All Drugs
Antihypertensive · Selective Beta-1 blocker (water-soluble)

Aten (Atenolol)

Also sold as: Aten, Tenormin, Betacard

Pregnancy

Cat D

Lactation

Caution

Schedule

H

Forms

Tablet 25/50/100mg

Indications

Adult Dosing

HTN/Angina

25-100 mg PO once daily; max 100 mg/day

Renal Dose Adjustment

CrCl / eGFRDose Adjustment
CrCl > 35No adjustment
CrCl 15-35Max 50 mg/day
CrCl < 15Max 25 mg/day or every other day
Calculate eGFR / CrCl →

Pregnancy & Lactation

Pregnancy: Category D

Avoid (IUGR, fetal bradycardia, hypoglycemia). Use labetalol or methyldopa instead.

Lactation: Caution

Top Drug Interactions

Interacting DrugEffectSeverity
Verapamil, diltiazemSevere bradycardia, AV blockMajor
ClonidineRebound HTN if either stoppedMajor
NSAIDsReduced effectModerate
InsulinMask hypoglycemiaModerate

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Side Effects

Common

  • Fatigue
  • Bradycardia
  • Cold extremities
  • Erectile dysfunction

Serious / Discontinue If

  • AV block, bradycardia
  • HF decompensation
  • Bronchospasm in asthmatics

Contraindications

Available Indian Brands

BrandManufacturerPrice (approx)
Aten 50Zydus14 tab ₹35
Tenormin 50AstraZeneca14 tab ₹85
Betacard 50Torrent14 tab ₹38

Monitoring Required

Patient Counseling Points

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References

  • BNF
  • Lexicomp Drug Information
  • Indian National Formulary
  • Specialty society guidelines (RSSDI/CSI/IAP)
Disclaimer: This information is for clinical reference only. It is not exhaustive and does not substitute clinical judgement. Always verify current dosing against the manufacturer's prescribing information and current treatment guidelines. Drug prices are approximate and may vary.