Tenoretic affects the heart and circulation (blood flow through arteries and veins). This medicine
is used to treat hypertension (high blood pressure). Lowering blood pressure may lower your risk of
a stroke or heart attack.
Uses of Tenoretic
Essential hypertension
Tenoretic is used to reduce high blood pressure caused by genetic and/or environmental
factors.
General Instructions
Take Tenoretic exactly as advised by your doctor. Do not take in larger or smaller amounts than
prescribed. It is advised to take this medicine in the daytime to prevent sleep disturbance. Drink
an adequate amount of water. Monitoring of kidney function and electrolytes levels is necessary
while taking this medicine. Report any adverse effects to the doctor on priority. Do not stop the
use of Tenoretic without consulting your doctor
Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the
missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.
How it works
Tenoretic relaxes the blood vessels and reduces the heart rate, promoting a smooth flow of blood.
Chlorthalidone increases the excretion of water and sodium from the kidneys. Their combination is
thus effective in reducing the blood pressure.
Safety Information.
Side effects
The most common possible side effects are:
Blurred vision
Difficulty in breathing
Sweating
Cold hands or feet
Anxiety
Chest pain
Dizziness
Decrease in frequency of urination
Increased thirst
Loss of appetite
Trouble sleeping
Diarrhea
Very low blood pressure
Photosensitivity
Constipation
Nausea or vomiting
Headache
When not to use
Allergy
Tenoretic is not recommended for use in patients with a known allergy to chlorthalidone,
other sulfonamides, atenolol, other beta-blockers, or any other inactive ingredients present
in the formulation.
Cardiogenic shock
Tenoretic is not recommended for use in patients suffering from a cardiogenic shock due to
the increased risk of worsening of the patient's condition.
Heart block greater than first degree. Tenoretic is not recommended for use in patients
with a heart block greater than first degree due to the increased risk of worsening of the
patient's condition.
Sinus Bradycardia
Tenoretic is not recommended for use in patients with Sinus bradycardia since it may
worsen the patient's condition.
Uncompensated cardiac failure. Tenoretic is not recommended for use in patients with an
uncompensated cardiac failure since it may worsen the patient's condition.
Severe pulmonary edema
Tenoretic is not recommended for use in patients suffering from severe pulmonary edema due
to the increased risk of serious adverse effects.
Anuria
Tenoretic is not recommended for use in patients with anuria, a condition where the kidney
is unable to produce urine.
Severe renal impairment
Tenoretic is not recommended for use in patients with severe renal impairment (CrCl
<
30 ml/min) due to the increased risk of serious adverse effects.
Severe liver impairment
Tenoretic is not recommended for use in patients with severe liver impairment due to the
increased risk of serious adverse effects.
General warnings
Heart failure
Tenoretic can cause heart failure and reduced blood flow in patients having a heart
disease. Close monitoring of heart function is recommended for such patients. Appropriate
dose adjustments or replacement with a suitable alternative may be required based on the
clinical condition.
Major surgery
Tenoretic should be used with caution in patients who are scheduled for major surgery. An
anesthetic agent with little negative inotropic activity should be selected to minimize the
effect on the heart.
Lung Disease
Tenoretic should be used with caution in patients with lung diseases who do not respond to
other antihypertensive medications. Start with the lowest possible dose and increase the
dose based on the clinical condition. Replacement with a suitable alternative may be
required in some cases based on the clinical condition.
Sports
Athletes are advised not to indulge in certain sports while using this medicine. Archery,
racing, shooting, and other high-risk sports should be avoided. Sportspersons should refer
to the list of medicines published by World Anti-Doping Agency (WADA) which are not to be
taken while participating in specific sports events.
Hyperthyroidism
Tenoretic should be administered with caution in patients with increased thyroid levels.
Abrupt withdrawal of this medicine may lead to a life-threatening condition called thyroid
storm. Frequent monitoring of thyroid hormone levels is recommended for such patients.
Appropriate dose adjustments or replacement with a suitable alternative may be required
based on the clinical condition.
Liver Disease
Tenoretic should be used with extreme caution in patients suffering from liver diseases
due to an increase in the risk of serious adverse effects. Close monitoring of liver
function is advised while taking this medicine. Report any symptoms of confusion or jaundice
to the doctor on priority. Appropriate dose adjustments or replacement with a suitable
alternative may be necessary based on the clinical condition.
