bp-loride tablet - Atenolol (50mg) + Amiloride (2.5mg) medicine

bp-loride tablet: Comprehensive Medicine Guide

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🏭 Elder Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 24, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for hypertension; moderate for edema.
Reviewed by
SaathiMed Expert Panel | Sep 24, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe dizziness or fainting
  • Very slow or irregular heartbeat
  • Difficulty breathing or wheezing
  • Muscle weakness or paralysis
  • Decreased urine output or swelling
  • Chest pain or severe headache
  • Allergic reactions such as rash, itching, or swelling of face, lips, or throat

If experiencing severe symptoms, call emergency services immediately.

What is bp-loride tablet used for?

This medicine is a combination of Atenolol (a beta-blocker) and Amiloride (a potassium-sparing diuretic) used to treat high blood pressure and fluid retention. It works by slowing the heart rate and removing excess fluid while conserving potassium.

  • Generic Name: Atenolol + Amiloride
  • Manufacturer: Elder Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 bp-loride tablet के बारे में (Hindi Summary)

उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) और शरीर में पानी के जमाव (एडिमा) के इलाज के लिए इस्तेमाल की जाती है। इसमें एटेनोलोल और एमिलोराइड दो सक्रिय तत्व हैं। एटेनोलोल दिल की धड़कन को धीमा करता है और रक्तचाप को कम करता है, जबकि एमिलोराइड शरीर से अतिरिक्त पानी और सोडियम को बाहर निकालता है और पोटैशियम को बनाए रखता है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में थकान, चक्कर आना, हाथ-पैर ठंडे होना, धीमी हृदय गति, मतली और पेट में हल्की परेशानी शामिल हैं। कभी-कभी पोटैशियम का स्तर बढ़ सकता है, जिससे मांसपेशियों में कमजोरी या अनियमित दिल की धड़कन हो सकती है। गंभीर दुष्प्रभाव जैसे बहुत धीमी हृदय गति, हृदय रुकावट, या गुर्दे की समस्या हो सकती है। अगर आपको लगातार चक्कर आना, बेहोशी, या सांस लेने में तकलीफ हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपने आप दवा बंद न करें, क्योंकि अचानक बंद करने से दिल की समस्या बढ़ सकती है। पोटैशियम सप्लीमेंट या नमक के विकल्प बिना डॉक्टर की सलाह के न लें। शराब से बचें, क्योंकि इससे चक्कर और कम रक्तचाप हो सकता है। अगर आपको मधुमेह, गुर्दे या लीवर की बीमारी, अस्थमा या थायरॉइड की समस्या है, तो डॉक्टर को बताएं। नियमित रूप से रक्तचाप, हृदय गति, गुर्दे की कार्यप्रणाली और इलेक्ट्रोलाइट्स की जांच कराएं।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 bp-loride tablet Uses & Benefits

  • [{"condition":"Hypertension","description":"Used to lower high blood pressure in adults, often when a single agent is not sufficient.
  • The combination provides both beta-blockade and diuretic effects.","evidence":"Well-established"},{"condition":"Edema with potassium conservation","description":"May be used to treat fluid retention in conditions such as heart failure or liver disease, where maintaining potassium levels is important.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Angina prophylaxis","description":"Atenolol component may be used off-label for preventing angina attacks, but the combination is not standard for this indication.","evidence":"Limited"},{"condition":"Migraine prophylaxis","description":"Beta-blockers like Atenolol are sometimes used off-label to prevent migraines, but the added diuretic is not typically intended for this purpose.","evidence":"Limited"}]

Primary treatment for: Hypertension

Also treats: Edema, Heart failure, Angina

📋 Drug Information

Generic Name(s)Atenolol + Amiloride
Brand NameBP-Loride Tablet
ManufacturerElder Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action ClassBeta-blocker + Potassium-sparing diuretic
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day, preferably in the morning, to establish a routine and reduce nighttime urination.
2
Monitor your blood pressure and heart rate regularly at home and keep a log to share with your doctor.
3
Avoid potassium-rich foods and salt substitutes unless your doctor approves, as this medicine can raise potassium levels.
4
Do not stop this medicine abruptly; always consult your doctor before making any changes.
5
Report any signs of dizziness, unusual tiredness, muscle weakness, or slow heartbeat to your doctor promptly.
6
Inform all healthcare providers, including dentists, that you are taking this medicine before any procedure.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

