Buy Tenoretic online without prescription

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General Information.

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.

Essential hypertension

• Tenoretic is used to reduce high blood pressure caused by genetic and/or environmental factors.

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

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.

Seek emergency medical treatment or contact the doctor in case of an overdose.

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.

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

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.

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.

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.

Tenoretic can interact with the following medicines:

• Insulin
• Alprazolam
• Ziprasidone
• Amiodarone
• Cisapride
• Theophylline
• Diltiazem
• Lithium
• Diclofenac

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.

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.

Delivery.

International Registered Mail - 21-30 business days, Price - $16.00, No signature is required upon delivery

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