BLOKIUM 100 mg TABLETS

2. What you need to know before you take Blokium 100 mg

Do not takeBlokium 100 mg

• if you are allergic to atenolol or any of the other ingredients of this medicine (listed in section 6).
• if you have or have had heart diseases such as uncontrolled heart failure (the heart does not pump enough blood to the rest of the body), bradycardia (very slow pulse), second or third degree heart block, or sick sinus syndrome (diseases in which the pulse is irregular).
• if you have ever had very low blood pressure, circulatory failure, or cardiac shock.
• if you have been told that you have a pheochromocytoma and are not being treated, or if you have metabolic acidosis.

Warnings and precautions

Consult your doctor before starting to take this medicine.

• if you have health problems such as asthma or breathing difficulties, if you have diabetes, depression, circulatory disorders, heart problems other than those mentioned in the previous section, kidney, liver, or thyroid problems.
• if you have been diagnosed with a type of chest pain called Prinzmetal's angina.
• if you have ever had an allergic reaction to something, for example, an insect bite, you should be cautious when taking this medicine, as it may increase the severity of these allergic reactions.
• if you notice that your pulse is slower while taking these tablets. This is normal, but if you are concerned, inform your doctor.
• if you are diabetic, this medicine may mask a drop in blood sugar (hypoglycemia) by reducing the normal response, which is an increase in heart rate. The manifestations of hyperthyroidism or thyrotoxicosis (disorders in which thyroid hormone levels are elevated in the blood) may also be masked.
• in case of hospitalization, inform the healthcare staff and, in particular, the anesthesiologist, that you are being treated with this medicine, as certain medications used in anesthesia may be incompatible with Blokium.

If you have any doubts about any of the above points, consult your doctor before taking Blokium.

If you are going to have any diagnostic tests (including blood tests, urine tests, skin tests that use allergens, etc.), inform your doctor that you are taking this medicine, as it may alter the results. See section 4.

Other medicines and Blokium 100 mg

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medicine.

Be especially careful and inform your doctor if you are taking disopyramide (for irregular heartbeats), other treatments for hypertension or angina (in particular, verapamil, diltiazem, nifedipine, clonidine), treatment for heart failure (digoxin), indomethacin or ibuprofen (for inflammation and/or pain), adrenaline (used in case of cardiac arrest or severe allergic reactions), or reserpine (for hypertension).

The administration of other beta-blockers such as celiprolol, propranolol, metoprolol, timolol, bisoprolol, carvedilol, oxprenolol, or nebivolol may increase the depressant effect of atenolol (the active ingredient of this medicine) on the heart.

You should also inform your doctor if you are being treated with any medicine for nasal congestion or other cold products that you may have purchased yourself at a pharmacy.

If you are taking clonidine for hypertension or to prevent migraines, do not stop treatment with this or with Blokium without first consulting your doctor.

Never take another medicine on your own initiative without your doctor's recommendation, as some combinations should be avoided.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

The use of this medicine is not recommended during breastfeeding; if your doctor considers that you need to take it, it is recommended to replace breastfeeding with formula feeding.

Children and adolescents

This medicine should not be used in children.

Use in people over 65 years old

Elderly patients have a higher risk of suffering adverse reactions due to the use of this medicine, so it should be used with caution in these patients (see section 3).

Use in athletes

Athletes are informed that this medicine contains a component that may produce a positive result in doping tests.

Driving and using machines

Some people may occasionally experience dizziness and fatigue while being treated with this medicine. If you feel these effects, you should not drive vehicles or operate machinery.

This medicine contains less than 23 mg of sodium (1 mmol) per tablet; it is essentially "sodium-free".

3. How to take Blokium 100 mg

Follow exactly the administration instructions of this medicine indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.

Remember to take your medicine.

This medicine is for oral administration. Swallow the tablet whole with the help of water.

Try to take your tablet at the same time every day.

Your doctor will decide the dose of this medicine that you should take based on your individual needs. The usual doses are:

Hypertension:the usual dose is 100 mg, taken once daily. Some patients may need a maintenance dose of only 50 mg once daily. The evaluation of the response should only be done after 1 or 2 weeks of continuous treatment.

In case the reduction of tension after this time is insufficient, your doctor will assess the need to add a diuretic or another antihypertensive to the treatment.

