ATENOLOL AND CHLORTHALIDONE

(a TEN oh lole and klor THAL i done) Brand: Tenoretic 100, Tenoretic 50

What is the most significant information I must know about atenolol and chlorthalidone?

• Do not use atenolol and chlorthalidone if you are pregnant. It could harm the unborn child.

• You must not use this medicine if you are allergic to atenolol (Tenormin) or chlorthalidone (Hygroton, Thalitone), or if you have a serious heart problem such as heart block or slow heart course, if you are unable to urinate, or if you are allergic to sulfa drugs (such as Bactrim, Septra, Sulfatrim, SMX-TMP, and others).

• Till you take atenolol and chlorthalidone, speak your doctor if you have congestive heart failure, angina (chest pain), liver or kidney malady, a lung mess, diabetes, gout, lupus, a thyroid mess, adrenal gland tumor, psoriasis, or circulation problems.

• If you need surgery, speak the surgeon onward of time that you are using atenolol and chlorthalidone.

• Do not stop taking this medicine without first talking to your doctor. Stopping suddenly may create your condition worse.

• If you do stop taking this medicine for any cause, limit your physical activity to prevent heart problems. Your doctor may recommend that you start taking the medicine again if you have withdrawal symptoms.

• Atenolol and chlorthalidone is only part of a complete program of treatment for hypertension that may also include diet, exercice, and weight control. Follow your diet, medicine, and exercice routines very closely if you are being treated for hypertension.

• Hold using this medication as directed, even if you feel well. Tall blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

What is atenolol and chlorthalidone?

• Atenolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).

• Chlorthalidone is a thiazide diuretic (water pill) that helps prevent your body from absorbing too many salt, which can reason fluid retention.

• The combination of atenolol and chlorthalidone is used to treat hypertension (high blood pressure).

• Atenolol and chlorthalidone may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking atenolol and chlorthalidone?

• You must not use this medicine if you are allergic to atenolol (Tenormin) or chlorthalidone (Hygroton, Thalitone), or if you have:

· a serious heart problem such as heart block, or slow heart rate;

· if you are unable to urinate; or

· if you are allergic to sulfa drugs (such as Bactrim, Septra, Sulfatrim, SMX-TMP, and others).

• To create certain you can safely take atenolol and chlorthalidone, speak your doctor if you have any of these another conditions:

· congestive heart failure;

· circulation problems;

· angina (chest pain);

· liver or kidney disease;

· asthma, bronchitis, or another lung disorder;

· diabetes;

· gout;

· lupus;

· a thyroid disorder;

· psoriasis; or

· adrenal gland tumor (also called pheochromocytoma).

• FDA pregnancy category D. Do not use atenolol and chlorthalidone if you are pregnant. It could harm the unborn child. Use effective birth control, and speak your doctor if you become pregnant during treatment.

• Atenolol and chlorthalidone can pass into breast milk and may harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

How must I take atenolol and chlorthalidone?

• Take exactly as predesigned by your doctor. Do not take in larger or less amounts or for longer than recommended. Follow the directions on your prescription label.

• Take this medication with food if it upsets your stomach.

• Hold using this medication as directed, even if you feel well. Tall blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

• Your blood pressure will need to be checked often, and you may need another blood trials at your doctor's office. Visit your doctor regularly.

• If you need surgery, speak the surgeon onward of time that you are using atenolol and chlorthalidone. You may need to stop using the medication for a short time.

• Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than normal. You can easily become dehydrated while taking this medicine, which can lead to severely low blood pressure or a serious electrolyte imbalance.

• This medicine can reason unusual results with determined medical trials. Speak any doctor who treats you that you are using atenolol and chlorthalidone.

• Do not stop taking this medicine without first talking to your doctor. Stopping suddenly may create your condition worse.

• Store at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

• Overdose symptoms may include extreme tiredness, trouble breathing, wheezing, slow heart course, chest pain, swelling, feeling light-headed, or fainting.

What must I avoid while taking atenolol and chlorthalidone?

• Avoid becoming overheated or dehydrated during exercice and in hot weather. Follow your doctor's instructions about the type and amount of liquids you must drink. In some cases, drinking too many liquid can be as unsafe as not drinking enough.

What are the possible side effects of atenolol and chlorthalidone?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have a serious side effect such as:

· chest pain or hard feeling, pain spreading to the hand or shoulder, nausea, sweating, common ill feeling;

· quick, slow, or uneven heartbeats;

· feeling like you might pass out;

· feeling short of breath, even with mild exertion;

· swelling, rapid weight gain;

· pale skin, light bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin, trouble concentrating;

· confusion, hallucinations, seizure (convulsions);

· cool feeling in your hands and foots;

· nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

· dry mouth, extreme thirst, drowsiness, restless feeling, nausea, vomiting, heighten urination, leg discomfort, muscle pain or weakness, fainting; or

· memory problems, weakness, loss of appetite, feeling unsteady, shallow breathing or breathing that stops.

• Smaller serious side effects may include:

· dizziness, spinning sensation;

· weary feeling;

· diarrhea, constipation, upset stomach;

· headache;

· mild itching or skin rash; or

· impotence, loss of interest in sex, or trouble having an orgasm.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect atenolol and chlorthalidone?

• Speak your doctor about all another medications you are using, especially:

· another blood pressure medications, especially clonidine (Catapres), (Norvasc, Caduet, Exforge, Lotrel, Tekamlo, Tribenzor, Twynsta), diltiazem (Cartia, Cardizem), felodipine (Plendil), nicardipine (Cardene), nifedipine (Procardia, Adalat), nimodipine (Nimotop), nisoldipine (Sular), reserpine (Serpasil), or verapamil (Calan, Covera, Isoptin, Verelan);

· digoxin (digitalis, Lanoxin, Lanoxicaps);

· dobutamine (Dobutrex);

· indomethacin (Indocin);

· isoproterenol (Isuprel Mistometer);

· lithium (Eskalith, Lithobid);

· a diabetes medicine such as insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);

· heart rhythm medicine such as amiodarone (Cordarone, Pacerone) or disopyramide (Norpace);

· a diuretic (water pill) such as chlorothiazide (Diuril), hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic), chlorthalidone (Hygroton, Thalitone), indapamide (Lozol), metolazone (Mykrox, Zaroxolyn), and others; or

· steroid medications (prednisone and others).

• This list is not complete and another drugs may interact with atenolol and chlorthalidone. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about atenolol and chlorthalidone.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help 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.

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