Tenec Tablet belongs to the class of medications called ‘anxiolytics’ used in the treatment of anxiety disorder. Anxiety is the repeated or persistent feeling of fear and worry about what’s about to come, which can interfere with your daily activities. Symptoms include irritability, lack of concentration, nervousness, fatigue, rapid heartbeat, and trembling.

Tenec Tablet contains Diazepam and Propranolol. Diazepam is a benzodiazepine and works by increasing the levels of chemicals in the brain that produce a calming effect. Propranolol is a beta-blocker. It has anxiolytic (anxiety-reducing) action. It works by reducing blood flow to the brain by directly acting on the brain's blood vessels. This reduces heart rate, blood pressure, and strain on the heart.

You should take this medicine exactly as prescribed by the doctor. The common side effects of Tenec Tablet are drowsiness, tiredness, slow or irregular heartbeat, cold extremities (hands and feet), and nightmares. Inform your doctor immediately if any of these side effects persist or worsen.

It is not recommended to take Tenec Tablet if you are allergic to any contents of it. Do not take Tenec Tablet if you have severe breathing problems, depression, phobia, myasthenia gravis (a muscle disorder), sleep apnoea (a sleep disorder), severe liver failure, porphyria (an inherited blood disorder), untreated heart failure, poor blood circulation, diabetes, slow heart rate, untreated pheochromocytoma (untreated high blood pressure due to kidney tumour), and metabolic acidosis (increased acidity in the blood). It is not recommended for use in pregnant and breastfeeding women. Do not take alcohol as it may cause excessive drowsiness. Tenec Tablet may cause drowsiness, so do not drive or operate heavy machinery if you are not fully alert.

Tenec Tablet is used in the treatment of anxiety. It has anxiolytic action and acts by reducing brain function and producing a calming effect. It can effectively treat symptoms such as excitability, fear, and nervousness in patients with anxiety. This, in turn, helps you to perform daily activities without much difficulty and improve quality-of-life.

• Drowsiness
• Tiredness
• Slow or irregular heartbeat
• Cold extremities (hands and feet)
• Nightmares
• Headache
• Confusion
• Urinary retention
• Decreased sex drive
• Impotence or difficulty having an orgasm
• Memory impairment
• Uncoordinated body movements
• Constipation

Before taking Tenec Tablet , inform your doctor if you have liver, kidney, or heart problems, overactive thyroid, blood circulation problems, psoriasis (a skin disorder), Raynaud’s disease (cold sensation in fingers and toes), intermittent claudication (narrowing of arteries in the legs leading to pain while walking), decreased albumin (a protein) levels in the blood, depression, suicidal thoughts, and fits. It should be used with caution in the elderly as there is a risk of side effects such as agitation, restlessness, and hallucinations (seeing or listening to things that are not real). It may also cause partial or total memory loss in some cases, especially if high doses are taken. Tenec Tablet may cause dependence, so it should be used for the shortest time possible in patients with a history of alcohol or drug abuse. After a few weeks of treatment, if the tablets are not working for you, inform your doctor immediately, as it can be a sign of tolerance.

Drug-Drug Interactions: Tenec Tablet may interact with a medicine used to treat sleep problems (sodium oxybate), antidepressants (fluvoxamine, fluoxetine, and Hypericum perforatum), an antipsychotic (clozapine), medicines used to treat allergies, medicines used to treat heart disease (verapamil, diltiazem, and nifedipine, etc.), medicines used to treat irregular heartbeats (disopyramide, quinidine, and flecainide, etc.), general anesthetics, local anesthetic (lidocaine), anti-diabetic medicine (insulin), an antibiotic (erythromycin), medicines used to treat tuberculosis (rifampicin and isoniazid), medicines that induce sleep, muscle relaxants (suxamethonium and tubocurarine), opioid pain killer (morphine), non-steroidal anti-inflammatory drug (indomethacin), medicines used to treat fits (phenobarbital, phenytoin, carbamazepine, and sodium valproate), water pills, antacids (cimetidine, omeprazole, and esomeprazole), medicine used to treat alcohol addiction (disulfiram), anti-parkinsonian agent (levodopa), steroid medicines, anesthetic (ketamine), medicine used to treat nausea and vomiting (nabilone).

Drug-Food Interactions: Avoid consumption of alcohol and grapefruit juice as they may increase the risk of side-effects.

Drug-Disease Interactions: Tenec Tablet should not be used in patients with severe breathing problems, depression, phobia, myasthenia gravis (a muscle disorder), sleep apnoea (a sleep disorder), severe liver failure, porphyria (an inherited blood disorder), untreated heart failure, poor blood circulation, diabetes, slow heart rate, untreated pheochromocytoma (untreated high blood pressure due to kidney tumor), and metabolic acidosis (increased acidity in the blood).

• SODIUM OXYBATE
• FLUVOXAMINE
• FLUOXETINE
• HYPERICUM PERFORATUM
• CLOZAPINE
• VERAPAMIL
• DILTIAZEM
• NIFEDIPINE
• DISOPYRAMIDE
• QUINIDINE
• FLECAINIDE
• LIDOCAINE
• INSULIN
• ERYTHROMYCIN
• RIFAMPICIN
• ISONIAZID
• SUXAMETHONIUM
• TUBOCURARINE
• MORPHINE
• INDOMETHACIN
• PHENYTOIN
• CARBAMAZEPINE
• PHENOBARBITAL
• SODIUM VALPROATE
• CIMETIDINE
• ESOMEPRAZOLE
• OMEPRAZOLE
• DISULFIRAM
• LEVODOPA
• KETAMINE
• NABILONE

• Maintain a healthy diet and exercise regularly helps in improving overall health and boosts self-esteem.
• Regularly attend therapy sessions.
• Perform meditation and yoga. This helps in relieving stress and provides relaxation.
• Follow a regular sleep pattern to improve the amount and quality of sleep you get.
• Include foods rich in omega fatty acids such as fish, nuts, fresh fruits, vegetables, and olive oils.
• Neurotransmitters are made up of amino acids. Amino acid-rich foods such as meat, dairy products, and certain fruits and vegetables help maintain neurotransmitter's proper maintenance.
• Complex carbohydrates help in stimulating serotonin (a feel-good neurotransmitter). These include whole grains, legumes, spinach, broccoli, oranges, and pears.
• Exercising helps in the production of the body’s natural antidepressants. It also helps in relieving stress, improving mood, boosts self-esteem, and provides restful sleep.
• Avoid smoking and alcohol consumption.
• Learn about your condition, understand the risk factors, and follow the doctor’s treatment plan.

• It is not advised to stop Tenec Tablet suddenly as it may lead to withdrawal reactions such as nervousness, difficulty speaking, sweating, diarrhea, and irritability. The doctor may gradually reduce the dose before completely stopping the treatment.
• Let your doctor know that you are taking Tenec Tablet before undergoing any laboratory tests, surgery, or dental treatment.

Anxiety disorder: Anxiety is a feeling of fear, worry, or uneasiness. It is usually a normal emotion. However, if a person experiences repeated anxiety episodes that worsen over time or interfere with daily activities, then the condition is called anxiety disorder. Fear can arise due to anxiety and emotional response to an immediate threat related to more staying to fight or leaving to escape danger. Fear before getting ready for the surgery is also a part of short-term anxiety. Anxiety disorders can affect an individual’s job performance, schoolwork, and personal relationships.