Compare Atenolol vs. Topamax

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

Tenormin
(atenolol)

Qudexy Xr
(topiramate)

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.Prevents seizures and migraine headaches. Qudexy Xr (Topiramate) is useful for preventing seizures and migraines, and doesn't require blood tests while you're on it.
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Prices and coupon for 30 (25mg) tablets of atenolol
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Prices and coupon for 60 (25mg) tablets of topiramate
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 Qudexy Xr (topiramate)
52%
-6% worse vs. Tenormin (atenolol)
50%
+2% better vs. Tenormin (atenolol)
36%
-20% worse vs. Tenormin (atenolol)
Have you used Qudexy Xr (topiramate)?
Worth itNot sureNot worth it
Side effects
AtenololTopamax
  • 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 »
  • Ear, nose, or throat infection 16%
  • Diarrhea 8%
  • Weight decrease 7%
  • Difficulty with concentration/attention 7%
  • Inflammation inside the nose 5%
  • Tingling sensation 3%
  • Infection 3%
  • Infection viral 3%
  • Rash 3%
  • Fatigue 17%
More Topamax side effects »
How it works
AtenololTopamax
Tenormin (atenolol) is a selective beta blocker that works specifically on the heart by slowing down the heart and making the heart pump better.Qudexy Xr (Topiramate) is an antiepileptic. Researchers don't know exactly how it works, but it seems to affect multiple parts of the brain to control seizures and migraines.
Type of medication
AtenololTopamax
Prescription only
Prescription only
Available as
AtenololTopamax
  • Pill
  • Pill
  • Extended release capsule
Used for
AtenololTopamax
Risk factors for serious side effects
AtenololTopamax
  • Suddenly stopping Tenormin (atenolol)
    • Taking calcium channel blockers
    • Major surgery requiring anesthesia
    • Diabetes
      • Taking clonidine
      Detailed Tenormin (atenolol) risks & warnings »
      • History of depression
        • Children
        • History of metabolic disorders
        • People also taking Depakote
        • Low-carb diet
        • Dehydration
        • Drug interactions
          • Stopping Qudexy Xr (Topiramate) suddenly
          Detailed Qudexy Xr (topiramate) 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 real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

          Kidneys and liver
          AtenololTopamax
          No kidneys and liver related info.
          • A few people will get kidney stones.
          • Qudexy Xr (Topiramate) may increase your risk for kidney stones. Stay well-hydrated to lower your risk.
          Weight
          AtenololTopamax
          No weight related info.
          • Can cause sleepiness, speech problems, tingling sensations, and weight loss.
          Upsides and benefits
          AtenololTopamax
          • 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.
          • Used on its own or with other antiepileptic medicines to lower the frequency of seizures, especially for people with tonic-clonic or partial seizures, or Lennox-Gestaut syndrome.
          • Helpful in preventing frequent migraine headaches.
          • Doesn't need routine blood tests.
          Downsides and risks
          AtenololTopamax
          • 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.
          • Can cause sleepiness, speech problems, tingling sensations, and weight loss.
          • A few people will get kidney stones.
          • Not safe to use if you're pregnant.
          Tips from our pharmacists for people taking the medication
          AtenololTopamax
          • 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.
          • For the first week, avoid activities that require you to be alert.
          • Don't use if pregnant.
          • Can cause tingling skin sensations and reduced appetite.
          • Report any confusion, decreased sweating, fever, or changes in behavior or vision.
          • Takes 3 to 4 weeks to feel full effects on mood.
          Learn more
          More about AtenololSide effectsReviews & ratingsAlternativesFDA package insert
          Have you used Tenormin (atenolol)?
          Worth itNot sureNot worth it
          More about TopamaxSide effectsReviews & ratingsAlternativesFDA package insert
          Have you used Qudexy Xr (topiramate)?
          Worth itNot sureNot worth it