Tenoretic (Atenolol-chlorthalidone)

What is Generic Tenoretic?

Tenoretic is a combined antihypertensive drug that is capable of having a prolonged hypotensive effect. The therapeutic effect of this drug is due to the two components that make up its composition:

• Chlortalidone (used as a sulfanilamide diuretic, removes chlorine, potassium, magnesium, sodium, bicarbonate).

• Atenolol (cardioselective blocker adrenoreceptors, has inotropic negative effects, is able to reduce the frequency of cardiac contractions).

The combination of these substances in pills Tenoretic is more effective than the use of atenolol and chlorthalidone alone. The drug lasts for 24-28 hours. According to some reviews, tablets are not effective enough, which is used to treat hypertension. However, in most cases, this drug perfectly copes with the symptoms of the disease and with strict implementation of the doctor's instructions; the normal operation of the cardiovascular system is restored.

In what kind of disease treatment Tenoretic is helpful?

As a therapeutic tool it is prescribed in one disease - arterial hypertension, which in the language of medicine means "increased pressure."

What should I tell my health care provider before I take Generic Tenoretic?

The drug is not suitable for use in:

• pronounced bradycardia,

• cardiogenic shock,

• low blood pressure,

• metabolic acidosis,

• expressed violations of peripheral circulation,

• untreated pheochromocytoma,

• acute heart failure,

• chronic form of heart failure,

• vasospastic angina (or Prinzmetal angina),

• bronchial asthma,

• diabetes mellitus,

• obstructive bronchitis,

• hypoglycemia,

• gout,

• acute hepatitis,

• myasthenia gravis,

• acute renal failure,

• children and adolescents,

• beyond sensitivity to the components of the medicine Tenoretic.

Also it is important to read instruction before starting the therapy especially if you buy Generic Tenoretic online.

How should I take Tenoretic?

This drug should be taken internally washing down with plenty of liquid.

Dosage information

The dose of Tenoretic is calculated in terms of the active substance atenolol. The classical dose for an adult is 100 mg per day, but the initial dose should not exceed 50 mg of atenolol.

As medical practice shows, the dose of 100 mg gives a persistent positive effect, and the subsequent increase in dosage is useless: further decrease in blood pressure does not occur. In such cases, the patient is prescribed an additional antihypertensive agent. Patients who have a history of kidney disease, the frequency of admission is reduced. The abolition of the drug is carried out gradually.

What may interact with Generic Tenoretic?

• The simultaneous use with insulin (or any oral hypoglycemic agent) will enhance the pharmacological action of both drugs.

• Both "Tenoretic + Ethanol" (or in combination with antihypertensive drugs, ethanol, tricyclic antidepressants, diuretics, barbiturates or phenothiazine) can lead to excessive and sharp drop in blood pressure.

• Admission of this drug and dihydropyridine derivatives significantly increases the possible risk of arterial hypotension, and patients with cardiac latent insufficiency may experience signs of impaired blood circulation.

• Admission of Tenoretic and adrenoblockers may provoke an exacerbation of ricochet hypertension, which may occur after Clonidine withdrawal.

• Parallel use of Adrenaline, Epinephrine, Norepinephrine with Tenoretic medication neutralizes the effect of adrenoblockers and leads to a significant increase in blood pressure values.

• Drugs such as ibuprofen may provoke a decrease in the hypotensive effect of beta-blockers and simultaneously increase the toxic effect on the central nervous system.

• Combination with MAO inhibitors should be avoided because of the possible increase in blood pressure values.

What should I watch for while taking Tenoretic?

• This medication is prescribed with extreme caution by a patient with an I-block AV block.

• When taking drug Tenoretic, it must be taken into account that this medicine is able to mask the emerging phenomena of hypoglycemia and thyrotoxicosis.

• If the bradycardia develops during the use of the drug (at a heart rate of less than 50 beats per minute), then the medication is stopped.

• It is not recommended to cancel taking the drug abruptly.

• Particular attention should be paid to patients who undergo surgery with general anesthesia - in this case, the drug is stopped two days before the proposed surgical intervention.

• Due to the Tenoretic content of the beta-blocker of tenolol, the starting drug can be administered to patients with obstructive airways disease. However, asthmatics can suddenly increase resistance to airways.

• Maximum caution should be exercised while taking medication and Digitalis in patients with heart failure or suffering from gastrointestinal diseases.

What side effects may I notice from Generic Tenoretic?

This drug is usually tolerated by patients well. All the undesirable effects that are associated with taking the drug are of a mild nature and are rare. However, despite this, Generic Tenoretic can still bring the following uncomfortable conditions:

• cold extremities,

• muscle fatigue,

• sleep disturbance,

• skin rash,

• dry eyes,

• dizziness,

• nausea,

• leukopenia,

• thrombocytopenia.

Of the symptoms that indicate an overdose, we can distinguish the following manifestations:

• arterial hypotension,

• a pronounced degree of bradycardia,

• bronchospasm,

• increased drowsiness,

• acute heart failure.

Treatment is symptomatic, while careful monitoring of the patient's condition is necessary, in severe cases, hospitalization, gastric lavage, intake of laxatives and activated charcoal are indicated. With the emerging bronchospasm, bronchodilators are used, with a significant decrease in pressure, plasma or plasma substitutes are injected, with diuresis injected with liquid.

Where can I keep Tenoretic?

The drug should be stored in a cold and dry place with good ventilation. The most optimal temperature regime is 60 F. Pills should not be exposed to direct sunlight. You can also buy Tenoretic without prescription in Finland online pharmacy.