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Atenolol

Lifestyle changes such as stress reduction programs,


exercise and dietary changes may increase the effectiveness
of this medicine.

Class of drug: -Adrenergic receptor blocker.


Indications: :-1high blood pressure

Initial: PO 50 mg/d. Maximum: 100 mg/d.


PO=oral

d=day

100 50
-2treat chest pain (angina)

Initial: PO 50 mg/d. Maintenance: 100200 mg/d.


Maintenance =

-3Ventricular arrhythmia

Dose :PO 50100 mg/d.
-4Acute Myocardial Infarction

5-prevent migraine headaches.


*Adjustment of dosage


Kidney disease: creatinine clearance 1535 mL/min:


50 mg/d;
creatinine clearance <15 mL/min : 25 mg/d.

What happens if I miss a dose?


8

Take the missed dose as soon as you remember. If your next


dose is less than 8 hours away, skip the missed dose and
take the medicine at the next regularly scheduled time. Do
not take extra medicine to make up the missed dose.
Overdose symptoms may include uneven heartbeats,
shortness of breath, bluish-colored fingernails, dizziness,
weakness, fainting, or seizure (convulsions).

how to use medication?


by mouth with or without food

Pregnancy: category D. This medication can cause


harm to an unborn baby. Do not use atenolol if
you are pregnant

Lactation: Appears in breast milk. Considered


compatible by the
American Academy of Pediatrics. Observe infant for
hypotension, bradycardia,

What should I discuss with my healthcare


provider before taking atenolol?
Before taking atenolol, tell your doctor if you have:
-1Asthma, Bronchitis

-2emphysema;

-3diabetes

-4low blood pressure

-5a heart problem such as heart block, sick sinus


syndrome, slow heart rate, or congestive heart failure;

-6depression

-7liver disease

-8kidney disease

-9a thyroid disorder

-10myasthenia gravis ( autoimmune neuromuscular)


-11Pheochromocytoma ( tumor of the adrenal glands)

-12problems with circulation (such as Raynaud's


syndrome).

Contraindications:

-1allergic to atenolol

-2Cardiogenic shock

-3Asthma


-4CHF

unless it is

secondary to tachyarrhythmia treated with a


blocker
severe

-5COPD.= Chronic obstructive pulmonary disease


Warnings/precautions

-1Use with caution in patients with the following


conditions:
diabetes, kidney disease, liver disease, COPD,
peripheral vascular
disease.
-2used with caution in diabetic patients if a betablocking agent is required.
Beta blockers may mask tachycardia occurring with
hypoglycemia



-3 Do not stop drug abruptly as this may precipitate
arrhythmias,
angina, MI or cause rebound hypertension

-4 If necessary to discontinue, taper as follows:


Reduce dose by 2550% and reassess

after 12 weeks. If status is unchanged,


reduce by another 50%and reassess
after 12 weeks.



-5Drug may mask the symptoms of hyperthyroidism,
mainly
tachycardia.