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Generic Tenormin Information
Introduction
Tenormin is a prescription medication that contains the beta‑blocker atenolol. It belongs to the blood‑pressure drug group and is used primarily to lower high blood pressure (essential hypertension) and to control heart rate in certain cardiac conditions. In Hong Kong, Tenormin is marketed by AstraZeneca and is prescribed by physicians as part of standard cardiovascular therapy. Secondary therapeutic uses include management of angina pectoris, treatment of certain arrhythmias, and prevention of migraine attacks in selected patients.
What is Tenormin?
Tenormin is a tablet formulation that delivers a fixed dose of atenolol, a selective β1‑adrenergic receptor antagonist. It was developed in the 197s and introduced worldwide under the trade name Tenormin by AstraZeneca. The product is approved by the Hong Kong Pharmacy and Poisons Board and conforms to local pharmaceutical quality standards. While Tenormin is the branded version, generic atenolol tablets containing the same active ingredient are also available in Hong ong and may be sourced from reputable suppliers.
How Tenormin Works
Atenolol blocks β1‑adrenergic receptors located primarily in cardiac tissue. By inhibiting the action of endogenous catecholamines (epinephrine and norepinephrine) on these receptors, the drug reduces heart‑rate velocity, myocardial contractility, and the conduction velocity through the atrioventricular node. The net effect is a decrease in cardiac output and a modest reduction in peripheral vascular resistance, leading to lower arterial blood pressure. Atenolol has a relatively long plasma half‑life of 6–7 hours, allowing once‑daily dosing in most patients. It is excreted unchanged primarily via the kidneys, which influences dose adjustments in renal impairment.
Conditions Treated with Tenormin
- Essential hypertension – High prevalence in Hong Kong, estimated at 20 % of adults; atenolol lowers systolic and diastolic pressures, reducing the risk of stroke and coronary events.
- Stable angina pectoris – By decreasing myocardial oxygen demand, atenolol eases chest pain during exertion.
- Acute myocardial infarction (post‑MI) – Early initiation improves survival by limiting arrhythmic complications and reducing ventricular remodeling.
- Cardiac arrhythmias (e.g., supraventricular tachycardia) – Slows impulse conduction, aiding rhythm control.
- Migraine prophylaxis (off‑label) – Beta‑blockade can diminish frequency of attacks in selected individuals.
Who is Tenormin For?
- Adults (≥ 18 years) diagnosed with primary hypertension who require pharmacologic blood‑pressure control.
- Patients with documented stable angina who need heart‑rate reduction to relieve ischemic symptoms.
- Individuals who have suffered a recent myocardial infarction and are candidates for secondary prevention.
- Those with chronic supraventricular tachyarrhythmias where rate control is indicated.
- Patients without severe asthma, chronic obstructive pulmonary disease, or second‑ or third‑degree heart block, as selective β1‑blockade may still precipitate bronchospasm or conduction delay in these conditions.
- Caution is advised in patients with severe renal impairment (creatinine clearance < 30 mL/min) because drug clearance is reduced; dose reduction is required.
Risks, Side Effects, and Interactions
Common
- Fatigue or drowsiness
- Dizziness, especially after the first dose or when standing quickly (orthostatic hypotension)
- Cold extremities (hands and feet) due to reduced peripheral circulation
- Gastrointestinal upset (nausea, mild abdominal discomfort)
Rare
- Sexual dysfunction (decreased libido or erectile difficulty)
- Depression or mood changes
- Skin rash or pruritus
- Bradycardia (heart rate < 50 beats per minute)
Serious
- Severe bradycardia leading to syncope or heart‑failure decompensation
- Acute bronchospasm in patients with underlying reactive airway disease
- Hypotensive crisis when combined with other antihypertensives (e.g., calcium‑channel blockers, ACE inhibitors)
- Masking of hypoglycaemia symptoms in diabetic patients on insulin or sulfonylureas
Drug–drug interactions
- Calcium‑channel blockers (e.g., amlodipine) – additive blood‑pressure lowering effect; monitor blood pressure closely.
- Digoxin – may increase the risk of bradyarrhythmias; dose adjustment may be required.
- Non‑steroidal anti‑inflammatory drugs (NSAIDs) – may reduce the antihypertensive efficacy of atenolol.
- Antidiabetic agents – atenolol can blunt sympathetic warning signs of hypoglycaemia; patients should be educated on alternative monitoring cues.
- Other β‑blockers – concurrent use can lead to excessive β‑blockade; generally avoided.
Practical Use: Dosing, Missed Dose, Overdose
- Standard dosing – The usual adult dose for hypertension is 25 mg to 100 mg once daily. For angina, 50 mg twice daily may be prescribed. The exact dose is individualized based on blood‑pressure response, heart‑rate control, and renal function.
- Missed dose – If a dose is remembered within 12 hours of the scheduled time, take it immediately. If more than 12 hours have elapsed, skip the missed dose and resume the regular schedule. Do not double‑dose.
- Overdose – Symptoms may include extreme bradycardia, hypotension, respiratory depression, and cardiac arrest. Immediate medical attention is required. Management is supportive, with intravenous atropine for severe bradycardia and fluid resuscitation for hypotension.
