MIROBECT 50MG: Uses and Ingredients Explained - Pharmacology

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Drug Name Inquiry


The medication prescribed by Navy Hospital 802 - Drug Name: MIROBECT 50MG TAB, Active Ingredient: ATENOLOL 50MG, Indication: Antihypertensive agent.

Hou Zhiwei, 30~39 year old female. Ask Date: 2004/01/08

Dr. Hou Fangmin reply Pharmacology


Hello: Atenolol is Tenormin 50mg.
Drug action: This medication is a selective beta-adrenergic receptor blocker, specifically targeting beta receptors in the heart.
It is taken once daily and can maintain its effects for 24 hours.
Indications: Angina pectoris, hypertension.
Dosage and administration: 1.
Hypertension - the daily dosage is 50mg to 100mg, taken once daily.
It can be used in conjunction with diuretics and other antihypertensive agents for enhanced therapeutic effect.
2.
The full therapeutic effect is usually observed within 1 to 2 weeks of administration.
3.
Most angina patients respond well to a daily dose of 100mg, either taken once or divided, and increasing the dose does not proportionately increase efficacy.
Side effects: These may include cold extremities, muscle fatigue, and bradycardia.
There have been reports of skin rashes and dry eyes associated with beta-adrenergic receptor blockers, but these side effects are rare and resolve upon discontinuation of the medication.
If these side effects persist, consideration should be given to stopping the medication.
Discontinuation of beta-blockers should be done gradually.
Precautions: 1.
Special caution is required for patients with heart failure; myocardial contractility must be maintained, and treatment with digoxin or diuretics may be necessary to manage the failure.
2.
It may lower heart rate, but bradycardia is rare; in such cases, the dosage may be reduced.
3.
It can alleviate tachycardia caused by hypoglycemia.
This medication is excreted through the kidneys, so caution is advised in patients with severe renal impairment.
Contraindications: This medication is contraindicated in patients with second or third-degree heart block and in children.
This is the information regarding the drug's action and contraindications; our hospital also has this medication available.
I hope this response meets your satisfaction.
Thank you.

Reply Date: 2004/01/08

More Info


MIROBECT 50MG, containing the active ingredient Atenolol, is a medication primarily used for the treatment of hypertension (high blood pressure) and angina pectoris (chest pain). Atenolol is classified as a selective beta-1 adrenergic receptor blocker, which means it specifically targets the beta-1 receptors located primarily in the heart. By blocking these receptors, Atenolol reduces heart rate, decreases myocardial contractility, and ultimately lowers blood pressure.

Uses of MIROBECT (Atenolol)
1. Hypertension Management: Atenolol is commonly prescribed to help manage high blood pressure. By lowering blood pressure, it reduces the risk of complications such as stroke, heart attack, and kidney problems. The typical dosage for hypertension ranges from 50 mg to 100 mg once daily, depending on the patient's response and tolerance.

2. Angina Pectoris: Atenolol is also effective in treating angina, a condition characterized by chest pain due to reduced blood flow to the heart. It helps to alleviate the frequency and severity of angina attacks, allowing patients to engage in daily activities with less discomfort.

3. Post-Myocardial Infarction: Atenolol is often used in patients who have suffered a heart attack to improve survival rates and prevent further cardiac events. It helps to stabilize the heart's rhythm and reduce the workload on the heart.


Mechanism of Action
Atenolol works by blocking the effects of adrenaline (epinephrine) on the heart. This leads to a decrease in heart rate and the force of contraction, which lowers blood pressure and reduces the heart's oxygen demand. The medication is usually taken once daily, providing a sustained effect over 24 hours.


Dosage and Administration
For hypertension, the initial dose is typically 50 mg once daily, which may be increased to 100 mg based on the patient's blood pressure response. For angina, a dose of 100 mg daily is common. It is important to adhere to the prescribed dosage and not to discontinue the medication abruptly, as this can lead to rebound hypertension or exacerbation of angina.


Side Effects
While Atenolol is generally well-tolerated, some patients may experience side effects. Common side effects include:
- Cold extremities
- Fatigue or weakness
- Bradycardia (slow heart rate)
- Dizziness
- Gastrointestinal disturbances
In rare cases, patients may experience more severe reactions such as skin rashes or dry eyes. If any severe side effects occur, it is crucial to contact a healthcare provider immediately.


Precautions and Contraindications
1. Heart Conditions: Atenolol should be used with caution in patients with heart failure or significant heart block (second or third-degree atrioventricular block) unless a pacemaker is present.

2. Kidney Function: Since Atenolol is primarily excreted through the kidneys, patients with renal impairment should be monitored closely, and dosage adjustments may be necessary.

3. Diabetes: Atenolol may mask the symptoms of hypoglycemia (low blood sugar), so diabetic patients should be cautious and monitor their blood sugar levels regularly.

4. Pregnancy and Breastfeeding: The safety of Atenolol during pregnancy and breastfeeding should be discussed with a healthcare provider, as it may affect fetal development and infant health.


Conclusion
In summary, MIROBECT 50MG (Atenolol) is a valuable medication for managing hypertension and angina. Its selective action on beta-1 receptors makes it effective in reducing heart rate and blood pressure, thereby decreasing the risk of cardiovascular complications. Patients should be aware of potential side effects and the importance of adhering to prescribed dosages. Regular follow-up with healthcare providers is essential to ensure the medication's effectiveness and safety.

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