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Tenolam Plus 0.25/20 MG Tablet
Manufactured byUdik Pharmaceuticals
ContainsPropranolol
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Description
Tenolam Plus 0.25/20 MG Tablet is a beta-blocker medicine that is used for the treatment of hypertension (high blood pressure), angina (chest pain radiating to arms, neck and back), and hypertrophic subaortic stenosis (an abnormal thickening of heart muscle). It is also used to prevent migraine headaches. In some cases, it is also used alone or in combination with other medications to treat heart rhythm disorder (arrhythmia). This medicine attaches to the heart and blocks certain molecules that trigger receptors. These receptors are responsible for inducing heartbeat, thus blocking it makes the heartbeat slow and lowers blood pressure. Your doctor may prescribe you a dose based on the clinical response to the medicine.
The common side effects of Tenolam Plus 0.25/20 MG Tablet are tiredness, unusual weakness, nausea, vomiting and diarrhoea. Most of these side effects are short term and may improve as the body gets habituated to them. If any of these side effects persist or worsen, consult your doctor at the earliest. Do not take this medicine if you are allergic to it.
You can take Tenolam Plus 0.25/20 MG Tablet with or without food. Take this medicine as directed by your doctor and do not stop on your own even you feel better. Discuss all the known illnesses such as asthma, kidney disease, liver disease, etc., with your doctor. Inform your doctor if you are pregnant, planning pregnancy or breastfeeding mother. Your doctor may advise certain tests to make sure whether the medicine is working properly or not.
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Substitutes
List of substitutes for Tenolam Plus 0.25/20 MG Tablet
Side effects
Major & minor side effects for Tenolam Plus 0.25/20 MG Tablet
Dizziness and lightheadedness
Diarrhoea
Difficulty in breathing
Nausea or vomiting
Weight gain
Constipation
Irregular heartbeat
Unusual tiredness and weakness
Uses of Tenolam Plus 0.25/20 MG Tablet
What is it prescribed for?
Hypertension
Hypertension or high blood pressure is a condition in which the force exerted by the blood against the walls of the blood vessels is high. Tenolam Plus 0.25/20 MG Tablet is used alone or in combination with other antihypertensive agents for the treatment of high blood pressure which may be caused by genetic or environmental factors.
Angina pectoris
Angina pectoris is a heart condition characterized by pain in the chest radiating to the arms, neck and back. Tenolam Plus 0.25/20 MG Tablet is used to decrease the frequency of occurrence of chest pain and also increase exercise tolerance.
Migraine prevention
Migraine is a brain condition characterized by throbbing headache with or without visual alteration (experiencing flashing of light). Tenolam Plus 0.25/20 MG Tablet is used for the prevention of migraine headaches. However, the efficacy of this medicine in relieving migraine headaches is unknown.
Hypertrophic subaortic stenosis
Hypertrophic subaortic stenosis is a heart condition in which there is an abnormal thickening of the heart muscle that reduces the blood pumping ability. Tenolam Plus 0.25/20 MG Tablet is used to improve symptoms in patients suffering from this disease.
Heart attack
Heart attack is a condition in which there is a death of heart muscle leading to blood pumping inability. Tenolam Plus 0.25/20 MG Tablet is used to treat or prevent heart attack and thereby improves survival after a heart attack.
Pheochromocytoma
Pheochromocytoma is a rare tumour of the adrenal gland. The adrenal gland secretes hormones that help in the regulation of blood pressure. Tenolam Plus 0.25/20 MG Tablet is used for the treatment of symptoms caused due to an adrenal gland tumour.
Arrhythmias
Arrhythmia is a heart condition characterized by an irregular heartbeat. Tenolam Plus 0.25/20 MG Tablet is used to regulate the heartbeat in arrhythmia patients.
Concerns
Commonly asked questions
How long does it take for this medicine to take effect?
The time Tenolam Plus 0.25/20 MG Tablet takes to show its effect is not known. However, it may vary based on the intended use.How long do the effects of this medicine last?
