Tenoric-Ld 25/6.25

Composition of Tenoric-Ld 25/6.25

Tenoric-Ld 25/6.25 contains Atenolol (50mg) + Chlorthalidone (6.25mg). It belongs to the Beta-blocker + thiazide-like diuretic combination class of medicines.

Uses of Tenoric-Ld 25/6.25

• Treatment of hypertension (high blood pressure)
• especially when single-drug therapy is inadequate; may help reduce risk of heart-related complications associated with uncontrolled BP.

Key benefits

• helps lower high blood pressure
• reduces strain on the heart
• promotes removal of excess salt and water
• improves long-term cardiovascular risk control

How Tenoric-Ld 25/6.25 works

Atenolol is a beta-1 selective beta-blocker that lowers heart rate and cardiac output, reducing blood pressure. Chlorthalidone is a thiazide-like diuretic that increases salt and water excretion, decreasing blood volume and peripheral resistance.

How to take Tenoric-Ld 25/6.25

Take by mouth as prescribed, usually once daily at the same time each day. Can be taken with or without food; take with food if stomach upset occurs. Do not stop suddenly without medical advice; monitor BP regularly.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine can cause a dangerously slow heartbeat, a severe fall in blood pressure, wheezing and fits. It can cause severe dehydration, a sharp fall in blood pressure and dangerous salt imbalances. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Tenoric-Ld 25/6.25

Most side effects of Tenoric-Ld 25/6.25 are mild and settle as the body adjusts. Reported side effects include:

• dizziness
• fatigue
• slow heart rate (bradycardia)
• cold hands/feet
• headache
• nausea
• increased urination
• electrolyte imbalance (low potassium/low sodium)
• increased blood sugar
• increased uric acid

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Tenoric-Ld 25/6.25

Warnings and precautions

Not for self-medication. Use with caution in diabetes (may mask hypoglycaemia symptoms), asthma/COPD (beta-blockers may worsen bronchospasm), peripheral vascular disease, thyroid disorders, and kidney/liver impairment. Avoid abrupt discontinuation (risk of rebound hypertension/angina). Monitor BP, heart rate, electrolytes (especially potassium/sodium), renal function, blood glucose and uric acid. Contraindicated/avoid in severe bradycardia, heart block, cardiogenic shock, uncontrolled heart failure, severe hypotension, and known hypersensitivity to components. May cause dizziness—avoid driving if affected.

Do not take Tenoric-Ld 25/6.25 if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with a very slow heart rate, certain heart block disorders, or uncontrolled heart failure. Generally avoided in severe asthma. Not for people who are unable to pass urine, or who are severely dehydrated.

Interactions with other medicines

Other antihypertensives (additive BP lowering), verapamil/diltiazem/amiodarone/digoxin (bradycardia/heart block), clonidine (rebound hypertension if stopped abruptly), NSAIDs (reduced antihypertensive effect), antidiabetic medicines/insulin (mask hypoglycaemia), lithium (increased lithium levels/toxicity with diuretics), corticosteroids or amphotericin B (increased risk of low potassium), ACE inhibitors/ARBs and potassium supplements (electrolyte changes), alcohol (increased dizziness)

How to store Tenoric-Ld 25/6.25

Store below 25°C in a cool, dry place away from moisture and direct light. Keep in original blister pack and out of reach of children.

Expert advice for Tenoric-Ld 25/6.25

Take it at the same time each day and do not miss doses. Learn to check your own pulse, and report a persistently slow one. Weigh yourself at the same time each day if you have heart failure, and report a rapid gain. Do not add extra salt, and ask before using a potassium-based salt substitute.

Manufacturer and class

Manufacturer:

IPCA LABORATORIES LTD`

Therapeutic class:

Antihypertensive

Drug class:

Beta-blocker + thiazide-like diuretic combination