Tenox (R) 5 mg.
(100% genuine, made in EU)
WHAT TENOX (R) IS AND WHAT IT IS USED FOR Amlodipine belongs to a group of medicines called calcium antagonists. It helps to lower blood pressure and works by relaxing blood vessels. It also provides relief from heart-associated chest pain (stable angina pectoris). TENOX (R) is used to treat: high blood pressure (hypertension) a type of chest pain called stable angina pectoris (a resuh of lack of oxygen supply to the heart muscle) and a rare form called Prinzmetal's or variant angina.
BEFORE YOU TAKE TENOX (R) Do not take TENOX (R) -if you are allergic (hypersensitive) to amlodipine, other calcium antagonists (dihydropyridines) or any of the other ingredients of TENOX (R) -if you have very low blood pressure -if you have shock - suffer from heart failure (the heart fails to pump blood adequately) after a recent heart attack (within the first 28 days) - have a narrowed heart valve (aortic stenosis) whereby pumping the blood by the left ventricle is rendered difficult. - have a form of chest pain called unstable angina pectoris. Take special care with TENOX (R) -if your heart has a decreased cardiac reserve. Your doctor will prescribe TENOX (R) with caution. -if you suffer from heart failure. Your doctor will treat you with caution.if your liver does not work properly. Your doctor will prescribe TENOX (R) with caution since the exact dosage has not been established. - If you are an elderly person, your doctor will increase the dose with caution. - If you think that any of the above warnings apply to you, either now or in the past, tell your doctor.
Taking other medicines Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Caution: The remarks in this leaflet on other medicines refer to the medicines that you have been taking before and those that you may start taking during treatment with TENOX (R). It is possible the medicines mentioned below are known to you by an other name (the brand name). In this section only the name of active ingredient or the group of active ingredients is used and not the brand name. Therefore you should read carefully the package and the leaflet of the other medication(s) you are using to see what the active ingredient(s) is(are). Some medicines can interact with TENOX (R). This means that the action of both medicines can be changed.
Tell your doctor ifyou take any of the following medicines:: -diltiazem (for treatment of increased blood pressure and angina pectoris), ketoconazole and itraconazole ( anti-fungal medication), and ritonavir (for treatment of HIV-infection); these medicines might increase the therapeutic effect and side effects of TENOX (R). -rifampicine (used to treat tuberculosis and lepra) and St. John's wort (used to treat depression). -Other blood pressure lowering medicines such as beta-blockers, ACE-inhibitors, alpha-blockers and diuretics. <Product name>can increase the effect of these medicines. Use of TENOX (R) together with a beta-blocker in patients at risk (for example after a heart attack), might result in heart failure, low blood pressure or another heart attack..
Pregnancy and breast-feeding Ask your doctor or pharmacist for advice before taking any medicine. TENOX (R) should not be used during pregnancy, unless your doctor finds it necessary. It is recommended to discontinue breast feeding during the treatment with Amlosyl 5 mg and 10 mg. If you are pregnant or breastfeeding, do not take this medicine until you have talked to your doctor. Consult your doctor immediately ifyou become pregnant while taking this medicine.
Driving and using machines Your ability to react may be impaired if dizziness, headache, fatigue or sickness appear. If any of these apply to you make sure that you feel well enough to drive a vehicle or operate machinery.
HOW TO TAKE TENOX (R) Always take TENOX (R) exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. Adults: In the treatment of both high blood pressure and angina pectoris the usual starting dose is 5 mg a day taken as a single dose. Your doctor may need to increase the dose to a maximum of 10 mg a day in order to get the best effect. Elderly: The same usual doses are applicable for the elderly. Your doctor will increase the dose with caution. Children: TENOX (R) is not applicable to children. Impaired kidney fiinction No precautions need to be taken concerning the usual dose if your kidneys do not work properly (see adults). Impaired liver function The exact dosage in patients with impaired liver function has not yet been established. Therefore, your doctor will decide the dosing regimen which he will prescribe with caution. You must swallow TENOX (R) tablets whole with a glass of water. Take your tablets every day, at the same time each day. You can take the medicine regardless of the time of your meals. Keep taking your tablets for as long as your doctor has told you to. Usually, TENOX (R) is prescribed for a long time. Ifyou decide to stop taking the drug, tell your doctor first. If you think that the effect of TENOX (R) is too strong or too weak, consult your doctor or pharmacist.
