Tenocar 50 pymepharco treatments for hypertension, angina (2 blisters x 15 tablets)

Dosage form Box of 2 blisters x 15 tablets
Specifications Atenolol

Ingredient

Composition information	Content
Atenolol	50mg

Uses

indications

Tenocar 50 mg drug is indicated in the following cases:

Treatment of hypertension, stable chronic angina, early myocardial infarction (within the first 12 hours). Atenolol works on the receptor β1 of the heart at a lower dose than the dose needed to have the effect on the receptor β2 in the peripheral blood vessels and bronchi.

receptor blockers β work to reduce muscle contraction and reduce heart frequency. Atenolol does not have the effect of stabilizing membrane, not through the meninges.

Atenolol treatment will inhibit the effects of catecholamine when exertion and psychological stress, leading to reduced heart frequency, reducing cardiac supply and reducing blood pressure, does not increase or increases very little resistance of peripheral vessels.

Dynamic pharmacokinetics

The maximum concentration of plasma of the drug is achieved within 2-4 hours after drinking.

The distribution volume is 0.7 l/kg. Atenolol is only transformed with a small amount. Most of the dose is excreted through the kidneys in the form of constant.

ATENOLOL's plasma semi -discharged time is from 6 to 9 hours for adults with normal kidney function.

Effects on vessels and blood pressure longer and maintain at least 24 hours. The sale time of the drug increases for people with kidney failure and is not affected by the liver.

Before taking Tenocar 50 pymepharco treatments for hypertension, angina (2 blisters x 15 tablets)

How to use

Tenocar 50mg The type of round tablet is used for oral, taking medicine with filtered water, oral or not with food depending on the doctor's instructions, usually 1-2 times/day.

Do not take medicine with orange/ apple juice or within 4 hours after using Atenolol.

Should take the medicine in the same time every day.

Dosage

conventional dose for hypertension treatment:

Initial dose 25 - 50 mg/day/day.

Normal dose is 50 - 100 mg/day.

Take it after intravenous injection, used as a doctor's instruction. Patients need early treatment.

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.What to do when overdose?

Common syndrome due to overdose Atenolol: Sleeping, respiratory disorders, wheezing, sinus stops, heartbeat slow, lower blood pressure , bronchospasm ...

Treatment needs to be removed that has not been absorbed by causing vomiting, gastric lavage or active carbon. Atenolol can be removed from the general circulation by hemorrhage. Symptomatic treatment as directed by a doctor.

Depending on the severity of the symptoms, it may be necessary to take care of positive support and heart and respiratory support vehicles.

In an emergency, call the 115 emergency center immediately or go to the nearest local health station.

What to do when you forget a dose? However, if close to the next dose, skip the forgotten dose and take the next dose at the time as planned. Do not drink twice as prescribed.

Side Effects

When using Tenocar 50 mg , you may experience unwanted effects (ADR).

Common: fatigue, muscle weakness, nausea.

rare: Sleep disorders , thrombocytopenia, visual disorders.

Notice an unwanted effect when using the drug.

Instructions on how to handle ADR

When encountering side effects of the drug, it is necessary to stop using and notify the doctor or go to the nearest medical facility for timely treatment.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

Contraindicated

Tenocar 50 mg contraindicated in the following cases:

Heart, heart failure without compensation, atrial block - ventricular II and III, slow heart rate with clinical manifestations.

Not combined with verapamil .

Be cautious when using

use very carefully in the following cases:

People with bronchial asthma and people with other obstructive pulmonary disease.

Simultaneously used with respiratory anesthesia.

Treatment in combination with digitalis or with anti -arrhythmia group 1, because it can cause severe heart rate (the effect of the syllable on the heart).

The hobbyist.

The ability to drive and operate machinery

Persons who often drive or operate machinery should use Tenocar medicine 50mg?

Treatment with this drug needs regular monitoring. Individual reactions due to drugs may vary among patients, affecting the ability to react in situations such as the ability to participate in traffic, operate the machine, especially when starting therapy, when increasing the dose, changing drugs or using alcohol.

Pregnancy

Women during pregnancy should take Tenocar 50mg?

receptor blockers β can cause slow heart rate in the fetus and newborn children, so in the last 3 months and near the upcoming period, receptor blockers should only be used when real need.

Breastfeeding period

Women during breastfeeding should take Tenocar 50mg?

Atenolol excreted breast milk at a rate of 1.5 to 6.8 times higher than the concentration of drugs in the mother's plasma. There have been notifications about the harmful effects of breastfed children when mothers use Atenolol such as heartbeat or lower blood glucose clinical significance. Premature babies or kidney failure can be susceptible to unwanted effects. Therefore, do not use Atenolol for nursing women.

Drug interaction

drug interactions may affect the activity of the drug or cause side effects. Should notify the doctor or pharmacist a list of drugs and functional foods you are using. Do not use or increase or decrease the dose of the drug without the guidance of a doctor.

Should be cautious when using Atenolol with the following drugs:

The danger of combined with Verapamil, because it can cause lower blood pressure, slow heartbeat, heart block and increase ventricular pressure at the end of the diastolic.

With diltiazem , it can cause heavy heartbeat, especially in people who have been inadequate or abnormal transmission before.

with nifedipin, although there is a good tolerance when used simultaneously with Atenolol, it can sometimes increase heart failure, severe hypotension or angina syndrome.

With drugs that reduce catecholamine, may occur in blood pressure, and/or slow down the heart rate, so it can cause dizziness, fainting or posture hypotension.

With prasozin, there may be acute hypotension in a standing posture at the beginning of treatment.

With clonidin : If the β blockers are used simultaneously with clonidin, when stopping clonidin, it may increase blood pressure again. In that case, the pills must be stopped for a few days before stopping Clonidin. If replacing clonidin with β blockers, then a few days after stopping clonidin, it starts to use β blockers.

With Quinidine and anti -arrhyths group 1, there may be a synergistic effect on the heart muscle.

With ergotamine , it can increase peripheral vasoma spasms and cardiac inhibition.

with respiratory anesthesia such as chloroform, which can inhibit the heart and blemishes.

With insulin or anti -diabetic medications, Atenolol can cover the tachycardia due to blood glucose.

Storage

Store in a cool dry place (below 30 ° C). Avoid light.

1989, Pymepharco was established with the task of producing pharmaceuticals, trading drugs and medical equipment. 1993, the company established a branch in Ho Chi Minh City and was licensed by the Ministry of Trade to import and export directly specialized in medicine. 2003, Pymepharco Pharmaceutical Factory meets the official GMP standards into operation. 2006, the factory was granted a good certificate of drug production practice of the World Health Organization (WHO-GMP).

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