ATENOVA 50MG TABLET should not be used in people with cardiogenic shock (heart unable to pump sufficient blood), congestive heart failure, bradycardia (a very slow heartbeat), anuria (failure of the kidneys to produce urine), and hypersensitivity to this product. Don't stop taking ATENOVA 50MG TABLET without talking to the doctor first. Stopping ATENOVA 50MG TABLET gradually may cause heart rhythm and blood pressure changes and cause chest pain or a heart attack. Your doctor will lower your dose gradually over some time to help prevent these symptoms. It should not be given to children less than 12 years of age. Intake of ATENOVA 50MG TABLET may mask symptoms of diabetes. So tell your doctor if you have diabetes. You should regularly monitor your prothrombin time if ATENOVA 50MG TABLET is taken with anti-coagulants like warfarin.

Drug-Drug Interactions: ATENOVA 50MG TABLET is known to interact with certain bronchodilator medications (e.g. aminophylline, dyphylline, oxtriphylline, theophylline), an antiretroviral drug used to treat AIDS/ HIV (e.g. atazanavir, saquinavir), anti-cancer medication (e.g. ceritinib), medicines used to treat high blood pressure (clonidine, diltiazem, Verapamil), antiarrhythmic medication (e.g. disopyramide), a drug used to treat vomiting and nausea following chemotherapy (dolasetron), immunomodulating medicine (e.g. fingolimod), used to treat a certain heart problem (e.g. mavacamten), certain diagnostic agent (methacholine), used to treat the relapsing forms of multiple sclerosis (e.g. ponesimod, siponimod), and muscle relaxant medications (e.g. ritodrine, tizanidine).

Drug-Food Interactions: ATENOVA 50MG TABLET interacts with grapefruit and rich protein foods. Hence it should not be taken with ATENOVA 50MG TABLET. Using ATENOVA 50MG TABLET together with multivitamins/minerals may decrease the effects of ATENOVA 50MG TABLET. If it is necessary to take, you should maintain at least 2 hours time period between the administration of ATENOVA 50MG TABLET and multivitamins/minerals.

Drug-Disease Interactions: ATENOVA 50MG TABLET interacts with disease conditions, including Haemodialysis (dialysis), Renal dysfunction, bradyarrhythmia (heartbeat is lower than 60 bpm), Atrioventricular (AV) block (partial or complete interruption of impulse transmission), Cardiogenic shock (when the heart fails to pump required blood to the body), Hypotension (low blood pressure), CHF (Cardiac heart failure), Diabetes, Hypersensitivity, Ischemic heart disease/coronary heart disease, PVD (Peripheral vascular disease).

• Keep your weight under control with BMI (Body Mass Index) 19.5-24.9.
• Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help you to lower your raised blood pressure by about 5 mm of Hg.
• Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
• Limiting sodium chloride (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
• Quitting smoking is the best strategy to lower the risk of heart disease.
• Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
• Monitor your blood pressure daily and if there is too much fluctuation, then immediately contact your doctor.
• Try to include heart-healthy omega-3 fatty acids containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to help lower your elevated blood pressure.

Patients with hyperthyroidism (overactive thyroid), lung disease (asthma) and diabetes should consult a doctor before taking ATENOVA 50MG TABLET. The doctor may suggest an appropriate diagnostic test before prescribing ATENOVA 50MG TABLET to you.