Consumer Medicine Information (CMI) summary
The
full CMI on the next page has more details. If you are worried about using this medicine,
speak to your doctor or pharmacist.
1. Why am I using NOTEN?
NOTEN contains the active ingredient atenolol. NOTEN is used to lower high blood pressure,
which is called hypertension, prevent angina, treat irregular heart rhythm or beat
called arrhythmias and treat heart attacks, or reduce your risk of heart complications
following a heart attack. For more information, see Section
1. Why am I using NOTEN? in the full CMI.
2. What should I know before I use NOTEN?
Do not use if you have ever had an allergic reaction to NOTEN or any of the ingredients
listed at the end of the CMI.
Talk to your doctor if you have any other medical conditions, take any other medicines,
or are pregnant or plan to become pregnant or are breastfeeding. For more information, see Section
2. What should I know before I use NOTEN? in the full CMI.
3. What if I am taking other medicines?
Some medicines may interfere with NOTEN and affect how it works.
4. How do I use NOTEN?
• Follow all directions given to you by your doctor or pharmacist carefully.
• If you do not understand the instructions on the pack, ask your doctor or pharmacist
for help.
5. What should I know while using NOTEN?
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Things you should do
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Remind any doctor, dentist or pharmacist you visit that you are using NOTEN.
Keep all of your doctor's appointments so that your progress can be checked.
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Things you should not do
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Do not take NOTEN to treat any other complaints unless your doctor tells you to.
Do not give your medicine to anyone else, even if they have the same condition as
you.
Do not stop taking your medicine or lower the dose without checking with your doctor.
Do not take any new medicines with NOTEN unless your doctor has told you to.
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Driving or using machines
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Be careful driving or operating machinery until you know how NOTEN affects you.
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Looking after your medicine
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Keep your tablets in the pack until it is time to take them.
Store below 25°C in a cool, dry place
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6. Are there any side effects?
Common side effects include stomach upsets such as diarrhea, constipation, abdominal
pain or heartburn, dry mouth, change in taste sensation, dizziness, headache or buzzing
or ringing in the ears, slow or irregular heartbeat, dry eyes, problems with vision,
runny or blocked nose, difficulty sleeping, nightmares, skin reactions, cold fingers
and toes, increased hair loss, tingling 'pins and needles' or walking unsteadily or
sexual problems. Serious side effects include confusion or disorientation, depression
or mood changes or a worsening of these, unusual thoughts, hallucinations, light-headedness
or fainting which may be due to low blood pressure or yellowing of the skin and/or
eyes. Very serious side effects include allergic reaction. For more information,
including what to do if you have any side effects, see Section
6. Are there any side effects? in the full CMI.
Active ingredient(s):
atenolol
Full Consumer Medicine Information (CMI)
This leaflet provides important information about using NOTEN. You should also speak to your doctor or pharmacist if you would like further information
or if you have any concerns or questions about using NOTEN.
Where to find information in this leaflet:
1. Why am I using NOTEN?
NOTEN contains the active ingredient atenolol. NOTEN is belongs to a group of medicines called beta-blockers.
It works by affecting the body's response to certain nerve impulses, especially in
the heart. As a result, it decreases the heart's need for blood and oxygen and therefore
reduces the amount of work the heart has to do. It widens the blood vessels in the
body, causing blood pressure to fall. It also helps the heart to beat more regularly.
NOTEN is used to:
lower high blood pressure, which is called hypertension
prevent angina
treat irregular heart rhythm or beat called arrhythmias treat heart attacks, or reduce
your risk of heart complications following a heart attack
2. What should I know before I use NOTEN?
Warnings
Do not use NOTEN if:
you are allergic to atenolol, or any of the ingredients listed at the end of this
leaflet.
any of the ingredients listed at the end of this leaflet.
any other beta-blocker medicines.
