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In Atenolol Shortage, Will Metoprolol Substitute?

The FDA anticipates that the atenolol shortage will ease within a few months. In the meantime, a patient may need to switch to metoprolol.

Over the last decade or so, the United States has been increasingly plagued with drug shortages. Sometimes the scarce medications are pricey brand-name products, but frequently enough hospitals and pharmacies run low on common generic medications. One reader has encountered an atenolol shortage.

How Will an Atenolol Shortage Affect You?

Q. I recently tried to refill my prescription for atenolol and was informed there was a nationwide shortage. My drugstore was out of it.

Years ago, after trying many other prescriptions, atenolol was the only thing that worked to control my elevated blood pressure. As a side benefit, it also toned down my essential tremor.

I am loath to switch to metoprolol and hope I can find more atenolol soon. Too much adrenaline causes my elevated blood pressure. Will metoprolol act on adrenaline?

Is there any indication when this atenolol shortage will end?

An End to the Atenolol Shortage:

A. Drug shortages have become commonplace, even for old generic drugs like atenolol. The FDA anticipates that atenolol should become available again in February, 2018.

In the meantime, metoprolol might substitute, though your doctor will need to make that determination. Atenolol and metoprolol are both beta-blockers, which means that both block excess adrenaline. Both medications are used to treat high blood pressure and chest pain (angina) due to clogged coronary arteries. They are not identical, however, and your physician would need to determine an appropriate dosage of the metoprolol if that is what you must take until the atenolol shortage has eased.

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
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