Use in Children
The safety and effectiveness of Tenoretic have not been established in children.
Tenoretic is generally prescribed for adults, and use in younger patients should only occur if a healthcare provider specifically recommends it.
Dizziness and Low Blood Pressure
Tenoretic can cause dizziness, lightheadedness, or fainting, especially when treatment is first started or the dose is changed.
Stand up slowly from a sitting or lying position.
Avoid driving, operating machinery, or doing other activities that require full alertness until you know how Tenoretic affects you.
Kidney Problems
Tenoretic should be used with caution in people with reduced kidney function.
Atenolol is removed mainly through the kidneys, and chlorthalidone can also affect fluid and electrolyte balance.
Your healthcare provider may monitor your kidney function and adjust your treatment if needed.
Electrolyte Imbalances
The chlorthalidone in Tenoretic can change the levels of electrolytes in your blood.
Possible problems include:
- Low potassium
- Low sodium
- Changes in chloride levels
- Dehydration
Symptoms may include muscle weakness, cramps, unusual tiredness, dizziness, thirst, or an irregular heartbeat.
Your healthcare provider may order blood tests to monitor your electrolyte levels during treatment.
Diabetes and Blood Sugar
Tenoretic can affect blood sugar control.
Chlorthalidone may increase blood sugar in some people, while atenolol can mask certain warning signs of low blood sugar, such as a rapid heartbeat.
If you have diabetes, monitor your blood sugar as directed and tell your healthcare provider if your readings change significantly.
Asthma and Other Breathing Problems
Atenolol is a beta blocker and can sometimes worsen breathing problems in people with asthma or other bronchospastic conditions.
Tell your healthcare provider if you have asthma, chronic bronchitis, emphysema, or another breathing disorder.
Tenoretic may still be used cautiously in some people when other blood pressure treatments are not suitable.
Heart Failure and Slow Heart Rate
Because atenolol slows the heart rate and reduces the heart’s workload, Tenoretic may worsen certain heart conditions in some people.
Tell your healthcare provider if you have:
- Heart failure
- A very slow heart rate
- Heart rhythm problems
- Heart block
- A history of coronary artery disease
Contact your healthcare provider if you develop increasing shortness of breath, swelling, fainting, or an unusually slow heartbeat.
Do Not Stop Tenoretic Suddenly
Do not suddenly stop taking Tenoretic without speaking with your healthcare provider.
Abruptly stopping a beta blocker such as atenolol can worsen chest pain and, in people with coronary artery disease, may increase the risk of a heart attack.
Your healthcare provider may gradually reduce your dose when treatment needs to be stopped.
Drug Interactions
Tenoretic can interact with other medications.
Tell your healthcare provider about all prescription medications, over-the-counter products, vitamins, supplements, and herbal products you use.
Particular caution may be needed with other blood pressure medications, certain heart medications, diabetes treatments, NSAIDs, lithium, and medications that affect potassium or fluid balance.
Medical Tests
Tenoretic can affect blood sugar, electrolyte levels, kidney function, and other laboratory results.
Tell your healthcare provider and laboratory staff that you take Tenoretic before having blood tests or other medical testing.
Allergic Reactions
Do not take Tenoretic if you have had a serious allergic reaction to atenolol, chlorthalidone, or any ingredient in the medication.
Seek immediate medical attention if you develop:
- Hives
- Severe rash
- Swelling of the face, lips, tongue, or throat
- Difficulty breathing or swallowing
These may be signs of a serious allergic reaction.
Regular Monitoring
During treatment, your healthcare provider may monitor your:
- Blood pressure
- Heart rate
- Kidney function
- Blood sugar
- Potassium and other electrolyte levels
Regular monitoring helps make sure Tenoretic remains safe and effective for you.
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