ATENOLOL+CHLORTHALIDONE

Indications & Dose:

Management of Hypertension. BY MOUTH Adults: One tab daily. Dosage requirement may be reduced in the elderly and in renal failure. Children: Not recommended.

Contraindications:

Second or third degree heart block, cardiogenic shock.

Side Effects:

Cautions:

Precautions:

Poor cardiac reserve. Avoid in overt heart failure. Anaesthesia. Chronic obstructive airways disease or asthma. Withdrawal of betablocking drugs should be gradual in patients with ischaemic heart disease. Withdrawal of clonidine.  Pregnancy  and  lactation.  Renal impairment. Sensitivity to chlorthalidone. Diuretic may cause hyperuricaemia. Diabetes, If symptoms attributable to slow heart rate, reduce dose. Measure potassium levels.

Interaction:

Verapamil,  lithium,  digitalis,  or  Class  1 antidysrhythmic agents.

Warnings:

Adverse Effects:

Cold extremities, muscular fatigue, bradycardia. Sleep disturbance rarely seen.Rashes and dry eyes have been reported withbeta-blockers-consider discontinuance if they occur.Nausea, dizziness, rarely idiosyncratic reactionssuch as thrombocytopenia and leucopenia.

Lactations:

Special Precautions:

Counselling:

Side Effects Or Adverse Reactions:

Patient And Carer Advice: