Other side effects not listed may also occur in some patients. Overdosage with atenolol has been reported with patients surviving acute doses as high as 5 g. One death was reported in a man who may have taken as much as 10 g acutely. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. unusual tiredness, feeling light-headed or short of breath; easy bruising, unusual bleeding, purple or red spots under your skin; a seizure; pale skin, cold hands and feet; yellowed skin, dark colored urine; fever, weakness; or pain in your side or lower back, painful urination. Scored and debossed with 93 above the score and 752 below the score on one side, debossed with TEVA on the other side.) Phenytoin (Dilantin) may interact with certain medications or supplements. Can phenytoin (Dilantin) be used in other seizures? Patients treated with atenolol plus a catecholamine depletor should therefore be closely observed for evidence of hypotension and/or marked bradycardia which may produce vertigo, syncope, or postural hypotension. (current). Most of the cardiac arrests happened in people with a history of heart problems. If you notice any other effects, check with your healthcare professional. DailyMed will deliver this notification to your desktop, Web browser, or e-mail depending on the RSS Reader you select to use. & Articles, All HYPOTENSION: Vasopressors such as dopamine or norepinephrine (levarterenol). Abrupt withdrawal of beta blockade might precipitate a thyroid storm; therefore, patients suspected of developing thyrotoxicosis from whom atenolol therapy is to be withdrawn should be monitored closely (see DOSAGE AND ADMINISTRATION). Updated The oculomucocutaneous syndrome associated with the beta blocker practolol has not been reported with atenolol. We comply with the HONcode standard for trustworthy health information. Caution should be exercised when atenolol is administered during pregnancy or to a woman who is breastfeeding (see WARNINGS, Pregnancy and Fetal Injury). If you get a fever, stomach pain, an unusual skin rash, or yellowing of your eyes or skin while taking phenytoin (Dilantin), talk with your provider right away. However, these usually responded to atropine and/or to withholding further dosage of atenolol. This preferential effect is not absolute, however, and at higher doses, atenolol inhibits beta2-adrenoreceptors, chiefly located in the bronchial and vascular musculature. Atenolol, like other beta blockers, has been associated with the development of antinuclear antibodies (ANA), lupus syndrome, and Raynauds phenomenon. If this worries you, talk to your doctor or pharmacist about other options. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Sympathetic stimulation is necessary in supporting circulatory function in congestive heart failure, and beta blockade carries the potential hazard of further depressing myocardial contractility and precipitating more severe failure. No, this medication hasn't been shown to be addictive. Atenolol should be used with caution in diabetic patients if a beta-blocking agent is required. If this drug is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to the fetus. Using this medicine with any of the following medicines is not recommended. View Labeling Archives, Treatment of overdose should be directed to the removal of any unabsorbed drug by induced emesis, gastric lavage, or administration of activated charcoal. So if you have a pill with TEVA on it, what does that mean? Over 85% of an intravenous dose is excreted in urine within 24 hours compared with approximately 50% for an oral dose. It may also be used to help induce sleep, as well as for other uses. If you feel like hurting yourself, call 911 or seek help immediately. Drug class: cardioselective beta blockers. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. September 30, 2015. Atenolol is used in the treatment of anxiety; alcohol withdrawal; angina; angina pectoris prophylaxis; esophageal variceal hemorrhage prophylaxis and belongs to the drug class cardioselective beta blockers . In addition, a variety of adverse effects have been reported with other beta-adrenergic blocking agents, and may be considered potential adverse effects of atenolol. Many medications can lower vitamin D levels and lead to deficiency like blood pressure medications, antibiotics, and steroids. Of the 8,037 patients with suspected acute myocardial infarction randomized to atenolol in the ISIS-1 trial (see CLINICAL PHARMACOLOGY), 33% (2,644) were 65 years of age and older. The results from long-term studies have not shown any diminution of the antihypertensive efficacy of atenolol with prolonged use. Safe? There is the potential for serious birth defects, especially in the first trimester. 0093-0752-10, This white round pill with imprint TEVA 3925 on it has been identified as: Diazepam 2 mg. Long-term use of phenytoin (Dilantin) may lower vitamin D levels and calcium levels in the bone. Phenytoin (Dilantin) can make certain hormonal birth control medications less effective. The dose range of atenolol is narrow and increasing the dose beyond 100 mg once daily is not associated with increased antihypertensive effect. The initial dose of atenolol tablets USP is 50 mg given as one tablet a day either alone or added to diuretic therapy. Angina is chest discomfort, tightness, or pain caused by reduced blood flow through the coronary arteries to the heart muscle. Atenolol is used in the treatment of anxiety; alcohol withdrawal; angina; angina pectoris prophylaxis; esophageal variceal hemorrhage prophylaxis The free acid form of phenytoin is used in Dilantin-125 Suspensions and Dilantin Infatabs (phenytoin tablets) . The molecular and structural formulas are: C14H22N2O3M.W. The mechanism through which atenolol improves survival in patients with definite or suspected acute myocardial infarction is unknown, as is the case for other beta blockers in the postinfarction setting. In a multicenter clinical trial (ISIS-1) conducted in 16,027 patients with suspected myocardial infarction, patients presenting within 12 hours (mean = 5 hours) after the onset of pain were randomized to either conventional therapy plus atenolol (n = 8,037), or conventional therapy alone (n = 7,990). Atenolol I.V. You may report side effects to the FDA at 1-800-FDA-1088. Instructions The dosage of this medication depends on what it is used for. Although the demonstration of efficacy of atenolol tablets USP is based entirely on data