S-Amlodipine + Atenolol 2.5mg/50mg Tablet: Complete Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Very slow heart rate (below 50 beats per minute)
- Severe dizziness or fainting
- Difficulty breathing or wheezing
- Chest pain that worsens or does not go away
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is ildomex-at tablet used for?
This medicine is a combination of S-amlodipine and atenolol used to treat high blood pressure and prevent angina. It works by relaxing blood vessels and slowing the heart rate. Take it once daily as prescribed.
- Generic Name: S-Amlodipine (2.5mg) + Atenolol (50mg)
- Manufacturer: Ildong Pharmaceutical Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ildomex-at tablet के बारे में (Hindi Summary)
उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) और एंजाइना (सीने में दर्द) के इलाज के लिए इस्तेमाल की जाती है। यह रक्त वाहिकाओं को आराम देकर और हृदय की गति को धीमा करके रक्तचाप को कम करती है। इसे डॉक्टर के निर्देशानुसार प्रतिदिन एक बार लेना चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में थकान, चक्कर आना, सिरदर्द, पैरों में सूजन, और हृदय गति का धीमा होना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें बहुत धीमी हृदय गति, सांस लेने में कठिनाई, और बेहोशी शामिल हो सकती है। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे रक्तचाप बढ़ सकता है या सीने में दर्द हो सकता है। शराब से बचें क्योंकि इससे चक्कर आ सकते हैं। अगर आपको अस्थमा, मधुमेह, गुर्दे या यकृत की समस्या है, तो डॉक्टर को बताएं। नियमित रूप से रक्तचाप की जांच कराएं।
💊 ildomex-at tablet Uses & Benefits
[{"condition":"Hypertension","description":"Lowers high blood pressure, reducing the risk of stroke, heart attack, and kidney damage.","evidence":"Well-established"},{"condition":"Angina pectoris","description":"Prevents chest pain by reducing heart workload and improving blood flow to the heart.","evidence":"Well-established"},{"condition":"Post-myocardial infarction","description":"Used after a heart attack to reduce the risk of future cardiovascular events.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to prevent migraines, though evidence is limited.","evidence":"Limited"},{"condition":"Performance anxiety","description":"Beta-blockers like atenolol may be used off-label to reduce symptoms of anxiety.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Angina pectoris, Post-myocardial infarction
📋 Drug Information
| Generic Name(s) | S-Amlodipine (2.5mg) + Atenolol (50mg) |
| Brand Name | ildomex-at tablet |
| Manufacturer | Ildong Pharmaceutical Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. S-Amlodipine blocks L-type calcium channels in vascular smooth muscle, causing relaxation and widening of blood vessels. Atenolol selectively blocks beta-1 adrenergic receptors in the heart, reducing heart rate, contractility, and cardiac output. The combined effect lowers blood pressure and decreases myocardial oxygen demand.
Mechanism Steps
💡 How to Take ildomex-at tablet
Strength: Tablet containing S-Amlodipine 2.5 mg and Atenolol 50 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet once daily, taken orally, with or without food. The dose may be adjusted by your doctor based on your blood pressure response and tolerance. Do not exceed the prescribed dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Start with a lower dose and monitor closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Atenolol is excreted by the kidneys. In patients with renal impairment, dose reduction may be necessary. S-amlodipine does not require adjustment. Consult your doctor for individualized dosing. |
| Hepatic Impairment | S-amlodipine is metabolized in the liver. In hepatic impairment, start with a lower dose and monitor carefully. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet of 2.5 mg S-amlodipine and 50 mg atenolol. Do not exceed without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ildomex-at tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Verapamil | Major | |
| Clonidine | Major | |
| Ketoconazole | Major | |
| NSAIDs | Moderate | |
| Salbutamol | Moderate | |
| Insulin | Moderate | |
| Antacids | Minor | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- Verapamil or diltiazem
- Clonidine
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
⚡ Moderate Interactions
- NSAIDs
- Beta-2 agonists (e.g., salbutamol)
- Insulin and oral hypoglycemics
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering effect and increase dizziness. Avoid or limit alcohol consumption.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe bradycardia","Second or third-degree heart block","Cardiogenic shock","Uncontrolled heart failure","Severe asthma or COPD","Known hypersensitivity to amlodipine or atenolol"]
⚠️ Warnings & Precautions
["Do not stop suddenly; taper gradually to avoid rebound hypertension or angina.","Use with caution in asthma, diabetes, and peripheral vascular disease.","May mask symptoms of hypoglycemia in diabetics.","Avoid in pregnancy unless clearly needed.","Caution in elderly and those with renal impairment."]
🤱 Lactation Safety
Atenolol is excreted in breast milk and may cause side effects in the infant. S-amlodipine is also present in breast milk. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose may cause severe hypotension, bradycardia, heart failure, and bronchospasm. Seek immediate medical attention. Treatment is supportive and symptomatic, including activated charcoal, IV fluids, atropine, and vasopressors if needed.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not stop taking it suddenly, as this can cause a dangerous rise in blood pressure or chest pain. Avoid alcohol, as it can increase dizziness and lower blood pressure too much. Stand up slowly to prevent dizziness. Inform your doctor if you have asthma, diabetes, kidney or liver problems, or if you are pregnant or planning to become pregnant. Do not take this medicine if you have a very slow heart rate or certain heart rhythm problems. Keep all follow-up appointments and monitor your blood pressure regularly.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the effects, especially dizziness and slow heart rate. Start with a lower dose and monitor closely.
🤰 Pregnancy Planning (TTC)
Consult your doctor before planning pregnancy. This medicine may not be safe during pregnancy. Alternative treatments may be recommended.
🏥 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.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, as it may affect blood pressure and heart rate during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise initially as it may cause dizziness. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when you start treatment. Avoid driving or operating heavy machinery until you know how it affects you.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Abrupt withdrawal can cause rebound hypertension or angina. Your doctor will gradually reduce the dose if needed.
📅 Long-Term Use Effects
Long-term use is generally safe when monitored. Regular check-ups for blood pressure, heart rate, kidney and liver function are advised. Do not stop without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress reduction can help control blood pressure.
Evidence: Well-establishedACE inhibitors, ARBs, or diuretics may be alternatives if this combination is not suitable.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. Continue routine vaccinations as advised by your doctor.
📦 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 hand luggage. Store at room temperature and avoid extreme heat. Adjust dosing times if crossing time zones, but consult your doctor first. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts lowering blood pressure within 1-2 hours, but full effect may take 1-2 weeks.
A: No, high blood pressure often has no symptoms. Stopping suddenly can be dangerous. Consult your doctor before any change.
A: If you remember within 12 hours, take it. Otherwise, skip and continue with your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for ildomex-at tablet
View AllAlternative brands with exact same active ingredient:
-
davaindia s-amlodipine+atenolol 2.5mg/50mg tabletDavaindia Generic Pharmacy ₹15.00 84.8% CHEAPER
-
espin-at tabletIntas Pharmaceuticals Ltd ₹89.53 9.6% CHEAPER
-
numlo-at tabletEmcure Pharmaceuticals Ltd ₹238.40 140.8% COSTLIER
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 has no symptoms and requires long-term treatment. Stopping suddenly can be dangerous. - Myth: This medicine damages the kidneys.
Fact: Actually, controlling blood pressure protects the kidneys from damage.
🔄 Alternative Options
Generic Alternatives
- S-Amlodipine 2.5 mg + Atenolol 50 mg tablet (generic)
Brand Alternatives
- Not applicable