High blood pressure
This medicine is commonly prescribed for this.
Likely Use
Swelling in legs or ankles
This medicine may be used to treat edema.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAtenolol is rapidly but incompletely absorbed from the gastrointestinal tract, with approximately 50% bioavailability. Amiloride is also absorbed from the gastrointestinal tract, with about 50% bioavailability. Food does not significantly affect the absorption of either component.
DistributionAtenolol is hydrophilic and distributes mainly into extracellular fluid; it crosses the placenta and is excreted in breast milk. Amiloride is distributed into extracellular fluid and may accumulate in renal impairment.
Protein BindingAtenolol binds minimally to plasma proteins (less than 5%). Amiloride is about 40% protein-bound.
MetabolismAtenolol is not significantly metabolized by the liver and is excreted largely unchanged by the kidneys. Amiloride is also not extensively metabolized and is excreted unchanged in urine.
Half-LifeAtenolol elimination half-life is approximately 6 to 7 hours; Amiloride half-life is approximately 6 to 9 hours. Both are prolonged in renal impairment.
ExcretionAtenolol is excreted primarily unchanged in urine (about 85% of an oral dose). Amiloride is excreted unchanged in urine (about 50%) and in feces (about 40%).
BioavailabilityAtenolol oral bioavailability is approximately 50%; Amiloride oral bioavailability is approximately 50%.
Onset of ActionBlood pressure lowering effect of Atenolol may begin within 1 hour after oral administration, but full therapeutic effect may take several days. Diuretic effect of Amiloride begins within 2 hours.
Peak Plasma TimeAtenolol peak plasma concentration occurs 2 to 4 hours after oral administration. Amiloride peak plasma concentration occurs 3 to 4 hours after oral administration.
Duration of ActionAtenolol's antihypertensive effect lasts approximately 24 hours, allowing once-daily dosing. Amiloride's diuretic effect lasts approximately 24 hours.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Atenolol is a cardioselective beta-1 adrenergic receptor blocker that reduces heart rate, myocardial contractility, and cardiac output, thereby lowering blood pressure and myocardial oxygen demand. Amiloride is a potassium-sparing diuretic that acts on the distal tubules of the nephron, inhibiting sodium reabsorption and reducing potassium excretion, which promotes mild diuresis while conserving potassium.

Mechanism Steps

1
Beta-1 receptor blockade: Atenolol selectively binds to beta-1 adrenergic receptors in the heart, blocking the effects of catecholamines such as adrenaline.
2
Reduced cardiac output: This blockade leads to a slower heart rate and reduced force of contraction, lowering cardiac output and blood pressure.
3
Inhibition of sodium channels: Amiloride blocks epithelial sodium channels in the distal tubule of the kidney, reducing sodium reabsorption.
4
Potassium retention and diuresis: As sodium excretion increases, water follows, producing diuresis. Potassium is retained because the sodium-potassium exchange in the distal tubule is reduced.
5
Complementary blood pressure reduction: The diuretic effect reduces plasma volume, while beta-blockade reduces cardiac output, together providing effective blood pressure control.

💡 How to Take bp-loride tablet

Strength: Tablet containing Atenolol 50 mg and Amiloride 2.5 mg.

1Take this medicine exactly as prescribed by your doctor.
2Swallow the tablet whole with a glass of water.
3You may take it with or without food, but taking it with food may reduce stomach upset.
4Take it at the same time each day, preferably in the morning.
5Do not crush, chew, or break the tablet unless instructed.
6Do not stop taking this medicine without consulting your doctor.

Dosage Information

Adult DosageThe usual adult dose is one tablet (Atenolol 50 mg + Amiloride 2.5 mg) taken orally once daily, preferably in the morning. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to therapy. Some patients may require dose adjustment or alternative therapy.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine, especially bradycardia and electrolyte imbalances. Start with a lower dose and monitor closely. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in renal impairment. Atenolol and Amiloride are renally excreted; dose reduction may be necessary. Monitor renal function and potassium levels regularly. Contraindicated in severe renal impairment.
Hepatic ImpairmentNo specific dose adjustment is established, but use with caution in patients with liver disease due to potential fluid and electrolyte imbalances. Monitor liver function.
Maximum Daily DoseThe maximum recommended daily dose is one tablet (Atenolol 50 mg + Amiloride 2.5 mg). Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
High-potassium foods
Moderate intake
Amiloride can increase potassium levels.
Alcohol
Avoid
May enhance blood pressure lowering and cause dizziness.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of bp-loride tablet

✅ Common Side Effects

Fatigue (Common (5-10%))
Usually resolves with continued use. If persistent or severe, consult your doctor.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying positions. Avoid driving if dizzy.
Cold extremities (Common (5-10%))
Keep hands and feet warm. Report if severe or painful.
Nausea (Common (5-10%))
Take with food to reduce stomach upset.
Increased urination (Common (5-10%))
Take earlier in the day to avoid nighttime urination.

