ATENOLOL TABLETS BP 100MG

Active substance: ATENOLOL

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Transcript
Pharmacode
Position

Atenolol 25mg, 50mg and
100mg tablets
Read all of this leaflet carefully before you
start taking this medicine.
•  eep this leaflet. You may need to read it
K
again.
• f you have any further questions, ask your
I
doctor or pharmacist.
•  his medicine has been prescribed for you.
T
Do not pass it on to others. It may harm
them, even if their symptoms are the same
as yours.

Index
1 What Atenolol tablets are and what
they are used for
2 Before you take
3 How to take
4 Possible side effects
5 How to store
6 Further information
1 What Atenolol tablets are and what they are

used for

Atenolol belongs to a group of medicines called beta-blockers.
It is used to:
• control high blood pressure.
• relieve chest pain (angina pectoris).
• control irregular heart beat.
•  rotect the heart in the early treatment after a heart attack.
p

2 Before you take
Do not take Atenolol tablets and tell your doctor if
you:

•  re allergic (hypersensitivite) to atenolol or any of the other
a
ingredients in Atenolol tablets (see section 6).
• have second or third degree heart block.
• have shock caused by heart problems.
•  ave heart failure which is not under control.
h
•  uffer with heart conduction or rhythm problems
s
• have a slow heart rate
• have low blood pressure.
s
•  uffer from severe blood circulation problems (which
may cause your fingers and toes to tingle or turn pale or
blue)
•  uffer from an increased acidity of the blood (metabolic
s
acidosis)
•  uffer from untreated phaeochromocytoma (high blood
s
pressure due to a tumour near the kidney).
•  ave or have had breathing problems such as asthma,
h
difficulty breathing due to narrowing of the airways or
reversible obstructive airways disease. Do not take this
medicine if you have a history of wheezing or asthma.
Consult your doctor or pharmacist first.

Continued top of next column
50431870

Take special care with Atenolol tablets and tell your
doctor if you:

• have a history of allergic reactions
•  ave heart problems such as heart failure, untreated
h
congestive heart failure, ischaemic heart disease, poor heart
function (poor cardiac reserve) or first degree heart block.
•  uffer from blood circulation problems (which may cause
s
your fingers and toes to tingle or turn pale or blue) or
cramping pain causing limping (intermittent claudication).
•  uffer with diabetes mellitus (low blood sugar levels may
s
be hidden by this medicine)
• have impaired liver or kidney function.
• are elderly.
•  uffer from a tight, painful feeling in the chest in periods of
s
rest (Prinzmetal’s angina)
• have or have had psoriasis.
•  uffer from treated phaeochromocytoma (high blood
s
pressure due to a tumour near the kidney).
•  ave high levels of thyroid hormone in the body
h
(thyrotoxicosis).

Taking other medicines

Please tell your doctor or pharmacist if you are taking or
have recently taken any other medicines, including medicines
obtained without a prescription. Especially:
• clonidine (to treat high blood pressure)
• disopyramide, quinidine and amiodarone (to treat
irregular heartbeat (arrhythmia)
•  edicines to treat diabetes including insulin
m
•  on-Steroidal Anti-Inflammatory Drug (NSAIDs)
N
e.g. indometacin
• digitalis glycosides such as digoxin (to treat heart
conditions)
• nifedipine, diltiazem, verapamil, prazosin, alfuzosin and
terazosin (to treat high blood pressure)
• sympathicomimetic agents (decongestant, asthma or
heart medicine)
• isoprenaline or dobutamine (widens blood vessels)
• tricyclic antidepressants e.g. amitriptyline
• barbiturates e.g. phenobarbital (used for insomnia,
epilepsy or as an anaesthetic)
• phenothiazines e.g. chlorpromazine (for mental illness).

Pregnancy and breast-feeding

If you are pregnant or planning to become pregnant, speak to
your doctor before taking this medicine.
Breast-feeding is not recommended whilst taking Atenolol
tablets.

