ATENOLOLO 100 mg/25 mg Tabletki

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1. ATENOLOLO CLORTALIDONE DOC Generici 50 mg + 12,5 mg tablets
   1. What is ATENOLOLO CLORTALIDONE DOC Generici and what it is used for
   2. What you need to know before taking ATENOLOLO CLORTALIDONE DOC Generici
   3. How to take ATENOLOLO CLORTALIDONE DOC Generici
   4. Possible side effects
   5. How to store ATENOLOLO CLORTALIDONE DOC Generici
   6. Contents of the pack and other information
2. ATENOLOLO CLORTALIDONE DOC Generici 100 mg + 25 mg tablets
   1. What is ATENOLOLO CLORTALIDONE DOC Generici and what it is used for
   2. What you need to know before taking ATENOLOLO CLORTALIDONE DOC Generici
   3. How to take ATENOLOLO CLORTALIDONE DOC Generici
   4. Possible side effects
   5. How to store ATENOLOLO CLORTALIDONE DOC Generici
   6. Contents of the pack and other information

ATENOLOLO CLORTALIDONE DOC Generici 50 mg + 12,5 mg tablets

Generic medicine
Read this leaflet carefully before taking this medicine as it contains important
information for you.

• Keep this leaflet. You may need to read it again.
• If you have any questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others, even if they have the same symptoms as you, as it may be harmful.
• If any side effects occur, including those not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Contents of this leaflet:

• 1. What ATENOLOLO CLORTALIDONE DOC Generici is and what it is used for
• 2. What you need to know before you take ATENOLOLO CLORTALIDONE DOC Generici
• 3. How to take ATENOLOLO CLORTALIDONE DOC Generici
• 4. Possible side effects
• 5. How to store ATENOLOLO CLORTALIDONE DOC Generici
• 6. Contents of the pack and other information

1. What is ATENOLOLO CLORTALIDONE DOC Generici and what it is used for

This medicine contains two active ingredients, atenolol and chlortalidone.
Atenolol belongs to a group of medicines called beta-blockers, which work by slowing down the heartbeat.
Chlortalidone belongs to a group of medicines called diuretics which work by increasing the amount of
urine produced by the kidneys.
.
ATENOLOLO CLORTALIDONE DOC Generici is indicated for the treatment of high blood pressure
(hypertension) in adults, when it is not possible to control it with atenolol or chlortalidone monotherapy alone.
See your doctor if you do not feel better or if you feel worse.

2. What you need to know before taking ATENOLOLO CLORTALIDONE DOC Generici

Do not take ATENOLOLO CLORTALIDONE DOC Generici

• if you are allergic to atenolol or clortalidone or any of the other ingredients of this medicine (listed in section 6);
• if you are allergic to sulfonamide derivatives (a class of antibiotics used to treat bacterial infections)
• if you are pregnant or planning to become pregnant and if you are breastfeeding.
• if you suffer from heart disease, including uncontrolled heart failure (the heart cannot pump enough blood to meet the body's needs) or second and third degree heart block (a disease of the heart's conduction system).
• if you suffer from reduced or irregular heartbeats, very low blood pressure, or severe circulatory disorders
• if you suffer from a tumor called “pheochromocytoma”, not undergoing treatment (this tumor usually develops near a kidney and can cause high blood pressure);
• if you suffer from severe kidney disease
• if your doctor has diagnosed you with abnormally high levels of acids in your blood (metabolic acidosis);

If you are in any of the above situations, inform your doctor.

Warnings and precautions
Consult your doctor, pharmacist or nurse before taking ATENOLOLO CLORTALIDONE DOC Generici:

• if you suffer from thyroid problems (a gland located in the neck), the medicine may mask the symptoms of hyperthyroidism, such as a fast heartbeat, tremor and excessive sweating
• if you suffer from diabetes (a disease characterized by an excess of sugars in the blood)
• if you suffer from heart or blood circulation problems even if controlled by adequate therapy
• if you suffer from respiratory problems or asthma
• if you have a tumor called “pheochromocytoma” undergoing treatment
• if you have electrolyte imbalances in the blood (alteration of the concentrations of salts, such as sodium and potassium, normally dissolved in the blood)
• if you suffer from liver problems
• if you suffer from a type of chest pain called “Prinzmetal's angina”
• if you have ever had allergic reactions in the past (for example, from insect stings)
• if you are to receive a type of medicines called anesthetics (medicines administered, for example, during a surgical operation)
• if you are taking ophthalmic beta-blockers (medicines that lower the pressure inside the eye), as they may increase the effects of medicines similar to ATENOLOLO CLORTALIDONE DOC Generici
• if you suffer from first-degree heart block (a disease of the heart's conduction system)
• if you have decreased vision or eye pain. These could be symptoms of fluid accumulation in the vascular layer of the eye (choroidal effusion) or increased pressure in the eye and can occur within hours or weeks of taking ATENOLOLO CLORTALIDONE DOC Generici. If left untreated, this condition can lead to permanent vision loss. If you have had a penicillin or sulfonamide allergy in the past, you may be at higher risk of developing this condition.

