Tenormin
Hello my name is nick sedeghi and i’m going to be speaking about antenna wall eternal can also go by its brand name to norman it belongs to a family of drugs known as beta blockers it’s used most commonly to treat cardiovascular disease like high blood pressure stable angina as well as post mi and other possible reasons it works at a basic level by slowing
Down the heart by reducing its workload antenna was fda approved for acute mi chronic angina pectoris as well as hypertension although it is typically used off-label for various dysrhythmias as well as vascular migraines for administration it’s pretty basic take once or twice daily by mouth with or without food some common side effects that patients might run
Into while taking this medication consists of bradycardia cold extremities hypotension dizziness fatigue and or depression some more serious side effects that the patients need to be aware of and if they do experience any of these to contact their primary care right away or call 9-1-1 if it is a medical emergency are related to cardiovascular effects like heart
Failure mi any ventricular arrhythmias endocrine functions specifically those related to the thyroid immune functions like anaphylaxis or lupus as well as respiratory functions like pulmonary embolism mechanism of action silitenol is a cardioselective synthetic beta-1 adrenal receptor blocking agent without intrinsic sympathomimetic activity it works by binding
To beta-1 adrenergic receptors found in vascular smooth muscle and in the heart blocking positive anatropic and chronotropic actions of endogenous catecholamines like norepi and epi this results in a block of sympathetic stimulation which results in reduced heart rate blood pressure and contractility it has little to no effect on beta2 receptors except at higher
Doses antenna was typically prescribed in oral tablet forms it can be had in generic as well as brand tinormin the tablet forms are found in tablets ranging from 25 milligram 50 milligram and 100 milligram both in generic and the brand name and iv formulation does exist and these oral tablets can be compounded into an oral suspension as well here we have our
More specific oral dosage recommendations for the fda approved usages starting with angina we can see that for initial usages patients are going to start at 50 milligrams once daily and then this can be increased at weekly intervals based on the frequency and severity of symptoms usual range is in between 50 and 100 milligrams once daily for hypertension the use
Is recommended only for patients with specific comorbidities like mi arrhythmia and then for dosage recommendation initially start at 25 milligrams once or twice daily and then this can be increased based upon the patient’s response or tolerability up to 100 milligrams per day and one to two divided doses for mi initially start at 25 to 50 milligrams twice daily
And then this can be increased based upon the patient’s heart rate and blood pressure up to a max daily dose of 100 milligrams and this could be administered in one or two doses here we have our off-label dosage recommendations starting with afib we’re going to start initially at 25 milligrams once daily and this can be increased to achieve ventricular rate control
Although the usual range lies in between 25 to 100 milligrams once daily for migraine prophylaxis we’re going to start at 25 milligrams once daily and then this can be increased based upon the patient for response as well as tolerability up to 100 milligram once daily dose it’s important to remember to maintain this regimen for three months before considering it as
Treatment failure for super ventricular tachycardia svt we’re going to start at 25 to 50 milligrams once daily and then this can be increased based upon the patient response or tolerability up to a max daily dose of 100 milligrams so there are some dosage adjustments to be aware of when taking this medication one for renal impairment if creatinine clearance is above
35 mils per min usual doses can be administered with no adjustments if the credit clearance is in between 15 to 35 the max daily dose should not exceed 50 milligrams if the credit clearance is below 15 the max dose should be even lowered further to 25 milligrams per day for geriatric patients initiate therapy at the low end of dosing range here are some warnings
And precautions to be aware of while taking a tunnel wall anaphylactic reactions bronchospastic disease conduction abnormalities diabetes this medication might may mask the symptoms of hypoglycemia or may even potentiate hypoglycemia heart failure myasthenia gravis renal impairment thyroid disease like the hypoglycemia mentioned before this medication can mask
The signs of hyperthyroidism and then the patients should also be aware of to not avoid abrupt discontinuation of this medication so strong contraindications um cardiogenic shock obviously this is relating the medication is directly working on the heart so we don’t want to exacerbate that condition any further any hypersensitivity to a tylenol or components of
The drug overt cardiac failure second and third degree heart block as well as any sinus bradycardia monitoring so for monitoring we do want to monitor blood pressure heart rate as well as ecg’s being that this medication is going to directly slow down the heart rate as well as lower blood pressure so we have to be aware of those as well as symptoms of uh altered
Blood pressure like hypo hypotension and all of uh the related symptoms with that for efficacy we do want to see if we’re treating for hypertension that the blood pressure blood pressure is reducing for coronary atherosclerosis we do want to see reduction in chest pain like the angina is resolving renal function and renally compromised or geriatric patients with
Hypertension or mi and here are my references thank you so much
Transcribed from video
Atenolol – Tenormin By Riverside Rx Services