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ATENOLOL TABLETS BP 50MG

Active substance(s): ATENOLOL / ATENOLOL / ATENOLOL

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25 mm

PhCode

PhCode

Atenolol 25mg, 50mg
and 100mg tablets
Read all of this leaflet carefully before you start taking
this medicine.
• Keep this leaflet. You may need to read it again.
•  If you have any further questions, 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.

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.
• protect the heart in the early treatment after a heart attack.

2 Before you take

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

• are allergic (hypersensitive) to atenolol or any of the other
ingredients in Atenolol tablets (see section 6).
• have second or third degree heart block.
• have shock caused by heart problems.
• have heart failure which is not under control.
• suffer with heart conduction or rhythm problems
• have a slow heart rate
• have low blood pressure.
• suffer from severe blood circulation problems (which may
cause your fingers and toes to tingle or turn pale or blue)
• suffer from an increased acidity of the blood (metabolic
acidosis)
• suffer from untreated phaeochromocytoma (high blood
pressure due to a tumour near the kidney).
• have or have had breathing problems such as 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.
• have recently received treatment or are being treated with
intravenous verapamil or diltiazem

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

• have a history of allergic reactions
• have heart problems such as heart failure, untreated
congestive heart failure, ischaemic heart disease, poor heart
function (poor cardiac reserve), first degree heart block or
irregular heart beat.
• suffer from blood circulation problems (which may cause
your fingers and toes to tingle or turn pale or blue) or
cramping pain causing limping (intermittent claudication).

• suffer with diabetes mellitus (low blood sugar levels may be
hidden by this medicine)
• have impaired liver or kidney function.
• are elderly.
• suffer from a tight, painful feeling in the chest in periods of
rest (Prinzmetal’s angina)
• have or have had psoriasis.
• suffer from treated phaeochromocytoma (high blood
pressure due to a tumour near the kidney).
• have high levels of thyroid hormone in the body
(thyrotoxicosis).
• suffer from obstruction of the lungs or airways (chronic
obstruction pulmary disease).
• are about to undergo surgery where an anaesthetic will be
used (including dentistry).

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)
•d
 isopyramide, quinidine and amiodarone (to treat irregular
heartbeat (arrhythmia)
• medicines to treat diabetes including insulin
•N
 on-Steroidal Anti-Inflammatory Drug (NSAIDs) e.g.
indometacin
•d
 igitalis glycosides such as digoxin (to treat heart
conditions)
•n
 ifedipine, 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
•b
 arbiturates e.g. phenobarbital (used for insomnia, epilepsy
or as an anaesthetic)
• phenothiazines e.g. chlorpromazine (for mental illness).
• baclofen (a muscle relaxant)
• contrast media (injection used with xrays)
• ampicilin (used in urinary tract infections)

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 top of next column
AAAD7312

Continued over page

Atenolol 25mg, 50mg & 100mg PIL - UK

colours/plates:
1. Black

item no: AAAD7312

dimensions:

print proof no: 9

pharmacode:

origination date: 27.04.12

min pt size: 7pts

140 x 260

3.
4.
5.
6.

originated by: SA
approved for print/date

2.

revision date: 20.04.17

Technical Approval

revised by: S.Anson

date sent: 27.04.12

supplier: IPCA

technically app. date: 08.05.12

Non Printing Colours
1.
2.
3.

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
• High blood pressure: 50-100mg a day as a single dose.
• Angina: 50-100mg a day, as a single or divided dose
• I rregular heart beat: initial treatment will usually be by
injection, followed by a maintenance dose by mouth of 50100mg a day as a single dose.
•A
 fter a heart attack: initial treatment will usually be by
injection, followed by 50mg by mouth 10 minutes after the
injection,a further 50mg 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.
•M
 ild to moderate kidney failure – 50mg a day or 100mg
once every two days
•M
 oderate 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:
• a n allergic reaction such as itching, difficulty breathing or
swelling of the face, lips, throat or tongue.
• a ltered 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.
•b
 reathing difficulties caused by narrowing of the 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:
• Common: (affects 1 to 10 users in 100) slow heart beat,
feeling sick, cold hands and feet, diarrhoea, tiredness, aching
and tired muscles, GI disturbances such as stomach pains,
heartburn and constipation.
•U
 ncommon: (affects 1 to 10 users in 1,000) increased levels of
liver enzymes, sleep disturbances such as difficulty sleeping
•R
 are: (affects 1 to 10 users in 10,000) disturbances in thinking
(depression, mood swings, hallucinations, paranoia psychoses), confusion, depression, 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
•V
 ery Rare: (affects less than 1 user in 10,000) an increase in
anti nuclear antibodies
• Not known: (cannot be estimated from available data) hands
and feet which may be blue, being sick, pale or red irregular
raised patches with sever itching (hives), Lupus-like syndrome
(a disease where the immune system produces antibodies
that attacks mainly skin and joints)
• Other: symptoms of an overactive thyroid (increased 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
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or
nurse. This includes any possible side effects not listed in this
leaflet. You can also report side effects directly via the Yellow
Card Scheme at: www.mhra.gov.uk/yellowcard
By reporting side effects you can help provide more
information on the safety of this medicine.

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

• The active substance (the ingredient that makes the tablets
work) is atenolol. Each tablet contains either 25mg, 50mg or
100mg of the active substance.
• The other ingredients are: Calcium hydrogen phosphate
dihydrate, silica colloidal anhydrous, magnesium stearate,
maize starch, crospovidone, propylene glycol, sodium lauryl
sulfate, 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
This leaflet was last revised in
April 2017.

Continued top of next column
AAAD7312

Actavis, Barnstaple, EX32 8NS, UK

Atenolol 25mg, 50mg & 100mg PIL - UK

colours/plates:
1. Black

item no: AAAD7312

dimensions:

print proof no: 9

pharmacode:

origination date: 27.04.12

min pt size: 7pts

140 x 260

3.
4.
5.
6.

originated by: SA
approved for print/date

2.

revision date: 20.04.17

Technical Approval

revised by: S.Anson

date sent: 27.04.12

supplier: IPCA

technically app. date: 08.05.12

Non Printing Colours
1.
2.
3.

Expand Transcript

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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