Reduced heart rate (number of heartbeats per minute)
During treatment with ATENOLOLO CLORTALIDONE DOC Generici you may experience a
reduction in your heartbeat (see section “Possible side effects”). This effect is normal,
but if it becomes a cause for concern, consult your doctor.

Diabetes or hypoglycemia (low blood sugar levels)
If you suffer from diabetes and are being treated with antidiabetics (medicines to treat diabetes), this medicine can
increase blood sugar levels. This generally causes an increase in the heart rate.

Uricemia (uric acid in the blood)
In prolonged treatments ATENOLOLO CLORTALIDONE DOC Generici can cause an increase in
uric acid levels in the blood, which can cause gout (a disease that causes joint pain). Your
doctor will indicate the appropriate therapy.

Anesthesia
If you are to be hospitalized, you must inform the medical staff of the ongoing treatment with
ATENOLOLO CLORTALIDONE DOC Generici and, in particular, the anesthesiologist (the doctor who takes care
of the anesthesia) in case of surgery.

If you play sports:
The use of this medicine without a therapeutic need constitutes doping and may still result in
positive doping tests.

Children and adolescents
ATENOLOLO CLORTALIDONE DOC Generici should not be given to children and adolescents
under the age of 18 years.

Other medicines and ATENOLOLO CLORTALIDONE DOC Generici
Tell your doctor or pharmacist if you are taking, have recently taken or might take any
other medicines.
In particular, tell your doctor if you are taking any of the following medicines:

• medicines for the treatment of irregular heartbeats (amiodarone, disopyramide or other antiarrhythmics)
• lithium (medicine used for some mental disorders)
• pain relievers such as indometacin or ibuprofen (medicines used for pain and inflammation)
• medicines for the treatment of high blood pressure or chest pain (especially verapamil, diltiazem, clonidine, or nifedipine). At least 48 hours must have elapsed since the discontinuation of any previous verapamil or diltiazem therapy before starting treatment with ATENOLOLO CLORTALIDONE DOC Generici, or vice versa
• medicine for the treatment of heart failure (digoxin, a medicine used for heart disorders)
• nasal decongestants or other drugs (containing, for example, pseudoephedrine) for the treatment of colds
• clonidine (medicine for the treatment of high blood pressure or to prevent migraine). If you are taking clonidine and ATENOLOLO CLORTALIDONE DOC Generici together, do not stop treatment with clonidine or ATENOLOLO CLORTALIDONE DOC Generici without first consulting your doctor
• drugs such as adrenaline (a medicine that stimulates the heart)
• baclofen (a medicine used to treat muscle cramps)

Pregnancy and breastfeeding
If you are pregnant, suspect or are planning a pregnancy, or if you are breastfeeding, do not take
ATENOLOLO CLORTALIDONE DOC Generici (see section 2 “Do not take
ATENOLOLO CLORTALIDONE DOC Generici”).

Driving and using machines
It is unlikely that the use of this medicine will affect your ability to drive vehicles and operate
machinery. However, dizziness and fatigue may sometimes occur; if you experience these
symptoms, it is advisable not to engage in these activities
ATENOLOLO CLORTALIDONE DOC Generici contains sodium
This medicine contains less than 1 mmol (23 mg) of sodium per tablet, i.e. essentially "sodium-free”.

3. How to take ATENOLOLO CLORTALIDONE DOC Generici

Take this medicine following exactly the instructions of your doctor or pharmacist. If you have
any doubts, consult your doctor or pharmacist.
The tablets must be swallowed whole with a little water, preferably always at the same time.

Use in adults
The recommended dose is 1 tablet a day.

Use in the elderly
If you are elderly, your doctor may decide to prescribe you a lower dose of ATENOLOLO CLORTALIDONE
DOC Generici.

