Tenobis Plus 5mg Tablet | 14pcs
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Tenobis Plus 5mg Tablet 14pcs

Tenobis Plus 5mg Tablet (Bisoprolol 5mg+ Hydrochlorothiazide 6.25 mg) is indicated in the treatment of Hypertension.


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Discount Price: ৳ 132.54
MRP: ৳ 141 6% Off

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✅ Description:

Tenobis Plus 5mg Tablet is a combination of Bisoprolol and Hydrochlorothiazide.

  • Treatment of hypertension (abnormally high blood pressure).
  • Prevention of further heart attacks and strokes.
  • Eliminates excess water and salt from the body.
  • Relaxes blood vessels, improving blood flow.
  • May be taken with or without food.
  • Swallow whole with a glass of water.
  • Take at the same time daily for consistency.
  • Avoid driving or operating heavy machinery if feeling dizzy.
  • Not recommended if allergic to the medication.
  • Avoid conditions like heart failure, slow heartbeats, AV block, or anuria.
  • Use with caution in liver or kidney problems, glaucoma, thyroid issues, or diabetes.
  • Not recommended for children below 18 years.
  • Consult if pregnant or breastfeeding.
  • Caution in liver/kidney problems, glaucoma, thyroid issues, or diabetes.

Safety Advices


Alcohol
UNSAFE

Tenobis Plus 5mg Tablet may cause excessive drowsiness when combined with alcohol.


Pregnancy
CONSULT YOUR DOCTOR
  • Tenobis Plus 5mg Tablet may be unsafe during pregnancy.
  • Limited human studies are available, and animal studies indicate potential harm to the developing baby.
  • Consult your doctor to evaluate the benefits versus potential risks before using during pregnancy.

Breastfeeding
CONSULT YOUR DOCTOR
  • Tenobis Plus 5mg Tablet is likely unsafe during breastfeeding.
  • Limited human data suggests potential transfer of the drug to breast milk, posing a risk to the baby.
  • Consult your doctor for advice on breastfeeding while using this medicine.

Driving
CAUTION
  • The impact of Tenobis Plus 5mg Tablet on driving ability is unknown.
  • Exercise caution and consult your doctor if any symptoms affecting concentration or reaction occur.

Kidney
CAUTION
  • Use Tenobis Plus 5mg Tablet with caution in patients with kidney disease.
  • Dose adjustment may be necessary; regular blood pressure monitoring is advised.

Liver
CAUTION
  • Tenobis Plus 5mg Tablet should be used cautiously in patients with liver disease.
  • Dose adjustment may be required, and consultation with a doctor is recommended.

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✔️ Uses of Tenobis Plus 5mg Tablet

Hypertension, Congestive heart failure, HTN, Angina pectoris.

✔️ How does Tenobis Plus 5mg Tablet work?

Bisoprolol Fumarate is a β1-selective adrenoceptor blocking agent, and Hydrochlorothiazide is a benzothiadiazine diuretic. Their additive effects help in treating hypertension.

✔️ Side Effects of Tenobis Plus 5mg Tablet

Generally well-tolerated with mild and transient side effects. Possible side effects include fatigue, dizziness, headache, bradycardia, arrhythmia, peripheral ischemia, chest pain, palpitations, cold extremities, claudication, orthostatic hypotension, diarrhea, constipation, nausea, dyspepsia, rhinitis, pharyngitis, and others.

✔️ Quick Suggestions:
  • A combination drug for hypertension; taken with or without food.
  • Do not stop suddenly; it may cause a sudden rise in blood pressure.
  • May cause dizziness; rise slowly from sitting or lying position.
  • Monitor blood sugar levels if diabetic, as it can mask symptoms of low blood sugar.
  • Stay hydrated; report extreme thirst, muscle weakness, or dry mouth to the doctor.
✔️ Indication of Tenobis Plus 5mg Tablet
  • Tenobis Plus 5 is prescribed for hypertension (high blood pressure).
  • It's a combination of two medicines effective when a single medication isn't sufficient.
✔️ Pharmacology:

Bisoprolol Fumarate and Hydrochlorothiazide, when used individually or in combination, are effective in treating hypertension. The antihypertensive effects are additive, and Hydrochlorothiazide 6.25 mg significantly enhances the antihypertensive effect of Bisoprolol Fumarate. Bisoprolol Fumarate is a β1-selective adrenoceptor blocking agent, while Hydrochlorothiazide is a benzothiadiazine diuretic. Thiazides, like Hydrochlorothiazide, influence renal tubular mechanisms of electrolyte reabsorption, leading to increased excretion of sodium and chloride in roughly equivalent amounts.