Alcohol intake

You are advised to avoid alcohol whilst taking this medicine.

Driving and using machines

Atenolol tablets may cause dizziness or tiredness. Make sure
you are not affected before driving or operating machinery.

Anaesthetics and surgery

If you are going to have an operation or an anaesthetic, please
tell your doctor or dentist that you are taking Atenolol tablets
as your heart beat might slow down too much and there may
be an increased risk of developing low blood pressure.
Continued over page

Always take Atenolol tablets exactly as your doctor has told
you. If you are not sure, check with your doctor or pharmacist.
Take the tablets with water

Doses:
Adults and children over 12 years
• High blood pressure: 50-100mg a day as a single dose.
• Angina: 100mg once a day or 50mg twice a day.
• Irregular heart beat: initial treatment will usually be by
injection, followed by a maintenance dose by mouth of
50-100mg a day as a single dose.
• After a heart attack: initial treatment will usually be by
injection, if no response followed by 50mg by mouth 15
minutes after the injection. A further 50mg 12 hours later
and then 100mg 12 hours later. 100mg to be taken once a
day thereafter.
Elderly
Your doctor may prescribe you a lower dose if you are elderly,
especially if you have impaired kidney function.
Children under 12 years
Not recommended.
Patients with kidney failure
Your doctor may prescribe you a lower dose if you have kidney
failure.
• Mild to moderate kidney failure – 50mg a day or 100mg
once every two days
• Moderate to severe kidney failure – 50mg once every
two days or 100mg once every four days
Patients on haemodialysis should be given 50mg after each
dialysis.

If you take more than you should

If you have accidentally taken more than the prescribed dose,
contact your nearest casualty department or tell your doctor or
pharmacist at once. Symptoms of an overdose include a slow
or irregular heart beat, low blood pressure, difficulty breathing
due to fluid on the lungs, acute impaired heart function and
shock, fainting.

If you forget to take the tablets

If you forget to take a dose, take it as soon as you remember,
unless it is nearly time for your next dose. Then go on as before.
Never double up on the next dose to make up for the one
missed.

If you stop taking the tablets

Do not stop treatment early, especially if you have ischaemic
heart disease. Talk to your doctor before you stop taking the
tablets and follow their advice.

4 Possible side effects

Like all medicines, Atenolol tablets can cause side effects,
although not everybody gets them.

Contact your doctor at once if you have the following:
• an allergic reaction such as itching, difficulty breathing or
swelling of the face, lips, throat or tongue.
• altered numbers and types of your blood cells. If you
notice increased bruising, nosebleeds, sore throats or
infections, you should tell your doctor who may want to
give you a blood test.
• breathing difficulties caused by narrowing of the airways
in patients who have asthma or have had breathing
problems.
• heart attack or shock.

Continued top of next column
50431870

Tell your doctor if you notice any of the following side
effects, they get worse or you notice any not listed:
•  ommon (less than 1 in 10 users): slow heart beat, feeling
C
sick, cold hands and feet, diarrhoea, tiredness, aching and
tired muscles, GI disturbances such as stomach pains,
heartburn and constipation.
•  ncommon (less than 1 in 100 users): increased levels of
U
liver enzymes, sleep disturbances such as difficulty sleeping
•  are (less than 1 in 1000 users): disturbances in thinking
R
(depression, mood swings, hallucinations, paranoia psychoses), confusion, reduced sexual potency in men
(impotence), nightmares, headaches, dizziness, ‘pins and
needles’ or tingling in the hands or feet, dry eyes, impaired
vision, heart conduction problems (slowed AV-conduction
or increase of existing AV-block causing dizziness, fainting
or tiredness), heart failure deterioration, Raynauds
phenomenon (condition causing pain, numbness, coldness
and blueness of the fingers), liver disorders, disorder of
the skin especially a rash, hair loss (alopecia), worsening
of psoriasis or skin reactions similar to psoriasis, insomnia,
worsening of existing cramping pains causing limping
(intermittent claudication), dry mouth, low blood pressure
on standing
•  ery Rare (less than 1 in 10,000 users): an increase in anti
V
nuclear antibodies
•  nknown (can not be estimated from available data):
U
depression, hands and feet which may be blue, being
sick, pale or red irregular raised patches with sever itching
(hives)
•  ther: symptoms of an overactive thyroid (increased heart
O
rate and appetite, sweating, tremor, anxiety, weight loss
and heat intolerance) or low blood sugar (muscle weakness,
reduced movements, mental confusion and sweating) may
be hidden by Atenolol tablets

