Tenoren Plus 50 mg+25 mg (Tablet)

Unit Price: ৳ 3.02 (5 x 10: ৳ 151.00)
Strip Price: ৳ 30.20

Medicine Details

Category Details
Generic Atenolol chlorthalidone
Company Aci limited

Indications

  • Treatment of hypertension
  • Lowering blood pressure
  • Reducing risk of cardiovascular events
  • Effective in preventing strokes and myocardial infarctions

Pharmacology

  • Atenolol and chlorthalidone combination
  • No interference with bioavailability
  • Convenient formulation for concomitant administration
  • Beta1-selective (cardioselective) beta-adrenergic receptor blocking agent
  • Reduction in heart rates and cardiac output
  • Reduction of systolic and diastolic blood pressure
  • Reflex orthostatic tachycardia reduction
  • Monosulfonamyl diuretic with prolonged action
  • Diuresis with increased excretion of sodium and chloride

Dosage & Administration

  • Initial dose: Atenolol 50 mg and Chlorthalidone 25 mg once a day
  • Optimal response adjustment with additional antihypertensive agent
  • Dosage adjustment in cases of severe impairment of renal function
  • Clinical studies did not include sufficient elderly subjects

Interaction

  • Potentiation of other antihypertensive agents
  • Concomitant use with catecholamine depletor may cause hypotension
  • Additive effect with calcium channel blockers and Amiodarone
  • Decreased hypotensive effects with prostaglandin synthase inhibiting drugs
  • Increased risk of bradycardia with concomitant use of digitalis glycosides

Contraindications

  • Hypersensitivity to the product or sulfonamide-derived drugs
  • Sinus bradycardia
  • Heart block greater than first degree
  • Cardiogenic shock
  • Overt cardiac failure
  • Anuria

Side Effects

  • Bradycardia
  • Cold extremities
  • Postural hypotension
  • Leg pain
  • Dizziness
  • Vertigo
  • Lightheadedness
  • Tiredness
  • Fatigue
  • Lethargy
  • Drowsiness
  • Depression
  • Dreaming
  • Diarrhea
  • Nausea
  • Wheeziness
  • Dyspnea
  • Orthostatic hypotension
  • Anorexia
  • Gastric irritation
  • Vomiting
  • Cramping
  • Constipation
  • Pregnancy category D

Pregnancy & Lactation

  • Caution when administered to a breastfeeding woman

Precautions & Warnings

  • Aggravation of peripheral arterial circulatory disorders
  • Periodic determination of serum electrolytes
  • Detection of possible electrolyte imbalance

Overdose Effects

  • No specific information available for human overdosage
  • Symptomatic and supportive treatment
  • Induced emesis or administration of activated charcoal
  • Atenolol removal by hemodialysis
  • Consideration for dehydration, electrolyte imbalance, and hypotension

Therapeutic Class

  • Combined antihypertensive preparations

Storage Conditions

  • Store in cool and dry place
  • Protected from light

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