LD50 Values
Mouse: 2 g/kg (Oral), 57 mg/kg (IV), 134 mg/kg (IP), 400 mg/kg (SC)L6316
Rat: 2 g/kg (Oral), 77 mg/kg (IV), 600 mg/kg (SC)L6316
Rabbit: 50 mg/kg (IV)L6316
Carcinogenicity & Mutagenicity
Studies in rats and mice at doses of 300 mg/kg/day, equivalent to 150 times maximum recommended human dose, for durations of 18 and 24 months showed no carcinogenicity.label One study in rats at doses of 500-1500 mg/kg/day, 250-750 times maximum human dose, resulted in increases benign adrenal medullary tumors in both sexes and increase mammary fibroadenomas in females.
Atenolol showed no mutagenicity in the Ames test using S. typhinarium, dominant lethal test in mice, or in vivo cytogenetics test in chinese hamster ovary cells.label
Reproductive Toxicity
No adverse effects on fertility were observed in either male or female mice after receiving doses of 200 mg/kg/day, equivalent to 200 times the maximum human dose. In humans, atenolol is known to cross the placenta and fetuses exposed to the drug have been reported to be smaller than expected considering gestational age. Embryo-fetal resorption has been observed in rats at doses of 50mg/kg/day, 50 times the max human dose, but not in rabbits at doses of 25mg/kg/day.label
Lactation
Atenolol appears in breast milk at a ratio of 1.5-6.8 to plasma concentrations.label It has been estimated that infant exposure occurs at 5.7-19.2% maternal weight-adjusted dosage.L6313 Effects in infants include bradycardia, hypothermia, and lethargy.
Atenolol is a cardioselective beta-blocker used in a variety of cardiovascular conditions.
Sir James Black, a Scottish pharmacologist, pioneered the use of beta-blockers for the management of angina pectoris in 1958 for which he received the Nobel Prize.A178429 Beta-blockers quickly became popular in clinical use and where subsequently investigated for use in myocardial infarction, arrhythmias, and hypertension during the 1960s. Later they continued to be investigated for use in heart failure throughout the 1970-1980s. Atenolol itself was developed early on in this history by Alvogen Malta under the trade name Tenormin and received FDA approval in September, 1981.label
Despite being one of the most widely prescribed beta blockers, evidence suggests atenolol may not significantly reduce mortality, and only modestly reduce the risk of cardiovascular disease in patients with hypertension.A235850,A235855 A Cochrane review of patients being treated for primary hypertension shows that atenolol shows a risk ratio of 0.88 for cardiovascular disease risk and a risk ratio of 0.99 for mortality.A235850,A235855 Similar results have been found in other meta-analyses.A235860,A235865 A meta-analysis of over 145,000 patients showed the risk of stroke in patients taking atenolol may depend on the age of the patient.A235865 The use of atenolol may need to be based on more patient factors than hypertension alone.A235850,A235855,A235860,A235865
Fitur visualisasi ini dikembangkan menggunakan pendekatan Graph Theory untuk memetakan hubungan polifarmasi dan molekuler. Entitas (Obat, Target, Gen) direpresentasikan sebagai Simpul (Nodes), sedangkan hubungan biologisnya sebagai Sisi (Edges).
drugbank-id dan name pada skema XML DrugBank.targets/target yang memuat polipeptida sasaran.gene-name dan varian snp-effects.Tata letak grafik menggunakan algoritma Force-Directed Graph (Barnes-Hut). Model fisika ini menerapkan gaya tolak-menolak antar simpul (Gravitasi: -3000) agar tidak tumpang tindih, serta gaya pegas (Spring: 0.04) pada garis penghubung untuk fleksibilitas interaksi.
