Please read this leaflet carefully before you take your medicine, it only gives you a summary of the information available on your tablets. If you have any questions or are not sure about anything, ask your doctor or pharmacist.

COMPOSITION
Tenoretic 100: Each tablet contains: Atenolol 100 mg. Chlorthalidone 25 mg.
Tenoretic 50: Each tablet contains: Atenolol 50 mg. Chlorthalidone 12.5 mg.

PROPERTIES
Atenolol is one of the group beta-blockers. It has effects on the heart and circulation. Chlorthalidone is one of a group of drugs called diuretics; it increases the amount of urine produced by the kidneys

INDICATIONS
Tenoretic is used to treat hypertension (high blood pressure).

CONTRAINDICATIONS
Tenoretic is contraindicated to you if you have ever had an allergic reaction to it or to Atenolol or to Chlorthalidone. You have heart failure which is not under control, heart block, very slow or very irregular heart beats, very low blood pressure, very poor circulation, phaeochromocytoma (high blood pressure caused by a tumour, usually near the kidney) which is not being treated, or metabolic acidosis (abnormal levels of acid in your blood), you are pregnant or breastfeeding a baby.

PRECAUTIONS
Please tell your doctor before you start taking your tablets if any of the following apply to you, because Tenoretic should be used with care in these cases:
- You have a particular type of chest pain called Prinzmetal’s angina.
- You have asthma or you get allergic reactions to such things as insect stings.
- You have diabetes; Tenoretic may change your normal response to low blood sugar, which usually involves an increase in heart rate.
- You have thyrotoxicosis; Tenoretic may hide the symptoms of thyrotoxicosis.
- You have kidney problems; you may need to have some check ups during your treatment. Your medicine is unlikely to affect your ability to drive or to operate machinery. However, some people may occasionally feel dizzy or tired when taking Tenoretic. If this happens to you, ask your doctor for advice.

DRUG INTERACTIONS
Tenoretic can interfere with the action of some other drugs and some drugs can have effect on Tenoretic. The medicines which can cause some problems when taken together with Tenoretic are: Verapamil, diltiazem, nifedipine(which are used to treat hypertension or angina), disopyramide (for irregular heart beats),digoxine (for heart failure), adrenaline (a heart stimulant),ibuprofen and indomethacin (for pain and inflammation), lithium (for depression), insulin and oral antidiabetic drugs (for diabetes). If you are taking clonidine and Tenoretic together, you must not stop taking clonidine unless your doctor tells you to do so. If you have to stop taking clonidine, your doctor will give you careful instructions on how to do it. If you go into a hospital to have an operation, tell the anesthetist or the medical staff that you are taking Tenoretic.

DOSAGE AND ADMINISTRATION
Tenoretic tablets should be swallowed. Follow your doctors instructions about when and how to take your medicine. Also read the label. Your pharmacist can also help if you are not sure. Your doctor will have decided what dose you should take each day depending on your condition. The usual daily dose for an adult is one tablet of 50 or 100 mg.If you forgot to take your medicine, take your dose when you remember and then take your next dose at the usual time. Don’t take two doses at the same time. If you are worried, ask your doctor or pharmacist for advice

OVERDOSE
If you accidentally take an overdose of your medicine, either call your doctor straight away or go to your nearest hospital casualty department. Always take any remaining tablets, the container and the label with you, so that the medicine can be identified.

SIDE EFFECTS
As with all medicines, undesirable events can sometimes be experienced with Tenoretic. Occasionally, a few people can suffer from :cold hands and feet, tiredness, slow heart beat, headache, dry mouth, nausea, diarrhoea, disturbed sleep, thinning of the hair, mood changes, confusion, psychoses or hallucinations, bruising more easily or purplish marks on the skin, tingling of the hands, dry eyes, disturbances of vision, skin rashes, worsening of psoriasis, dizziness (particularly when standing up), or very rarely, jaundice (yellowing of the skin or the whites of your eyes). Other possible events, which may occur in susceptible people, are numbness and spasm in the fingers (Raynaud’s phenomenon), heart block (which can cause dizziness or fainting), worsening of heart failure in people with heart failure, worsening of breathing difficulties in people with asthma or breathing problems or worsening of the circulation in people with poor circulation. Other possible events are a reduction in the amount of sodium in the blood which may cause weakness, vomiting and cramps, a reduction in the amount of potassium in the blood, an increase in the amount of uric acid in the blood or a reduction in the number of white blood cells. Your doctor may take blood samples every so often to check on these levels. Do not be alarmed by this list of possible events; you may not have any of them. If you get any other undesirable events or if you think your medicine is causing any problem, tell your doctor or pharmacist.

WARNING
Check the expiry date on the carton and don’t use the medicine after that date. Keep your medicine in a safe place where children cannot see or reach it. Your medicine could harm them. Keep your medicine below 25° C and away from light and dampness. If your doctor decides to stop treatment, return any left-over tablets to your pharmacist. Only keep them if the doctor tells you to.

REMEMBER
This medicine is for you. Only a doctor can prescribe it for you. Never give it to someone else. It may harm them even if their symptoms are the same as yours.

PACKING
14 - 28 tablets in calendar pack