If you take more TENOX (R) than you should If you have taken more TENOX (R) than you should, contact your doctor or pharmacist immediately. If you take too many tablets, the following symptoms may appear: very low blood pressure, headache, drowsiness, nausea, stomach ache, the feeling of quicker or irregular heartbeat and dizziness. If this happens, lie dovra, put your legs in elevated position and support them with a pillow.
If you forget to take TENOX (R) If you miss a dose you can take it up to 12 hours after the usual time, and then take your next tablet at the usual time. If more than 12 hours have passed after the missed dose, just take your next dose at the scheduled time. Do not take a double dose to make up for a forgotten tablet dose.
If you stop taking TENOX (R) If you stop taking the drug abruptly, symptoms of the disease can reappear. If you have any further questions on the use of this product, ask your doctor or pharmacist
POSSIBLE SIDE EFFECTS Like all medicines, TENOX (R) can cause side effects, although not everybody gets them. Common side effects are: Nervous system: headache (particularly at the beginning of treatment), dizziness Heart: feeling of quicker or irregular heart beat (palpitations)Lungs and chest: difficulty in breathing Alimentary canal: stomach ache, sickness (nausea), indigestion Skin and tissues under the skin: flushing and feeling warm Muscles and joints: muscle cramps Urinary system: increased urinary frequency Body as a whole: ankle swelling (peripheral oedema), fatigue, loss of strength Uncommon side effects are: Blood and lymph: decreased number of platelets (thrombocytopenia) accompanied ynth bruises and bleeding tendency, decreased number of white blood cells (leukopenia) accompanied with increased risk for infections Hormonal system: enlargement of breasts in males (gynaecomastia) Mental changes: sleep disturbances, irritation, depression Nervous system: abnormal sensations such as tingling or prickling (paresthesia), numbness or loss of sensation in the arms and legs (peripheral neuropathy) Eyes and ears: visual disorders and ringing in the ears (tinnitus) Heart: fainting (syncope), accelerated heartbeat, chest pain Blood vessels: low blood pressure (hypotension), inflammation of blood vessel (vasculitis) Lungs and chest: cough Alimentary canal: vomiting, diarrhoea, constipation, swelling of the gums, dry mouth, inflammation of the pancreas (pancreatitis) Skin and tissues under the skin: skin rash, itching, urticaria, hair loss Muscles and joints: back pain, muscle pain, joint pain Reproductive system: impotence Body as a whole: increase or decrease of body weight, feeling unwell (malaise), increased sweating (diaphoresis) Rare side effects are: Mental changes: confiision, mood changes and anxiety Liver and bile: elevated liver enzyme levels in blood, jaundice (yellowing of the skin or eyes), inflammation of the liver (hepatitis) Very rare side effects are: Metabolism and nutrition: excess sugar in blood (hyperglycaemia) Nervous system: involuntary quivering (tremor) Alimentary canal: inflammation of the stomach (gastritis) Skin and tissues under the skin: swelling of the face, tongue or throat (angioedema) Very rarely, allergic reactions occur which can sometimes be serious. These include: itching skin rash severe skin reactions such as red and moist irregular spots or skin inflammation with skin peeling off serious allergic reaction with red skin eruption all over the body,(high) fever, joint pain and eye inflammation serious allergic reactions with swelling of face, tongue, voice box or throat with difficulty in breathing and swelling of joints. If you experience any of the serious allergic reactions, stop taking the drug and contact your doctor immediately At the begirming of treatment some patients have experienced heart attack (myocardial infarction), irregular heart beat (arrhythmia) and chest pain but the relationship to treatment with the medicine has been uncertain. If any of the side effects gets serious, or ifyou notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
HOW TO STORE TENOX (R) Keep out of the reach and sight of children. Do not store above 30°C. Store in the original package in order to protect from light and moisture. Do not use TENOX (R) after the expiry date which is stated on the packaging. The expiry date refers to the last day ofthat month. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.