Tenoretic Side Effects

Generic name: atenolol / chlorthalidone

Medically reviewed by Drugs.com. Last updated on Feb 17, 2024.

Note: This document provides detailed information about Tenoretic.

Applies to atenolol / chlorthalidone: oral tablet Side Effects associated with atenolol / chlorthalidone. Some dosage forms listed on this page may not apply specifically to the brand name Tenoretic.

Applies to atenolol / chlorthalidone: oral tablet.

Precautions

It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly and to check for unwanted effects .

Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away .

This medicine may cause heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort; dilated neck veins; extreme fatigue; irregular breathing; an irregular heartbeat; shortness of breath; swelling of the face, fingers, feet, or lower legs; weight gain; or wheezing .

This medicine may cause changes in your blood sugar levels. Also, this medicine may cover up signs of low blood sugar, such as a rapid pulse rate. Check with your doctor if you have these problems or if you notice a change in the results of your blood or urine sugar tests .

Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests .

Serious side effects of Tenoretic

Along with its needed effects, atenolol/chlorthalidone may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking atenolol / chlorthalidone:

Get emergency help immediately if any of the following symptoms of overdose occur while taking atenolol / chlorthalidone:

Symptoms of overdose

• blurred vision
• decreased urination
• dry mouth
• increase in heart rate
• muscle cramps or pain
• numbness, tingling, pain, or weakness in hands or feet
• rapid breathing
• seizures
• sunken eyes
• sweating
• thirst
• trembling
• weakness and heaviness of legs
• wrinkled skin

Other side effects of Tenoretic

Some side effects of atenolol / chlorthalidone may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

For healthcare professionals

Applies to atenolol / chlorthalidone: oral tablet.

General adverse events

The most common adverse reactions were bradycardia, cold extremities, gastrointestinal disturbances, fatigue, hyperuricemia, hyponatremia, hypokalemia, and impaired glucose tolerance.^[Ref]

Metabolic

• Common (1% to 10%): Hyperuricemia, hyponatremia, hypokalemia, impaired glucose tolerance

Chlorthalidone (chlortalidone):

• Frequency not reported: Anorexia, hyperglycemia, hyperuricemia^[Ref]

Cardiovascular

• Common (1% to 10%): Bradycardia, cold extremities
• Rare (less than 0.1%): Heart failure deterioration, heart block precipitation, postural hypotension, intermittent claudication increased, Raynaud's phenomenon

Atenolol:

• Very common (10% or more): Cold extremities (up to 12%)
• Common (1% to 10%): Bradycardia, postural hypotension
• Postmarketing reports: Sick sinus syndrome, Raynaud's phenomenon

Chlorthalidone (chlortalidone):

• Frequency not reported: Orthostatic hypotension, necrotizing angiitis^[Ref]

Gastrointestinal

• Common (1% to 10%): Gastrointestinal disturbances
• Rare (less than 0.1%): Dry mouth
• Frequency not reported: Constipation

Atenolol:

• Common (1% to 10%): Diarrhea, nausea
• Postmarketing reports: Dry mouth

Chlorthalidone (chlortalidone):

• Frequency not reported: Gastric irritation, vomiting, cramping, constipation, pancreatitis^[Ref]

Other

• Common (1% to 10%): Fatigue

Atenolol:

• Very common (10% or more): Tiredness (up to 26%)
• Common (1% to 10%): Fatigue, lethargy

Chlorthalidone (chlortalidone):

• Frequency not reported: Weakness^[Ref]

Psychiatric

• Uncommon (0.1% to 1%): Sleep disturbances
• Rare (less than 0.1%): Mood changes, nightmares, confusion, psychoses, hallucinations

Atenolol:

• Very common (10% or more): Depression (up to 12%)
• Common (1% to 10%): Dreaming
• Postmarketing reports: Hallucinations, psychoses

Chlorthalidone (chlortalidone):

• Frequency not reported: Restlessness^[Ref]

Hepatic

• Uncommon (0.1% to 1%): Transaminase levels increased
• Rare (less than 0.1%): Hepatic toxicity

Atenolol:

• Postmarketing reports: Liver enzymes elevated, bilirubin elevated

Chlorthalidone (chlortalidone):

• Frequency not reported: Intrahepatic cholestatic jaundice^[Ref]

Dermatologic

• Rare (less than 0.1%): Purpura, alopecia, psoriasiform skin reaction, psoriasis exacerbation, skin rashes
• Frequency not reported: Angioedema, urticaria

Atenolol:

• Postmarketing reports: Psoriasiform rash, psoriasis exacerbation, purpura, reversible alopecia

Chlorthalidone (chlortalidone):

• Frequency not reported: Purpura, photosensitivity, rash, urticaria, cutaneous vasculitis, toxic epidermal necrolysis^[Ref]

Nervous system

• Rare (less than 0.1%): Dizziness, headache, paresthesia

Atenolol:

• Very common (10% or more): Dizziness (up to 13%)
• Common (1% to 10%): Vertigo, lightheadedness, drowsiness
• Postmarketing reports: Headache

Chlorthalidone (chlortalidone):

• Frequency not reported: Vertigo, paresthesia^[Ref]

Hematologic

• Rare (less than 0.1%): Thrombocytopenia, leukopenia

Atenolol:

• Postmarketing reports: Thrombocytopenia

Chlorthalidone (chlortalidone):

• Frequency not reported: Leukopenia, agranulocytosis, thrombocytopenia, aplastic anemia^[Ref]

Ocular

• Rare (less than 0.1%): Dry eyes, visual disturbances

Atenolol:

• Postmarketing reports: Visual disturbance

Chlorthalidone (chlortalidone):

• Frequency not reported: Xanthopsia^[Ref]

Respiratory

• Rare (less than 0.1%): Bronchospasm

Atenolol:

• Common (1% to 10%): Wheeziness, dyspnea^[Ref]

Genitourinary

• Rare (less than 0.1%): Impotence

Atenolol:

• Postmarketing reports: Impotence, Peyronie's disease

Chlorthalidone (chlortalidone):

• Frequency not reported: Glycosuria^[Ref]

Immunologic

• Very rare (less than 0.01%): Antinuclear antibodies increased
• Frequency not reported: Hypersensitivity reactions

Atenolol:

• Postmarketing reports: Development of antinuclear antibodies^[Ref]

Musculoskeletal

• Frequency not reported: Lupus-like syndrome

Atenolol:

• Common (1% to 10%): Leg pain
• Postmarketing reports: Lupus syndrome

Chlorthalidone (chlortalidone):

• Frequency not reported: Muscle spasm^[Ref]

See also:

Further information

Tenoretic side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.

Medical Disclaimer