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1. Denomination

Tenoretic

2. Active Substance

Atenolol, Chlorthalidone

3. Indications for Use.

Used for treatment of arterial hypertension;
Can be used as a preventative measure for treatment of attacks of stenocardia (for Prinzmetal’s angina);
Can be used for treatment of myocardial infarctions in acute period and with stable indexes of hemodynamics.
Is applied for treatment of heart rhythm disorders such as sinus tachycardia, and as a prevention measure against supraventricular tachyarrhythmia.

4. Action

Chlorthalidone has hypotensive effect, which is associated with lowering of the level of cardiac output, as well as the impact of it on the central nervous system. The hypotensive effect is achieved by lowering the tension of arteries and lowering the minute volume and the systolic discharge. Average dose of Chlorthalidone used for treatment does not affect the peripheral arteries tonus.

5. Posology and Administration

For treatment of stenocardia. The daily dose for start of treatment should be 25-50 mg, with further gradual increase of a dose up to 100 mg a day. In some special cases the dose can be increased to the level of 200mg per day, which should be taken in one or two intakes.
For treatment of arterial hypertension. The daily dose for start of treatment should be 25-50 mg of Atenolol single-shot, and if necessary the dose can be increased up to the level of 100mg per one intake. In treatment of this condition it is not recommended to increase the dose further.
For treatment of myocardial infarction. Atenolol is often used in the doses of 50-100 mg per day which should be taken in 1-2 intakes.
For treatment of elderly people and people who have problems with disturbances of excretory kidney system, the medication dosage should be corrected. If treating patients with failure of kidney the dose should be corrected in dependence of individual patient�s indexes.

6. Counterindications

Cardiogenic shock, hypersensitivity to Atenolol, atrioventricular block of the second or the third degree, chronic failure of heart, evidenced bradycardia, bronchial asthma, period of pregnancy and lactation, age below 18 years (safety and efficiency are not defined).

7. Should Be Taken with Precautions, if…

It is recommended to go through regular medical control, when treated with Atenolol. It is recommended to compensate heart failure before starting the treatment. Alcoholic beverages should not be taken during treatment.
The medication should be taken with caution for treatment of patients with hyperthyroidism and diabetes, as well as patients of elderly age.
The treatment should not be stopped abruptly, instead doses should be gradually reduced in the period of 10-14 days.

8. Interface with Other Medications

When Atenolol needs to be used in combination with any other medications, it is better to consult a doctor first in order to eliminate possible negative side effects, which can arise from interaction between the medications.

9. Overdosing

In case of getting overdosed there is a possibility of having the following symptoms: dizziness, bradycardia, arterial hypotension, bronchial spasms, heart rhythm disorder, extremity coldness.

10. Side Effects

Side effects on sense organs and nervous system: weakness, undue fatigability, dizziness, insomnia or drowsiness, headache, nightmares, anxiety, depression, short-term loss of memory or confusion of consciousness, hallucinations, convulsions, weakening of reactivity; vision disorders, conjunctivitis, hyposecretion of saliva and tear.
Side effects on blood and cardiovascular system: AV block, myocardial conduction trouble, weakening of myocardial contractility, hypotension, thrombocytopenia, heart failure, pain in the breast.
Side effects on digestive tract organs: dry mouth, nausea, stomach pain, vomiting, diarrhea, compromised functioning of liver, constipation.
Side effects on respiratory system: bronchial spasms, labored breath.
Allergic reactions: erythema, itch, hives, rash.

11. Pregnancy and Lactation

Use of Atenol during pregnancy is only possible, when the expected positive outcome for the mother is more significant that the possible harm for the fetus. It is not allowed to breast-feed during treatment.

12. Driving

Vehicle drivers, and people, who are professionally involved in alert activities should be cautious when taking the medication.

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A. We are fully dedicated to your privacy and security. Please refer to the current privacy policy in the terms & conditions section of our order page. Rest assured that our online order system makes use of the latest Security encryption technology to ensure that your credit card information is submitted safely and with the highest level of protection. All of our computer systems undergo regular security checks to ensure that our ordering system is properly protected.

Q. How do I track my order of Tenoretic ?
A. At this time, your order is sent through Registered Mail, which provides delivery confirmation but not real-time tracking.If you need to know the status of order Tenoretic or ask for a reshipment, please do not hesitate to get in touch with us.You are provided with real-time order status updates via our order status form, found on the left-hand side of the screen.

Q. How do I cancel my order of Tenoretic ?
A. If you wish to cancel your order, you must let us know before 11am EST the following day. We will not be able to cancel any orders after this time. For all cancellations, please contact us.

Q. Can you tell me if I should be taking Tenoretic ? Or, will it work for me?
A. We cannot advise you in any capacity in this matter. You should not take any medication without consulting a physician first.

Q. What is your returns policy?
A. By law, we regret that we are unable to accept returned pharmaceuticals. If your purchase is defective in any way, we will be pleased to replace it at no cost to you.

Q. What is your refund policy
A. Refunds are solely at our discretion. If you are not satisfied with the product or service provided, contact us immediately via email with your order number. We will investigate and work hard to resolve the issue to your satisfaction. Sometimes this can take up to 10 business days. If the matter cannot be resolved, we will issue refunds as necessary.

Q. What is your cancellation policy
A. We debit your Credit Card only once we have shipped your order. Therefore, if you wish to cancel your order prior to us charging your card you will be able to do so without penalty. Once your order has been shipped we will be unable to cancel your order.

Q. What about importing of Tenoretic to my country ?
A. Importation of prescription medication is legal in most countries (including the US, UK, France, Spain, Hong Kong, Japan and S. Korea) provided the medication is for personal use and is not a controlled substance. If you are in doubt about the situation in your country, check with your local Post Office.