Atenolol

Atenolol/ Anselol, Noten, Tenormin, Tensig  preg risk C
Classifications: antihypertensive
Action: A beta blocker
Adverse reactions:

       bradycardia

      fatigue, lethargy, vertigo, fever, drowsiness, dizziness
    bradycardia, hypotension, HF, intermittent claudication
      nausea, diarrhoea
      leg pain
      dyspnoea, bronchospasm
     rash
Contraindications:

Drug-drug: antihypertensives, use together cautiously;cardiac glycosides, dilitazem, verapamil- excessive bradycardia and increase depressant effect on myocardium; insulin, oral diabetics- altered dosage reauirements with previously stabilised diabetes.
Care considerations:
·         Use cautiously in individuals at risk of HF, have bronchospastic disease, diabetes and hyperthyroidism.
·         Check pulse, if less than 60 beats/min, with-hold drug contact prescriber, monito BP
·         Atenolol may cause changes in exercise tolerance and ECG, and may affect serum glucose levels
·         Dose: begin with 50 mg/day, max 200 mg/day
Teach: to take drug at same time each day; do not stop taking suddenly; monitor pulse;not during pregnancy

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