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Active substance(s): ATENOLOL

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Totamol 25mg Tablets
Totamol 50mg Film-Coated Tablets
Totamol 100mg Film-Coated Tablets
Totamol (Referred to as Totamol Tablets in this leaflet)
If you suffer from asthma or other
breathing problems, or have a history of
obstructive airways disease
(bronchospasm), speak to you doctor first
before taking this medicine.
Read all of this leaflet carefully before
you start to take this medicine.
- Keep this leaflet. You may need to read it
again while you are receiving your
- If you have any further questions, please
ask your doctor or pharmacist.
- This medicine has been prescribed for
you. Do not pass it on to others. It may
harm them, even if their symptoms are
the same as yours.
- If any of the side effects get serious, or if
you notice any side effects not listed in
this leaflet, please tell your doctor or
In this leaflet:
1. What Totamol Tablets are and what they
are used for
2. Before you take Totamol Tablets
3. How to take Totamol Tablets
4. Possible side effects
5. How to store Totamol Tablets
6. Further information
1. What Totamol Tablets are and what
they are used for
The name of your medicine is Totamol
Tablets. The active ingredient is Totamol.
These tablets belong to a group of
medicines known as beta-blockers, which
are used to treat a variety of heart and
blood vessel conditions. Totamol Tablets
may be used to:
• prevent chest pains associated with
• reduce the risk of a heart attack if you
have already had one
• treat irregular or abnormal heart rate
• treat high blood pressure.
2. Before you take Totamol Tablets
You should not take Totamol Tablets if
• are allergic (hypersensitive) to Totamol or
to any of the other ingredients in Totamol
Tablets (see section 6, Further
• have a very slow heart rate
• have a heart condition where you may
be treated with a pacemaker
• suffer from uncontrolled heart failure
• suffer from low blood pressure
• suffer from poor circulation causing pains
in lower legs
• suffer from sick sinus syndrome, causing
problems with your heart rhythm
• suffer from a heart condition known as
prinzmetal angina (chest pain)
• your heart cannot maintain good blood
• have a tumour called
• have been told by your doctor that you
have higher than normal levels of acid in
your blood
• have asthma or any other breathing
problem unless your doctor has
specifically recommended it.
Talk to your doctor, before taking
Totamol Tablets if you:
• suffer from a heart condition known as
first degree AV block
• have high blood pressure (portal
• have or have had any allergies, as your
allergies may become more severe
• suffer from a condition known as
myasthenia gravis (a type of muscle
• are diabetic
• suffer from itching and flaking of the skin
• have any liver or kidney problems.

If you suffer from heart disease or have
been taking Totamol for a long time, your
treatment should be withdrawn slowly over
two to three weeks time. Always speak to
your doctor first before you stop taking this
If you are going for surgery; you should
tell your doctor you are taking this
medication, you may be asked to stop this
medicine 24 hours before surgery.
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. The following
medicines can affect or be affected by
treatment with Totamol Tablets:
• aldesleukin (used to treat kidney cancer)
• alprostadil (used to treat erectile
• amphetamines (used to treat a variety of
• ampicillin (used to treat bacterial
• anaesthetics (used during surgery e.g.
ether, halothane enflurane)
• analgesics (pain killers e.g.
• antacids (used to neutralise stomach
acids e.g. calcium or aluminium
• antiarrhythmics (used to treat heart
rhythm disorders e.g. disopyramide,
amiodarone and quinidine)
• anticholinesterase agents (used to treat
heart conditions)
• antidepressant and antipsychotics (used
to treat mental health conditions e.g.
phenothiazine, tricyclic antidepressants,
tropisetron and MAOIs)
• antidiabetics (used to treat diabetes)
• antihypertensives (used to treat high
blood pressure e.g. ACE inhibitors,
angiotensin-II antagonists, alpha blockers,
diltiazem, nifedipine and verapamil)
• antimalarials (used to reduce the risk of
infection with malaria e.g. mefloquine)
• anxiolytics and hypnotics (used to reduce
anxiety and induce sleep e.g.
• carbenoxolone (used to treat ulcers)
• cardiac glycosides (used to treat
abnormal heart conditions)
• clonidine (used to treat ADHD)
• ergot alkaloids (used to treat headaches
and migraines)
• moxisylyte (used to treat Raynaud’s
• oral contraceptives
• parasympathomimetics (used to simulate
nervous system)
• sympathomimetics (used to lower blood
• theophylline (used to treat asthma).
Taking Totamol Tablets with food and
Alcohol should be avoided when taking this
medicine as it could cause a lowering of
your blood pressure.
Pregnancy and breast-feeding
If you are pregnant, this medicine should
not be taken during the first six months of
pregnancy. Totamol Tablets can be taken
during the last three months of pregnancy
but must be done under close supervision
of your doctor.
Totamol Tablets can be taken if you are
breast-feeding, but must be done under
close supervision of your doctor. Always
check with your doctor before taking this
Driving and using machinery
This medicine may cause tiredness and
dizziness, if affected do not drive or operate