Patients with this genotype have a greater reduction in blood pressure with atenolol.
| Duloxetine | The risk or severity of orthostatic hypotension and syncope can be increased when Atenolol is combined with Duloxetine. |
| Levodopa | The risk or severity of hypotension and orthostatic hypotension can be increased when Atenolol is combined with Levodopa. |
| Risperidone | Atenolol may increase the hypotensive activities of Risperidone. |
| Erythromycin | Erythromycin may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Progesterone | Progesterone may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Bosentan | Bosentan may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Ethinylestradiol | Ethinylestradiol may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Ursodeoxycholic acid | Ursodeoxycholic acid may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Cholic Acid | Cholic Acid may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Simeprevir | Simeprevir may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Lenvatinib | Lenvatinib may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Valinomycin | Valinomycin may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Olmesartan | Olmesartan may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Pralsetinib | Pralsetinib may decrease the excretion rate of Atenolol which could result in a higher serum level. |
| Ceritinib | Atenolol may increase the bradycardic activities of Ceritinib. |
| Ivabradine | Atenolol may increase the bradycardic activities of Ivabradine. |
| Ruxolitinib | Ruxolitinib may increase the bradycardic activities of Atenolol. |
| Alfuzosin | Alfuzosin may increase the hypotensive activities of Atenolol. |
| Amifostine | Atenolol may increase the hypotensive activities of Amifostine. |
| Diazoxide | Diazoxide may increase the hypotensive activities of Atenolol. |
| Methylphenidate | Methylphenidate may decrease the antihypertensive activities of Atenolol. |
| Dexmethylphenidate | Dexmethylphenidate may decrease the antihypertensive activities of Atenolol. |
| Obinutuzumab | Atenolol may increase the hypotensive activities of Obinutuzumab. |
| Pentoxifylline | Pentoxifylline may increase the hypotensive activities of Atenolol. |
| Rituximab | Atenolol may increase the hypotensive activities of Rituximab. |
| Desmopressin | Desmopressin may decrease the antihypertensive activities of Atenolol. |
| Eletriptan | Eletriptan may decrease the antihypertensive activities of Atenolol. |
| Zolmitriptan | Zolmitriptan may decrease the antihypertensive activities of Atenolol. |
| Buspirone | Buspirone may decrease the antihypertensive activities of Atenolol. |
| Doxapram | Doxapram may decrease the antihypertensive activities of Atenolol. |
| Sumatriptan | Sumatriptan may decrease the antihypertensive activities of Atenolol. |
| Alfentanil | Alfentanil may decrease the antihypertensive activities of Atenolol. |
| Fentanyl | Fentanyl may decrease the antihypertensive activities of Atenolol. |
| Phenmetrazine | Phenmetrazine may decrease the antihypertensive activities of Atenolol. |
| Naratriptan | Naratriptan may decrease the antihypertensive activities of Atenolol. |
| Rizatriptan | Rizatriptan may decrease the antihypertensive activities of Atenolol. |
| Dopamine | Dopamine may decrease the antihypertensive activities of Atenolol. |
| Frovatriptan | Frovatriptan may decrease the antihypertensive activities of Atenolol. |
| Dutasteride | Dutasteride may decrease the antihypertensive activities of Atenolol. |
| Finasteride | Finasteride may decrease the antihypertensive activities of Atenolol. |
| Yohimbine | Yohimbine may decrease the antihypertensive activities of Atenolol. |
| Solifenacin | Solifenacin may decrease the antihypertensive activities of Atenolol. |
| Epicaptopril | Epicaptopril may decrease the antihypertensive activities of Atenolol. |
| 1-benzylimidazole | 1-benzylimidazole may decrease the antihypertensive activities of Atenolol. |
| Amineptine | Amineptine may decrease the antihypertensive activities of Atenolol. |
| Flibanserin | Flibanserin may decrease the antihypertensive activities of Atenolol. |
| Naluzotan | Naluzotan may decrease the antihypertensive activities of Atenolol. |
| Nitrous oxide | Nitrous oxide may decrease the antihypertensive activities of Atenolol. |
| Cinitapride | Cinitapride may decrease the antihypertensive activities of Atenolol. |
| Lurasidone | Lurasidone may decrease the antihypertensive activities of Atenolol. |