If you have severe kidney problems
If you suffer from severe kidney problems you should not take ATENOLOLO CLORTALIDONE DOC Generici
(see section “Do not take ATENOLOLO CLORTALIDONE DOC Generici”).

Use in children and adolescents
ATENOLOLO CLORTALIDONE DOC Generici should not be given to children and adolescents of
under 18 years of age.

If you take more ATENOLOLO CLORTALIDONE DOC Generici than you should
In case of accidental ingestion/taking of an excessive dose of ATENOLOLO CLORTALIDONE
DOC Generici, inform your doctor immediately or go to the nearest hospital.
You may experience a slowing of the heartbeat, dizziness caused by low blood pressure and
difficulty breathing. Your heart may also struggle to supply blood to the rest of the body (acute
heart failure).

If you forget to take ATENOLOLO CLORTALIDONE DOC Generici
Do not take a double dose to make up for a missed tablet.
If you forget to take a dose, it is advisable to take it as soon as possible. Two doses should not
be taken at the same time.

If you stop taking ATENOLOLO CLORTALIDONE DOC Generici
Improvement in health status should not lead to discontinuation of treatment unless
requested by your doctor.
Discontinuation of treatment should be done gradually.
If you have any doubts about the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
During treatment with ATENOLOLO CLORTALIDONE DOC Generici, as with any medicine, the following side effects may occur with the following frequency:

Common (may affect up to 1 in 10 people):

• slowed heartbeat;
• cold hands and feet;
• stomach and intestinal disorders (e.g. nausea and diarrhea)
• tiredness;
• increased levels of uric acid in the blood, reduced levels of potassium in the blood, reduced levels of sodium in the blood (which can cause weakness, vomiting and cramps), reduced glucose tolerance (a condition that may lead to increased blood sugar).

Uncommon (may affect up to 1 in 100 people):

• sleep disturbances;
• alterations in blood tests related to liver function (transaminases).
• .

Rare (may affect up to 1 in 1,000 people):

• purpura (purple spots on the skin), thrombocytopenia (reduction in the number of platelets in the blood, which may manifest with bruising), leukopenia (reduction in the number of white blood cells in the blood, a type of blood cell)
• changes in mood, nightmares, confusion, psychosis (mental disorders) and hallucinations (seeing inexplicable things)
• dizziness, especially when standing up, headache, tingling in the hands;
• dry eyes, visual disturbances;
• difficulty breathing and/or swelling of the ankles if you have heart failure (heart disease)
• heart block (a condition that can cause an abnormal heartbeat, dizziness, fatigue or fainting)
• sudden drop in blood pressure when standing up with the possibility of loss of consciousness, worsening of circulatory disorders, numbness and cramps in the fingers followed by a sensation of heat and pain (Raynaud's phenomenon);
• worsening of breathing difficulties if you have asthma or have suffered from asthmatic problems
• dry mouth
• jaundice (yellowing of the skin and whites of the eyes), pancreatitis (inflammation of the pancreas, a gland located near the stomach)
• hair loss, skin rashes including worsening of psoriasis (chronic skin inflammation)
• inability to get an erection (impotence).

Very rare (may affect up to 1 in 10,000 people):

• alteration of laboratory values for measuring certain immune reactions (positive test for antinuclear antibodies).
• .

Not known (frequency cannot be estimated from available data):

• constipation;
• lupus-like syndrome (a disease in which the immune system produces antibodies that mainly attack the skin and joints).
• rapid onset of distant vision impairment (acute myopia),
• decreased vision or eye pain due to high pressure (possible signs of fluid accumulation in the vascular layer of the eye (choroidal effusion) or acute angle-closure glaucoma.
• depression

Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the national reporting system at https://www.aifa.gov.it/content/segnalazioni-reazioni-avverse.
By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store ATENOLOLO CLORTALIDONE DOC Generici

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the packaging after “Scad”.
The expiry date refers to the last day of that month.
The expiry date refers to the product in intact packaging, correctly stored.
Do not dispose of any medicine in wastewater or household waste. Ask your pharmacist how to eliminate
medicines that you no longer use. This will help protect the environment.

6. Contents of the pack and other information

What ATENOLOLO CLORTALIDONE DOC Generici contains

• The active ingredients are atenolol and clortalidone. Each tablet contains 50 mg of atenolol and 12.5 mg of clortalidone.
• The other ingredients are corn starch, magnesium carbonate, sodium lauryl sulfate, gelatin, magnesium stearate.

Description of the appearance of ATENOLOLO CLORTALIDONE DOC Generici and contents of the pack
Pack of 28 tablets.

