Esam AT Tablet 10'S

Hypertension Prescription (Rx) Required

ATENOLOL+S-AMLODIPINE 2.5MG+25MG

NPR 137.12

Mfr: Torrent Pharmaceuticals Ltd

10 Tablet(s) in a Strip

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What is ESAM?

ESAM contains combination of Amlodipine and Atenolol

What ESAM is used for?

It is used to treat

high blood pressure
chest pain due to narrowing of the blood vessels of the heart muscle
uneven heart beats or heart attack

Tell your doctor, if you

are allergic to ESAM or any of the other ingredients of this medicine
are suffering from narrowing of the aortic heart valve (aortic stenosis)
suffer from chest pain at rest or with minimal effort (unstable angina pectoris)
have severe low blood pressure (hypotension)
have heart failure or have suffered a heart attack during the past month
have severe increase in blood pressure (Hypertensive crisis)
have liver or kidney problems
are elderly
have second- or third-degree heart block (a condition which may be treated by a pacemaker)
have very slow or uneven heart beats
have higher than normal levels of acid in your blood (metabolic acidosis)
have asthma, wheezing or any other similar breathing problems
have diabetes
have thyrotoxicosis (a condition caused by an overactive thyroid gland)
are planned for a surgery

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine

ESAM should only be used for hypertension in children and adolescents from 6 years to 17 years of age

If this medicine make you feel sick, dizzy or tired do not drive or use machines and contact your doctor immediately

Tell your doctor if you are taking,

Verapamil, diltiazem ,medicines used to treat hypertension
Ketoconazole and itraconazole used to treat fungal infections
Indinavir, Nelfinavir, Nevirapine used to treat viral infections
Clarithromycin, Erythromycin, Rifampicin used to treat infections
Medicines to treat depression
John’s wort,herbal medicine for depression
Corticosteroid used to treat inflammatory and autoimmune conditions such as Dexamethasone
Dantrolene
Medicine used to alter the way your immune system works such as tacrolimus
Simvastatin, used as cholesterol lowering medicine
Cyclosporine, used as an immunosuppressant
Medicines for epilepsy such as Phenobarbital, phenytoin and carbamazepine
Sildenafil, medicine for impotence
Disopyramide, quinidine or amiodarone to treat uneven heart beat
Digoxin for heart problems
Adrenaline, also known as epinephrine a medicine that stimulates the heart
Ibuprofen or indomethacin for pain and inflammation
Insulin or oral medicines for diabetes
Medicines to treat nose or sinus congestion or other cold remedies

Always take ESAM exactly as your doctor has told you
This medicine can be used before or after food
You should take this medicine at the same time each day with a drink of water
Do not take ESAM with grapefruit juice.

If you take more ESAM tablets

If you have taken too much ESAM, contact your nearest hospital casualty department

If you forget to take ESAM tablets

If you forget to take a tablet, leave out that dose completely
Take your next dose at the right time
Do not take a double dose to make up for a forgotten dose

If you stop taking ESAM tablets

Consult your doctor before you stop taking this medicine

sudden wheeziness, chest pain, shortness of breath or difficulty in breathing
swelling of eyelids, face or lips, tongue and throat
severe skin reactions including intense skin rash, hives, reddening of the skin over your whole body, severe itching, blistering, peeling and swelling of the skin, inflammation of mucous membranes
abnormal heart beat
inflamed pancreas which may cause severe abdominal and back pain accompanied with feeling very unwell

headache, dizziness, sleepiness (especially at the beginning of treatment)
palpitations (awareness of your heart beat), flushing
abdominal pain, nausea
altered bowel habits, diarrhoea, constipation, indigestion,
tiredness, weakness
visual disturbances, double vision
muscle cramps
swollen ankles, oedema (fluid retention)
cold hands and feet
diarrhoea
nausea

enlarged breasts or discomfort in men
sleep disorders, irritability, depression
pain, feeling unwell, dry mouth, uncontrolled shaking, pins and needles, increased sweating
problems with your eye-sight (visual disturbances)
mood changes, anxiety, depression, sleeplessness
trembling, taste abnormalities
loss of pain sensation
sneezing/running nose
disorder in passing urine, increased need to urinate at night, increased number of times of passing urine
ringing or buzzing in the ears
fainting, increased heart rate, chest pain, aggravation of angina may occur at the beginning of the treatment
low blood pressure
breathing difficulties, cough
dry mouth, vomiting, diarrhoea, constipation, swollen gums
muscle cramps, back pain, muscle and joint pain
increased need to urinate
impotence
increase or decrease in weight
disturbed sleep

confusion
heart block (which can cause dizziness, abnormal heart beat, tiredness or fainting)
numbness and spasm in your fingers which is followed by warmth and pain
mood changes
feeling confused
changes in personality (psychoses) or hallucinations
headache, dizziness (particularly when standing up)
being unable to get an erection (impotence)
dry mouth, dry eyes
disturbances of vision
thinning of your hair
skin rash
purplish marks on your skin
jaundice (causing yellowing of your skin or the whites of your eyes)

decrease in blood platelets which may result in unusual bruising or easy bleeding
excess sugar in blood (hyperglycaemia)
a disorder of the nerves which can cause weakness, tingling or numbness
swelling of the gums
abdominal bloating (gastritis)
abnormal liver function, inflammation of the liver (hepatitis), yellowing of the skin (jaundice), liver enzyme increase which may have an effect on some medical tests
increased muscle tension
inflammation of blood vessels, often with skin rash
sensitivity to light
disorders combining rigidity, tremor or movement disorders

Additional Information
Storage

Keep out of reach of children
Do not use your tablets after the expiry date
Store at room temperature (15-25ºC)

Disclaimer

The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.