Compare Atenolol vs. Bystolic

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

Tenormin (atenolol)

Prescription only

Bystolic (Nebivolol)

Prescription only
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.

3.6/ 5 average rating with 457 reviewsforAtenolol
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.

3.6/ 5 average rating with 154 reviewsforBystolic
Upsides
  • 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
  • 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.
Used for
Dosage forms
  • Pill
  • Pill
Price
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Reviews
457 reviews so far
58%
saidit'sworth it
48%
saiditworked well
16%
saidit'sa big hassle

Have you used Tenormin (atenolol)?

Leave a review
154 reviews so far
53%
saidit'sworth it
49%
saiditworked well
18%
saidit'sa big hassle

Have you used Bystolic (Nebivolol)?

Leave a review
Side effects
17possible side effects
  • Tiredness
    26%
  • Dizziness
    13%
  • Cold arms and legs
    12%
  • Depression
    12%
  • Fatigue
    6%
  • Shortness of breath
    6%
  • Low blood pressure on movement changes
    4%
  • Slower heartbeat
    3%
  • Leg Pain
    3%
  • Light-headedness
    3%
  • Decreased energy
    3%
  • Vivid dreams
    3%
  • Diarrhea
    3%
  • Nausea
    3%
  • Wheeziness
    3%
  • Feeling off balance
    2%
  • Drowsiness
    2%
See more detailed side effects
4possible side effects
  • Headache
    9%
  • Diarrhea
    2%
  • Fatigue
    2%
  • Dizziness
    2%
See more detailed side effects
Risks and risk factors
  • Heart attack or increased chest pain
    • Suddenly stopping Tenormin (atenolol)
  • Heart failure
  • Slowing heart rate
    • Taking calcium channel blockers
  • Increased risks during surgery
    • Major surgery requiring anesthesia
  • Masked symptoms of low blood sugar
    • Diabetes
  • Masked symptoms of overactive thyroid
  • Increased risk of rebound high blood pressure
    • Taking clonidine
See more detailed risks and warnings
  • Heart problems
    • Sudden discontinuation of medicine
  • Trouble breathing (bronchospastic disease)
    • History of asthma
  • Low blood sugar unawareness
    • History of diabetes
  • Low heart rate (bradycardia)
    • Age 65 years or older
    • Using other medicine(s) that slows the heart
See more detailed risks and warnings