'TENORMIN' TABLETS

'TENORMIN' LS TABLETS

'TENORMIN' 25 TABLETS

Please read this leaflet carefully before you take your

medicine. This leaflet only gives a summary of the

information available on your medicine. If you have any

questions or are not sure about anything, ask your doctor

or pharmacist.

WHAT YOU SHOULD KNOW ABOUT

YOUR MEDICINE

The name of your medicine is 'Tenormin' tablets. The active ingredient

is atenolol. 'Tenormin' is produced as tablets in three different

strengths. These are 'Tenormin' 25 tablets which contain 25 mg of

atenolol, 'Tenormin' LS tablets which contain 50 mg of atenolol and

'Tenormin' tablets which contain 100 mg of atenolol.

Your medicine also contains the following inactive ingredients:

gelatin, magnesium carbonate, magnesium stearate,

methylhydroxypropylcellulose, sodium lauryl sulphate, maize starch

and titanium dioxide. In addition, 'Tenormin' 25 contains glycerol

and 'Tenormin' and 'Tenormin' LS contain macrogol,

sunset yellow lake and talc.

'Tenormin' 25 (25 mg) tablets are produced in packs of 28 and 50

tablets. 'Tenormin' LS (50 mg) and 'Tenormin' (100 mg) tablets are

produced in packs of 28, 30, 50, 500 and 504 tablets.

Atenolol is one of a group of drugs called beta blockers.

It has effects on the heart and circulation.

The product licence holder and manufacturer of 'Tenormin' is:

ZENECA Limited

Macclesfield Cheshire United Kingdom

'Tenormin' is used to treat hypertension (high blood pressure), angina (chest pain) and some arrhythmias (disorders of heart rhythm). 'Tenormin' can also be used in the early treatment of myocardial infarction (heart attack).

BEFORE TAKING YOUR MEDICINE

Do not take 'Tenormin' if you have previously had an allergic reaction to it or to atenolol

Tenormin' should not be taken by people with hean failure which is not under control or with cenain other conditions such as hean block, very slow or very irregular hean beats, very low blood pressure or very poor circulation. It should also not be taken by people

who have phaeochromocytoma which is not being treated or by people who have metabolic acidosis. Your dodor will know about these conditions.

Do you have a panicular type of chest pain called Prinzmetal's angina7 If so, tell your doctor.

Do YoU have asthma or do you get allergic reactions to such things as insect stings7 If so, tell your doctor

Do you have diabetes7 Tenormin' may change your normal response to low blood sugar, which usually involves an increase in hean rate.

Do you have thyrotoxicosis7 Tenormin' may hide the symptoms of thyrotoxicosis.

Do you have kidney problems7 If so, talk to your doctor because you may need to have some check ups during your treatment.

Are you pregnant or are you breast feeding a baby7 If so, tell your doctor

Are you taking any other medicines7 If so, tell your doctor Tenormin' can interfere with the action of some other drugs and some drugs can have an effect on 'Tenormin'. The drugs which can cause some problems when taken together with 'Tenormin~ are verapamil, diltiazem, nifedipine (which are used to treat hypenension or anginal disopyramide If or irregular hean beats), digoxin If or hean failurel, adrenaline la hean stimulantl, ibuprofen and indomethacin if or pain and inflammationl.

Are you taking a drug called clonidine if or hypenension or migrainel7 If you are taking clonidine and 'Tenormin' together, you must not stop taking clonidine unless your doctor tells you to do so. If it becomes necessary for you to stop taking the clonidine, you r doctor will give you careful instructions on how to do it

If you go into hospital to have an operation, tell the anaesthetist or the medical stafl that you are taking Tenormin'.

Your medicine is unlikely to affect you r ability to drive or to operate machinery. However, some people may occasionally feel dezy °r tired when taking 'Tenormin'. If this happens to you, ask your doctor for advice

'Tenormin', 'Tenormin' LS and 'Tenormin' 25 tablets contain titanium dioxide. 'Tenormin' and 'Tenormin' LS tablets also contai n sunset yellow lake These may cause a problem in a very small number of people who are sensitive to them.

TAKING YOUR MEDICINE

'Tenormin' tablets should be swallowed. Follow your doctor's instructions about when and how to take them. Also read the label. Your pharmacist can also help if you are not sure.

Your doctor will have decided what dose you should take each day depending on your condition. The usual daily dosages for an adult are:

Hypenension (high blood pressure) 50 mg to 100 mg daily

Angina Ichest pains) 100 mg daily or 50 mg twice a day

Arrhythmias iirregular hean beats) 50 mg to 100 mg daily

If you forget to take your medicine, take your dose when you remember and then take yotir next dose at the usual time Don't take two doses at the same time. If you are worried, ask your doctor or pharmacist for advice

If you accidentally take an overdose of your medicine. either call your doctor straight away, or go to your nearest hnspital casualty depanment Always take any remaining tablets, the container and the label with yoll. so that the medicine can be identified

Do not stop taking your medicine without talking to your doctor first. In some cases, it may be necessary to stop taking the medicine gradually.

AFTER TAKING YOUR MEDICINE

As with all medicines, undesirable events can sometimes be experienced with 'Tenormin'. Occasionally a few people can suffer from cold hands and feet, tiredness, slow hean beat, headache, dry mouth. nausea, diarrhoea, disturbed sleep, thinning of the hair, mood changes, confusion, psychoses or hallucinations, bruising more easily or purplish marks on the skin, tingling of the hands, dry eyes, disturbances of vision, skin rashes, worsening of psoriasis or dizziness panicularly when standing up. Other possible events which may occur in susceptible people are numbness and spasm in the fingers iRaynaud's phenomenonl, hean block Iwhich can cause dizziness or fainting), worsening of hean failure in people with hean failure, worsening of breathing difficulties in people with asth ma or breathing problems or worsening of the circulation in people with poor circulation.

Do not be alarmed by this list of possible events You may not have any of them.

If you get any other undesirable events or if you think your medicine is causing any problems, tell your doctor or pharmacist.

STORING YOUR MEDICINE

Check the expiry date on the canon and don't use the medicine after that date. Keep your medicine in a safe place where children cannot see it or reach it. Your medicine could harm them. Keepyourmedicinebelow30=Candawayfromstronglightanddampness. If your doctor decides to stop treatment, return any teft‑over tablets to your pharmacist. Only keep them if the doctor tells you to. Date of preparation of leaflet: January 1996.

FURTHER INFORMA;17ON

This leaflet does not contain the complete information on 'Tenormin'. If you have any questions, or are not sure about anything, ask your doctor or pharmacist

Remember: This medicine is for you. Only a doctor can prescribe it for you. Never give it to someone else. It may harm them even if their symptoms are the same as yours.

The information applies only to 'Tenormin'.

•Tenormin' is a trademark

1/lF/Uk 1018277