- Food and alcohol – Atenolol can be taken with or without food; however, high‑fat meals may slightly delay absorption. Alcohol may potentiate the hypotensive effect; limit intake while on therapy.
- Comorbidities – In patients with asthma, chronic obstructive pulmonary disease, or severe peripheral vascular disease, a cardio‑selective β‑blocker such as atenolol should be used cautiously, and alternatives may be preferred.
Buying Tenormin from Our Online Pharmacy
Tenormin can be purchased safely from our online pharmacy in Hong Kong. Our service offers:
- Affordable pricing – We source Tenormin at near‑manufacturer cost, passing savings directly to patients.
- Verified quality – All tablets are obtained from licensed overseas pharmacies that meet international Good Manufacturing Practice (GMP) standards.
- Guaranteed delivery – Discreet packaging with express shipping (typically 7 days) or regular airmail (approximately 3 weeks) ensures the medication reaches you reliably.
- Online‑only accessibility – For patients who encounter limited stock in local pharmacies or who need a convenient way to obtain their medication, our pharmacy broker model facilitates secure cross‑border procurement while respecting privacy.
Our online pharmacy operates as a pharmacy‑broker service, partnering with licensed overseas suppliers to provide a seamless, confidential experience for Hong Kong residents seeking Tenormin.
FAQ
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Is Tenormin approved for use in pregnant women?
Atenolol is generally contraindicated during pregnancy because it may affect fetal growth and cause neonatal hypoglycaemia. Alternative antihypertensives with better safety profiles, such as labetalol or methyldopa, are preferred. -
Can I take Tenormin while traveling across time zones?
Yes, but maintain a consistent 24‑hour dosing interval. If crossing multiple time zones, adjust the dosing time gradually (e.g., shift by one hour each day) to avoid missed doses and minimize side‑effects. -
What does the tablet of Tenormin look like?
Tenormin tablets are typically round, film‑coated, and come in strengths of 25 mg, 50 mg, and 100 mg. The colors and imprint may vary by manufacturer; common markings include the dosage strength and the AstraZeneca logo. -
Are there any excipients in Tenormin that could cause allergies?
Inactive ingredients may include lactose, magnesium stearate, and microcrystalline cellulose. Patients with known lactose intolerance or hypersensitivity to these substances should discuss alternatives with their healthcare provider. -
How is Tenormin classified under Hong Kong drug regulations?
Tenormin is listed as a prescription‑only medication (Category B) by the Pharmacy and Poisons Board. It cannot be sold over the counter and requires a valid medical prescription for legal dispensing. -
Does Tenormin affect laboratory tests such as blood glucose monitoring?
Atenolol can mask typical adrenergic symptoms of hypoglycaemia, such as tremor and palpitations, though it does not directly alter laboratory glucose values. Diabetic patients should rely on objective glucose readings rather than symptoms alone. -
What should I know about storing Tenormin in a humid climate?
Store tablets at a temperature between 15 °C and 30 °C, protected from excess moisture. A sealed container in a dry place—away from bathroom humidity—is recommended to preserve potency. -
Can Tenormin be taken with herbal supplements like St. John’s wort?
St. John’s wort induces certain liver enzymes (CYP3A4) that may modestly increase the clearance of atenolol, potentially reducing its effectiveness. Discuss any herbal products with a healthcare professional before combining them. -
Is there a difference between Tenormin sold in the United States and Asia?
The active ingredient, atenolol, is identical worldwide, but tablet size, coating, and inactive excipients may differ due to regional manufacturing practices. These variations do not affect the therapeutic action when the dosage strength is the same. -
How long does it take for blood pressure to stabilise after starting Tenormin?
Blood‑pressure reduction often begins within 2 hours of the first dose, with maximal effect observed after 2–4 weeks of consistent therapy. Physicians typically reassess blood pressure after 4–6 weeks to determine if dose adjustment is needed. -
Can Tenormin be used for heart‑rate control in athletes?
While atenolol reduces heart rate, its use in athletes is generally discouraged unless medically indicated, because it may impair exercise capacity and performance. A specialist should evaluate the risk‑benefit balance for any physically active individual.
Glossary
- β1‑adrenergic receptor
- A protein on cardiac cells that responds to adrenaline, increasing heart rate and contractility; blocked by atenolol to lower heart activity.
- Half‑life
- The time required for the concentration of a drug in the bloodstream to decrease by 50 %; for atenolol it is about 6–7 hours.
- Selective β‑blockade
- Preferential inhibition of β1 receptors (heart) over β2 receptors (lungs), reducing cardiac effects while limiting respiratory side effects.
- Renal clearance
- The process by which the kidneys eliminate a drug from the body; atenolol is primarily excreted unchanged in the urine.
⚠️ Disclaimer
The information provided about Tenormin is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Tenormin for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Tenormin in online pharmacy asia
Please note that this medicine is a generic version of Tenormin.One can buy Generic Tenormin online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to atenolol and fully familiar with medication Tenormin;
- No paper instructions about side effect warnings or usage directions are sent with Generic Tenormin medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.