Marketing Authorisation Holder
DOC Generici S.r.l., Via Turati 40, 20121 Milano

Manufacturer
Francia Farmaceutici S.r.l., Via dei Pestagalli 7, Milano
LACHIFARMA S.r.l. Laboratorio Chimico Farmaceutico Salentino, S.S. 16 Zona industriale, 73010 Zollino
(LE)

ATENOLOLO CLORTALIDONE DOC Generici 100 mg + 25 mg tablets

Generic medicine
Read this leaflet carefully before taking this medicine as it contains important
information for you.

• Keep this leaflet. You may need to read it again.
• If you have any questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others, even if they have the same symptoms as you, as it may be harmful.
• If any side effects occur, including those not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Contents of this leaflet:

• 1. What ATENOLOLO CLORTALIDONE DOC Generici is and what it is used for
• 2. What you need to know before you take ATENOLOLO CLORTALIDONE DOC Generici
• 3. How to take ATENOLOLO CLORTALIDONE DOC Generici
• 4. Possible side effects
• 5. How to store ATENOLOLO CLORTALIDONE DOC Generici
• 6. Contents of the pack and other information

1. What is ATENOLOLO CLORTALIDONE DOC Generici and what it is used for

This medicine contains two active ingredients, atenolol and chlortalidone.
Atenolol belongs to a group of medicines called beta-blockers, which work by slowing down the heartbeat
and making the heart beat with less force.
Chlortalidone belongs to a group of medicines called diuretics, which work by increasing the amount
of urine produced by the kidneys.
These two active ingredients work together to lower blood pressure.
ATENOLOLO CLORTALIDONE DOC Generici is indicated for the treatment of high blood pressure
(essential hypertension) when blood pressure is not adequately controlled by therapy with the
individual active ingredients (atenolol and chlortalidone).
See your doctor if you do not feel better or if you feel worse.

2. What you need to know before taking ATENOLOLO CLORTALIDONE DOC Generici

Do not take ATENOLOLO CLORTALIDONE DOC Generici

• if you are allergic to atenolol or clortalidone or to any of the other ingredients of this medicine (listed in section 6)
• • if you are allergic to sulfonamide derivatives (a class of antibiotics with antibacterial action, used in case of infections)
• • if you are pregnant or planning to become pregnant or if you are breastfeeding
• • if you suffer from heart disease, including uncontrolled heart failure with inadequate therapy (the heart is unable to pump enough blood to meet the body's needs) or second and third degree heart block (disease of the heart's conduction system)
• • if you suffer from reduced or irregular heartbeat, very low blood pressure, or severe circulatory disorders
• • if you suffer from a tumor called “pheochromocytoma” that is not being treated (this tumor generally develops near a kidney and can cause high blood pressure)
• • if you suffer from severe kidney disease
• • if your doctor has diagnosed you with abnormally high levels of acids in your blood (metabolic acidosis).

Warnings and precautions
Talk to your doctor or pharmacist before taking ATENOLOLO CLORTALIDONE DOC Generici.

• if you suffer from thyroid problems (a gland located in the neck), the medicine may mask the symptoms of hyperthyroidism, such as rapid heartbeat, tremor and excessive sweating
• if you suffer from diabetes (a disease characterized by an excess of sugar in the blood)
• if you suffer from heart or blood circulation problems even if controlled by adequate therapy
• if you suffer from respiratory problems or asthma
• if you have a tumor called “pheochromocytoma” that is being treated
• if you have electrolyte imbalances in the blood (alteration of the concentrations of salts, such as sodium and potassium, normally dissolved in the blood)
• if you suffer from liver problems
• if you suffer from a type of chest pain called “Prinzmetal's angina”
• if you have ever had allergic reactions in the past (for example, from insect stings)
• if you are going to receive a type of medicine called anesthetics (medicines that are administered, for example, during surgery)
• if you are taking ophthalmic beta-blockers (medicines that lower the pressure inside the eye), as they may increase the effects of medicines similar to ATENOLOLO CLORTALIDONE DOC Generici
• if you suffer from first-degree heart block (disease of the heart's conduction system)
• if you have decreased vision or eye pain. These could be symptoms of fluid accumulation in the vascular layer of the eye (choroidal effusion) or increased pressure in the eye and can occur within hours or weeks of taking ATENOLOLO CLORTALIDONE DOC Generici. If left untreated, this condition can lead to permanent vision loss. If you have had an allergy to penicillin or sulfonamides in the past, you may be at higher risk of developing this condition.

