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ATENOLOL BP

gafacom image result -  AtenololATENOLOL BP
(25mg, 50mg and 100mg)

Therapeutic management:
·         Management of hypertension
·         Management of angina pectoris
·         Management of cardiac arrhythmias
·         Management of myocardial infarction


Contraindication:
·         Cardiogenic shock
·         Uncontrolled heart failure
·         Sick sinus syndrome
·         Second or third degree heart block
·         Untreated phaeochromocytoma



·         Metabolic acidosis
·         Bradycardia (<45bpm)
·         Hypotension
·         Known hypersensitivity to the active substance or any of the excipients
·         Severe peripheral arterial circulatory disturbances

Special warnings and precautions for use:
·         Should not be withdrawn abruptly.
·         
    When a patient is scheduled for surgery and a decision is made to discontinue beta blocker therapy, this should be done at least 24 hours prior to the procedure.
·         
    Although contraindicated in uncontrolled heart failure maybe used in patients whose signs of heart failure have been controlled
·         
   Atenolol may increase the number and duration of angina attacks  in patients with Prinzmetal’s angina due to  unopposed alpha –receptor mediated coronary artery vasoconstriction    
      
     It may mask the symptoms of hypoglycemia, in particular tachycardia.
·        
    Atenolol may mask the signs of thyrotoxicosis
·        
I   It will reduce heart rate, as a result of its pharmacological action.
·        
    Atenolol may cause a hypersensitivity reaction including angioedema and urticaria
·        
    It should be used with caution in elderly, starting with a lesser dose.

Atenolol crosses placenta barrier and appears in the cord blood. The use of Atenolol in the first trimester and the possibility of fetal injury cannot be excluded. Atenolol has used under close supervision for the treatment of hyperytension in the trimester. There is significant accumulation of Atenolol in breast milk.

UNDESIRABLE EFFECTS:
Cardiovascular: bradycardia, heart failure deterioration,  postural hypertension wich may be associated with syncope

CNS: confusion, dizziness, headache, mood changes, nightmares, psychoses and hallucinations

Gastrointestinal: dry mouth, gastrointestinal disturbances,

Hematological: purpura, thrombocytopenia,

Integumentary:  Alopecia, dry eyes, psoriasis from skin reaction, skin rashes

Reproductive:  Impotence

Respiratory: Bronchospasm may occur in patients with bronchial asthma or history of asthmatic complaints





ATENOLOL BP ATENOLOL BP Reviewed by gafacom on June 04, 2019 Rating: 5

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