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Drug interactions

Acetylsalicylic acid + Atenolol

Severity: Minor

Acetylsalicylic acid and Atenolol: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

NSAIDs including regular analgesic doses of aspirin can blunt the antihypertensive effect of beta-blockers by inhibiting vasodilatory prostaglandins and promoting fluid retention. Low-dose aspirin has little effect.

What this interaction means in plain words

Acetylsalicylic acid and Atenolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Acetylsalicylic acid belongs to Musculoskeletal; Atenolol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Inhibition of prostaglandin synthesis causing sodium and water retention and reduced vasodilation.

What to do

Monitor blood pressure if analgesic-dose aspirin is used regularly. Low-dose cardioprotective aspirin generally needs no change.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Acetylsalicylic acid with Atenolol?

MediHelp rates the interaction as minor. Acetylsalicylic acid and Atenolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. NSAIDs including regular analgesic doses of aspirin can blunt the antihypertensive effect of beta-blockers by inhibiting vasodilatory prostaglandins and promoting fluid retention. Low-dose aspirin has little effect.

How serious is the interaction between Acetylsalicylic acid and Atenolol?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure if analgesic-dose aspirin is used regularly. Low-dose cardioprotective aspirin generally needs no change.

What other medicines interact with Acetylsalicylic acid?

MediHelp also lists interactions of Acetylsalicylic acid with, for example, Ketorolac, Ketorolac intranasal, Abciximab. The full list is on the Acetylsalicylic acid page.

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