Generic Name: Tenoretic
What is Tenoretic?
Therefore, clinicians should monitor serum magnesium concentrations periodically in patients taking a PPI and diuretics concomitantly. Patients who develop hypomagnesemia may require PPI discontinuation in addition to magnesium replacement. Due to the risk of unopposed alpha-adrenergic activity, amphetamines should be used cautiously with beta-blockers.
Increased blood pressure, bradycardia, or heart block may occur due to excessive alpha-adrenergic receptor stimulation. In particular, amphetamines can inhibit the antihypertensive response to guanadrel, an adrenergic antagonist that causes depletion of norepinephrine in the synapse.
Ampicillin: Ampicillin has been reported to reduce the bioavailability of single-dose atenolol, and to increase the tachycardic response to exercise compared to atenolol monotherapy. Monitor clinical response, and adjust atenolol dosage if needed to attain therapeutic goals. Amyl Nitrite: Concomitant use of nitrates with other antihypertensive agents can cause additive hypotensive effects.
Nitroglycerin can cause hypotension. This action may be additive with other agents that can cause hypotension such as antihypertensive agents or other peripheral vasodilators. Patients should be monitored more closely for hypotension if nitroglycerin, including nitroglycerin rectal ointment, is used concurrently with any beta-blockers.
Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient.
Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Copyright 1996-2012 Cerner Multum, Inc. Date modified: June 01, 2017Last reviewed: November 24, 2014 Drug Status Availability Rx Prescription only Pregnancy Category D Positive evidence of risk CSA Schedule N Not a controlled drug Approval History Calendar Drug history at FDA WADA Class WADA Anti-Doping Classification Close googletag.
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How should I take Tenoretic?
NSAIDs cause a dose-dependent reduction in prostaglandin formation, which may result in a reduction in renal blood flow leading to renal insufficiency and an increase in blood pressure that are often accompanied by peripheral edema and weight gain. Patients who rely upon renal prostaglandins to maintain renal perfusion may have acute renal blood flow reduction with NSAID usage.
Elderly patients may be at increased risk of adverse effects from combined long-term NSAID therapy and antihypertensive agents, especially diuretics, due to age-related decreases in renal function and an increased risk of stroke and coronary artery disease.
Nonsteroidal anti-inflammatory drugs NSAIDs may reduce the natriuretic effect of diuretics in some patients. Norepinephrine: Thiazide diuretics can cause decreased arterial responsiveness to norepinephrine, but the effect is not sufficient to preclude their coadministration.
What should I avoid while taking Tenoretic?
If you have diabetes and take insulin or other medications that work by affecting the sugar in the blood, you should monitor your blood sugar carefully while taking this medication. This may impair your ability to drive or operate machinery. Exercise caution with these activities until you find out whether the medication affects you in this way. Fluid and electrolyte balance: The levels of electrolytes such as potassium, sodium, magnesium, and chloride can be reduced by the use of chlorthalidone.
The doctor will periodically check to see whether these are in balance.
Tenoretic side effects
Beta-blockers should be used with caution in patients with Raynaud's phenomenon or peripheral vascular disease because reduced cardiac output and the relative increase in alpha stimulation can exacerbate symptoms.
Beta-blocker monotherapy should also be used with caution in patients with a pheochromocytoma or vasospastic angina Prinzmetal's angina because of the risk of hypertension secondary to unopposed alpha-receptor stimulation.
In patients with pheochromocytoma, an alpha-blocking agent should be used prior to the initiation of any beta-blocker. Beta-blockers may potentiate muscle weakness and double vision in patients with myasthenia gravis. Because beta-blocker therapy reduces the ability of the heart to respond to beta-adrenergically mediated sympathetic reflex stimuli, the risks of general anesthesia and surgical procedures may be augmented.
Common Tenoretic ide effects may include:
Check with your health care provider before you start, stop, or change the dose of any medicine.
Check the labels on all your medicines such as cough-and-cold products, diet aids, or NSAIDs such as ibuprofen, naproxen because they may contain ingredients that could increase your blood pressure or heart rate.
Atenolol has been studied in combination with thiazide-type diuretics and theblood pressure effects of the combination are approximately additive.
Monitoring of lidocaine concentrations is recommended during concomitant therapy with beta-blockers.
Some antihypertensive drugs have smaller blood pressure effects as monotherapy in black patients, and many antihypertensive drugs have additional approved indications and effects eg, on angina, heart failure, or diabetic kidney disease. Continue to use Tenoretic even if you feel well. Do not miss any doses.
Where can I get more information?
Tenoretic miteFilmtabletten zu 50 mg Atenolol und 12,5 mg Chlortalidon.
The vagotonic effect of these drugs may be increased when given with other medications known to cause bradycardia such as beta-blockers.