Always check the ingredients to make sure you can use this medicine
you have or have had asthma (difficulty in breathing, wheezing and coughing), bronchitis
or other lung problems in the past.
a history of allergic problems, including hay fever. Symptoms of an allergy may include
rash, itching, watery eyes or sneezing.
a very slow heartbeat, less than 45 to 50 beats per minute
a severe blood vessel disorder causing poor circulation in the arms and legs
certain other heart conditions, such as heart failure
phaeochromocytoma (a rare tumour of the adrenal gland) that is not being treated with
other medicines
low blood pressure, also called hypotension
too much acid in your blood (metabolic acidosis)
you are receiving certain anaesthetics for medical or dental procedures
you are receiving emergency treatment for shock or very low blood pressure
Check with your doctor if you:
have any other medical conditions. These include heart problems, diabetes, an overactive
thyroid gland (called hyperthyroidism), kidney problems and any blood vessel disorders
causing poor blood circulation in the arms and legs
take any medicines for any other condition
you have allergies to any other medicines (including eye drops), foods, preservatives,
dyes or insect stings
During treatment, you may be at risk of developing certain side effects. It is important
you understand these risks and how to monitor for them. See additional information
under Section
6. Are there any side effects?
Pregnancy and breastfeeding
Check with your doctor if you are pregnant or intend to become pregnant.
Talk to your doctor if you are breastfeeding or intend to breastfeed.
3. What if I am taking other medicines?
Tell your doctor or pharmacist if you are taking any other medicines, including any
medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
supermarket or health food shop.
Some medicines may interfere with NOTEN and affect how it works.
other beta-blocker medicines
medicines used to treat high blood pressure, angina or an irregular heartbeat, such
as verapamil or clonidine
medicines used to treat other heart problems
insulin and other medicines used to treat diabetes
medicines used to treat arthritis, pain or inflammation such as indometacin or ibuprofen
medicines commonly used during surgery or in emergency situations such as adrenaline
(epinephrine), noradrenaline (norepinephrine) and certain anaesthetics
Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
or supplements you are taking and if these affect NOTEN.
4. How do I use NOTEN?
How much to take
Follow the instructions provided and use NOTEN until your doctor tells you to stop.
If you do not understand the instructions on the label, ask your doctor or pharmacist
for help
Hypertension - The usual dose is from 50 mg (1 tablet) up to 200 mg (4 tablets) daily.
If your dose is 100 mg or less, you may take it once a day. If you need to take more
than 100 mg (2 tablets), take half of your dose in the morning and the other half
at night.
Angina or arrhythmia (irregular heart beat) - The usual dose is from 50 mg daily (1
tablet) as a single dose up to 100 mg (2 tablets) either as a single dose or a divided
dose given as 1 tablet in the morning and 1 tablet at night.
Heart attack - The usual dose is 50 mg (1 tablet) daily. Certain people such as the
elderly or those with kidney problems may require a lower dose.
When to take NOTEN
NOTEN should be used at the same time everyday
It does not matter if you take NOTEN before or after food.
Continue taking your medicine for as long as your doctor tells you to
How to take NOTEN
Swallow NOTEN whole with a glass of water
If you forget to use NOTEN
NOTEN should be used regularly at the same time each day.
If it is less than six hours from when you missed your dose, take it as soon as you
remember, and then go back to taking your tablets at the same time you would normally.
If it is more than six hours since your last dose, skip the dose you missed and take
your next dose when you would normally.
Do not take a double dose to make up for the dose you missed.
If you are not sure what to do, ask your doctor or pharmacist.
If you use too much NOTEN
If you think that you have used too much NOTEN, you may need urgent medical attention.
You should immediately:
phone the Poisons Information Centre
(Australia telephone 13 11 26) for advice, or
contact your doctor, or
go to the Emergency Department at your nearest hospital.
You should do this even if there are no signs of discomfort or poisoning.
5. What should I know while using NOTEN?
Things you should do
Keep all of your doctor's appointments so that your progress can be checked
If you are about to be started on any new medicine, tell your doctor and pharmacist
that you are taking NOTEN.
Tell any other doctors, dentists and pharmacists who treat you that you are taking
this medicine.