The average time for which Tenolam Plus 0.25/20 MG Tablet stays in the body is not known. However, it may vary based on the intended use.Is it safe to consume alcohol while taking this medicine?
Consumption of alcohol is not recommended during treatment with Tenolam Plus 0.25/20 MG Tablet due to the increased risk of side effects such as dizziness, lightheadedness, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.Is this a habit forming medicine?
Tenolam Plus 0.25/20 MG Tablet has no habit forming tendencies.Can this medicine be taken during pregnancy?
Tenolam Plus 0.25/20 MG Tablet should not be used in pregnancy as it may increase the risk of foetal death. Discuss all the potential benefits and risks with your doctor before starting the therapy.Can this medicine be taken while breast-feeding?
Tenolam Plus 0.25/20 MG Tablet is known to pass into breastmilk. It may alter the heart function in infants. Your doctor may advise you to discontinue breastfeeding or therapy based on the clinical condition. Discuss all the benefits and risks before taking this medicine.
Allergy
Do not take Tenolam Plus 0.25/20 MG Tablet if you have a known allergy to Propranolol or any other inactive ingredients present along with the formulation. Seek medical attention if you come across any allergic reactions such as skin rash, hives, swelling (face, lips, tongue, etc.), breathing difficulty, etc.
Uncompensated congestive heart failure
Uncompensated congestive heart failure is a syndrome in which the functional and structural change in the heart leads to the inability of the heart to pump and accommodate the blood. Tenolam Plus 0.25/20 MG Tablet is not recommended for use in patients with this heart condition as it may increase the risk of complete loss of heart function, thus worsening the condition.
Cardiogenic shock
Cardiogenic shock is a sudden drop of blood pressure in the body. The heart loses its ability to pump enough blood to meet the demands of the body. Tenolam Plus 0.25/20 MG Tablet is not recommended for use in patients with cardiogenic shock as it may worsen the heart condition leading to other complications.
Severe bradycardia
Bradycardia is a heart condition in which the heartbeat becomes very low than normal. Using Tenolam Plus 0.25/20 MG Tablet may lead to provoke low heartbeat and may increase the risk of heart attack or stroke.
Heart block greater than first degree
A heart block is a condition in which the electrical signals do not pass or blocks in the heart which slows or stops the blood pumping phenomena of the heart. Tenolam Plus 0.25/20 MG Tablet when used in this condition may worsen the blood pumping ability of the heart and also increases the risk of a heart attack.
Warnings for special population
Pregnancy
Tenolam Plus 0.25/20 MG Tablet should not be used in pregnancy as it may increase the risk of foetal death. Discuss all the potential benefits and risks with your doctor before starting the therapy.
Breast-feeding
Tenolam Plus 0.25/20 MG Tablet is known to pass into breastmilk. It may alter the heart function in infants. Your doctor may advise you to discontinue breastfeeding or therapy based on the clinical condition. Discuss all the benefits and risks before taking this medicine.
General warnings
Hyperthyroidism
Taking Tenolam Plus 0.25/20 MG Tablet in hyperthyroid patients may mask the symptoms of hyperthyroidism. It may also alter the thyroid function test. If undiagnosed and untreated, this condition may lead to a thyroid storm (a life-threatening condition in which there is an excess release of thyroid hormone (TSH) leading to toxicity in the body). Close monitoring of thyroid function tests and clinical conditions is indicated.
Sports
It is advised to not indulge in certain sports while consuming Tenolam Plus 0.25/20 MG Tablet. Archery, racing, shooting, and other high-risk sports should be avoided. Sportspersons should refer to the list of banned medicines published by the World Anti-Doping Agency while participating in specific sports events.
Driving or operating machinery
Tenolam Plus 0.25/20 MG Tablet may cause fatigue, weakness, or dizziness in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms.
