Atenolol
Hypertension, Rate control, Post-MI
Indications
- Hypertension
- Rate control
- Post-MI
Adult dosing
- standard: dose: 50; unit: mg PO daily; route: PO; interval: daily; fixed: true; max: dose: 100; unit: mg PO daily; route: PO; interval: daily; fixed: true
Pediatric dosing
- contraindicated: true; reason: Limited pediatric emergency data; consult pediatric cardiology
Contraindications
- HR <60
- SBP <90
- Decompensated HF
- Second/third degree AV block
Clinical pearls
- Renally cleared beta-blocker — requires dose adjustment in CKD unlike metoprolol
- Hydrophilic — less CNS penetration than metoprolol
- Once-daily dosing improves adherence
Source and review
- ACC/AHA Hypertension Guidelines. Last reviewed: 2024-11-01