5 How to store

Keep out of the reach and sight of children.
Do not store above 25°C.
Store in the original package.
Keep container in the outer carton.
Do not use after the expiry date stated on the label/carton/
bottle. The expiry date refers to the last day of that month.
Ask your pharmacist how to dispose of medicines no longer
required.

6 Further information
What Atenolol tablets contain

•  he active substance (the ingredient that makes the tablets
T
work) is atenolol. Each tablet contains either 25mg, 50mg or
100mg of the active substance.
•  he other ingredients are: Calcium hydrogen phosphate
T
dehydrate, silica colloidal anhydrous, magnesium
stearate, maize starch, crospovidone, propylene glycol,
sodium laurylsulphate, hydrogenated vegetable oil,
titanium dioxide (E171), cellulose microcrystalline (E460),
hypromellose 5cP (E464), purified talc (E553).

What Atenolol tablets look like and the contents of
the pack
The tablets are white, circular, biconvex film-coated tablets
with a score line on one face, plain on the reverse.
Pack size is 28.
Marketing Authorisation Holder and Manufacturer
Actavis, Barnstaple, EX32 8NS, UK.
This leaflet was last revised in August 2010.

Actavis, Barnstaple, EX32 8NS, UK

Pharmacode
Position

3 How to take

PhCode

PhCode

Atenolol 25mg, 50mg
and 100mg tablets
Read all of this leaflet carefully before you start
taking this medicine.
•  eep this leaflet. You may need to read it again.
K
• f you have any further questions, ask your doctor
I
or pharmacist.
•  his medicine has been prescribed for you. Do
T
not pass it on to others. It may harm them, even if
their symptoms are the same as yours.

Index
1 What Atenolol tablets are and what they

are used for
2 Before you take

3 How to take

4 Possible side effects

5 How to store

6 Further information

1 What Atenolol tablets are and what they


are used for

Atenolol belongs to a group of medicines called betablockers. It is used to:
• control high blood pressure.
• relieve chest pain (angina pectoris).
• control irregular heart beat.
•  rotect the heart in the early treatment after a heart
p
attack.

2 Before you take

Do not take Atenolol tablets and tell your doctor
if you:
•  re allergic (hypersensitivite) to atenolol or any of
a
the other ingredients in Atenolol tablets (see section
6).
• have second or third degree heart block.
• have shock caused by heart problems.
•  ave heart failure which is not under control.
h
•  uffer with heart conduction or rhythm problems
s
• have a slow heart rate
• have low blood pressure.
•  uffer from severe blood circulation problems
s
(which may cause your fingers and toes to tingle or
turn pale or blue)
•  uffer from an increased acidity of the blood
s
(metabolic acidosis)
•  uffer from untreated phaeochromocytoma (high
s
blood pressure due to a tumour near the kidney).
•  ave or have had breathing problems such as
h
asthma, difficulty breathing due to narrowing of the
airways or reversible obstructive airways disease.
Do not take this medicine if you have a history
of wheezing or asthma. Consult your doctor or
pharmacist first.

Take special care with Atenolol tablets and tell
your doctor if you:

•  uffer from blood circulation problems (which may
s
cause your fingers and toes to tingle or turn pale or
blue) or cramping pain causing limping (intermittent
claudication).
•  uffer with diabetes mellitus (low blood sugar levels
s
may be hidden by this medicine)
• have impaired liver or kidney function.
• are elderly.
•  uffer from a tight, painful feeling in the chest in
s
periods of rest (Prinzmetal’s angina)
• have or have had psoriasis.
•  uffer from treated phaeochromocytoma (high
s
blood pressure due to a tumour near the kidney).
•  ave high levels of thyroid hormone in the body
h
(thyrotoxicosis).