Make sure you drink enough water in hot weather and during exercise while you are
taking NOTEN, especially if you sweat a lot
Call your doctor straight away if you:
become pregnant while taking this medicine, tell your doctor immediately
have an allergic reaction to any foods, medicines or insect stings, tell your doctor
immediately
going to have surgery, tell your surgeon or dentist that you are taking this medicine
have diabetes, check your blood sugar level regularly and report any changes to your
doctor
have angina and continue to have angina attacks or have more of them while you are
taking this medicine
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get
up slowly
have to have any medical tests
Things you should not do
Do not stop using this medicine suddenly
Do not stop taking your medicine or lower the dose without checking with your doctor
Do not take NOTEN to treat any other complaints unless your doctor tells you to
Do not take NOTEN to treat any other complaints unless your doctor tells you to
Do not take any new medicines with NOTEN unless your doctor has told you to
Things to be careful of
Be careful not to over exercise when you first start taking NOTEN
Dress warmly during cold weather, especially if you will be outside for a long time
(for example, when playing or watching sports in winter).
Driving or using machines
Be careful before you drive or use any machines or tools until you know how NOTEN
affects you.
NOTEN may cause dizziness, tiredness, light headedness or faintness in some people
Looking after your medicine
Keep your tablets in the pack until it is time to take them
Keep your tablets in a cool dry place where the temperature stays below 25°C
Follow the instructions in the carton on how to take care of your medicine properly.
Store it in a cool dry place away from moisture, heat or sunlight; for example, do
not store it:
in the bathroom or near a sink, or
in the car or on window sills.
Keep it where young children cannot reach it.
Getting rid of any unwanted medicine
If you no longer need to use this medicine or it is out of date, take it to any pharmacy
for safe disposal.
Do not use this medicine after the expiry date.
6. Are there any side effects?
All medicines can have side effects. If you do experience any side effects, most of
them are minor and temporary. However, some side effects may need medical attention.
See the information below and, if you need to, ask your doctor or pharmacist if you
have any further questions about side effects.
Less serious side effects
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Less serious side effects
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What to do
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stomach upsets such as diarrhoea, constipation, abdominal pain or heartburn (indigestion)
dry mouth, change in taste sensation
dizziness, headache or buzzing or ringing in the ears
slow or irregular heart beat
dry eyes, problems with vision
runny or blocked nose
difficulty sleeping, nightmares, vivid dreams
skin reactions (e.g. rash, itching, worsening of psoriasis
increased hair loss
tingling, 'pins and needles' or walking unsteadily
sexual problems
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Speak to your doctor if you have any of these less serious side effects and they worry
you.
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Serious side effects
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Serious side effects
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What to do
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confusion or disorientation
depression or mood changes or a worsening of these
unusual thoughts, hallucinations (seeing, feeling or hearing things that are not there)
light headedness or fainting, which may be due to low blood pressure
yellowing of the skin and/or eyes (jaundice)
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Call your doctor as soon as possible if you have any of these serious side effects
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Very serious side effects
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Very Serious side effects
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What to do
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wheezing, chest tightness or difficulty breathing
unusual bruising or bleeding
fast, slow or irregular heartbeat
swelling of the face, lips, tongue or other parts of the body
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Call your doctor straight away, or go straight to the Emergency Department at your
nearest hospital if you notice any of these serious side effects.
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Tell your doctor or pharmacist if you notice anything else that may be making you
feel unwell.
Other side effects not listed here may occur in some people.
Reporting side effects
After you have received medical advice for any side effects you experience, you can
report side effects to the Therapeutic Goods Administration online at
www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety
of this medicine.
Always make sure you speak to your doctor or pharmacist before you decide to stop
taking any of your medicines.
7. Product details
This medicine is only available with a doctor's prescription.
What NOTEN contains
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Active ingredient
(main ingredient)
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atenolol
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Other ingredients
(inactive ingredients)
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lactose monohydrate
maize starch
povidone
microcrystalline cellulose
colloidal anhydrous silica
hydrogenated vegetable oil
crospovidone
sodium starch glycollate
purified talc
magnesium stearate.
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Potential allergens
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sulfites
sugars as lactose
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Do not take this medicine if you are allergic to any of these ingredients.
What NOTEN looks like
NOTEN tablets are a 10.5 mm x 5.5 mm white, normal convex, oblong tablet marked with
AT/50 and α on the reverse. (AUST R 46250).
Who distributes NOTEN
Alphapharm Pty Ltd trading as Viatris
Level 1, 30 The Bond
30-34 Hickson Road
Millers Point NSW 2000
Phone: 1800 274 276
This leaflet was prepared in August 2023.
NOTEN® is a Viatris company trade mark
NOTEN_cmi\Aug23/00