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Norten 20mg Tablet


Overview

Introduction

Norten 20mg Tablet belongs to a group of medicines called beta-blockers. It helps to decrease anxiety and relieve tremors. It is also used to help prevent migraine, heart-related chest pain (angina), and bleeding in the stomach caused by high blood pressure in the liver (portal hypertension).

Norten 20mg Tablet may also be used to treat high blood pressure and some types of abnormal heartbeat (arrhythmia). The dose will depend on what you are being treated for and how you respond to the medicine. You should always take it as prescribed by the doctor. It should be taken on an empty stomach and try to take it at the same time each day. You should keep taking it even if you feel well, as you are still getting the benefits. If you stop taking it suddenly, your condition may worsen.

The most common side effects are tiredness, weakness cold fingers and toes (Raynaud phenomenon), irregular or slow heartbeat, numbness in your fingers, and breathlessness. You may also experience nausea, vomiting and diarrhea. Talk to your doctor if the side effects bother you or do not go away. Most side effects are short-lived and improve as your body gets used to the medicine.

You should not use this medicine if you have asthma, very slow or uneven heartbeats or a serious heart condition, including heart failure. Talk to your doctor before taking it if you have kidney or liver problems or chronic obstructive pulmonary disease (COPD). In terms of lifestyle, alcohol may affect the way this medicine works and should be avoided. You should not drive if this medicine makes you feel dizzy. Ask your doctor whether it is safe to take this medicine if you are pregnant or breastfeeding.

Side effects of Norten Tablet

Common
  • Arrhythmia (irregular heartbeats)
  • Raynaud phenomenon
  • Weakness

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Arrhythmia (irregular heartbeats)
    Changes to your heart rhythm can be treated with a variety of medicines. You should ask your doctor whether you need medication or not. You can also try to prevent arrhythmias by limiting the amount of alcohol you drink and quitting smoking. Cut down the amount of coffee, tea or cola you drink. Lose weight if you need to. In general, keeping active, eating a healthy well-balanced diet, and having your blood pressure and cholesterol level under control is good for any heart condition. Your doctor will probably want you to get follow-up tests while taking this medicine and advise you accordingly.
  • Coping with Raynaud phenomenon
    You can often treat the symptoms by keeping yourself warm. Try to keep your home warm. Wear warm clothes during cold weather, especially on your hands and feet. Exercise regularly to improve your blood circulation. Try breathing exercises or yoga to help you relax. Eat a healthy, balanced diet. Do not smoke or drink too much tea, coffee or cola. Take rest when you can to avoid getting too tired.
  • Coping with Weakness
    Make sure you rest and drink plenty of fluids. Eat a well-balanced diet to keep your energy levels up. Do not drink too much alcohol. Do not drive or use tools or machinery until you feel better. Other things that can help include doing some gentle exercise every day, prioritizing and pacing your activities and having a short nap if you need to. If you are still having problems after a week, speak to your doctor, as they may want to change you to a different type of medicine.

How to use Norten Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Norten 20mg Tablet is to be taken empty stomach.
Avoid Norten 20mg Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

How Norten Tablet works

Norten 20mg Tablet is a beta blocker. It works by affecting the body’s response to nerve impulses, especially in the heart. It slows down your heart rate and makes it easier for the heart to pump blood around the body. It also widens the blood vessels in the body for better blood flow.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Norten 20mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Norten 20mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
SAFE IF PRESCRIBED
Norten 20mg Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Norten 20mg Tablet may cause side effects which could affect your ability to drive.
Norten 20mg Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Kidney
SAFE IF PRESCRIBED
Norten 20mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Norten 20mg Tablet is recommended.
However, inform your doctor if you have any kidney disease. Norten 20mg Tablet may be started with a low dose and then increased further. Regular monitoring of blood pressure is advisable for dose adjustment.
Liver
CAUTION
Norten 20mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Norten 20mg Tablet may be needed. Please consult your doctor.
Regular monitoring of blood pressure is advisable for dose adjustment.

What if you forget to take Norten Tablet?

