Atenolol and metoprolol once daily in hypertension

Br Med J (Clin Res Ed). 1982 May 22;284(6328):1514-6. doi: 10.1136/bmj.284.6328.1514.

Abstract

The effect of once-daily dosage of the two most widely prescribed cardioselective beta-adrenoceptor antagonists used to treat hypertension--namely, atenolol and metoprolol--was studied in nine carefully selected hypertensive outpatients. Each patient received atenolol 50 mg/day, atenolol 100 mg/day, metoprolol 100 mg/day, and metoprolol 200 mg/day in a sustained-release formulation (as Lopresor SR) according to a randomised sequence. After three weeks' treatment with each drug given once daily comparisons of the treatments 24 hours after dosing showed no important differences between 50 and 100 mg atenolol/day. Metoprolol, as both the standard and the slow-release formulations, had some limitations in controlling systolic blood pressure and heart rate. These results suggest that the recommendations for the treatment of hypertension with these cardioselective beta-adrenoceptor antagonists should be reconsidered since doses smaller than those recommended are almost as effective and much cheaper.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Atenolol / administration & dosage
  • Atenolol / therapeutic use*
  • Blood Pressure
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Female
  • Heart Rate
  • Humans
  • Hypertension / drug therapy*
  • Male
  • Metoprolol / administration & dosage
  • Metoprolol / therapeutic use*
  • Middle Aged
  • Propanolamines / therapeutic use*

Substances

  • Propanolamines
  • Atenolol
  • Metoprolol