Reduced heart rate (number of heartbeats per minute)
During treatment with ATENOLOLO CLORTALIDONE DOC Generici you may experience a
reduction in heartbeats (see section “Possible side effects”). This effect is normal, but
if it becomes a cause for concern, consult your doctor.

Diabetes or hypoglycemia (low blood sugar levels)
If you suffer from diabetes and are being treated with antidiabetics (medicines to treat diabetes), this medicine can
increase blood sugar levels. This generally causes an increase in heart rate.

Uricemia (uric acid in the blood)
In prolonged treatments, ATENOLOLO CLORTALIDONE DOC Generici can cause an increase in
levels of uric acid in the blood, which can cause gout (a disease that causes joint pain). Your
doctor will indicate the appropriate therapy.

Anesthesia
If you are to be hospitalized, you must inform the medical staff of the ongoing treatment with
ATENOLOLO CLORTALIDONE DOC Generici and, in particular, the anesthesiologist (the doctor who takes care
of anesthesia) in case of surgery.

For those who play sports
The use of the drug without a therapeutic need constitutes doping and may still result in positive
doping tests.

Children and adolescents
ATENOLOLO CLORTALIDONE DOC Generici should not be given to children and adolescents of
age less than 18 years.

Other medicines and ATENOLOLO CLORTALIDONE DOC Generici
Tell your doctor or pharmacist if you are taking, have recently taken or might take any
other medicines.
In particular, tell your doctor if you are taking any of the following medicines:

• medicines for the treatment of irregular heartbeats (amiodarone, disopyramide or other antiarrhythmics)
• lithium (medicine used for certain mental disorders)
• pain relievers such as indometacin or ibuprofen (medicines used for pain and inflammation)
• medicines for the treatment of high blood pressure or chest pain (especially verapamil, diltiazem, clonidine, or nifedipine). At least 48 hours must have elapsed since the discontinuation of any previous therapy with verapamil or diltiazem before starting treatment with ATENOLOLO CLORTALIDONE DOC Generici, or vice versa
• medicine for the treatment of heart failure (digoxin, a medicine used for heart disorders)
• nasal decongestants or other drugs (containing, for example, pseudoephedrine) for the treatment of colds
• clonidine (medicine for the treatment of high blood pressure or to prevent migraine). If you are taking clonidine and ATENOLOLO CLORTALIDONE DOC Generici together, do not stop treatment with clonidine or ATENOLOLO CLORTALIDONE DOC Generici without first consulting your doctor
• drugs such as adrenaline (a medicine that stimulates the heart)
• baclofen (medicine used to treat muscle cramps)

Pregnancy and breastfeeding
If you are pregnant, suspect you are pregnant or are planning a pregnancy, or if you are breastfeeding with breast
milk, do not take ATENOLOLO CLORTALIDONE DOC Generici (see section 2 “Do not take
ATENOLOLO CLORTALIDONE DOC Generici”).

Driving and using machines
It is unlikely that taking ATENOLOLO CLORTALIDONE DOC Generici will affect your
ability to drive and use machines.
However, dizziness and fatigue may sometimes occur; if you experience these symptoms, it is
advisable not to engage in these activities.
ATENOLOLO CLORTALIDONE DOC Generici contains sodium
This medicine contains less than 1 mmol (23 mg) of sodium per tablet, i.e. essentially "sodium-free”.

3. How to take ATENOLOLO CLORTALIDONE DOC Generici

Take this medicine following exactly the instructions of your doctor or pharmacist. If you have
any doubts, consult your doctor or pharmacist.
The tablets must be swallowed whole with a little water, preferably always at the same time.

Use in Adults
The recommended dose is 1 tablet a day. .

Use in the elderly
If you are elderly, your doctor may decide to prescribe you a lower daily dose of ATENOLOLO
CLORTALIDONE DOC Generici.

If you have severe kidney problems
If you suffer from severe kidney problems, you should not take ATENOLOLO CLORTALIDONE DOC Generici
(see section “Do not take ATENOLOLO CLORTALIDONE DOC Generici”).

Use in children and adolescents
ATENOLOLO CLORTALIDONE DOC Generici should not be given to children and adolescents of
under 18 years of age.

If you take more ATENOLOLO CLORTALIDONE DOC Generici than you should
In case of ingestion/taking an accidental overdose of ATENOLOLO CLORTALIDONE
DOC Generici, immediately inform your doctor or go to the nearest hospital.
You may experience a slowing of the heartbeat, dizziness caused by low blood pressure and
difficulty breathing. Your heart may also struggle to supply blood to the rest of the body (acute
heart failure).

