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Tenormin (Atenolol) belongs to a group of medicines called beta-blockers. It reduces the heart rate and the force of heart muscle contraction and lowers blood pressure. By reducing the heart rate and the force of muscle contraction, Atenolol reduces heart muscle oxygen demand.

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Uses

Atenolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and heart attacks. Occasionally doctors prescribe Atenolol for treatment of alcohol withdrawal, prevention of migraine headache, and bouts of anxiety. When used for high blood pressure it is effective alone or combined with other high blood pressure medications, particularly with a thiazide-type water pill (diuretic).

How to take

Take this medication with a full glass of water. Atenolol can be taken with or without food. Take it exactly as prescribed, even if your symptoms have disappeared. Try not to miss any doses, especially if you are taking Atenolol once a day. Take Atenolol at the same time every day. Do not crush, break, or chew the tablets. Swallow them whole. Do not stop taking Atenolol abruptly unless you are directed to do so by your doctor. Stopping Atenolol abruptly may cause your condition to become worse.

Side effects

If you experience any of the following serious side effects, stop taking Atenolol and call your doctor immediately or seek emergency medical treatment: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; hives); wheezing or shortness of breath; an unusually slow or irregular heart beat; swelling of your feet and/or lower legs; leg pain or cramping; sudden weight gain (more than 2 pounds in one day or 5 pounds in one week); chest (heart) pain; cold or blue feet and hands; or skin rash. If you experience any of the following less serious side effects, continue taking Atenolol and talk to your doctor: fatigue or confusion; headache or dizziness; weak pulse or mildly slow heart rate; diarrhea, constipation, gas, nausea, or vomiting; depression; nightmares; or impotence (difficulty obtaining or maintaining an erection). Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. Symptoms of Atenolol overdose may include: Congestive heart failure, constricted airways, low blood pressure, low blood sugar, slow heartbeat, sluggishness, wheezing, shortness of breath, fainting, dizziness, weakness, confusion, nausea, and vomiting. If you suspect an overdose of Atenolol, seek medical attention immediately.

Precaution

If you have heart failure, inadequate blood supply to the circulatory system (cardiogenic shock), heart block (conduction disorder), or a severely slow heartbeat, you should not take this medication. You'll also need to avoid it if it gives you an allergic reaction. If you have high blood pressure, you must take Atenolol regularly for it to be effective. Since blood pressure declines gradually, it may be several weeks before you get the full benefit of Atenolol; and you must continue taking it even if you are feeling well. Atenolol does not cure high blood pressure; it merely keeps it under control. Do not stop taking Atenolol abruptly unless you are directed to do so by your doctor. Stopping Atenolol abruptly may cause your condition to become worse. Call your doctor immediately if you experience shortness of breath. Use caution when driving, operating machinery, or performing other hazardous activities. Atenolol may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Tell your doctor and dentist that you are taking Atenolol before having surgery. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking this medication. Before taking Atenolol, tell your doctor if you have asthma; heart problems such as low blood pressure, a slow heart rate, heart block, sick sinus syndrome, a pacemaker, heart failure, or any other heart problems; diabetes, depression, thyroid disease, kidney disease, liver disease, or any type of circulatory disease. You may not be able to take Atenolol, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Atenolol is known to have harmful effects on a developing baby. Low birth weight and other effects have occurred. Do not take Atenolol without first talking to your doctor if you are pregnant or could become pregnant during treatment. Atenolol passes into breast milk and may harm a nursing baby. Slow heart rates in breast-fed babies have occurred. Do not take Atenolol without first talking to your doctor if you are breast-feeding a baby.

Drug interactions

Before taking Atenolol, tell your doctor if you are using: allergy treatments (or if you are undergoing allergy skin-testing); guanabenz (Wytensin); an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); taking a heart medication such as nifedipine (Procardia, Adalat), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cardizem, Dilacor XR), clonidine (Catapres), digoxin (Lanoxin), doxazosin (Cardura), guanadrel (Hylorel), prazosin (Minipress), or terazosin (Hytrin); a diabetes medication such as insulin, glyburide (Micronase, Glynase, Diabeta), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage); a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin, Advil, others), naproxen (Aleve, Anaprox, Naprosyn, others), ketoprofen (Orudis, Orudis KT, Oruvail), and others; a respiratory medication such as albuterol (Ventolin, Proventil, Volmax, others), bitolterol (Tornalate), metaproterenol (Alupent, Metaprel), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), or theophylline (Theo-Dur, Theochron, Theolair, others); the stomach medication cimetidine (Tagamet, Tagamet HB); or prescription or over-the-counter cough medicines, cold medicines, or diet pills. If you are using any of these drugs, you may not be able to take Atenolol, or you may need dosage adjustments or special tests during treatment. There may be other drugs not listed that can affect Atenolol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Missed dose

Never take 2 doses of Atenolol at the same time. If you miss a dose of Atenolol, take it as soon as you remember. If it's within 8 hours of your next scheduled dose, skip the one you missed and go back to your regular dosage schedule.

Storage

Store at room temperature between 68 and 77 degrees F (between 20 and 25 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.

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