Tenocab 5 mg+50 mg (Tablet)
Unit Price: ৳ 8.00 (5 x 10: ৳ 400.00)
Strip Price: ৳ 80.00
Medicine Details
Category | Details |
---|---|
Generic | Amlodipine besilate atenolol |
Company | Aci limited |
Also available as |
Indications
- Essential hypertension
- Angina pectoris with hypertension
- Post myocardial infarction
- Refractory angina pectoris
Pharmacology
- Fixed-dose combination of Amlodipine and Atenolol
- Amlodipine inhibits calcium influx into vascular smooth muscle and cardiac muscle
- Amlodipine acts as a peripheral vasodilator
- Atenolol is a cardioselective beta-blocker
- Atenolol reduces blood pressure
- Atenolol reduces myocardial oxygen demand
Dosage & Administration
- Recommended dosage: Amlodipine and Atenolol 5/25 mg tablet once daily
- Dosage may be increased to 5/25 mg two tablets daily or as advised by physicians
- Dosage should be individualized
Interaction
- Interaction with Disopyramide: Atenolol reduces clearance and may produce additive negative inotropic effects
- Interaction with Ampicillin: May reduce Atenolol levels
- Interaction with Oral antidiabetics and insulin: Beta-blockers may decrease tissue sensitivity to insulin and inhibit insulin secretion
Contraindications
- Hypersensitivity to either component
- Sinus bradycardia
- Second and higher degrees of heart block
- Cardiogenic shock
- Hypotension
- Congestive heart failure
- Poor left ventricular function
Side Effects
- Well-tolerated combination
- Side-effects include fatigue, headache, edema, nausea, drowsiness, anxiety, depression
Pregnancy & Lactation
- Use during pregnancy only if expected benefit outweighs potential fetal risk
- Not recommended for nursing mothers
Precautions & Warnings
- Use with caution in patients with airway obstruction
- Can be used in patients with renal impairment
- Caution in severe liver damage patients
- Warning against sudden drug withdrawal
Overdose Effects
- Hypotension
- Congestive cardiac failure
- Unabsorbed drugs may be removed by gastric lavage or administration of activated charcoal
- Symptomatic treatment recommended
Therapeutic Class
- Combined antihypertensive preparations
Storage Conditions
- Keep below 30°C temperature, away from light & moisture, keep out of reach of children