Atenolol+nifedipine

Do not use Atenolol+nifedipine if you are allergic to Atenolol+nifedipine or any of its components. Let your doctor know if you have any history of severe kidney or liver diseases, low potassium levels (hypokalaemia), chest pain (angina), poor blood circulation or controlled heart failure, first-degree heart block, diabetes, thyrotoxicosis (a condition caused by an overactive thyroid gland), liver problems, and adrenal gland diseases. Let your doctor know if you have anuria (kidneys aren't producing urine), fluid or electrolyte imbalance, lupus erythematosus (an autoimmune inflammatory disease-causing scaly red patches on the skin), gout, abnormal heart rhythms, thyroid disorders, and asthma before starting Atenolol+nifedipine. It is essential to let your doctor know if you are a breastfeeding mother before using Atenolol+nifedipine since Indapamide may pass into the breast milk. Please ask your doctor if you plan to conceive or are pregnant before using Atenolol+nifedipine. Atenolol+nifedipine can increase the chances of light-headedness so rise slowly if you are sitting/lying and avoid operating any machine or doing any work that needs mental alertness. Atenolol+nifedipine is not recommended in people less than 18 years of age.

Drug-Drug Interaction: Atenolol+nifedipine is known to interact when taken with an anticancer drug (quinidine), antiepileptic medicine (phenytoin), anti TB drug (rifampicin), antibiotics (erythromycin), other blood pressure-lowering pills (chlorthalidone, ramipril, metoprolol, lisinopril, amlodipine, candesartan, baclofen, levodopa, clonidine) and anti-psychotic drugs (alprazolam, risperidone, amisulpride, pimozide), anti-HIV drug (nelfinavir, ritonavir, saquinavir or amprenavir), drugs used to treat insomnia or anxiety (Phenobarbital).

Drug-Food Interaction: Please keep your doctor informed of what herbal products you are taking, especially St. John's wort (used in the treatment of depression). Also, alcohol consumption, along with Atenolol+nifedipine, is known to cause a blood pressure drop.

Drug-Disease Interaction: Atenolol+nifedipine is contraindicated in patients with severe aortic stenosis (narrowed heart valve), cardiogenic shock (when suddenly heart does not get enough blood supply), a recent history of unstable angina (chest pain), heart failure and hypotension (low blood pressure).

• Keep your weight under control with a body mass index (BMI) between 19.5 and 24.9.
• Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help you to lower your raised blood pressure by about 5 mm of Hg.
• Limit sodium chloride intake (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
• If you are taking alcohol, use only one serving for women and two servings for men.
• Quit smoking to lower the risk of heart diseases. 
• Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spent time with your loved ones to cope with stress.
• Monitor your blood pressure daily, and if you notice any fluctuations frequently, please contact your doctor immediately.
• Try including heart-healthy omega 3 fatty acid-containing foods in your daily diet. You can also use low-fat cooking oils like olive oil, soybean oil, canola oil, and coconut oil that help in lowering your elevated blood pressure.

• Monitor your blood pressure regularly and seek medical advice if you notice any drastic fluctuations.
• Let your anesthetist or medical staff know that you are taking Atenolol+nifedipine since Atenolol can lower blood pressure levels when certain anesthetic medications are given during any operation or surgery.