Atenolol

Atenolol is a prescription drug used for controlling high blood pressure, relieving symptoms of angina, and improving survival following a heart attack. The medicine is not, however, a cure for high blood pressure or angina. Atenolol works by blocking a specific type of beta receptor, which causes the reverse effect of stress hormones -- it decreases heart rate and both systolic and diastolic blood pressure, as well as the workload of the heart. A few of its common side effects include tiredness, dizziness, depression, and shortness of breath.
  

What Is Atenolol?

Atenolol (Tenormin®) is a prescription medicine that has been licensed to treat several conditions related to the heart and blood vessels. It is part of a class of drugs called beta blockers.
  

Atenolol Uses

Atenolol has been licensed to treat a number of conditions.
 These uses include:
 
The drug does not cure high blood pressure or angina.
 
Atenolol may also be recommended for other reasons, such as treatment of migraines or anxiety. It has not been approved for use in children.
 
(Click What Is Atenolol Used For? for more information on what Atenolol is used for, including possible off-label uses.)
 

How Does Atenolol Work?

Atenolol is part of a class of drugs called beta-adrenergic blocking agents, or beta blockers for short. As the name implies, beta blockers block beta receptors in the body. Beta receptors are located in a number of places within the body, including the heart and blood vessels. Adrenaline attaches to these receptors and causes certain reactions in the body, such as an increase in:
 
Atenolol helps to block a specific type of beta receptor called beta-1 receptors. By blocking beta-1 receptors, atenolol causes the reverse effect of adrenaline. It decreases heart rate, both systolic and diastolic blood pressure, and the workload of the heart. This means that the heart requires less blood and oxygen to work properly.
 

Effects of Atenolol

By lowering blood pressure, atenolol can decrease the risks that accompany long-term high blood pressure (see Effects of High Blood Pressure). By decreasing the workload of the heart, the drug can also decrease symptoms of angina, including chest pain. Finally, although the exact mechanism is not known, atenolol can increase the survival in people who have just suffered a heart attack.
 

When and How Do I Take It?

Some general considerations for when and how to take this drug include the following:
 
  • Atenolol comes in a tablet form that can be taken with or without food.
     
  • Do not break, chew, or crush the tablets.
     
  • It should be taken at the same time each day to maintain an even level of medicine in your blood.
     
  • For the drug to work properly, you have to take it as prescribed. Atenolol will not work if you stop taking it.
     
  • You should not stop taking the drug without first discussing it with your healthcare provider. Stopping it abruptly increases the risk of serious side effects (see Warnings and Precautions With Atenolol).
     

Dosing of Atenolol

The dose that your healthcare provider recommends will vary depending on a number of factors, including:
 
  • Your age
  • The medical condition you are being treated for
  • Other medical conditions you may have
  • Other medications you may be currently taking.
     
As always, do not adjust your dose unless your healthcare provider specifically instructs you to do so.
 
(Click Atenolol Dose for more information about dosing for this drug.)
 

Side Effects of Atenolol

As with any medicine, there are possible side effects. However, not everyone who takes atenolol will experience problems. When side effects do occur, they are often minor and either require no treatment or can easily be treated by you or your healthcare provider. Serious side effects are less common.
 
The most common side effects include:
 
(Click Atenolol Side Effects to learn about the possible side effects of this drug, as well as other less common, but more serious, problems to look out for.)
 
You can also read about other specific side effects by clicking the following eMedTV links:
 

Drug Interactions With Atenolol

Atenolol can potentially interact with a number of other medicines.
 
(Click Drug Interactions With Atenolol for more information about atenolol and these other medicines.)
 

What Should I Tell My Healthcare Provider Before Taking It?

You should talk with your healthcare provider prior to taking this drug if you have:
 
Also, let your healthcare provider know if you:
 
  • Are pregnant or trying to become pregnant. During pregnancy, atenolol can cause problems with the developing fetus (see Atenolol in Pregnancy).
  • Are breastfeeding.
  • Will be undergoing surgery or anesthesia.
     
Tell your healthcare provider about all other medicines you may be currently taking, including prescription and non-prescription medicines, antacids, vitamins, and herbal supplements.
 
(Click Warnings and Precautions With Atenolol for more information on this topic, including information on who should not take it.)
 

Overdose With Atenolol

People who take too much of this drug may have overdose symptoms that could include, but are not limited to:
 
If you happen to overdose on atenolol, seek medical attention immediately.
 
(Click Atenolol Overdose for more information.)
 

Storage Methods

The medicine should be stored at room temperature in a dry place. Atenolol tablets should be kept in an airtight, light-resistant container.
 
Keep this drug and all other medications out of the reach of children.
 

What Should I Do If I Miss a Dose?

If you do not take your dosage as scheduled, take your next dose as soon as you remember. If it is almost time for your next scheduled dose, skip the missed one and continue with normal dosing. Never take a double dose!
 

Strengths of Atenolol

Atenolol comes in a number of strengths, including:
 
  • 25 mg
  • 50 mg
  • 100 mg.

 

Is Generic Atenolol Available?

This drug is available as a generic medicine. It is manufactured by a number of different companies.
 
(Click Generic Atenolol for more information.)
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;