Taking other medicines

Please tell your doctor or pharmacist if you are taking
or have recently taken any other medicines, including
medicines obtained without a prescription. Especially:
• clonidine (to treat high blood pressure)
•  isopyramide, quinidine and amiodarone (to treat
d
irregular heartbeat (arrhythmia)
•  edicines to treat diabetes including insulin
m
•  on-Steroidal Anti-Inflammatory Drug (NSAIDs)
N
e.g. indometacin
•  igitalis glycosides such as digoxin (to treat heart
d
conditions)
•  ifedipine, diltiazem, verapamil, prazosin,
n
alfuzosin and terazosin (to treat high blood
pressure)
•  ympathicomimetic agents (decongestant, asthma
s
or heart medicine)
•  soprenaline or dobutamine (widens blood vessels)
i
• tricyclic antidepressants e.g. amitriptyline
•  arbiturates e.g. phenobarbital (used for insomnia,
b
epilepsy or as an anaesthetic)
•  henothiazines e.g. chlorpromazine (for mental
p
illness).

Pregnancy and breast-feeding

If you are pregnant or planning to become pregnant,
speak to your doctor before taking this medicine.
Breast-feeding is not recommended whilst taking
Atenolol tablets.

Alcohol intake

You are advised to avoid alcohol whilst taking this
medicine.

Driving and using machines

Atenolol tablets may cause dizziness or tiredness. Make
sure you are not affected before driving or operating
machinery.

Anaesthetics and surgery

If you are going to have an operation or an anaesthetic,
please tell your doctor or dentist that you are taking
Atenolol tablets as your heart beat might slow down too
much and there may be an increased risk of developing
low blood pressure.

• have a history of allergic reactions
•  ave heart problems such as heart failure, untreated
h
congestive heart failure, ischaemic heart disease,
poor heart function (poor cardiac reserve) or first
degree heart block.
Continued top of next column
L19422IPC-30

Continued over page

PhCode

25 mm

3 How to take


Always take Atenolol tablets exactly as your doctor has
told you. If you are not sure, check with your doctor or
pharmacist.
Take the tablets with water
Doses:
Adults and children over 12 years
•  igh blood pressure: 50-100mg a day as a single
H
dose.
•  ngina: 100mg once a day or 50mg twice a day.
A
•  rregular heart beat: initial treatment will usually
I
be by injection, followed by a maintenance dose by
mouth of 50-100mg a day as a single dose.
•  fter a heart attack: initial treatment will usually
A
be by injection, if no response followed by 50mg
by mouth 15 minutes after the injection. A further
50mg 12 hours later and then 100mg 12 hours later.
100mg to be taken once a day thereafter.
Elderly
Your doctor may prescribe you a lower dose if you are
elderly, especially if you have impaired kidney function.
Children under 12 years
Not recommended.
Patients with kidney failure
Your doctor may prescribe you a lower dose if you have
kidney failure.
•  ild to moderate kidney failure – 50mg a day or
M
100mg once every two days
•  oderate to severe kidney failure – 50mg once
M
every two days or 100mg once every four days
Patients on haemodialysis should be given 50mg after
each dialysis.

If you take more than you should

If you have accidentally taken more than the prescribed
dose, contact your nearest casualty department or tell
your doctor or pharmacist at once. Symptoms of an
overdose include a slow or irregular heart beat, low
blood pressure, difficulty breathing due to fluid on
the lungs, acute impaired heart function and shock,
fainting.

If you forget to take the tablets

If you forget to take a dose, take it as soon as you
remember, unless it is nearly time for your next dose.
Then go on as before. Never double up on the next
dose to make up for the one missed.