🚨 Serious Side Effects

Severe bradycardia (slow heart rate) (Uncommon (0.1-1%))
Seek immediate medical attention if you feel faint, extremely weak, or have a very slow pulse.
Hyperkalemia (high potassium) (Uncommon (0.1-1%))
Report muscle weakness, irregular heartbeat, or numbness. Requires urgent blood test.
Acute kidney injury (Rare (<0.1%))
Seek medical help if you notice decreased urine output, swelling, or confusion.
Heart block (Rare (<0.1%))
Go to emergency if you experience chest pain, fainting, or severe dizziness.
Bronchospasm (Rare (<0.1%))
Seek immediate care if you develop wheezing or difficulty breathing.

⚠️ Rare Side Effects

Allergic reactions (rash, itching, swelling)
Discontinue and seek immediate medical attention if swelling of face, lips, or throat occurs.
Blood disorders (e.g., thrombocytopenia, leukopenia)
Report unusual bruising, bleeding, or signs of infection to your doctor.
Depression or mood changes
Consult your doctor if you experience persistent low mood.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Potassium supplements Major
Verapamil Major
Clonidine Major
Lithium Major
NSAIDs Moderate
ACE inhibitors Moderate
Digoxin Moderate
Insulin Moderate
Antacids Minor
Cimetidine Minor

🚨 Major Interactions

  • Potassium supplements or potassium-sparing diuretics
  • Calcium channel blockers (e.g., verapamil, diltiazem)
  • Clonidine
  • Lithium

⚡ Moderate Interactions

  • NSAIDs (e.g., ibuprofen, naproxen)
  • ACE inhibitors or ARBs
  • Digoxin
  • Oral hypoglycemics or insulin

🍷 Alcohol Interaction

Alcohol may enhance the blood pressure-lowering effects of this medicine, leading to dizziness, lightheadedness, and increased risk of fainting. It is advisable to avoid or limit alcohol consumption while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to Atenolol, Amiloride, or any component of the formulation","Severe renal impairment (e.g., anuria, acute kidney injury)","Hyperkalemia","Second- or third-degree heart block","Severe bradycardia","Cardiogenic shock","Uncontrolled heart failure","Metabolic acidosis"]

⚠️ Warnings & Precautions

["Do not discontinue Atenolol abruptly, as it may worsen angina or cause myocardial infarction.","Use with caution in patients with asthma or COPD; beta-blockers may cause bronchospasm.","May mask symptoms of hypoglycemia in diabetic patients.","May worsen symptoms of peripheral vascular disease.","Use with caution in patients with liver disease or electrolyte imbalances.","Avoid potassium supplements and potassium-containing salt substitutes.","May cause dizziness; avoid driving or operating machinery until you know how it affects you."]

🤱 Lactation Safety

Atenolol is excreted in breast milk and may cause bradycardia and hypoglycemia in the infant. Amiloride may also pass into breast milk. Breastfeeding is not recommended while taking this medicine unless advised by a doctor.

💊 Overdose Management

Overdose may cause severe bradycardia, hypotension, heart failure, hyperkalemia, and electrolyte disturbances. Treatment is supportive and symptomatic. Immediate medical attention is required. Measures may include gastric lavage, activated charcoal, intravenous fluids, vasopressors, and management of hyperkalemia. Hemodialysis may be considered for Atenolol removal.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not stop or change the dose without medical advice, as abrupt withdrawal of Atenolol can worsen angina or cause heart rhythm problems. Avoid potassium supplements or salt substitutes containing potassium unless specifically instructed, because Amiloride can raise potassium levels. Drink adequate fluids but do not overhydrate. Avoid alcohol, as it can intensify dizziness and low blood pressure. Inform your doctor if you have diabetes, kidney or liver disease, asthma, or thyroid disorders. Regular monitoring of blood pressure, heart rate, kidney function, and electrolyte levels is essential. Do not use this medicine during pregnancy or breastfeeding unless clearly advised by your doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to dizziness, electrolyte imbalances, and kidney problems. Start with a lower dose and monitor closely. Regular check-ups are essential.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy unless clearly needed. If you are planning pregnancy, consult your doctor to switch to a safer alternative. Beta-blockers and diuretics may affect fetal development.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthesia and affect heart rate and blood pressure during surgery. Your doctor may adjust the dose before surgery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine, as it may interact with certain local anesthetics containing epinephrine. Your dentist may need to adjust the anesthetic used.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce strain on your heart.
🥗
Engage in regular low-impact exercise like walking or swimming, but consult your doctor first.
😴
Limit salt intake to help control blood pressure.
💧
Avoid smoking and limit alcohol consumption.
🧘
Manage stress through relaxation techniques like deep breathing or meditation.
🌞
Get adequate sleep and follow a consistent sleep schedule.

