Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
ATENOLOL; CHLORTHALIDONE
PHARMAFORTE (MALAYSIA) SDN. BHD.
ATENOLOL; CHLORTHALIDONE
30Tablet Tablets
APOTEX INC
_Consumer Medication Information Leaflet (RiMUP) _ 1 APO-ATENIDONE TABLETS Atenolol (100mg)/ Chlorthalidone (25mg) WHAT IS IN THIS LEAFLET 1. What Apo-Atenidone is used for 2. How Apo-Atenidone works 3. Before you use Apo- Atenidone 4. How to use Apo-Atenidone 5. While you are using it 6. Side effects 7. Storage and Disposal of Apo- Atenidone 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT APO-ATENIDONE IS USED FOR This is a combination product that contains 2 medications: atenolol and chlorthalidone. It is used to treat high blood pressure. HOW APO-ATENIDONE WORKS Atenolol belongs to the class of medications called beta-blockers. It works by decreasing the workload of the heart. Chlorthalidone belongs to the class of medications called diuretics (water pills). It works by getting rid of excess salt and water. BEFORE YOU USE APO-ATENIDONE _- When you must not use it_ _ _ Do not use this medication if you: • are allergic to atenolol, chlorthalidone or any ingredients of the medication • have a condition called cardiogenic shock (occurs when the heart is unable to pump as much blood as the body needs) • have a condition known as pheochromocytoma (a type of tumour that may cause hypertension) which has not been treated. • have a condition known as right ventricular failure (a heart condition) caused by pulmonary hypertension (abnormally high blood pressure in the arteries of the lungs) • have a severely slow heart rate • have a serious heart block, also called atrioventricular (AV) block • have metabolic acidosis (a condition where your body produces too much acid) • have severe peripheral arterial disorders (blockage of blood flow to limbs of body) • have sick sinus syndrome • have uncontrolled congestive heart failure • have very low blood pressure _- Before you start to use it_ _ _ Tell your doctor if: • You have any other medical conditions that require attention • You have hyperuricemia (an excess of uric acid in the blood) • You have Baca dokumen lengkap
APO-ATENIDONE TABLETS 100/25 MG ATENOLOL 100MG AND CHLORTHALIDONE 25 MG ANTIHYPERTENSIVE AGENT PRODUCT DESCRIPTION White, round biconvex tablets. Engraved 100 over European bisect 25 on one side, and engraved APO on the other. PHARMACOLOGY APO-ATENIDONE (atenolol/chlorthalidone) combines the antihypertensive activity of two agents, a beta adrenergic receptor blocking agent (atenolol) and a diuretic (chlorthalidone). Atenolol is a beta 1 -selective, beta adrenergic blocking agent, devoid of membrane stabilizing or intrinsic sympathomimetic (partial agonist) activities. It is a racemic mixture and the beta 1 properties reside in the S(-) enantiomer. Beta 1 -selectivity decreases with increasing dose. The mechanism of the antihypertensive effect of atenolol has not been established. Among the factors that may be involved are: a) competitive ability to antagonize catecholamine-induced tachycardia at the beta receptor sites in the heart, thus decreasing cardiac output. b) Inhibition of renin release by the kidneys. c) Inhibition of the vasomotor centres. Chlorthalidone, a monosulfonamyl diuretic, increases excretion of sodium and chloride. Natriuresis is accompanied by some loss of potassium. The mechanism by which chlorthalidone reduces blood pressure is not fully known by may be related to the exrection and redistribution of body sodium. Chlorthalidone usually does not decrease normal blood pressure. The combination of atenolol with thiazide-like diuretics has been shown to be compatible and generally more effective than either drug used alone as an antihypertensive agent. Pharmacokinetics: Approximately 40 to 50% of an oral dose of atenolol is absorbed from the gastrointestinal tract, the remainder being excreted unchanged in the feces. Peak plasma concentrations occur 2-4 hours after dosing and are subject to a 4-fold variability. The plasma levels are proportional to dose over the range 50-400 mg and 6 to 16% of atenolol is bound to plasma proteins. The plasma half-life is approximately 6-7 hours. Approximately 6 Baca dokumen lengkap