Tenoretic

Special warnings about Tenoretic

If you have a history of congestive heart failure or certain other heart problems, Tenoretic should be used with caution.

Tenoretic should not be stopped suddenly. It can cause increased chest pain and heart attack. When stopping the drug, your physician will gradually reduce your dosage.

When taking Tenoretic, if you suffer from asthma, seasonal allergies or other bronchial conditions, or liver or kidney disease, your doctor should monitor you more carefully.

Ask your doctor if you should check your pulse while taking Tenoretic. This medication can cause your heartbeat to become too slow or make heartbeat irregularities worse.

This medication may mask the symptoms of low blood sugar or alter blood sugar levels. If you are diabetic, discuss this with your doctor.

Tenoretic can cause you to become drowsy or less alert; therefore, activity that requires full mental alertness is not recommended until you know how you respond to the drug.

Make sure the doctor knows that you are taking Tenoretic if you have a medical emergency, or plan to have surgery.

Possible food and drug interactions when taking Tenoretic

If Tenoretic is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Tenoretic with the following:

• Blood pressure medicines containing reserpine
• Other blood pressure drugs
• Clonidine (Catapres)
• Diltiazem (Cardizem)
• Epinephrine (EpiPen)
• Insulin
• Lithium (Eskalith)
• Nasal decongestants
• Nonsteroidal anti-inflammatory drugs such as Indocin and Motrin
• Verapamil (Calan)

Special information if you are pregnant or breastfeeding

When taken during pregnancy, Tenoretic may cause harm to the developing baby. If you are pregnant, or plan to become pregnant, inform your doctor immediately. Tenoretic appears in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with this medication is finished.