🏋️ Exercise Considerations

Moderate exercise is generally safe, but avoid strenuous activities that cause excessive sweating or dehydration. Beta-blockers can reduce your maximum heart rate, so monitor your intensity. Stay hydrated and avoid sudden changes in position to prevent dizziness.

🥗 Diet Recommendations

Follow a low-sodium diet to help control blood pressure.
Include potassium-rich foods in moderation, but avoid excessive intake due to Amiloride.
Eat a balanced diet rich in fruits, vegetables, and whole grains.
Limit processed foods and added sugars.
Stay well hydrated unless your doctor advises otherwise.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. Take it in the morning to minimize nighttime urination. Inform your employer if your job involves safety-sensitive tasks.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Abrupt withdrawal can cause serious heart problems. Your doctor will decide if and when to stop based on your condition and response to treatment.

📅 Long-Term Use Effects

Long-term use requires regular monitoring of blood pressure, heart rate, kidney function, and electrolyte levels, especially potassium. Prolonged use may lead to tolerance or worsening of certain conditions. Do not stop abruptly. Your doctor may adjust the dose or add other medicines as needed.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet, exercise, and stress reduction can help manage hypertension and may reduce the need for medication.

Evidence: Well-established
Other antihypertensive classes

ACE inhibitors, ARBs, calcium channel blockers, or thiazide diuretics may be alternatives based on individual patient factors.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, inform your doctor before any vaccination, as your overall health status matters.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. If traveling across time zones, adjust the timing gradually as advised by your doctor. Store away from direct sunlight and moisture. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 58-year-old man with a history of hypertension and mild edema
He was prescribed this medicine after his blood pressure remained high on a single drug. Within a few weeks, his blood pressure stabilized, and the swelling in his ankles reduced. He learned to take it in the morning to avoid waking up at night to urinate. He also monitors his blood pressure daily and avoids potassium-rich foods.
💡 Lesson: Combination therapy can be effective when a single agent is insufficient. Adhering to the prescribed schedule and monitoring are key to success.
👤 A 65-year-old woman with hypertension and diabetes
She started this medicine and initially felt dizzy when standing up. Her doctor advised her to rise slowly and to monitor her blood sugar more frequently because beta-blockers can mask hypoglycemia symptoms. With these adjustments, she tolerated the medicine well and her blood pressure improved.
💡 Lesson: Elderly patients and those with diabetes need extra monitoring and may need lifestyle adjustments to manage side effects.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The blood pressure lowering effect may begin within a few hours, but full therapeutic effect may take several days to weeks. Your doctor will monitor your response.

Q: Can I take this medicine if I have diabetes?

A: Yes, but with caution. Beta-blockers can mask symptoms of low blood sugar. Monitor your blood glucose closely and inform your doctor.

Q: What should I do if I miss a dose?

A: If you remember within 12 hours, take it. If more than 12 hours have passed, skip it and continue with your regular schedule. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my diabetes medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for bp-loride tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be stopped once blood pressure is normal.
    Fact: High blood pressure often requires lifelong treatment. Stopping suddenly can cause dangerous rebound hypertension or heart problems.
  • Myth: This medicine is a water pill that can be used for weight loss.
    Fact: This medicine is not for weight loss. It is prescribed for specific medical conditions and should only be used under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Atenolol + Amiloride generic tablets

Brand Alternatives

  • BP-Loride Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Atenolol + Amiloride","class":"Beta-blocker + Potassium-sparing diuretic","main_use":"Hypertension, edema","potassium_effect":"Conserves potassium"},{"medicine":"Atenolol + Chlorthalidone","class":"Beta-blocker + Thiazide diuretic","main_use":"Hypertension","potassium_effect":"Depletes potassium"},{"medicine":"Amlodipine + Atenolol","class":"Calcium channel blocker + Beta-blocker","main_use":"Hypertension, angina","potassium_effect":"No direct effect"}]

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