If you stop taking the tablets

Do not stop treatment early, especially if you have
ischaemic heart disease. Talk to your doctor before
you stop taking the tablets and follow their advice.

4 Possible side effects


Like all medicines, Atenolol tablets can cause side
effects, although not everybody gets them.

Contact your doctor at once if you have the
following:
•  n allergic reaction such as itching, difficulty
a
breathing or swelling of the face, lips, throat or
tongue.
•  ltered numbers and types of your blood cells.
a
If you notice increased bruising, nosebleeds, sore
throats or infections, you should tell your doctor
who may want to give you a blood test.
•  reathing difficulties caused by narrowing of the
b
airways in patients who have asthma or have had
breathing problems.
• heart attack or shock.

Tell your doctor if you notice any of the following
side effects, they get worse or you notice any not
listed:
•  ommon (less than 1 in 10 users): slow heart
C
beat, feeling sick, cold hands and feet, diarrhoea,
tiredness, aching and tired muscles , GI disturbances
such as stomach pains, heartburn and constipation.
•  ncommon (less than 1 in 100 users): increased
U
levels of liver enzymes, sleep disturbances such as
difficulty sleeping
•  are (less than 1 in 1000 users): disturbances in
R
thinking (depression, mood swings, hallucinations,
paranoia - psychoses), confusion, reduced
sexual potency in men (impotence), nightmares,
headaches, dizziness, ‘pins and needles’ or tingling
in the hands or feet, dry eyes, impaired vision, heart
conduction problems (slowed AV-conduction or
increase of existing AV-block causing dizziness,
fainting or tiredness), heart failure deterioration,
Raynauds phenomenon (condition causing pain,
numbness, coldness and blueness of the fingers),
liver disorders, disorder of the skin especially a rash,
hair loss (alopecia), worsening of psoriasis or skin
reactions similar to psoriasis, insomnia, worsening
of existing cramping pains causing limping
(intermittent claudication), dry mouth, low blood
pressure on standing
•  ery Rare (less than 1 in 10,000 users): an increase in
V
anti nuclear antibodies
•  nknown (can not be estimated from available
U
data): depression, hands and feet which may be
blue, being sick, pale or red irregular raised patches
with sever itching (hives)
•  ther: symptoms of an overactive thyroid (increased
O
heart rate and appetite, sweating, tremor, anxiety,
weight loss and heat intolerance) or low blood sugar
(muscle weakness, reduced movements, mental
confusion and sweating) may be hidden by Atenolol
tablets

5 How to store


Keep out of the reach and sight of children.
Do not store above 25°C.
Store in the original package.
Keep container in the outer carton.
Do not use after the expiry date stated on the label/
carton/bottle. The expiry date refers to the last day of
that month.
Ask your pharmacist how to dispose of medicines no
longer required.

6 Further information

What Atenolol tablets contain

•  he active substance (the ingredient that makes the
T
tablets work) is atenolol. Each tablet contains either
25mg, 50mg or 100mg of the active substance.
•  he other ingredients are: Calcium hydrogen
T
phosphate dehydrate, silica colloidal anhydrous,
magnesium stearate, maize starch, crospovidone,
propylene glycol, sodium laurylsulphate,
hydrogenated vegetable oil, titanium dioxide (E171),
cellulose microcrystalline (E460), hypromellose 5cP
(E464), purified talc (E553).

What Atenolol tablets look like and the
contents of the pack

The tablets are white, circular, biconvex film-coated
tablets with a score line on one face, plain on the
reverse.
Pack size is 28.
Marketing Authorisation Holder
Actavis, Barnstaple, EX32 8NS, UK.
Manufacturer
Balkanpharma-Dupnitsa AD
3 Samokovsko Shosse Str., Dupnitsa 2600, Bulgaria

Continued top of next column
L19422IPC-30

This leaflet was last revised
in August 2010.
Actavis, Barnstaple, EX32 8NS, UK

Expand view ⇕

Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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