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Small Drug Uses: Tenormin (Atenolol) is prescribed for patients with high blood pressure (hypertension).
How Taken: Should be taken before meals or at bedtime.
Drug Class and Mechanism: Tenormin is a beta-adrenergic blocking agent. Tenormin blocks the action of the sympathetic nervous system, a portion of the involuntary nervous system. The sympathetic nervous system stimulates the pace of the heart beat. By blocking the action of these nerves, tenormin reduces the heart rate and is useful in treating abnormally rapid heart rhythms. Tenormin also reduces the force of heart muscle contraction and lowers blood pressure. By reducing the heart rate and the force of muscle contraction, tenormin reduces heart muscle oxygen demand. Since angina occurs when oxygen demand of the heart exceeds supply, tenormin is helpful in treating angina.
Warnings Precautions: Tenormin can aggravate breathing difficulties in patients with asthma, chronic bronchitis, or emphysema. In patients with existing slow heart rates (bradycardias) and heart blocks (defects in the electrical conduction of the heart), tenormin can cause dangerously slow heart rates, and even shock. Tenormin reduces the force of heart muscle contraction and can aggravate symptoms of heart failure. Calcium channel blockers, and digoxin (Lanoxin) can cause lowering of blood pressure and heart rate to dangerous levels when administered together with tenormin. In patients with coronary artery disease, abruptly stopping tenormin can suddenly worsen angina, and occasionally precipitate heart attacks. If it is necessary to discontinue tenormin, its dosage can be reduced gradually over several weeks. Tenormin can mask the early warning symptoms of low blood sugar (hypoglycemia), and should be used with caution in patients receiving treatment for diabetes. It is not habit forming.Do not take this medicine if you have had an allergic reaction to it or are allergic to any ingredient in this product. Do not stop taking this medicine without checking with your doctor. Some conditions may become worse when the medicine is suddenly stopped. Your dose may need to be slowly lowered to avoid side effects. Keep all doctor and laboratory appointments while you are taking this medicine. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using this medicine. This medicine may cause drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. Before having any allergy tests or shots, tell your doctor that you are using this medicine. This medicine may increase your risk for a serious reaction to the allergy shot. Before taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any medicines used to treat colds or congestion. Caution is advised when using this medicine in the elderly because they may be more sensitive to the effects of this medicine. For women: this medicine has been shown to cause harm to the human fetus. If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy. This medicine is excreted in breast milk. if you are or will be breast-feeding while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby. For patients with diabetes mellitus: this medicine may mask signs of low blood sugar such as a rapid heart rate. Check blood glucose levels regularly.
Possible Side Effects: Tenormin is generally well tolerated, and side effects are mild and transient. Rare side effects include abdominal cramps, diarrhea, constipation, fatigue, insomnia, nausea, depression, dreaming, memory loss, fever, impotence, lightheadedness, slow heart rate, low blood pressure, numbness, tingling, cold extremities, sore throat, and shortness of breath or wheezing.
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Changes in body weight, or natural changes that come with age may affect the size or shape of the nipples. However, if a nipple retracts (pulls in) and does not easily return to its normal shape, see your doctor or a nurse practitioner for a manual exam. If there is a problem with the milk ducts which are just below the surface of the nipple and areola, then having a diagnostic mammogram or ultrasound can help diagnose the trouble.
Complications. Vagus nerve stimulation does not eliminate seizures in most patients and is still somewhat invasive. VNS can cause shortness of breath, hoarseness, sore throat, coughing, ear and throat pain, or nausea and vomiting. These side effects can be reduced or eliminated by reducing the intensity of stimulation. Some studies suggest that the treatment causes adverse changes in breathing during sleep and may cause lung function deterioration in people with existing lung disease. People who have obstructive sleep apnea also should be cautious about this procedure. Turning off the VNS (for example before an MRI or surgery) may increase the risk for status epilepticus. (However, VNS may also be helpful for treating status epilepticus in some patients.)
Interpersonal therapy is another short-term therapy used in the treatment of depression. The focus of this treatment approach is usually on an individual's social relationships and how to improve them. It is thought that good, stable social support is essential to a person's overall well-being. When relationships are unhealthy, a person suffers from this. This therapy seeks to improve a person's relationship skills, communication skills, expression of emotions, and assertiveness. It is usually conducted on an individual basis but can also be used in a group therapy setting.
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