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Administration of atenolol in the second trimester of pregnancy has been associated with the birth of infants that are small for their gestational age. Atenolol should only be given during pregnancy when there are no alternatives and benefit outweighs risk. In addition, some data have shown a significantly decreased fetal heart rate and significantly decreased mean birth weight of infants whose mothers were taking atenolol relative to those taking acebutolol or pindolol. Atenolol and chlorthalidone can pass into breast milk and may harm a nursing baby. If you are or will be breast-feeding while you use Atenolol , check with your doctor. One case of bradycardia, peripheral cyanosis, and hypothermia is reported in a nursing infant whose mother was taking atenolol 50 mg orally every 12 hours. The manufacturer recommends that caution be used when administering atenolol to nursing women. Atenolol is in the following drug classes: beta-adrenergic blocking agents, cardioselective beta blockers. Coadministration of aliskiren with Pgp substrates or weak to moderate inhibitors such as atenolol, digoxin, and amlodipine did not result in clinically relevant interactions. Tell any doctor who treats you that you are using atenolol and chlorthalidone. The risk may also be greater if you are taking a beta-blocker (eg, atenolol). Atenolol has been used during human pregnancy (starting in the second trimester) with evidence of lower birth weight and preterm (less than 37 weeks) delivery. You should not use this medication if you are allergic to atenolol (Tenormin) or chlorthalidone (Hygroton, Thalitone), or if you have a serious heart problem such as heart block or slow heart rate, if you are unable to urinate, or if you are allergic to sulfa drugs (such as Bactrim, Septra, and others). Atenolol also relieves chest pain (angina), and can be helpful after a heart attack. Atenolol – Atenolol is an older medication that is very inexpensive. Neonates born to mothers who are receiving atenolol at parturition may be at risk for hypoglycemia and bradycardia. Case reports of profound beta-blockade in neonates of mothers who were taking atenolol are reported. About 60 days ago I was taken off of 100mg of atenolol and put on Bystolic 10mg. You will need to discuss the benefits and risks of using Atenolol while you are pregnant. I tried atenolol, and a couple of others with no success, finally about the end of 2007 my doctor gave me a sample of bystolic and it was obvious that it was different and it worked. However, if it is within 4 hours of your next dose (8 hours when using atenolol, betaxolol, bisoprolol, carteolol, labetalol, nadolol, penbutolol, sotalol, or extended-release [long-acting] metoprolol, oxprenolol, or propranolol), skip the missed dose and go back to your regular dosing schedule. The authors calculated that the atenolol exposure to the nursing infant was 9% of the mother's daily dose. Do not use atenolol and chlorthalidone without telling your doctor if you are pregnant.

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