PRESOLAR CAPSULE

Manufacturer : CIP-CIPLA LTD
Composition : ATENOLOL-50MG+NIFEDIPINE-20MG
Dose Form : CAPSULE
Description : PRESOLAR CAP
Route Of Administration : ORAL
Pack : 10
In stock
SKU
PRE0063
₹49.00
Manufacturer : CIP-CIPLA LTD
Composition : ATENOLOL-50MG+NIFEDIPINE-20MG
Dose Form : CAPSULE
Description : PRESOLAR CAP
Route Of Administration : ORAL
Pack : 10

Drug Ingredient Information

ATENOLOL-50MG+NIFEDIPINE-20MG

ATENOLOL

Information for patients
Drug Information Atenolol contains a medicine called atenolol. This belongs to a group of medicines called beta blockers. Atenolol is used to: •Treat high blood pressure (hypertension). •Treat uneven heart beats (arrhythmias). •Help prevent chest pain (angina). •Protect the heart in the early treatment after a heart attack (myocardial infarction). It works by making your heart beat more slowly and with less force.
Drug Alert
Alert Do not take Atenolol if: •You are allergic (hypersensitive) to atenolol. •You have ever had any of the following heart problems: -heart failure which is not under control (this usually makes you breathless and causes your ankles to swell) - second- or third-degree heart block (a condition which may be treated by a pacemaker) - very slow or very uneven heart beats, very low blood pressure or very poor circulation. • You have a tumour called phaeochromocytoma that is not being treated. This is usually near your kidney and can cause high blood pressure. If you are being treated for phaeochromocytoma, your doctor will give you another medicine, called an alpha-blocker, to take as well as your Atenolol. •You have been told that you have higher than normal levels of acid in your blood (metabolic acidosis). Do not take Atenolol if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Atenolol.
Before Consuming the Medicine
Avoid Drug Do not take Atenolol if: •You are allergic (hypersensitive) to atenolol. •You have ever had any of the following heart problems: -heart failure which is not under control (this usually makes you breathless and causes your ankles to swell) - second- or third-degree heart block (a condition which may be treated by a pacemaker) - very slow or very uneven heart beats, very low blood pressure or very poor circulation. • You have a tumour called phaeochromocytoma that is not being treated. This is usually near your kidney and can cause high blood pressure. If you are being treated for phaeochromocytoma, your doctor will give you another medicine, called an alpha-blocker, to take as well as your Atenolol. •You have been told that you have higher than normal levels of acid in your blood (metabolic acidosis). Do not take Atenolol if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Atenolol.
Drug Special Care Check with your doctor or pharmacist before taking Atenolol if: •You have asthma, wheezing or any other similar breathing problems, or you get allergic reactions, for example to insect stings. If you have ever had asthma or wheezing, do not take this medicine without first checking with your doctor. •You have a type of chest pain (angina) called Prinzmetal’s angina. •You have poor blood circulation or controlled heart failure. •You have first-degree heart block. •You have diabetes. Your medicine may change how you respond to having low blood sugar. You may feel your heart beating faster. •You have thyrotoxicosis (a condition caused by an overactive thyroid gland). Your medicine may hide the symptoms of thyrotoxicosis. •You have problems with your kidneys. You may need to have some check-ups during your treatment. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Atenolol.
Drug Drug Interactions Please tell your doctor or pharmacist if you are taking, or have recently taken, any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because Atenolol can affect the way some other medicines work and some medicines can have an effect on Atenolol. In particular, tell your doctor if you are taking any of the following medicines: •Clonidine (for high blood pressure or migraine). If you are taking clonidine and Atenolol together, do not stop taking clonidine unless your doctor tells you to do so. If you have to stop taking clonidine, your doctor will give you careful instructions about how to do it. •Verapamil, diltiazem and nifedipine (for high blood pressure or chest pain). •Disopyramide, quinidine or amiodarone (for an uneven heart beat). •Digoxin (for heart problems). •Adrenaline, also known as epinephrine (a medicine that stimulates the heart). •Ibuprofen or indometacin (for pain and inflammation). •Insulin or medicines that you take by mouth for diabetes. •Medicines to treat nose or sinus congestion or other cold remedies (including those you can buy in the pharmacy). Operations If you go into hospital to have an operation, tell the anaesthetist or medical staff that you are taking Atenolol. This is because you can get low blood pressure (hypotension) if you are given certain anaesthetics while you are taking Atenolol.
