Compare Atenolol vs. Bystolic

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Tenormin
(atenolol)

Bystolic
(nebivolol)

Lowers blood pressure and controls heart rate. Tenormin (atenolol) is good for controlling chest pain and treating a heart attack. It has fewer side effects than other beta blockers. You need to take it on an empty stomach and you can't skip doses.Lowers blood pressure and controls heart rate. Bystolic (Nebivolol) is a good blood pressure-lowering medicine for people with heart conditions, and has fewer side effects than other beta blockers, but it's expensive. You can't miss doses.
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Coupons for Atenolol
Best available price for 30 (50mg) tablets of atenolol
Coupons for Bystolic
Best available price for 30 (10mg) tablets of nebivolol
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
4.92Atenolol
Reviews for Tenormin (atenolol)
58%
of people (All ages) say Tenormin (atenolol) is worth it
48%
say it works well
16%
say it's a big hassle
457 reviews
Have you used Tenormin (atenolol)?
Worth itNot sureNot worth it
Reviews for Bystolic (nebivolol)
53%
-5% worse vs. Tenormin (atenolol)
49%
+1% better vs. Tenormin (atenolol)
18%
-2% worse vs. Tenormin (atenolol)
154 reviews
Have you used Bystolic (nebivolol)?
Worth itNot sureNot worth it
Side effects
AtenololBystolic
  • Tiredness 13%
  • Dizziness 7%
  • Low mood disorder 3%
  • Cold arms and legs 7%
  • Fatigue 1%
  • Shortness of breath 2%
  • Light-headedness 3%
  • Leg pain 2%
  • Decreased energy 3%
More Atenolol side effects »
  • Headache 3%
  • Fatigue 1%
  • Nausea 3%
More Bystolic side effects »
How it works
AtenololBystolic
Tenormin (atenolol) is a selective beta blocker that works specifically on the heart by slowing down the heart and making the heart pump better.Bystolic (Nebivolol) is a selective beta blocker that works specifically on the heart. It lowers blood pressure by slowing down the heart and making it work less to pump.
Type of medication
AtenololBystolic
Prescription only
Prescription only
Available as
AtenololBystolic
  • Pill
  • Pill
Used for
AtenololBystolic
Risk factors for serious side effects
AtenololBystolic
  • Suddenly stopping Tenormin (atenolol)
  • Taking calcium channel blockers
  • Major surgery requiring anesthesia
  • Diabetes
  • Taking clonidine
Detailed Tenormin (atenolol) risks & warnings »
  • Sudden discontinuation of medicine
  • History of asthma
  • History of diabetes
  • Age 65 years or older
  • Using other medicine(s) that slows the heart
Detailed Bystolic (nebivolol) risks & warnings »
Pregnancy

Research studies with real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Upsides and benefits
AtenololBystolic
  • A first-choice treatment to prevent chest pain (angina).
  • A first-choice treatment for heart attack recovery.
  • At lower doses, Tenormin (atenolol) has fewer side effects than other beta blockers because it targets the heart and not other parts of the body.
  • Controls your heart rate to reduce work for your heart.
  • A first-line treatment for heart failure and heart attack.
  • Helps to lower blood pressure if you can't use first-choice treatments or need additional blood pressure control.
  • Many beta blockers can worsen asthma or cause headaches, but Bystolic usually doesn't because it targets the heart more specifically and causes fewer side effects.
Downsides and risks
AtenololBystolic
  • You need to take Tenormin (atenolol) on an empty stomach.
  • Taking a beta blocker might make you feel more tired or out of breath during exercise or normal daily routines. This gets better for most people, but it might not go away for others.
  • Not a first-choice treatment for high blood pressure unless you have heart disease. However, your doctor could add it to other medicines you're already if your blood pressure is still too high.
  • You can't miss or skip doses. If you stop Tenormin (atenolol) suddenly, it can cause your blood pressure to go up really quickly, raising your risk of heart attack and stroke.
  • Tenormin (atenolol) can hide symptoms of low blood sugar if you're diabetic.
  • Not available in less expensive generic form.
  • Taking a beta blocker might make you feel more tired or out of breath during exercise or normal daily routines. This gets better for most people, but for some might not go away.
  • Can hide symptoms of low blood sugar if you're diabetic.
  • You can't miss doses. Stopping Bystolic suddenly can cause your blood pressure to go up suddenly, which raises the risk of heart attack and stroke.
Tips from our pharmacists for people taking the medication
AtenololBystolic
  • Lowers bad cholesterol and triglycerides. Raises good cholesterol.
  • Avoid grapefruit and grapefruit juice while taking this medicine.
  • Tell your doctor if you develop sudden muscle pain, fever, or weakness.
  • Tell your doctor if you notice dark urine or yellowing in your eyes or skin.
  • Can cause headache, dizziness, or feeling short of breath in the first few days.
  • Check your blood pressure 1 week after starting this medicine, and tell your doctor if it hasn't improved.
  • If side effects don't go away, talk to your doctor about alternatives.
  • Don't stop taking this medicine suddenly.
Learn more
More about AtenololSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Tenormin (atenolol)?
Worth itNot sureNot worth it
More about BystolicSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Bystolic (nebivolol)?
Worth itNot sureNot worth it