| Tyramine | Tyramine may decrease the antihypertensive activities of Atenolol. |
| Ifenprodil | Ifenprodil may decrease the antihypertensive activities of Atenolol. |
| Dimetacrine | Dimetacrine may decrease the antihypertensive activities of Atenolol. |
| Butriptyline | Butriptyline may decrease the antihypertensive activities of Atenolol. |
| Moxisylyte | Moxisylyte may decrease the antihypertensive activities of Atenolol. |
| Tianeptine | Tianeptine may decrease the antihypertensive activities of Atenolol. |
| Oxaprotiline | Oxaprotiline may decrease the antihypertensive activities of Atenolol. |
| Atipamezole | Atipamezole may decrease the antihypertensive activities of Atenolol. |
| Tetrahydrocannabivarin | Tetrahydrocannabivarin may decrease the antihypertensive activities of Atenolol. |
| Piclozotan | Piclozotan may decrease the antihypertensive activities of Atenolol. |
| Siponimod | Siponimod may decrease the antihypertensive activities of Atenolol. |
| Idazoxan | Idazoxan may decrease the antihypertensive activities of Atenolol. |
| Tramazoline | Tramazoline may decrease the antihypertensive activities of Atenolol. |
| Amitriptylinoxide | Amitriptylinoxide may decrease the antihypertensive activities of Atenolol. |
| Dibenzepin | Dibenzepin may decrease the antihypertensive activities of Atenolol. |
| Quinupramine | Quinupramine may decrease the antihypertensive activities of Atenolol. |
| Trichloroethylene | Trichloroethylene may decrease the antihypertensive activities of Atenolol. |
| Fenozolone | Fenozolone may decrease the antihypertensive activities of Atenolol. |
| Melitracen | Melitracen may decrease the antihypertensive activities of Atenolol. |
| Lofepramine | Lofepramine may decrease the antihypertensive activities of Atenolol. |
| Xenon | Xenon may decrease the antihypertensive activities of Atenolol. |
| Iprindole | Iprindole may decrease the antihypertensive activities of Atenolol. |
| Buflomedil | Buflomedil may decrease the antihypertensive activities of Atenolol. |
| Diethyl ether | Diethyl ether may decrease the antihypertensive activities of Atenolol. |
| Imipramine oxide | Imipramine oxide may decrease the antihypertensive activities of Atenolol. |
| Mefenorex | Mefenorex may decrease the antihypertensive activities of Atenolol. |
| 5-methoxy-N,N-dimethyltryptamine | 5-methoxy-N,N-dimethyltryptamine may decrease the antihypertensive activities of Atenolol. |
| Quinoline Yellow WS | Quinoline Yellow WS may decrease the antihypertensive activities of Atenolol. |
| Solriamfetol | Solriamfetol may decrease the antihypertensive activities of Atenolol. |
| Sufentanil | Sufentanil may decrease the antihypertensive activities of Atenolol. |
| Isoflurane | Isoflurane may decrease the antihypertensive activities of Atenolol. |
| Propofol | Propofol may decrease the antihypertensive activities of Atenolol. |
| Remifentanil | Remifentanil may decrease the antihypertensive activities of Atenolol. |
| Halothane | Halothane may decrease the antihypertensive activities of Atenolol. |
| Desflurane | Desflurane may decrease the antihypertensive activities of Atenolol. |
| Sevoflurane | Sevoflurane may decrease the antihypertensive activities of Atenolol. |
| Protriptyline | Protriptyline may decrease the antihypertensive activities of Atenolol. |
| Opipramol | Opipramol may decrease the antihypertensive activities of Atenolol. |
| Selpercatinib | Selpercatinib may decrease the antihypertensive activities of Atenolol. |
| Naxitamab | Naxitamab may decrease the antihypertensive activities of Atenolol. |
| Cannabidiol | The metabolism of Atenolol can be decreased when combined with Cannabidiol. |
| Amiodarone | The therapeutic efficacy of Atenolol can be increased when used in combination with Amiodarone. |
| Bupivacaine | The serum concentration of Bupivacaine can be increased when it is combined with Atenolol. |
| Dipyridamole | Dipyridamole may increase the bradycardic activities of Atenolol. |
| Disopyramide | Disopyramide may increase the bradycardic activities of Atenolol. |
| Dronedarone | Dronedarone may increase the bradycardic activities of Atenolol. |
| Fingolimod | Atenolol may increase the bradycardic activities of Fingolimod. |
| Floctafenine | The risk or severity of adverse effects can be increased when Atenolol is combined with Floctafenine. |
| Mepivacaine | The serum concentration of Mepivacaine can be increased when it is combined with Atenolol. |
| Methacholine | Atenolol may increase the bronchoconstrictory activities of Methacholine. |