Drug Pregnancy Interaction Talk to your doctor before taking Atenolol if you are pregnant, may become pregnant or are breast-feeding.
Drug Breast feeding Interaction Talk to your doctor before taking Atenolol if you are pregnant, may become pregnant or are breast-feeding.
Drug Machinery Interaction •Your medicine is not likely to affect you being able to drive or use any tools or machines. However, it is best to wait to see how your medicine affects you before trying these activities. •If you feel dizzy or tired when taking this medicine, do not drive or use any tools or machines. Important information about some of the ingredients of Atenolol
Drug More Information no data available
How to take the Medicine
Consumption Info no data available
Drug quanitty Adults •High blood pressure (hypertension): the usual dose is 50 mg to 100 mg (two to four 5 ml spoonfuls) a day. •Chest pain (angina): the usual dose is 100 mg (four 5 ml spoonfuls) a day or 50 mg (two 5 ml spoonfuls) twice a day. •Uneven heart beats (arrhythmias): the usual dose is 50 mg to 100 mg (two to four 5 ml spoonfuls) a day. •The early treatment of a heart attack (myocardial infarction): the usual dose is 50 mg to 100 mg (two to four 5 ml spoonfuls) a day. Elderly people If you are an elderly person, your doctor may decide to give you a lower dose, particularly if you have problems with your kidneys. People with kidney problems If you have severe kidney problems your doctor may decide to give you a lower dose. Children Your medicine must not be given to children.
Drug Dose Always take Atenolol exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. •Your doctor will tell you how much to take each day and when to take it. Read the label on the container to remind you what the doctor said. •Atenolol should be swallowed. •Try to take your medicine at the same time each day
Excess Drug Consumption If you take more Atenolol than prescribed by your doctor, talk to a doctor or go to a hospital straight away. Take along any left over , as well as the container and label, so that the can be identified.
Forgot Drug Consumption If you forget to take a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose.
Stop Drug Consumption Do not stop taking Atenolol without talking to your doctor. In some cases, you may need to stop taking it gradually
Possible Side Effects
General Information If you have an allergic reaction, see a doctor straight away. The signs may include raised lumps on your skin (weals) or swelling of your face, lips, mouth, tongue or throat.
Common Drug Side Effects •You may notice that your pulse rate becomes slower while you are taking Atenolol. This is normal, but if you are concerned please tell your doctor about it. •Cold hands and feet. •Diarrhoea. •Feeling sick (nausea). •Feeling tired.
Rare Drug Side Effects •Heart block (which may cause an abnormal heart beat, dizziness, tiredness or fainting). •Numbness and spasm in your fingers which is followed by warmth and pain (Raynaud’s disease). •Mood changes. •Nightmares. •Feeling confused. •Changes in personality (psychoses). •Hallucinations. •Headache. •Dizziness, particularly when standing up. •Tingling of your hands. •Being unable to get an erection (impotence). •Dry mouth. •Dry eyes. •Disturbances of vision. •Thinning of your hair. •Skin rash. •Reduced numbers of platelets in your blood (this may make you bruise more easily). •Purplish marks on your skin. •Jaundice (causing yellowing of your skin or the whites of your eyes).
Very Rare Drug Side Effects •Changes to some of the cells or other parts of your blood. Your doctor may take blood samples every so often to check whether Atenolol has had any effect on your blood. Conditions that may get worse If you have any of the following conditions, they may get worse when you start to take your medicine: •Psoriasis (a skin condition). •Being short of breath or having swollen ankles (if you have heart failure). •Asthma or breathing problems. •Poor circulation. Do not be concerned by this list of side effects. You may not get any of them. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Drug Side Effects Symptoms •Disturbed sleep.
How to Store the Medicine
How to Store the Medicine •Keep your medicine in a safe place where children cannot see or reach it. Your medicine could harm them. •Do not store above 25oC. Store in the original container. •Do not use your medicine after the expiry date which is stated on the label. The expiry date refers to the last day of that month. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines that are no longer required. These measures will help to protect the environment.