If you forget to take ATENOLOLO CLORTALIDONE DOC Generici
. Do not take a double dose to make up for the missed tablet.
If you forget to take a dose, it is advisable to take it as soon as possible. Two doses must not
be taken at the same time.

If you stop taking ATENOLOLO CLORTALIDONE DOC Generici
Improvement in your health status should not lead to discontinuation of treatment unless
requested by your doctor. . Discontinuation of treatment should occur gradually.
If you have any doubts about the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
During treatment with ATENOLOLO CLORTALIDONE DOC Generici, as with any medicine, the
following side effects may occur with the following frequency:

Common(may affect up to 1 in 10 people)

• slowed heartbeat
• cold fingers and toes, stomach and intestinal disorders (e.g. nausea, diarrhoea);
• tiredness;
• increased levels of uric acid in the blood, reduced levels of potassium in the blood, reduced levels of sodium in the blood (which can cause weakness, vomiting and cramps), reduced glucose tolerance (condition that may lead to an increase in blood sugar).

Uncommon(may affect up to 1 in 100 people)

• sleep disturbances;
• changes in blood tests related to liver function (transaminases).
• .

Rare(may affect up to 1 in 1000 people)

• purpura (purple spots on the skin), thrombocytopenia (reduction in the number of platelets in the blood, which may manifest with bruising), leukopenia (reduction in the number of white blood cells in the blood, a type of blood cell)
• changes in mood, nightmares, confusion, psychosis (mental disorders) and hallucinations (seeing inexplicable things)
• dizziness, especially when standing up, headache, tingling in the hands
• dry eyes, visual disturbances
• difficulty breathing and/or swelling of the ankles if you have heart failure (heart disease)
• heart block (condition that can cause an abnormal heartbeat, dizziness, fatigue or fainting)
• sudden drop in blood pressure when standing up with the possibility of loss of consciousness, worsening of circulatory disorders, numbness and cramps in the fingers followed by a sensation of heat and pain (Raynaud's phenomenon)
• worsening of breathing difficulties if you have asthma or have suffered from asthmatic problems
• dry mouth;
• jaundice (yellowing of the skin and whites of the eyes), pancreatitis (inflammation of the pancreas, a gland located near the stomach)
• hair loss
• skin rashes including worsening of psoriasis (chronic skin inflammation)
• inability to get an erection (impotence).

Very rare(may affect up to 1 in 10000 people)

• alteration of laboratory values for measuring certain immune reactions (positive test for antinuclear antibodies).

Not known(frequency cannot be estimated from available data)

• constipation;
• lupus-like syndrome (a disease in which the immune system produces antibodies that mainly attack the skin and joints).
• rapid onset of distant vision reduction (acute myopia),
• decreased vision or eye pain due to high pressure (possible signs of fluid accumulation in the vascular layer of the eye (choroidal effusion) or acute angle-closure glaucoma.

Reporting of side effects
If you get any side effects, even those not listed in this leaflet, tell your
doctor or pharmacist. You can also report side effects directly through the national
reporting system at https://www.aifa.gov.it/content/segnalazioni-reazioni-avverse.
By reporting side effects you can help provide more information on the safety of
this medicine.

5. How to store ATENOLOLO CLORTALIDONE DOC Generici

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the packaging after “Scad”.
The expiry date refers to the last day of that month.
The expiry date refers to the product in intact packaging, correctly stored.
Do not dispose of any medicine in waste water or household waste. Ask your pharmacist how to dispose of
medicines you no longer use. This will help protect the environment.

6. Contents of the pack and other information

What ATENOLOLO CLORTALIDONE DOC Generici contains

• The active ingredients are atenolol and clortalidone. Each tablet contains 100 mg of atenolol and 25 mg of clortalidone.
• The other ingredients are corn starch, magnesium carbonate, sodium lauryl sulfate, gelatin, magnesium stearate.

Description of the appearance of ATENOLOLO CLORTALIDONE DOC Generici and contents of the pack
Pack of 28 tablets.

Marketing Authorisation Holder
DOC Generici S.r.l., Via Turati 40, 20121 Milano

Manufacturer
Francia Farmaceutici S.r.l., Via dei Pestagalli 7, Milano
LACHIFARMA S.r.l. Laboratorio Chimico Farmaceutico Salentino, S.S. 16 Zona industriale, 73010 Zollino
(LE)