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Beta Adalat Capsule

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Delivery information Product #0011806

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Beta-Adalat Capsule is used for the treatment of angina and high blood pressure.

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Beta-Adalat Capsule contains 2 active ingredients: atenolol (a beta-blocker) and nifedipine (calcium channel blocker). The atenolol works by blocking beta receptors in the heart, which reduces the action of adrenaline and noradrenaline on the heart, causing it to beat more slowly and with less force. This will therefore help to lower blood pressure.

The Nifedipine on the other hand, works by slowing down the movement of calcium through the muscle cells that are found in the walls of blood vessels. As calcium is needed by muscle cells in order for them to contract, a deprivation of calcium will help the muscle cells to relax. As the arteries in the body are relaxed and widened, there will be less pressure in the blood vessels and it will be easier for the heart to pump blood around the body. The widening effect on the arteries will improve blood and oxygen supply to the heart in order to prevent angina attacks.

Directions for taking Beta-Adalat Capsule:

  • Beta-adalat capsules can be taken either with or without food. The capsules should be swallowed whole with a drink of water. They should not be opened, crushed or chewed.
  • The dose prescribed and how often the medicine needs to be taken depends on the condition being treated. It is important to follow the instructions given by your doctor. These will be printed on the dispensing label your pharmacist has put on the packet of medicine.
  • You should not drink grapefruit juice while you are taking this medicine, as it can increase the level of nifedipine in your blood and thus increase the chance of getting side effects.
  • It is important that you don't suddenly stop taking this medicine unless your doctor tells you to.

Caution before taking Beta-Adalat Capsule:

  • This medicine may cause fatigue and dizziness. You should take care when performing potentially hazardous activities, such as driving or operating machinery, until you know how this medicine affects you and are sure you can perform such activities safely.
  • You should not stop taking this medicine suddenly, particularly if you have ischaemic heart disease (inadequate flow of blood to the heart, eg angina). When treatment with this medicine is stopped it should be done gradually, usually over one to two weeks, following the instructions given by your doctor.
  • This medicine should not be taken to treat an angina attack, as it does not work quickly enough. It should be used regularly, as prescribed, to prevent angina attacks, and you should keep your glyceryl trinitrate (GTN) sublingual tablets or spray with you at all times to use if you do have an angina attack.
  • If you go into hospital or to the dentist to have an operation you should tell the person treating you that you are taking this medicine. This is because your blood pressure may fall too low if you are given certain types of anaesthetics while taking this medicine.
  • This medicine should not be taken if you have any known sensitivity or allergy to its ingredients.

Use with caution in:

  • Elderly people.
  • Decreased liver function.
  • Decreased kidney function.
  • People with a history of heart failure or a weak heart.
  • People with slowed conduction of electrical messages between the chambers of the heart (1st degree heart block).
  • A severe form of chest pain not caused by exertion (Prinzmetal's or variant angina).
  • Chronic obstructive pulmonary disease (COPD).
  • History of asthma, wheezing or any other breathing difficulties.
  • People with poor blood circulation in the arteries of the extremities, eg hands and feet (avoid if problems are severe - see below).
  • Diabetes (this medicine may mask the symptoms of low blood sugar, such as increased heart rate and tremor, and the dose of your diabetes medicine may need adjusting).
  • People with a history of sudden drops in blood sugar levels (hypoglycaemia).
  • Overactive thyroid gland (this medicine may mask the symptoms of a thyroid storm or thyrotoxicosis).
  • History of allergies.
  • Abnormal muscle weakness (myasthenia gravis).
  • Psoriasis.

Not to be used in:

  • People with a serious defect in the heart's electrical message pathways, resulting in decreased function of the heart (2nd or 3rd degree heart block).
  • Uncontrolled heart failure.
  • People with a very slow heart rate (bradycardia).
  • Unstable angina.
  • People with a condition called aortic stenosis, which is narrowing of the main artery from the heart through which blood is pumped to the rest of the body.
  • A problem common in the elderly, related to poor control of the working of the heart (sick sinus syndrome).
  • Failure of the heart to maintain adequate circulation of blood around the body (cardiogenic shock).
  • People who have recently had a heart attack (in the last month).
  • Low blood pressure (hypotension).
  • Severe conditions involving poor blood circulation in the arteries of the extremities, eg hands and feet (peripheral arterial disorders such as Raynaud's syndrome or intermittent claudication).
  • People with an increase in the acidity of the blood (metabolic acidosis).
  • Untreated tumour of the adrenal gland (phaeochromocytoma). If you are being treated for phaeochromocytoma you will be given another medicine called an alpha-blocker in combination with this one.
  • Severely decreased kidney function.
  • Pregnancy.
  • Breastfeeding.
  • Children.
Please contact your doctor or medical practitioner to understand more about the side effects of taking Beta Adalat Capsule.
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