NIFEDIPINE

Information for patients
Drug Information Nifedipine capsules contain nifedipine, which belongs to a group of medicines called calcium antagonists. Nifedipine capsules are used to treat high blood pressure, angina (chest pain) or a condition called Raynaud’s phenomenon which causes discolouration (often whitening) of the fingers and toes. For high blood pressure: Nifedipine capsules work by relaxing and expanding the blood vessels. This makes the blood flow more easily and lowers blood pressure. Lower blood pressure reduces the strain on your heart. For angina: Nifedipine capsules work by relaxing and expanding the arteries supplying the heart.This allows more blood and oxygen to reach the heart and decreases the strain on it. Your angina attacks will be less severe and less frequent if there is less strain on the heart. Nifedipine capsules can increase the risk of serious heart problems in patients with high blood pressure or angina. Because of this, Nifedipine capsules are only used in these patients if no other treatments are appropriate. For Raynaud’s phenomenon: Nifedipine capsules work by relaxing and expanding the blood vessels in the fingers and toes. This helps ensure a good blood supply.
Drug Alert
Alert •If you have had a heart attack within the last month. •If you get a sudden angina attack. Nifedipine capsules will not help relieve symptoms of angina quickly. •If you have unstable angina •If you are allergic to the active ingredient (nifedipine), to any other similar medicines (known as dihydropyridines) or to any of the other ingredients. The ingredients of Nifedipine capsules are listed in section 6. •If you are pregnant. •If you are breastfeeding.If you need to take Nifedipine capsules, you should stop breastfeeding before you start to take this medicine. •If you are taking rifampicin, an antibiotic. •If you have been told that you have a narrowing of the aortic heart valve (stenosis). •If you have ever had a collapse caused by a heart problem (cardiogenic shock), during which you became breathless, pale and had a cold sweat and dry mouth. •If your blood pressure continues to rise despite treatment (malignant hypertension).?Tell your doctor and do not take Nifedipine capsules if any of these apply to you.
Before Consuming the Medicine
Avoid Drug •If you have had a heart attack within the last month. •If you get a sudden angina attack. Nifedipine capsules will not help relieve symptoms of angina quickly. •If you have unstable angina •If you are allergic to the active ingredient (nifedipine), to any other similar medicines (known as dihydropyridines) or to any of the other ingredients. •If you are pregnant. •If you are breastfeeding.If you need to take Nifedipine capsules, you should stop breastfeeding before you start to take this medicine. •If you are taking rifampicin, an antibiotic. •If you have been told that you have a narrowing of the aortic heart valve (stenosis). •If you have ever had a collapse caused by a heart problem (cardiogenic shock), during which you became breathless, pale and had a cold sweat and dry mouth. •If your blood pressure continues to rise despite treatment (malignant hypertension).
Drug Special Care •If you have low blood pressure. Your blood pressure may be decreased further by this treatment. •If you have a heart condition where your heart cannot cope with increased strain (poor cardiac reserve). •If you are a diabetic. The treatment for your diabetes may need to be adjusted. If you have any questions about this, ask your doctor. •If you are on kidney dialysis. If you have a very high blood pressure and a low blood volume, you might experience a sudden drop in blood pressure when you take Nifedipine capsules. •If your liver is not working properly. Your doctor may need to do some blood tests.You may also be given a lower dose of Nifedipine capsules.Talk to your doctor before you take Nifedipine capsules if any of these apply to you. •If your chest pain (angina) gets worse (comes on more often or more severely) over a matter of hours or days. You may be advised not to take Nifedipine capsules. •If you have chest pains after taking your first dose of Nifedipine capsules. Your doctor may wish to change your treatment. •If you notice increased breathlessness. •If you notice swelling of the ankles?Tell your doctor before you take the next dose if any of these apply to you. Also tell your doctor: •If you are giving a urine sample. Nifedipine capsules may interfere with the results of certain urine tests. •If you are a man who has been unable to father a child by in vitro fertilisation. Drugs like Nifedipine capsules have been shown to impair sperm function.
Drug Drug Interactions Tell your doctor about any other medicines that you are taking, or took recently. This includes any products you bought without a prescription.Some medicines may affect the way Nifedipine capsules work. Tell your doctor if you are taking: •Other medicines to treat high blood pressure. •Rifampicin (an antibiotic) •Cimetidine (to treat stomach ulcers). •Digoxin, diltiazem, quinidine or beta-blockers (to treat heart conditions). •Quinupristin/dalfopristin (a combination antibiotic). •Phenytoin, carbamazepine or valproic acid (to treat epilepsy). •Cisapride (to treat reduced movements of the gullet and stomach). •Magnesium sulphate injections during pregnancy (may cause a severe fall in blood pressure). •Erythromycin (an antibiotic). •Ketoconazole, itraconazole or fluconazole (anti-fungal medicines). •Indinavir, nelfinavir, ritonavir, saquinavir or amprenavir (to treat HIV). •Fluoxetine or nefazodone (to treat depression). •Tacrolimus (to prevent the rejection of transplanted organs). •Phenobarbital (usually used to treat insomnia or anxiety).