If you miss a dose of Norten 20mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Norten 20mg Tablet
₹2.34/Tablet
Mibeta 20mg Tablet
Tas Med India Pvt Ltd
₹2.5/Tablet
7% costlier
Provanol 20 Tablet
Intas Pharmaceuticals Ltd
₹2.5/Tablet
7% costlier
₹2.58/Tablet
10% costlier
Betacap 20 Tablet
Sun Pharmaceutical Industries Ltd
₹2.75/Tablet
17% costlier
₹2.84/Tablet
22% costlier

Quick Tips

  • It is not the first-choice treatment for high blood pressure according to the latest guidelines.
  • It may hide the symptoms of low blood sugar if you have diabetes. Monitor blood sugar levels regularly.
  • To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
  • Use caution while driving or doing anything that requires concentration as Norten 20mg Tablet can cause dizziness and sleepiness.
  • Inform your doctor if you notice increased swelling around your legs or ankles, sudden weight gain or sudden shortness of breath as these may be symptoms of heart failure.
  • Do not stop taking the medication suddenly without talking to your doctor.

Interaction with Drugs

Taking Norten with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Norpace, Regubeat
LIFE-THREATENING
Brand(s): Diadose, Abacus, Disorb
SERIOUS
Brand(s): Atazor, Atavir, Virataz
SERIOUS
Brand(s): Karzine
SERIOUS

Patient Concerns

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What is heart attack? When heart attack coming?
Dr. Nabajit Talukdar
Cardiology
Related to chest pain angina commonly
Some times I had lot of hypertension
Dr. Jyoti Kapoor Madan
Psychiatry
Hypertension is clinically high blood pressure. Persistent high arterial blood pressure above 120/80 mm HG is termed as pre-hypertension or hypertension, but the point to be emphasized is that this rise in blood pressure is persistent. Transient increase in BP occurs in stress and anxiety and needs to be treated accordingly.
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Do you have any questions related to Norten 20mg Tablet ?

User Feedback


FAQs

Q. My doctor has prescribed Norten even though my blood pressure is within normal limits. Is it because of the chest pain that I complained of?

Yes, it is possible that your doctor prescribed Norten for chest pain (angina). Norten is a beta-blocker which is used to lower high blood pressure, prevent angina, treat or prevent heart attacks or reduce your risk of heart problems following a heart attack. Norten is also used to treat irregularities in heartbeat, including those caused by anxiety, essential tremor (shaking of head, chin and hands). It also prevents migraine headaches, overactive thyroid (thyrotoxicosis and hyperthyroidism) and bleeding in food pipe caused by high blood pressure.

Q. When can I expect a relief in my symptoms after starting Norten for high blood pressure?

Norten usually starts working within a few hours of taking it. However, it may take up to a week to see the full benefits of the symptoms of high blood pressure or heart conditions. You may not notice any difference, but that does not mean it is not working. For migraine, it may take a few weeks before you notice any difference, so keep taking the medicine.

Q. Can Norten be used in asthmatics?

No, Norten cannot be used in asthmatics. Norten is a non-specific beta receptor blocker. Using Norten in asthma patients can cause breathing problems, which may trigger an asthma attack.

Q. Can I take fluoxetine with Norten?

No, you should avoid taking fluoxetine with Norten. This is because, fluoxetine may cause an increase in levels of Norten in body which may increase its toxicity.

Q. Can I stop taking Norten as my chest pain is under control?

No, you should not stop taking Norten suddenly because that may worsen your angina or may cause a heart attack. Tell your doctor and if there is a need to stop Norten, your doctor will reduce your dose gradually over a period of a few weeks.

Q. Is Norten good for anxiety?

Yes, Norten helps relieve your physical symptoms of anxiety. The dose and duration of taking Norten will be suggested by your doctor, depending on whether your symptoms are a recurring problem or occur only in stressful conditions. However, Norten is usually given for a short time for anxiety.

Q. I have been on indomethacin since several months. Will it be a problem if I start taking Norten along with it?

Yes, indomethacin may interfere with the working of Norten and make it less effective. As a result, your blood pressure may increase. Speak to your doctor who will prescribe you a different medicine to control blood pressure.

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Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Westfall TC, WestfallIn DP. Adrenergic Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 320.
  2. Opie LH. β-Blocking Agents. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 28-29.
  3. Benowitz NL. Antihypertensive Agents. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 175-76.
  4. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1162-63.
  5. Propranolol. Barnstaple, UK: Actavis; 2018. [Accessed 20 Mar. 2019] (online) Available from:External Link
  6. Drugs.com. Propranolol Pregnancy and Breastfeeding Warnings. [Accessed 20 Mar. 2019] (online) Available from:External Link
  7. Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:External Link
  8. Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:External Link
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