Compare Atenolol vs. Lisinopril

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

Tenormin (atenolol)

Prescription only

Zestril (lisinopril)

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.

4.9/ 7 average rating with 457 reviewsforAtenolol
Lowers blood pressure.

Zestril (lisinopril) is a good blood pressure-lowering medicine that protects kidney function.

5.2/ 7 average rating with 687 reviewsforLisinopril
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.
  • A first-choice blood pressure treatment for many people.
  • Lowers the risk of heart attack and stroke.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • Recommended for anyone with heart failure since it lowers the risk of death and further damage to your heart.
  • Very cheap drug, and comes available as a liquid for children over 6 years of age.
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.
  • Up to 10% of people can get a dry cough while using this medicine. It ranges from a mild tickle in the throat to a persistent hacking cough.
  • Requires a yearly blood test to see how the medicine is affecting your body.
  • Zestril (lisinopril) isn't safe to use if you're pregnant.
  • Doesn't work as well in people of African descent, and can cause a greater chance of face, tongue, or lip swelling.
Used for
Dosage forms
  • Pill
  • Pill
  • Liquid
Price
Lowest price near you
$4
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Lowest price near you
$4
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Reviews
457 
58%
think this treatment is worth it
48%
think this treatment works well
16%
think this treatment is a hassle

Have you used Tenormin (atenolol)?

Leave a review
687 
61%
think this treatment is worth it
51%
think this treatment works well
14%
think this treatment is a hassle

Have you used Zestril (lisinopril)?

Leave a review
Side effects
10possible 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%
See more detailed side effects
1possible side effects
  • Low blood pressure
    5%
See more detailed side effects
Risks and warnings
  • Heart attack or increased chest pain

    Suddenly stopping Tenormin (atenolol)

  • Slowing heart rate

    Taking calcium channel blockers

  • Increased risks during surgery

    Major surgery requiring anesthesia

  • Masked symptoms of low blood sugar

    Diabetes

  • Increased risk of rebound high blood pressure

    Taking clonidine

See more detailed risks and warnings
  • Harm to fetus

    Women of childbearing age

  • Swelling of face and head

    African descent

  • High potassium

    Current kidney problems

    ...and 2 more risk factors

  • Worsening kidney problems

    History of kidney problems

  • Low blood pressure

    Taking with alcohol

    ...and 1 more risk factors

See more detailed risks and warnings