Atenolol + Nifedipine

Atenolol + Nifedipine is a medicine used to treat hypertension (high blood pressure). This combination medicine controls blood pressure when a single medication is not effective. By lowering the blood pressure, it helps in preventing future heart attack and stroke. You can take Atenolol + Nifedipine at any time of day, on empty stomach, but it is best to take it at the same time each day. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor's advice while taking this medicine. It may cause side effects like fatigue, ankle swelling, headache, slow heart rate, and nausea. It may also cause dizziness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. To reduce the swelling, raise your legs while sitting down. You may be asked for regular monitoring of blood pressure, kidney function, and electrolytes level while on the treatment. Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions. Atenolol + Nifedipine is a combination of two medicines: Atenolol and nifedipine which lower blood pressure effectively. Atenolol is a beta blocker that works specifically on the heart to slow down the heart rate while nifedipine is a calcium channel blocker which works by relaxing blood vessels. Together, they make the heart more efficient at pumping blood throughout the body.

• Hypertension (high blood pressure)

Atenolol + Nifedipine is a combination of two medicines: Atenolol and nifedipine which lower blood pressure effectively. Atenolol is a beta blocker that works specifically on the heart to slow down the heart rate while nifedipine is a calcium channel blocker which works by relaxing blood vessels. Together, they make the heart more efficient at pumping blood throughout the body.

Adult Dose: Conduction defects, poor cardiac reserve, controlled CHF, peripheral circulatory disorders, 1st degree heart block, mild heart failure (NYHA grade II), Prinzmetal's angina, renal or hepatic impairment. Discontinue use if heart rate is reduced at a dose of 1 capsule daily or if there is ischaemic pain within 1-4 hr of initiation of therapy. Withdraw gradually in patients with ischaemic heart disease. Adjustment in diabetic control may be required; may mask signs of thyrotoxicosis and modifies tachycardia of hypoglycaemia. Family history of psoriasis. Renal Dose: Atenolol is a beta 1-selective adrenergic receptor blocker. It has marked -ve inotropic and chronotropic effects which result in reduction of BP (particularly during exercise), myocardial oxygen demand and cardiac output. Nifedipine is a dihydropyridine calcium-channel blocker. It is a coronary and peripheral vasodilator, which reduces BP and peripheral resistance, and increases myocardial oxygen demand.

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Atenolol + Nifedipine is to be taken empty stomach.

Common: • Ankle swelling • Headache • Tiredness • Palpitations • Cold extremities • Sleepiness • Nausea • Edema (swelling) • Slow heart rate • Flushing (sense of warmth in the face, ears, neck and trunk) • Constipation

[UNSAFE] Atenolol + Nifedipine may cause side effects which could affect your ability to drive. Atenolol + Nifedipine may make you feel dizzy, faint, extremely tired or have visual disturbances. This may affect your ability to drive. You have been prescribed Atenolol + Nifedipine for the treatment of high blood pressure. Lowering blood pressure reduces chance of future heart attack & strokes. It may cause dizziness. Get up slowly when rising from a sitting or lying position. Do not stop taking the medication suddenly without talking to your doctor as it can cause sudden increase in your blood pressure. Let your doctor know if you are pregnant or planning for pregnancy.

History of wheezing, asthma, obstructive respiratory disease, pronounced bradycardia (resting heart rate <50 beats/min prior to treatment), 2nd or 3rd degree heart block, sick sinus syndrome, SA block, systolic pressure <90 mmHg, overt or decompensated cardiac failure (NYHA grades III & IV), aortic stenosis, unstable angina, acute attacks of angina, acute MI or within 1 mth of MI, or for secondary prevention of MI, cardiogenic shock, severe peripheral arterial circulatory disorders, acidosis, severe renal impairment, untreated phaeochromocytoma, malignant hypertension. Lactation, pregnancy, women of child-bearing age.

[UNSAFE] Atenolol + Nifedipine may cause excessive drowsiness with alcohol.

[CONSULT YOUR DOCTOR] Atenolol + Nifedipine is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

[CONSULT YOUR DOCTOR] Atenolol + Nifedipine is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

[CAUTION] Atenolol + Nifedipine should be used with caution in patients with kidney disease. Dose adjustment of Atenolol + Nifedipine may be needed. Please consult your doctor. Regular monitoring of blood pressure is recommended and can help in better dose adjustment. [CAUTION] Atenolol + Nifedipine should be used with caution in patients with liver disease. Dose adjustment of Atenolol + Nifedipine may be needed. Please consult your doctor.

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