Missed Dose
Take the missed dose of Tenolam Plus 0.25/20 MG Tablet as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume at the scheduled time. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case you suspect Tenolam Plus 0.25/20 MG Tablet overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Consumption of alcohol is not recommended during treatment with Tenolam Plus 0.25/20 MG Tablet due to the increased risk of side effects such as dizziness, lightheadedness, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
Interaction with Medicine
Amlodipine
Diltiazem
Lidocaine
Aminophylline
Formoterol
Epinephrine
Nonsteroidal anti-inflammatory medicines
Disease interactions
Asthma
Tenolam Plus 0.25/20 MG Tablet is not recommended for use in patients with a history of bronchial asthma (swelling and narrowing of airway path with overproduction of mucous) or chronic obstructive pulmonary disease (a chronic inflammatory lung disease that causes obstructed airflow from the lungs) as it may increase the risk of narrowing of the airway path. Close monitoring of the lungs function is indicated.
Diabetes
Tenolam Plus 0.25/20 MG Tablet may mask the monitory signs of hypoglycemia (low blood sugar levels) such as blood pressure, pulse rate, etc., especially in patients taking insulin. Close monitoring of blood sugar levels is indicated in these patients.
Glaucoma
Tenolam Plus 0.25/20 MG Tablet when used in glaucoma may increase the risk of decreased eye pressure. It will lead to a worsening of glaucoma and may also lead to open-angle glaucoma. hence, it is not recommended to use in this condition.
Liver diseases
Tenolam Plus 0.25/20 MG Tablet should be used with caution in patients suffering from mild to moderate liver diseases due to the increased risk of liver cirrhosis (scarring of the healthy liver tissue leading to irreversible liver damage). Close monitoring of liver function is indicated.
Kidney Diseases
Caution should be exercised while taking Tenolam Plus 0.25/20 MG Tablet in kidney disease patients as it may increase the risk of Tenolam Plus 0.25/20 MG Tablet accumulation in the kidneys as this medicine is excreted through kidneys. Close monitoring of kidney function is necessary while receiving this medicine.
Food interactions
Taking Tenolam Plus 0.25/20 MG Tablet with multivitamins should be avoided since it may decrease the effects of the medicine. A time gap of at least 2 hours should be maintained between the administration of multivitamins with minerals and this medicine to avoid their interaction.
Lab interactions
Information not available.
Take Tenolam Plus 0.25/20 MG Tablet exactly as instructed by the doctor. You can take this medicine with or without food. Do not take in larger or smaller amounts than prescribed. Seek emergency medical treatment in case of any severe side effects. Ensure that the course of treatment is completed. Do not stop the use of this medicine without consulting your doctor. Do not break, crush or chew the capsule. Take the capsule immediately after peeling from the strip.
Miscelleneous
How it works
Tenolam Plus 0.25/20 MG Tablet works by reducing the blood pressure by blocking the beta2 receptors present on the heart which are responsible for the increased blood pressure. It also relaxes the blood vessels that enhance proper blood flow in the body.
Legal Status
Classification
Category
Group II antiarrhythmics, Non-cardioselective beta blockers
Schedule
Schedule H
Go.drugbank.com. 2021. Propranolol: Uses, Interactions, Mechanism of Action | DrugBank Online. [online] Available at: < [Accessed 8 July 2021].
Dailymed.nlm.nih.gov. 2021. DailyMed - PROPRANOLOL HYDROCHLORIDE tablet. [online] Available at: < [Accessed 8 July 2021].
Drugs, H., 2021. Propranolol (Cardiovascular): MedlinePlus Drug Information. [online] Medlineplus.gov. Available at: < [Accessed 8 July 2021].
Accessdata.fda.gov. 2021. [online] Available at: < [Accessed 8 July 2021].
Medicines.org.uk. 2021. Propranolol 40mg Film-coated tablets - Summary of Product Characteristics (SmPC) - (emc). [online] Available at: < [Accessed 8 July 2021].
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Information on this page was last updated on 9 Jul 2021
Disclaimer
We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.