Drug interactions
Atenolol-chlorthalidone + Terbutaline
Severity: Moderate
Atenolol-chlorthalidone and Terbutaline: 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
Atenolol can reduce the bronchodilating effect of terbutaline, although its beta-1 selectivity makes this less likely than with nonselective agents. Terbutaline and chlorthalidone both lower serum potassium and may cause hypokalemia and arrhythmias.
What this interaction means in plain words
Atenolol-chlorthalidone and Terbutaline 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-chlorthalidone belongs to Cardiovascular; Terbutaline belongs to Respiratory.
Why it happens
Beta-receptor antagonism of the agonist effect plus additive potassium lowering from beta-2 stimulation and thiazide diuresis.
What to do
Monitor respiratory response and serum potassium, especially with high or repeated terbutaline doses. Correct hypokalemia and consider an alternative to the beta-blocker in patients with significant airway disease.
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?
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Other interactions of Atenolol-chlorthalidone
Other interactions of Terbutaline
Frequently asked questions
Can I take Atenolol-chlorthalidone with Terbutaline?
MediHelp rates the interaction as moderate. Atenolol-chlorthalidone and Terbutaline 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 can reduce the bronchodilating effect of terbutaline, although its beta-1 selectivity makes this less likely than with nonselective agents. Terbutaline and chlorthalidone both lower serum potassium and may cause hypokalemia and arrhythmias.
How serious is the interaction between Atenolol-chlorthalidone and Terbutaline?
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 response and serum potassium, especially with high or repeated terbutaline doses. Correct hypokalemia and consider an alternative to the beta-blocker in patients with significant airway disease.
What other medicines interact with Atenolol-chlorthalidone?
MediHelp also lists interactions of Atenolol-chlorthalidone with, for example, Acebutolol, Aldesleukin, Amiodarone. The full list is on the Atenolol-chlorthalidone page.
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