from the first seven postinfarction days, data from other beta blocker trials suggest that treatment with beta blockers that are effective in the postinfarction setting may be continued for one to three years if there are no contraindications. Other treatment modalities should be employed at the physician's discretion and may include: BRADYCARDIA: Atropine intravenously. Along with its needed effects, a medicine may cause some unwanted effects. The effect on exercise tachycardia of a single 10 mg intravenous dose is largely dissipated by 12 hours, whereas beta-blocking activity of single oral doses of 50 mg and 100 mg is still evident beyond 24 hours following administration. Catecholamine-depleting drugs (e.g., reserpine) may have an additive effect when given with beta-blocking agents. Atenolol tablets USP, 100 mg (White to off-white marble finish, round, flat beveled edge tablets. In general, there is no basis for treating patients like those who were excluded from the ISIS-1 trial (blood pressure less than 100 mm Hg systolic, heart rate less than 50 bpm) or have other reasons to avoid beta blockade. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. White APO TI-2 Pill This pill is manufactured by Apotex Corp and identified as Tizanidine hydrochloride. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. In controlled clinical trials, atenolol, given as a single daily oral dose, was an effective antihypertensive agent providing 24 hour reduction of blood pressure. Although not all of these side effects may occur, if they do occur they may need medical attention. How can you know what drug the pill is?There are over a thousand types of TEVA pills, so its easy to get confused. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.AcetaminophenAcetazolamideAcyclovirAmitriptylineAmprenavirAripiprazole LauroxilAtorvastatinBetamethasoneBexaroteneBleomycinBusulfanCapecitabineCarboplatinCaspofunginChloramphenicolCimetidineCiprofloxacinCisplatinClobazamClopidogrelColesevelamCortisoneCyclosporineDicumarolDigitoxinDiltiazemDisopyramideDisulfiramDoxepinDoxifluridineFelbamateFluconazoleFludrocortisoneFluorouracilFluoxetineFluvoxamineFolic AcidFosamprenavirGinkgoImipramineIsoniazidLevodopaLevofloxacinLevomethadylLevothyroxineLithiumMethoxsalenMethsuximideMidazolamNafimidoneNelfinavirNilutamideNisoldipineOspemifenePancuroniumParoxetinePhenprocoumonPiperinePrednisolonePrednisoneProgabideQuinidineQuinineRemacemideRifapentineRisperidoneRufinamideSabeluzoleShankhapulshpiSimvastatinSirolimusSulfamethizoleSulfamethoxazoleSulfaphenazoleSulthiameTegafurTelithromycinTenidapTiagabineTiclopidineTicrynafenTirilazadTizanidineTolbutamideTopiramateTrazodoneTriamcinoloneTrimethoprimTubocurarineValacyclovirValproic AcidVecuroniumVerapamilVigabatrinViloxazine. If you notice any other effects, check with your healthcare professional.Call your doctor for medical advice about side effects. As with other beta blockers, when discontinuation of atenolol is planned, the patients should be carefully observed and advised to limit physical activity to a minimum. Your Medications Could Be to Blame, 6 Sulfamethoxazole / Trimethoprim (Bactrim) Interactions You Should Know About, 9 St. Johns Wort Interactions You Should Know About, Seizures during and following brain surgery. Patients already on a beta blocker must be evaluated carefully before atenolol is administered. Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor. Our pill identifier helps you verify tablet and capsule products you may have questions about -- ensuring you're taking the right medication. Atenolol tablets USP is an additional treatment to standard coronary care unit therapy. Mesenteric arterial thrombosis, ischemic colitis. Atenolol is also used to lower the risk of death after a heart attack. If you are currently pregnant and taking phenytoin (Dilantin), it is encouraged that you enroll in the registry to help researchers learn more about the risks. Although a similar dosage reduction may be considered for elderly and/or renally-impaired patients being treated for indications other than hypertension, data are not available for these patient populations. this version. Atenolol is used in the treatment of anxiety; alcohol withdrawal; angina; angina pectoris prophylaxis; esophageal variceal hemorrhage prophylaxis and belongs to the drug class cardioselective beta blockers . Several studies have demonstrated a moderate (approximately 10%) increase in stroke volume at rest and during exercise. Atenolol tablets USP, 50 mg (White to off-white marble finish, round, flat beveled edge tablets. Learn more Atenolol details here. Clinically significant bradycardia has been reported in breastfed infants. 10 of the Most Unusual Medication Side Effects You Should Know About. This absolute difference in rates, 0.68%, is statistically significant at the P < 0.05 level. Accumulation of atenolol and prolongation of its half-life were studied in subjects with creatinine clearance between 5 and 105 mL/min. If there is no response to vagal blockade, give isoproterenol cautiously. The predominant symptoms reported following atenolol overdose are lethargy, disorder of respiratory drive, wheezing, sinus pause and bradycardia. Neonates born to mothers who are receiving atenolol at parturition or breastfeeding may be at risk for hypoglycemia and bradycardia. It is round in shape, white in color, and 6.00 mm in diameter. Don't drink alcohol while taking this medication without first talking to your provider. Labels, All Index When renal function is impaired, elimination of atenolol is closely related to the glomerular filtration rate; significant accumulation occurs when the creatinine clearance falls below 35 mL/min/1.73 m2 (see DOSAGE AND ADMINISTRATION). Because of its relative beta1 selectivity, however, atenolol may be used with caution in patients with bronchospastic disease who do not respond to, or cannot tolerate, other antihypertensive treatment. Seek emergency help immediately if you notice swelling anywhere near your face or throat since this may lead to difficulty breathing. FDA Safety Recalls, It is available as a prescription only medicine and is commonly used for Alcohol Withdrawal, Angina, Angina Pectoris Prophylaxis, Anxiety, Esophageal Variceal Hemorrhage Prophylaxis, Heart Attack, High Blood Pressure, Migraine Prevention, Mitral Valve Prolapse, Supraventricular Tachycardia, Ventricular Tachycardia. 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