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Tonact-TG 20 Tablet
Manufactured byLUPIN LTD
ContainsAtorvastatin (20 mg) + Fenofibrate (160 mg)
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Description
Tonact-TG 20 Tablet is a combination medicine which may be used for the treatment of combined hyperlipidemia in patients with normal kidney and liver function. Patients are advised to maintain a strict exercise and diet regimen along with this medicine for the best possible effect.
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Substitutes
List of substitutes for Tonact-TG 20 Tablet
Side effects
Major & minor side effects for Tonact-TG 20 Tablet
Difficulty in breathing
Chills and fever
Itching and skin rash
Nausea and Vomiting
Headache
Shortness of breath
Weakness
Stuffy Nose
Increased sensitivity of the skin to sunlight
Cough
Difficulty in swallowing
Diarrhea
Joint pain
Muscle pain
Difficulty in falling or staying asleep
Uses of Tonact-TG 20 Tablet
What is it prescribed for?
Combined hyperlipidemia
This medicine is used to treat combined hyperlipidemia, a condition characterized by an increased amount of bad cholesterol (LDL) and triglycerides and a decreased amount of good cholesterol (HDL) in the blood.
Concerns
Commonly asked questions
How long does it take for this medicine to take effect?
The anti-hypercholesteremic effect of this medicine is cumulative and may take up to 3 to 5 days to show its results.How long do the effects of this medicine last?
The time until which this medicine remains active in the body is not clinically established.Is it safe to consume alcohol while taking this medicine?
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.Is this a habit forming medicine?
No habit-forming tendencies were reported.Can this medicine be taken during pregnancy?
This medicine is not recommended for use in pregnant women due to the increased risk of fetal harm. Your doctor may prescribe a safer alternative based on your clinical condition.Can this medicine be taken while breast-feeding?
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.
Allergy
This medicine is not recommended for use in patients with a known allergy to fenofibrate, atorvastatin, or any other inactive ingredients present along with these medicines.
Renal dysfunction
This medicine is not recommended for use in patients with renal diseases due to the increased risk of severe adverse effects.
Gallbladder disease
This medicine is not recommended for use in patients with a known history of gallbladder diseases due to the increased risk of gallbladder stones.
Liver disease
This medicine is not recommended for use in patients with active liver diseases or any abnormality in the liver function tests due to the increased risk of severe adverse effects.
Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women due to the increased risk of fetal harm. Your doctor may prescribe a safer alternative based on your clinical condition.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.
General warnings
Altered blood sugar levels
This medicine may cause an alteration in the blood sugar levels. This risk is especially higher in patients with diabetes mellitus. Close monitoring of blood sugar levels may be necessary based on the clinical condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Muscle degradation and Rhabdomyolysis
This medicine may cause muscle breakdown and rhabdomyolysis in some patients, a condition which can be fatal. This may cause symptoms such as severe tiredness and weakness. This risk is especially higher in the elderly population and in patients with active muscle disorders. Report any unusual symptoms to the doctor immediately. Replacement with a suitable alternative may be necessary based on the clinical condition.
Alcohol consumption
This medicine may cause liver and kidney injuries in patients consuming alcohol very frequently and in large quantities. Hence, consumption of alcohol should be avoided during treatment with this medicine.
Use in Children
This medicine is not recommended for use in patients below 18 years of age since the safety and efficacy of use are not clinically established.
Stroke
This medicine is not recommended for use in patients recovering from a stroke since it may worsen the patient's condition. Replacement with a suitable alternative should be considered under your doctor's supervision.
Cholelithiasis
This medicine should be used with caution due to the increased risk of gallbladder stones. This risk is especially higher in patients with a history of liver or gallbladder diseases. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Hematologic Changes
This medicine should be used with caution due to the risk of a decrease in the hemoglobin, hematocrit, and white blood cell counts. Close monitoring of complete blood counts is recommended during treatment with this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Increase in serum creatinine levels
Close monitoring of renal function is recommended in patients receiving this medicine due to the increased risk of elevated serum creatinine levels. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Concomitant Oral Anticoagulants
This medicine should be used with caution in patients receiving anticoagulants due to the increased risk of excessive bleeding. Close monitoring of prothrombin time and INR, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Cognitive impairment
This medicine may cause forgetfulness, memory loss, confusion, etc. in some patients. These side effects are reversible and usually disappear once the medicine is discontinued.
Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an 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
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Instructions
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine
Clarithromycin
Erythromycin
Azithromycin
Atazanavir
Cyclosporine
Hypoglycemic agents
Disease interactions
Cognitive Impairment
This medicine should be used with caution in patients with cognitive impairment due to the increased risk of worsening of the patient's condition. Close monitoring of the patient for any changes in mood or behavior is recommended. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Diabetes
This medicine should be used with caution in patients with diabetes mellitus due to the increased risk of altered blood sugar levels. Close monitoring of blood sugar levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Rhabdomyolysis
This medicine is not recommended for use in patients with a known history of Rhabdomyolysis due to the increased risk of renal failure and death. Any symptoms such as muscle pain, weakness, or joint pain and swelling should be reported to the doctor on priority. Replacement with a suitable alternative should be considered under your doctor's supervision.
Food interactions
Consumption of grapefruit juice is not recommended during treatment with this medicine due to the increased risk of adverse effects such as dizziness, muscle pain, fever and chills, headache, swelling of hands and feet, vomiting, skin rash, etc.
Lab interactions
Information not available.
Take this medicine as advised by your doctor. It can be taken with or without food. Do not take in larger amounts than advised/prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous
How it works
Atorvastatin reduces the level of cholesterol in the blood. Fenofibrate increases the natural lipid breakdown process with the help of the enzyme lipoprotein lipase. This removes the bad cholesterol (LDL) and triglycerides from the blood and increases the levels of good cholesterol (HDL).
Legal Status
Classification
Category
Statins, Fibric acid derivatives, Antihyperlipidemic combinations
Schedule
Schedule H
Atorvastatin: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 6 October 2017]. Available from:
DailyMed - Atorvastatin calcium tablet [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 6 October 2017]. Available from:
DailyMed - Fenofibrate tablet [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 4 August 2017]. Available from:
Fenofibrate: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 4 August 2017]. Available from:
Related Questions
Question:
If Tonact Tg medicine is taken for 6 months, is this good for health? Do they have any effects on th...more
Answer from Dr. Sivabal V
It is given for cholesterol lowering. It is safe medicine.
Question:
Hello Sir/Ma'am,
I am taking Tonact TG 40 mg once daily for high cholesterol. Is this a good medici...more
Answer from Dr. Nikhila Pachani
Atorvastatin is given for dyslipidemia, mainly targeting- TRIGLYCERIDES AND LDL ...more
Question:
Respected sir,
I hav been suffering from diabetes last 10 years .I hav also elevated cholesterol lev...more
Answer from Dr. S. B. Nagori
Tonact tg will be better
Question:
After knee replacement operation the hospital has prescribed to take one Tonact 20 daily
I am not su...more
Answer from Dr. Rakesh Parikh
It is prescribed to patients mostly if they are at risk of cardiac disease or to...more
Question:
Orthopedics suggested me to have Cal 123 and cardiology suggested me to have medicine Tonact 10 g as...more
Answer from Dr. Deepak R Shejol
Both medications are safe and can b taken
If rest of the Lipid profile report i...more
Information on this page was last updated on 19 Apr 2019
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.
₹370.5
10 TABLET