Volume and electrolyte disturbances
Tenoretic may alter the blood volume and electrolyte levels in some patients. This may
cause dizziness, dry mouth, and acid-base imbalance. This risk is especially higher in
patients suffering from kidney and liver diseases. Close monitoring of blood pressure and
electrolyte levels is recommended for such patients. Appropriate dose adjustments or
replacement with a suitable alternative may be required based on the clinical condition.
Kidney Disease
Tenoretic should be used with caution in patients with a known history of renal diseases
due to the increased risk of worsening of the patient's condition. Close monitoring of renal
function is recommended for such patients. Appropriate dose adjustments or replacement with
a suitable alternative may be required based on the clinical condition.
Driving or Operating machinery
Use of this medicine may cause drowsiness or dizziness in some patients. It is advised
that you do not perform any activities that require high mental alertness like driving a
vehicle or operating heavy machinery during treatment with this medicine if you experience
any of these symptoms.
Use in Children
Tenoretic is not recommended for use in patients below 18 years of age since the safety and efficacy of use are not clinically established.
Warnings for special population
Pregnancy
Tenoretic is not recommended for use in pregnant women unless necessary. All the risks and
benefits should be discussed with the doctor before using this medicine. Your doctor may
prescribe a safer alternative based on your clinical condition.
Breastfeeding
Tenoretic is not recommended for use in breastfeeding women unless necessary. All the
risks and benefits should be discussed with the doctor before using this medicine. Your
doctor may prescribe a safer alternative based on your clinical condition.
Interaction with Medicine
Tenoretic can interact with the following medicines:
Insulin
Alprazolam
Ziprasidone
Amiodarone
Cisapride
Theophylline
Diltiazem
Lithium
Diclofenac
Disease interactions
Asthma
Tenoretic is not recommended for use in patients with a history of asthma due to the increased risk of worsening of the patient's condition. Replacement with a suitable alternative should be considered under your doctor's supervision.
Bradyarrhythmia/AV Block
Tenoretic is not recommended for use in patients with Sinus Bradyarrhythmia or a heart block greater than the first degree due to the increased risk of worsening of the patient's condition. Replacement with a suitable alternative may be necessary based on the clinical condition.
Glaucoma
Tenoretic should be used with caution in patients with glaucoma because it may lower the intraocular pressure and worsen the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Diabetes
Tenoretic should be used with extreme caution in patients suffering from diabetes mellitus due to the increased risk of altered blood sugar levels. Close monitoring of blood sugar levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Pheochromocytoma
Tenoretic should be used with caution in patients with pheochromocytoma due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative should be considered under your doctor's supervision.
Hyperlipidemia
Tenoretic should be used with caution in patients with hyperlipidemia since it may increase the cholesterol and triglyceride levels. Close monitoring of cholesterol and triglyceride levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Hyperuricemia
Tenoretic should be used with caution in patients with hyperuricemia since this medicine decreases the uric acid excretion. This may cause serious side effects. Appropriate dose adjustments or replacement with a suitable alternative should be done under your doctor's supervision.
Food interactions
Coadministration of multivitamin with minerals and this combination of medicine should be avoided since it may decrease the effects of Tenoretic. A time gap of at least 2 hours should be maintained between the administration of multivitamin with minerals and this combination medicine to avoid their interaction. Avoid consumption of a large amount of orange juice with this medicine since it may decrease the effectiveness of Tenoretic.
F.A.Q.
Q: What is Tenoretic?
A: Tenoretic is a combination medicine used for the treatment of high blood pressure.
Q: Does Tenoretic interact with any food?
A: It is recommended to avoid the consumption of a large amount of orange juice with this medicine since it may decrease the effectiveness of Tenoretic.
Q: What should I do if I miss the dose?
A: Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
See Also.
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Minoxidil
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reactivates hair follicles and stimulates hair regrowth.
Demadex
Torsemide
Demadex is indicated for the treatment of high blood pressure (hypertension) and fluid retention (edema) caused by congestive heart failure, liver disease, or kidney disease. This medicine works for patients at the age of 18 and above.
Tenoretic
Atenolol
Tenoretic is a combination medicine used for the treatment of high blood pressure. Frequent monitoring of
blood pressure and electrolytes level is necessary during treatment with this medicine. Patients are advised
to follow a strict exercise and diet regimen, along with this medicine, to get the best possible effect.
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