Angina pectoris:the effective dose is generally 100 mg in a single dose or in two doses of 50 mg per day. It is not usual for the efficacy to increase if this dose is exceeded.

Arrhythmias:after initial treatment with atenolol intravenously, maintenance therapy with 50 or 100 mg of atenolol, orally, in a single daily dose, may be started.

Acute myocardial infarction:it is possible that during the early phase of a myocardial infarction, you will be given a dose of atenolol intravenously in the hospital after the onset of chest pain. Subsequently, if no adverse effects have appeared, you should take this medicine orally as indicated. The dose after this acute phase will be 100 mg per day orally. If adverse effects such as a significant decrease in pulse and/or blood pressure appear, treatment will be discontinued.

Use in people over 65 years old

Your doctor should adjust the dose of this medicine if you are over 65 years old.

Use in patients with kidney disease

Your doctor should adjust the dose of this medicine if you have kidney disease.

Use in patients with liver disease

Your doctor should adjust the dose of this medicine if you have liver disease.

If you think the action of this medicine is too strong or too weak, tell your doctor or pharmacist.

If you take moreBlokium 100 mgthan you should

You may have difficulty breathing or a decrease in pulse or blood pressure. Contact your doctor or go to the nearest hospital as soon as possible. Take this leaflet with you.

In case of overdose or accidental ingestion, consult the Toxicology Information Service. Telephone 915 620 420.

If you forget to takeBlokium 100 mg

If you forget to take this medicine, take a dose as soon as you remember. Do not take a double dose to make up for forgotten doses.

If you stop takingBlokium 100 mg

Your doctor will indicate the duration of your treatment with this medicine. Do not stop taking the tablets before finishing the treatment, even if you feel well, unless your doctor tells you to. If your doctor tells you to stop taking this medicine, you should stop treatment gradually.

If you have any other questions about the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Blokium 100 mg can cause side effects, although not everybody gets them.

If you experience any of the following side effects, inform your doctor, who will indicate whether you should interrupt the treatment and how to do it correctly.

The side effects that have been observed with this medicine are the following:

• Very common (affecting more than 1 in 10 patients): fatigue, drowsiness, headache, insomnia, depression, difficulty breathing (bronchospasm), circulation problems, with cold extremities and a feeling of tingling.

• Common (affecting between 1 and 10 in 100 patients): severe circulatory disorders (decrease in blood pressure and/or pulse, heart block, heart failure), hallucinations, somnolence, confusion, neurological disorders such as paresthesia (tingling and numbness of the extremities) or peripheral neuropathy (pain, loss of sensitivity, and inability to control muscles), muscle disorders, and vision disorders.

• Uncommon (affecting between 1 and 10 in 1,000 patients): diarrhea, constipation, nausea, vomiting, abdominal cramps (abdominal pain), allergic reactions, skin rashes, itching, reversible hair loss, decreased platelets, decreased white blood cells, non-thrombocytopenic purpura (a blood disorder characterized by bruising and bleeding), increased eosinophils in blood, impotence (erectile dysfunction), decreased libido, pulmonary fibrosis, and pleural effusion.

Reporting of side effects

If you experience any side effects, consult your doctor, pharmacist, or nurse, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency's Pharmacovigilance System: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Blokium 100 mg

Do not store above 30°C.

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. The expiry date is the last day of the month stated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the pharmacy's SIGRE point. If you are unsure, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Contents of the pack and further information

Composition of Blokium 100 mg

• The active ingredient is atenolol. Each tablet contains 100 mg of atenolol.
• The other ingredients are microcrystalline cellulose (E-460), magnesium stearate (E-572), sodium starch glycolate (from potato), povidone.

Appearance of the product and pack contents

Blokium 100 mg tablets are white, biconvex, cross-scored on the upper face, and have a smooth lower face.

Blokium 100 mg tablets are available in packs containing 30 or 60 tablets.

Marketing authorization holder and manufacturer

Marketing authorization holder

Almirall, S.A.

General Mitre, 151

08022 Barcelona (Spain)

Manufacturer

Industrias Farmacéuticas Almirall, S.A.

Ctra. de Martorell, 41-61

08740 Sant Andreu de la Barca - Barcelona (Spain)

This leaflet was approved in:December 2002

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) http://www.aemps.gob.es/