TENOX 10 mg. 30 tablets
Tenox contains the active ingredient amlodipine, which belongs to the group of medicines called calcium channel blockers.
Tenox is used to treat high blood pressure (hypertension) or a certain type of chest pain called angina, a rare form of which angina Prinzmetal's or variant angina.
In patients with high blood pressure your medicine works by relaxing blood vessels so that the blood to flow through them more easily. In patients with angina Tenox act by improving blood flow to the heart muscle, which receives more oxygen resulting in preventing chest pain. Your medicine can provide immediate help in chest pain in angina!
2. BEFORE YOU TAKE TENOX
Do not take Tenox if you:
- Are allergic (hypersensitive) to amlodipine or any of the other ingredients of your medicine listed in section 6, or to any other calcium antagonists This may be itching, reddening of the skin or difficulty breathing
have severely reduced blood pressure (hypotension)
- Suffer from heart failure after an acute myocardial infarction have narrowing of the aortic heart valve (aortic stenosis) or cardiogenic shock (a condition in which your heart is unable to supply enough blood to the body)
Take special care with Tenox
You should tell your doctor if you have or have had any of the following:
- A recent heart attack Heart failure
- Severe high blood pressure (hypertensive crisis)
- Liver disease
- You are elderly and your dose needs to be increased
Use in children
Tenox not been studied in children under 6 years of age. Tenox should be used only for treatment of hypertension in children and adolescents from 6 years to 17 years of age (see section 3). For more information, talk to your doctor
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.
Tenox can affect or be affected by other medicines, such as ketoconazole, itraconazole (antifungal medicines)
Ritonavir, indinavir, nelfinavir (so called protease inhibitors used to treat HIV)
Rifampicin, erigromitsin, clarithromycin (antibiotics) perforagum Hypericum (St. John's wort) verapamil, diltiazem (heart medicines)
Dantrolene (infusion for severe violations of body temperature)
Tenox can lower your blood pressure even more if you are already taking other medicines to treat your high blood pressure.
Taking Tenox with food and drink
Grapefruit juice and grapefruit should not be consumed by people taking Tenox. This is due to the fact that the grapefruit juice Grapefruit may lead to increased blood levels of active ingredient, amlodipine, which can lead to unpredictable strengthening lowering effect on blood pressure Tenox.
The safety of amlodipine in pregnant women has not been established. If you think you may be pregnant or planning to become pregnant, you should tell your doctor before taking Tenox.
It is not known whether amlodipine passes into breast milk. If you are breastfeeding or plan to start breastfeeding, you should tell your doctor before you start taking Tenox.
Ask your doctor or pharmacist before taking any medicine.
Driving and using machines
Tenox can affect your ability to drive or operate machinery. If the tablets make you feel bad, you feel dizzy or tired, or cause you headaches, you should not drive or use machinery and immediately contact your doctor.
3. HOW TO TAKE TENOX
Always take Tenox exactly as prescribed by your doctor. If you are not sure, ask your doctor or pharmacist.
The usual starting dose is Tenox 5 mg once daily. The dose may be increased to Tenox 10 mg once daily.
Your medicine can be used before or after food and drinks. You should take your medicine at the same time each day with a glass of water. Tenox not take with grapefruit juice!
Use in children and adolescents
In children and adolescents (6 17 years old), the recommended usual starting dose is 2,5 mg per day. The maximum recommended dose is 5 mg per day. 2,5 mg Amlodipine is currently not available, and the dose 2,5 mg can be obtained from Tenox 5 mg tablets, since these tablets are not intended to be measured by dividing into two equal halves.
It is important to keep taking the tablets. Do not wait until you run out of tablets before you visit your doctor.
If you take more dose Tenox
Taking too many tablets may cause low blood pressure and it becomes low or even dangerously low. You may feel dizziness, vertigo, fatigue or weakness. If your blood pressure is lowered too much to fall into shock. Your skin may become cool and clammy and you could lose consciousness. Seek medical attention immediately if you take too many tablets Tenox.
If you forget to take Tenox
Do not worry. If you forget to take a dose, skip that dose. Take the next dose at the right time. Do not take a double dose to make up.
If you stop taking Tenox
Your doctor will advise you on how long to take your medicine. Your illness may resume if you stop taking your medicine before you are advised to do so.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Tenox can cause side effects, although not everybody gets them.
Visit your doctor immediately if you experience any of the following very rare serious side effects after taking this medicine.
• Sudden wheezing, chest pain, shortness of breath or difficulty breathing
• Swelling of eyelids, face or lips
• Swelling of the tongue and throat which causes great difficulty in breathing
• Severe skin reactions including intense skin rash, hives, redness of the skin all over the body, severe itching, blisters, but the skin, peeling and swelling of the skin, mucosal inflammation (syndrome of Stevens-Johnson) or other allergic reactions
• Heart attack, abnormal heart rigam
• Inflammation of the pancreas, which can cause severe abdominal pain and back pain, accompanied by the feeling that you are very ill
The following common side effects were reported. If any of these cause you problems or if df last more than one week, you should contact your doctor.
Common: affects I to 10 users in 100
• Headache, dizziness, sleepiness (especially at the beginning of treatment)
• Palpitations (feeling heartbeat), flushing
• Abdominal pain, feeling sick (nausea)
• Swelling in the ankles (edema), fatigue Other adverse reactions that have been reported are listed below. If one of them gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist
Uncommon: affects 1 to 10 users in 1000
• Changes in mood, anxiety, depression, insomnia
• Trembling, taste abnormalities, seizures, weakness
• Tingling or numbness of the limbs, loss of sense of pain
• disorders of vision, double vision, ringing in the ears
• Low blood pressure
• Sneezing / runny nose caused by inflammation of the lining of the nose (rhinitis)
• Change in the intestines, diarrhea, constipation, indigestion, dry mouth, vomiting (being sick)
• Hair loss, increased sweating, itchy skin, red spots on the skin, skin discoloration
• Disorder in passing urine, increased need to urinate at night, more frequent urination
• Inability to get an erection, discomfort or enlargement of breasts in men
• Weakness, pain, feeling unwell
• Joint or muscle pain, muscle cramps, back pain
• Weight increase or decrease
Rare: affects I to 10 users in 10,000
Very rare: affects less than 1 user in 10
• Reduction of the number of white blood cells, decrease in platelets in the blood, which can lead to abnormal bruising or bleeding easily (damage to red blood cells)
• Increased blood sugar (hyperglycemia)
• A disease of the nerves which can cause weakness, tingling or numbness
• Cough, swelling of the gums
• Bloating (gastritis)
Impaired liver function, inflammation of the liver (hepatitis), yellowing of the skin (jaundice), elevation of liver enzymes, which may affect some medical tests
• Increased muscle tension
• Inflammation of blood vessels, often with skin rash
• Sensitivity to light
• Disease combining rigidity, tremor, and / or movement disorders
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
5. HOW TO STORE TENOX?
Keep out of the reach of children.
Tenox not use after the expiry date stated on the carton and blister. The expiry date refers to the last day of the month.
Do not store above 30 ° C
Store in the original package in order to protect from moisture and light.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. FURTHER INFORMATION
The active ingredient is amlodipine (amlodipine). Each tablet contains 5 ing or 10 mg amlodipine or 6,42 mg 12,84 mg amlodipine maleate (amlodipine maleale). The other ingredients are microcrystalline cellulose, pregelatinized starch, sodium starch glycolate (type A), silica, colloidal anhydrous and magnesium stearate.