Systonorm NF 50mg/20mg Tablet

Systonorm NF 50mg/20mg Tablet is a medicine used to treat hypertension (high blood pressure). This combination medicine controls blood pressure when a single medication is not effective. By lowering the blood pressure, it helps in preventing future heart attack and stroke.

You can take Systonorm NF 50mg/20mg Tablet at any time of day, on empty stomach, but it is best to take it at the same time each day. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor's advice while taking this medicine.

It may cause side effects like fatigue, ankle swelling, headache, slow heart rate, and nausea. It may also cause dizziness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. To reduce the swelling, raise your legs while sitting down. You may be asked for regular monitoring of blood pressure, kidney function, and electrolytes level while on the treatment.

Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions.

• Hypertension (high blood pressure)

Hypertension (high blood pressure)
Systonorm NF 50mg/20mg Tablet is a combination medicine that contains two active ingredients, Nifedipine and Atenolol. Both of the medicines in this combination work to lower blood pressure but in different ways. Together they help to relax blood vessels, reduce heart rate and make it easier for your heart to pump blood around your body. This lowers blood pressure.
If your blood pressure is controlled you are less at risk of having a heart attack, stroke or kidney problems. The medicine must be taken regularly as prescribed to be effective. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well. You should also make appropriate lifestyle changes (such as eating healthy and staying active) to maximize the effectiveness of this medicine.

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Selca

• Ankle swelling
• Headache
• Tiredness
• Palpitations
• Cold extremities
• Sleepiness
• Nausea
• Edema (swelling)
• Slow heart rate
• Flushing (sense of warmth in the face, ears, neck and trunk)
• Constipation

Take this medicine in the dose and duration as advised by your doctor. Systonorm NF 50mg/20mg Tablet is to be taken empty stomach.

Systonorm NF 50mg/20mg Tablet is a combination of two medicines: Atenolol and nifedipine which lower blood pressure effectively. Atenolol is a beta blocker that works specifically on the heart to slow down the heart rate while nifedipine is a calcium channel blocker which works by relaxing blood vessels. Together, they make the heart more efficient at pumping blood throughout the body.

• You have been prescribed Systonorm NF 50mg/20mg Tablet for the treatment of high blood pressure.

• Lowering blood pressure reduces chance of future heart attack & strokes.

• It may cause dizziness. Get up slowly when rising from a sitting or lying position.

• Do not stop taking the medication suddenly without talking to your doctor as it can cause sudden increase in your blood pressure.

• Let your doctor know if you are pregnant or planning for pregnancy.

Atenolol + nifedipine. Macclesfield, Cheshire: AstraZeneca UK Ltd.; 2016. [Accessed 28 Jan. 2019] (online) Available from:

Atenolol. Ruislip, Middlesex: Thame Laboratories; 2015. [Accessed 04 Feb. 2019] (online) Available from:

MedlinePlus. Nifedipine. [Accessed 04 Feb. 2019] (online) Available from:

Nifedipine. New York, New York: Pfizer Labs; 2013. [Accessed 11 Apr. 2019] (online) Available from:

[Drugs.com. Atenolol Pregnancy and Breastfeeding Warnings. Accessed 11 Apr. 2019 (online) Available from:

ScienceDirect. Nitrendipine. [Accessed 11 Apr. 2019] (online) Available from: