12 August

Tenorik - instructions for use , real counterparts , dose

Tenorik - combined synthetic drug with antihypertensive effect.

Pharmacological action

Due to the action of the active components (a diuretic and beta1-adrenergic blocker) has Tenorik longer hypotensive effects compared to peers.

After receiving Tenorika effect persists for days.

Tenorika Product Form The composition

Tenorik tablets includes two active components: atenolol (totaling 50 mg) and chlorthalidone (totaling 12.5 mg) and adjuvants - talc, lactose, cornstarch, sodium lauryl sulfate, polyvinylpyrrolidone, colloidal silica, magnesium stearate and isopropanol.

In 10 or 14 pieces per pack.

Analogs Tenorika

By Tenorika analogs of active material are Tenoroks drugs Tenonorm and Tenoretik.

closest mode of action Tenorika analogues are medicines: Aritel Plus, Lodoz, Bisangil, Biprol Plus, Nebilong N.

Indications Tenorika

According to the instructions, Tenorik indicated for the treatment of hypertension.

Contraindications

Tenorik contraindicated for use during instruction:

  • cardiogenic shock;
  • bradycardia;
  • expressed disturbances of peripheral circulation;
  • metabolic acidosis;
  • Chronic heart failure;
  • severe arterial hypotension;
  • AV-block II and III level;
  • pheochromocytoma;
  • sick sinus syndrome;
  • vasospastic angina (otherwise - Prinzmetal angina);
  • diabetes;
  • acute heart failure;
  • myasthenia gravis;
  • Gout;
  • obstructive bronchitis;
  • bronchial asthma;
  • Hypoglycemia;
  • acute hepatitis;
  • acute renal failure;
  • hypersensitivity to Tenorika components.

According to the instructions, the use of Tenorika pediatric (18 years), pregnancy and lactation is contraindicated.

Dosing Tenorika

Early treatment Tenorik according to instructions prescribed one tablet a day, and then the dosage is increased by half.Further increase of the dose is not considered appropriate, and in case of insufficient therapeutic effect of Tenorika possible appointment of additional antihypertensive agents.

When violations of renal function is recommended to increase the interval between doses Tenorika, and the elderly should use a lower dose.

Abolition Tenorika after a long reception recommended gradually.

When making Tenorika most often develop in high doses:

  • Hypotension;
  • bradycardia;
  • hypersomnia;
  • bronchospasm;
  • Acute heart failure;
  • cramps.

Tenorika In the application should be considered:

  • When the heart rate to 50 beats per minute (symptomatic manifestations) received the dose should be reduced;
  • While taking Tenorika marked decrease in tear fluid production (which is important for patients who use contact lenses);
  • Reducing drug exerted therapeutic effect can be observed when nicotine addiction;
  • Application Tenorika can mask the effects of hypoglycemia and hyperthyroidism;
  • Very cancel reception Tenorika in coronary heart disease is not recommended;

While taking Tenorika possibility of severe anaphylactic reactions occurring and impaired glucose tolerance, as well as increased sensitivity to allergens.

Drug Interactions

should be particularly careful with a joint appointment Tenorika with the following drugs:

  • with beta-blockers (due to the increase in AV-conduction time);
  • With dihydropyridine derivatives (due to the increased risk of arterial hypotension);
  • with sympathomimetic agents such as epinephrine and norepinephrine (because of the potential therapeutic effect of neutralization);
  • with antiarrhythmics class I (due to increased cardiodepressive effect);
  • With MAO inhibitors (due to build up of pressure possible);
  • With salicylates, non-steroidal anti-inflammatory drugs and estrogen (due to the reduction of hypotensive action);
  • with glucocorticoids and furosemide (due to increased excretion of potassium);
  • with ACE inhibitors (due to the possibility of a sharp increase in the antihypertensive effect).

Side effects Tenorika

Tenorik, in the opinion, in most cases (when taken in therapeutic doses) is well tolerated.Side effects are usually mild, are more rare and transient.

invoked Tenorikom side effects of the cardiovascular system may take the form of:

  • Bradycardia;
  • orthostatic hypotension accompanied in rare cases syncope;
  • increased symptoms of heart failure;
  • limbs cooling.

addition, Tenorik, reviews, can cause symptoms of intermittent claudication, AV-blockade, arrhythmias, and Raynaud's syndrome.

Side effects from Tenorika associated with peripheral and central nervous system, usually manifested as:

  • Dizziness;
  • Confusion;
  • mood swings;
  • Headache;
  • Hallucinations;
  • Acute psychosis;
  • Sleep Disorders;
  • Paresthesia;
  • Apathy;
  • Fatigue;
  • impairment;
  • Disorientation.

most common disorders of the digestive system while taking Tenorika, reviews - a gastro-intestinal disturbances and dry mouth.Several less Tenorikom caused by side effects from this system are expressed as:

  • Pancreatitis;
  • elevated liver transaminases in blood serum;
  • Constipation;
  • hepatotoxicity with intrahepatic cholestasis;
  • Anorexia;
  • nausea.

Violations of the hematopoietic system caused Tenorikom, reviews, can be expressed as:

  • Purpura;
  • Leukopenia;
  • Agranulocytosis;
  • Thrombocytopenia;
  • eosinophilia.

Other possible disorders caused Tenorikom, reviews, include:

  • alopecia, photosensitivity, exacerbation of psoriasis, skin rash, dry eyes;
  • Impaired glucose tolerance;
  • bronchospasm (most often in the presence of the disease in history);
  • Reduced potency;
  • hyperuricemia, hyponatremia, hypokalemia.

Storage conditions

Tenorik released on the instructions prescribed by a doctor.The manufacturer's recommended shelf life of the drug (subject to the necessary conditions and temperature) - 36 months.

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