Tenoric 100 Tablet

TENORIC 100 TABLET

TENORIC 100 TABLET is a combination medication used to manage hypertension (high blood pressure). It is manufactured by IPCA LABORATORIES LTD.

Composition

Each TENORIC 100 TABLET contains two active ingredients:

• Atenolol: 100 mg
• Chlorthalidone: 25 mg

Atenolol is a beta-blocker that works by slowing the heart rate and making the heart pump blood with less force, thereby reducing blood pressure. Chlorthalidone is a thiazide diuretic (water pill) that helps eliminate excess water and salt from the body through increased urine output, which also contributes to lowering blood pressure.

Uses

TENORIC 100 TABLET is primarily prescribed for the treatment of:

• Hypertension (high blood pressure), especially when a single medication is not sufficient.
• Lowering blood pressure helps reduce the risk of serious cardiovascular events such as strokes and heart attacks.
• It may also be used in the management of angina pectoris (chest pain) and for post-myocardial infarction patients.

Dosage and Administration

The dosage must be individualized. The usual recommended dose for TENORIC 100 TABLET is one tablet taken once daily. The tablet should be swallowed whole with water, and it can be taken with or without food, preferably in the morning to avoid frequent urination at night. It is crucial to continue taking this medicine as directed by a healthcare professional, even if feeling well, as high blood pressure often has no symptoms. Stopping the medication suddenly can worsen the condition. Dosage adjustments may be necessary for patients with severe renal impairment.

Side Effects

Common side effects of TENORIC 100 TABLET may include:

• Dizziness, drowsiness, or fatigue
• Slow heartbeats
• Nausea, upset stomach, constipation, or diarrhea
• Cold hands and feet
• Headache
• Increased uric acid level in blood
• Low potassium or sodium levels in blood
• Blurred vision
• Depression

Serious side effects, though less common, warrant immediate medical attention:

• New or worsening chest pain
• Shortness of breath, swelling, or rapid weight gain
• Light-headed feeling or fainting
• Jaundice (yellowing of the skin or eyes)
• Signs of allergic reaction such as hives, difficult breathing, or swelling of the face, lips, tongue, or throat.

Precautions

• Heart Conditions: TENORIC 100 TABLET should be used with caution in patients with certain heart conditions like heart failure or very slow heartbeats, and is contraindicated in serious heart conditions like "AV block" (second or third degree).
• Bronchospastic Diseases: Patients with bronchospastic diseases (e.g., asthma) should generally avoid beta-blockers. If used, the lowest possible dose should be administered with caution.
• Kidney/Liver Impairment: Caution is advised in patients with kidney or liver disease, and dosage adjustments may be required. It is not recommended for severe kidney problems.
• Diabetes: This medicine may mask the symptoms of low blood sugar in diabetic patients; regular monitoring of blood sugar levels is recommended.
• Electrolyte Imbalance: It can affect blood volume and electrolyte levels, potentially causing low potassium, sodium, or magnesium. Regular blood tests are recommended to monitor these levels.
• Pregnancy and Breastfeeding: Not recommended during pregnancy due to definite evidence of risk to the developing baby. It is also probably unsafe during breastfeeding.
• Alcohol: Consumption of alcohol is not recommended as it may increase the risk of dizziness, fainting, and very low blood pressure.
• Other Medications: Inform your doctor about all other medications being taken, especially other blood pressure medications, dobutamine, indomethacin, isoproterenol, lithium, or clonidine, as interactions can occur.
• Driving: May cause dizziness or fatigue, affecting alertness; activities requiring high mental alertness like driving should be avoided if these side effects occur.

Storage

Store TENORIC 100 TABLET in a cool, dry place below 30°C, protected from light and moisture. Keep it out of reach of children.

Here are some frequently asked questions about TENORIC 100 TABLET:

What is TENORIC 100 TABLET used for?

TENORIC 100 TABLET is primarily used to treat hypertension (high blood pressure). By lowering blood pressure, it helps reduce the risk of serious cardiovascular events such as heart attack, stroke, and kidney problems. It may also be used in the management of angina pectoris (chest pain).

How does TENORIC 100 TABLET work?

TENORIC 100 TABLET is a combination of two active ingredients: Atenolol and Chlorthalidone. Atenolol is a beta-blocker that works by altering the response to nerve impulses in the heart, slowing the heart rate and making it pump blood with less force. Chlorthalidone is a thiazide diuretic (water pill) that helps reduce the amount of fluid in the body by increasing urine production, which in turn helps to lower blood pressure and relaxes blood vessels.

What is the usual dosage for TENORIC 100 TABLET?

The usual adult dosage is one TENORIC 100 TABLET once daily. It should be swallowed whole with water, preferably at the same time each day, and can be taken with or without food. The dosage must be individualized by your doctor, and if an optimal response is not achieved with a lower strength, it may be increased to TENORIC 100.

What are the possible side effects of TENORIC 100 TABLET?

Common side effects can include dizziness, slow heart rate, fatigue, nausea, diarrhea, headache, and cold hands and feet. It may also lead to changes in blood electrolyte levels (e.g., low potassium or sodium) and increased uric acid levels. More serious, though less common, side effects include severe dizziness or fainting, irregular heartbeats, shortness of breath, and swelling. If any side effects persist or worsen, consult your doctor.

Is TENORIC 100 TABLET safe during pregnancy or breastfeeding?

TENORIC 100 TABLET is generally not recommended for use during pregnancy as there is definite evidence of risk to the developing baby. It may harm a fetus. Similarly, it is probably unsafe during breastfeeding as atenolol and chlorthalidone can pass into breast milk and may have undesirable effects on a nursing infant. Always consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Can TENORIC 100 TABLET be taken with other medications?

TENORIC 100 TABLET can interact with various other medications. It's crucial to inform your doctor about all prescription and over-the-counter drugs, vitamins, and herbal supplements you are taking. Significant interactions can occur with other blood pressure medications, insulin and oral antidiabetic drugs, lithium, certain calcium channel blockers, and NSAIDs. Your doctor will assess potential interactions.

What precautions should be taken while taking TENORIC 100 TABLET?

Do not stop taking TENORIC 100 TABLET abruptly, as this can lead to a sudden increase in blood pressure and an increased risk of heart attack or stroke. It should not be used if you have serious heart conditions such as second- or third-degree heart block, uncontrolled heart failure, cardiogenic shock, or very slow heartbeats. Caution is advised for patients with asthma, liver or kidney disease, and diabetes (as it may mask signs of low blood sugar). Alcohol consumption is not recommended as it may increase dizziness and risk of very low blood pressure.

What happens if a dose of TENORIC 100 TABLET is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a forgotten one.

How should TENORIC 100 TABLET be stored?

TENORIC 100 TABLET should be stored in a cool, dry place, typically below 30°C, protected from light and moisture. Keep it out of the reach of children. Do not use the medicine beyond the expiry date indicated on the packaging.