Tenicar 20 mg (Tablet)

Unit Price: ৳ 8.00 (4 x 7: ৳ 224.00)
Strip Price: ৳ 56.00

Medicine Details

Indications

  • Treatment of hypertension
  • May be used alone or in combination with other antihypertensive agents

Pharmacology

  • Blocks vasoconstrictor effects of angiotensin II
  • Selective blocking of the binding of angiotensin II to the AT 1 receptor in vascular smooth muscle
  • No inhibition of ACE (kininase II)
  • Does not affect the response to bradykinin
  • Inhibits negative regulatory feedback of angiotensin II on renin secretion

Dosage & Administration

  • Usual recommended starting dose is 20 mg once daily
  • Dosage must be individualized
  • Dose may be increased to 40 mg for further reduction in blood pressure
  • Twice-daily dosing offers no advantage over the same total dose given once daily
  • No initial dosage adjustment recommended for elderly patients
  • Recommended to administer with or without food

Interaction

  • No significant drug interactions reported with digoxin or warfarin
  • Bioavailability not significantly altered by antacids
  • Not metabolized by the cytochrome P450 system
  • No effects on P450 enzymes
  • Potential renal function deterioration with NSAIDs and COX-2 inhibitors

Contraindications

  • Contraindicated in patients hypersensitive to any component

Side Effects

  • Well tolerated with an incidence of adverse reactions similar to placebo
  • Incidence of adverse reactions not dose related
  • Common adverse reactions include dizziness, back pain, diarrhea, headache, hyperglycemia

Pregnancy & Lactation

  • Discontinue use when pregnancy is detected
  • Can cause injury and even death to the developing fetus during the second and third trimesters
  • Not known whether excreted in human milk

Precautions & Warnings

  • Changes in renal function may be anticipated in susceptible individuals
  • Associated with oliguria, progressive azotemia, acute renal failure, and death in some cases

Overdose Effects

  • No experience of overdose reported
  • Most likely effects are hypotension and tachycardia
  • Possible encounter with bradycardia

Therapeutic Class

  • Angiotensin-II receptor blocker

Storage Conditions

  • Store in cool & dry place below 30°C
  • Protect from light & moisture
  • Keep out of the reach of children

Chemical Structure

  • Molecular Formula: C29H30N6O6

Common Questions about Tenicar 20 mg Tablet

  • Uses as an angiotensin II receptor blocker to treat high blood pressure
  • Average time taken to reach peak effect is around 1 day to 1 week
  • Generally used once or twice a day, frequency depends on patient's condition
  • Advised to be consumed orally, may cause stomach upset if taken on an empty stomach
  • Storage at room temperature away from heat and direct light, keep away from the reach of children
  • Take at the same time every day, may cause dizziness initially, regular monitoring of urea, creatinine, and potassium levels in blood
  • Avoid anti-inflammatory medicines without consulting doctor, may increase potassium levels in the blood

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