pg 1/2

3. How to use Totamol Tablets
Always take Totamol Tablets as your doctor
has told you. Your doctor will decide the
right dose for you; this will be on the
pharmacist’s label. Check this carefully, it
will tell you how many tablets to take and
how often to take them; the usual dose in
adults is as follows:
Treatment of high blood pressure
• one 50mg tablet each day.
Treatment of angina
• one 100mg tablet each day or one 50mg
tablet twice a day.
Treatment of irregular or abnormal heart
• after an initial injection of Totamol, a
single maintenance dose of 50mg to
100mg tablet each day.
Treatment of heart attack
• after an initial injection of Totamol, one
50mg tablet after 15 minutes followed by
• one 50mg tablet after 12 hours from the
initial injection followed by 12 hour
interval then
• one 100mg tablet each day.
Treatment of patients with liver or
kidney problems or patients who are
• your dose may be reduced.
Totamol Tablets are not recommended
for children under 12 years.
If you have taken more Totamol Tablets
than you should
If you (anybody else or a child), takes more
Totamol Tablets than you should contact
your nearest hospital casualty department
or doctor immediately. Always take the
container and leaflet with you if possible,
even if the container is empty.
If you forget to take Totamol Tablets
If you forget a dose, take another as soon
as you remember. If it is almost time for
your next dose, then do not take the
missed dose at all. NEVER take a double
dose to make up for the one missed.
Do not stop taking Totamol Tablets
suddenly, always speak to your doctor
4. Possible side effects
Like all medicines, Totamol Tablets can
cause side effects, although not everybody
gets them.
If you experience any of the following, stop
taking Totamol Tablets and seek medical
help immediately:
• red itchy skin rashes
• problems breathing
• heart failure (symptoms include
shortness of breath, feeling tired and
weak, and swelling in the legs, ankle and
Other side effects that have been
reported with Totamol Tablets:
• irregular heart beats
• low blood pressure
• dizziness
• pains in legs
• sore or dry eyes
• visual problems
• blurred vision
• conjunctivitis
• constipation
• diarrhoea
• stomach pains
• problems sleeping
• feeling depressed
• hallucinations
• hair loss
• erection problems
• cough
• raised temperature
• reduced blood flow to the skin
• coldness in arms and legs
• feeling and/or being sick
• obstruction in the small bowel
• obstruction in tubes between the kidney
and bladder

dry mouth
problems with
blood cells
levels of liver
bloods tests
weakening of
the muscles
pains in the muscles and joints
pins and needles feeling in the arms and
reduced control of the muscles
increases or decreases in the blood
sugar levels
feeling confused, anxious or nervous.

If you experience any side effects or feel
that the medicine is affecting you badly tell
your doctor or pharmacist immediately.
5. How to store Totamol Tablets
Keep out the reach and sight of children.
• Totamol Tablets should not be stored
above 25°C. Store in the original
container to protect from moisture; do not
transfer your tablets to another container
• Totamol Tablets should not be taken after
the expiry date on the carton, the expiry
date refers to the last day of the month.
Medicines should not be disposed of via
wastewater or household waste. Ask your
pharmacist how to dispose of medicines no
longer required. These measures will help
protect the environment.
6. Further information
What Totamol Tablets contain
The active ingredient is: Totamol 25mg,
50mg or 100mg.
The other ingredients in Totamol Tablets
are: maize starch, heavy magnesium
carbonate, povidone K30, sodium starch
glycollate and magnesium stearate.
Totamol 50mg and 100mg Tablets also
contain: purified water, opadry orange
What Totamol Tablets look like and the
contents of the pack
Totamol Tablets are supplied in blister
packs of 28 tablets or in polypropylene or
polyethylene containers of 500 tablets.
Marketing Authorisation Holder:
Wockhardt UK Ltd,
Ash Road North, Wrexham, LL13 9UF, UK.
CP Pharmaceuticals Ltd, Ash Road North,
Wrexham, LL13 9UF, UK.
Other formats:
To listen to or request a copy of this leaflet
in Braille, large print or audio please call,
free of charge:
0800 198 5000 (UK Only).
Please be ready to give the following
Product name


Totamol 25mg

PL 29831/0020

Totamol 50mg
Film-Coated Tablets

PL 29831/0018

Totamol 100mg
Film-Coated Tablets

PL 29831/0019

This is a service provided by the Royal
National Institute of Blind People.
Leaflet Prepared: July 2011

pg 2/2

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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.