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Drug interactions

Atenolol + Formoterol

Severity: Moderate

Atenolol and Formoterol: moderate 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

Beta-blockers oppose the bronchodilating effect of formoterol and can reduce its efficacy. Even cardioselective agents like atenolol may provoke bronchospasm in patients with asthma or COPD at higher doses.

What this interaction means in plain words

Atenolol and Formoterol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Atenolol belongs to Cardiovascular; Formoterol belongs to Respiratory.

Evidence level: High

Why it happens

Pharmacodynamic antagonism at beta-adrenergic receptors; atenolol is beta-1 selective but selectivity is lost at higher doses.

What to do

Monitor respiratory status and bronchodilator response. Use the lowest effective atenolol dose in reactive airway disease and consider alternatives if bronchospasm occurs.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Atenolol with Formoterol?

MediHelp rates the interaction as moderate. Atenolol and Formoterol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Beta-blockers oppose the bronchodilating effect of formoterol and can reduce its efficacy. Even cardioselective agents like atenolol may provoke bronchospasm in patients with asthma or COPD at higher doses.

How serious is the interaction between Atenolol and Formoterol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor respiratory status and bronchodilator response. Use the lowest effective atenolol dose in reactive airway disease and consider alternatives if bronchospasm occurs.

What other medicines interact with Formoterol?

MediHelp also lists interactions of Formoterol with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Formoterol page.

Full monographs, dosing and an interaction checker in the MediHelp app

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