✔️ Dosage & Administration of Tenobis Plus 5mg Tablet
  • Initial Therapy: Start with one 2.5/6.25 mg tablet once daily.
  • Subsequent Titration: Titrate at 14-day intervals with these tablets, up to the maximum recommended dose of 20/12.5 mg once daily, as appropriate.
  • Replacement Therapy: The combination may replace titrated individual components.
  • Therapy Guided by Clinical Effect: Adjust based on the patient's response.
✔️ OverDose Effect

Limited data; signs may include bradycardia, hypotension, lethargy, delirium, coma, convulsions, respiratory arrest, congestive heart failure, bronchospasm, and hypoglycemia.

✔️ Interaction
  • This combination may potentiate the action of other antihypertensive agents.
  • Avoid combining with other beta-blocking agents.
  • Closely monitor patients on catecholamine-depleting drugs.
  • Exercise caution when used concurrently with clonidine.
  • Use with caution when myocardial depressants or AV conduction inhibitors are employed.
✔️ Contraindications

Contraindicated in patients in cardiogenic shock, overt cardiac failure, second or third-degree AV block, marked sinus bradycardia, anuria, and hypersensitivity to either component or other sulfonamide-derived drugs.

✔️ Pregnancy & Lactation
  • Use in Pregnancy: Category C - Use during pregnancy only if potential benefits justify potential risks.
  • Use in Nursing Mothers: Consider the importance of the drug to the mother, as thiazides are excreted in human breast milk.
✔️ Precautions & Warnings
  • Monitor for hyperuricemia or acute gout.
  • Watch for signs or symptoms of fluid and electrolyte imbalance.
  • Gradual withdrawal is advised if discontinuing the therapy.
  • Observe patients during withdrawal.
✔️ Storage Conditions

Store below 30°C, away from light & moisture. Keep out of reach of children.

Frequently Asked Questions (FAQ)

Tenobis Plus 5mg Tablet remains effective in the body for approximately 24 hours.

Yes, Tenobis Plus 5mg Tablet may increase sensitivity to sunlight. Minimize sun exposure, use sunscreen, and inform your doctor about any history of skin issues before taking the medication.

Tenobis Plus 5mg Tablet contains hydrochlorothiazide, a diuretic that increases urination. If you experience excessive thirst, fatigue, or muscle cramps, consult your doctor as it may indicate dehydration.

Tenobis Plus 5mg Tablet is not recommended during pregnancy due to potential risks such as miscarriage, premature birth, and adverse effects on the baby. Consult your doctor for advice if you are pregnant or planning to become pregnant.

Tenobis Plus 5mg Tablet starts showing its effects within two hours of intake.

You should continue taking Tenobis Plus 5mg Tablet unless directed otherwise by your doctor. Blood pressure medications are often prescribed for a lifetime to prevent complications. Consult your doctor if you experience any issues or if a change in treatment is needed.
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Check our pricing section for Tenobis Plus 5mg Tablet 14pcs price in Bangladesh. After Submitting Order, You will receive a phone call for verification, price and delivery confirmation. We deliver inside/outside Dhaka (Delivery all over Bangladesh). We offer express/urgent medicine delivery inside Dhaka. Do not forget to check discount/cashback offers if you are eligible to avail any.

Disclaimer:
ePharma sole intention is to ensure that its consumers get proper information as musch as possible. Although we do not guarantee the accuracy and the completeness of the information that provided and here information is for informational purposes only. The information contained herein should NOT be used as a substitute for the advice of a qualified physician. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your healthcare professional and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Pricing Information, Availability:
ePharma reserves the right to make adjustments to pricing, Products and Service offerings for reasons including, but not limited to, changing market conditions, Product discontinuation, Product unavailability, manufacturer price changes, supplier price changes and errors in advertisements. All orders are subject to Product availability and the availability of Personnel to perform the Services. Therefore, Seller cannot guarantee that it will be able to fulfill Customer’s orders. If Services are being performed on a time and materials basis, any estimates provided by Seller are for planning purposes only.

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