Drug Pregnancy Interaction Do not take Nifedipine capsules if you are pregnant. If you are pregnant, think you might be pregnant or are planning a family, tell your doctor before taking Nifedipine capsules. You may be able to use Nifedipine capsules after week 20 of your pregnancy, but only after special consideration and agreement by your doctor
Drug Breast feeding Interaction Do not take Nifedipine capsules if you are breastfeeding. If you need to take Nifedipine capsules, you should stop breastfeeding before you start taking the tablets.
Drug Machinery Interaction Nifedipine capsules may make you feel dizzy, faint, extremely tired or have visual disturbances. Do not drive or operate machinery if you are affected in this way. This may be more likely when you first start treatment, if you change tablets, or if you have drunk alcohol
Drug More Information
How to take the Medicine
Consumption Info
Drug quanitty •The recommended starting dose is one 5 mg capsule every 8 hours. This allows your doctor to monitor how you are responding so that the best long-term dose can be identified. •The dose can be increased to a maximum of 20 mg every 8 hours. •Lower doses may be prescribed for elderly patients or for patients who have liver problems.
Drug Dose •Swallow the capsules whole with a little water. •Continue to take the capsules for as long as your doctor has told you to. Do not take them with grapefruit juice.You can take Nifedipine capsules either with or without food
Excess Drug Consumption Get medical help immediately. If possible, take your capsules or the box with you to show the doctor.Taking too many capsules may cause your blood pressure to become too low and your heartbeats to speed up or slow down. It may also lead to an increase in your blood sugar level or an increase in the acidity of your blood, swelling in the lungs, low blood oxygen levels and disturbances in consciousness, possibly leading to unconsciousness.
Forgot Drug Consumption Take your normal dose immediately and continue taking your capsules as prescribed, waiting 8 hours before taking your next dose. Do not take a double dose to make up for the missed dose.
Stop Drug Consumption
Possible Side Effects
General Information •severe, sudden generalised allergic reaction including very rarely life-threatening shock (e.g. difficulty in breathing, drop of blood pressure, fast pulse) or swelling (including potentially life-threatening swelling of the airway) •other allergic reactions causing swelling under the skin (possibly severe and including swelling of the larynx that may result in a life-threatening outcome) •fast heart beat (tachycardia) •shortness of breath or difficulty breathing •mild to moderate allergic reactions •itching (possibly severe), a rash or hives Contact your doctor immediately and do not take the next dose as these may be the first signs of allergic reaction which may become severe. Less serious side effects Apart from the side effects listed above, these are the other side effects of Nifedipine capsules, starting with the more common ones:
Common Drug Side Effects •headache •flushing •general feeling of being unwell •constipation •swelling, particularly of the ankles and legs
Rare Drug Side Effects •pins and needles •inflammation of the gums, tender or swollen gums, bleeding gums
Very Rare Drug Side Effects •vomiting •stomach pain (abdominal pain) •unspecific pain •chills •low blood pressure when standing up (symptoms include fainting, dizziness, light headedness, occasional palpitations, blurred vision and sometimes confusion) •fainting •irregular heartbeat (palpitations) •dry mouth •indigestion or upset stomach •wind (flatulence) •feeling sick (nausea) •muscle cramps •joint swelling •sleep disorders •anxiety or nervousness •reddening of the skin •nose bleeds •nasal congestion •sensation of spinning or whirling motion (vertigo) •migraine •dizziness •trembling •increase in the need to pass water (urinate) •painful or difficult urination •inability to achieve or maintain an erection (impotence) •blurred vision •temporary increase in certain liver enzymes
Drug Side Effects Symptoms •vomiting
How to Store the Medicine
How to Store the Medicine Keep this medicine out of the reach and sight of children.Store your medicine in its original container. Protect from strong light and only remove the capsule from the blister strip when you are about to take it.Do not store above 25ºC. Do not use after the expiry date which is marked on both the outer carton and on each blister strip of capsules.Do not dispose of medicines in household rubbish. Any unused Nifedipine capsules should be returned to a pharmacist (chemist) who will dispose of them properly. This helps the environment

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