your doctor. Do not take in larger or smaller amounts than prescribed. It is advised to take this medicine at daytime to prevent sleep disturbance. Drink an adequate amount of water. Monitoring of kidney function and electrolytes levels is necessary while taking this medicine. Report any adverse effects to the doctor on priority. Do not stop the use of this medicine without consulting your doctor.