Tenoric 25 Tablet (Atenolol 25mg / Chlorthalidone 12.5mg)

Description

Tenoric-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-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 or vomiting
Headache

Uses of Tenoric-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.

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 in the formulation.
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.

Related Product

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
Heart 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 Disease
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.
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 Disease
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.
Kidney Disease
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.
Driving or Operating machinery
Use of 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.
Use in Children
This medicine is not recommended for use in patients below 18 years of age since the safety and efficacy of use are not clinically established.

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

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.