Atelol D 50mg/2.5mg Tablet: Complete Information
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe dizziness or fainting
- Heart rate below 50 beats per minute
- Difficulty breathing or wheezing
- Swelling of face, lips, or throat
- Chest pain or irregular heartbeat
- Severe muscle cramps or weakness
- Decreased urine output
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is atelol d 50mg/2.5mg tablet used for?
This medicine is a combination of Atenolol (a beta-blocker) and Indapamide (a diuretic) used to treat high blood pressure. It works by slowing the heart rate and removing excess fluid from the body.
- Generic Name: Atenolol (50mg) + Indapamide (2.5mg)
- Manufacturer: Themis Pharmaceuticals Prop Chemosyn Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 atelol d 50mg/2.5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) के इलाज के लिए इस्तेमाल की जाती है। यह एटेनोलोल और इंडापामाइड का संयोजन है, जो रक्तचाप को कम करने में मदद करता है। यह दिल पर दबाव कम करती है और शरीर से अतिरिक्त पानी और नमक को बाहर निकालती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में थकान, चक्कर आना, ठंडे हाथ-पैर, धीमी हृदय गति, सिरदर्द और बार-बार पेशाब आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इसमें गंभीर धीमी हृदय गति, हृदय रुकावट, एलर्जी प्रतिक्रिया और इलेक्ट्रोलाइट असंतुलन शामिल हो सकते हैं।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अचानक बंद न करें। शराब से बचें। पर्याप्त पानी पिएं। नियमित रूप से रक्तचाप, हृदय गति और रक्त परीक्षण कराएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 atelol d 50mg/2.5mg tablet Uses & Benefits
[{"condition":"Hypertension","description":"This medicine is used to lower high blood pressure in adults when a combination of a beta-blocker and a diuretic is appropriate.","evidence":"Well-established"},{"condition":"Angina pectoris","description":"Atenolol component helps reduce the frequency and severity of angina attacks by decreasing heart workload.","evidence":"Well-established"},{"condition":"Edema","description":"Indapamide component helps reduce fluid retention in conditions such as heart failure or renal impairment.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Beta-blockers like Atenolol are sometimes used off-label to prevent migraines, but this combination is not specifically approved for that purpose.","evidence":"Limited"},{"condition":"Anxiety with palpitations","description":"Atenolol may be used off-label to manage physical symptoms of anxiety such as rapid heartbeat, but this is not a standard use of the combination.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Angina pectoris, Edema
📋 Drug Information
| Generic Name(s) | Atenolol (50mg) + Indapamide (2.5mg) |
| Brand Name | atelol d 50mg/2.5mg tablet |
| Manufacturer | Themis Pharmaceuticals Prop Chemosyn Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary mechanisms. Atenolol selectively blocks beta-1 adrenergic receptors in the heart, reducing heart rate, contractility, and cardiac output, which lowers blood pressure and myocardial oxygen demand. Indapamide inhibits sodium reabsorption in the distal convoluted tubule of the kidney, increasing excretion of sodium, chloride, and water, which reduces plasma volume and peripheral vascular resistance. The combined effect provides effective blood pressure reduction.
Mechanism Steps
💡 How to Take atelol d 50mg/2.5mg tablet
Strength: Tablet containing Atenolol 50 mg and Indapamide 2.5 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once daily, preferably in the morning. The dose may be adjusted by your doctor based on your blood pressure response and tolerance. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially dizziness and electrolyte imbalances. Start with a lower dose and monitor closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | In patients with renal impairment, dose adjustment is required. Atenolol is renally excreted; reduce dose if creatinine clearance is below 35 mL/min. Indapamide should be used with caution. Consult your doctor for specific dosing. |
| Hepatic Impairment | In patients with hepatic impairment, Indapamide metabolism may be affected. Use with caution and monitor liver function. Dose adjustment may be necessary. Consult your doctor. |
| Maximum Daily Dose | One tablet daily (Atenolol 50 mg + Indapamide 2.5 mg). Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of atelol d 50mg/2.5mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Verapamil | Major | |
| Clonidine | Major | |
| Lithium | Major | |
| NSAIDs | Moderate | |
| Corticosteroids | Moderate | |
| Antidiabetic drugs | Moderate | |
| Digoxin | Minor | |
| Antacids | Minor |
🚨 Major Interactions
- Verapamil or Diltiazem
- Clonidine
- Lithium
⚡ Moderate Interactions
- NSAIDs
- Corticosteroids
- Antidiabetic drugs
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering effects of this medicine and increase the risk of dizziness, fainting, and orthostatic hypotension. It is advisable to avoid or limit alcohol consumption while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe bradycardia","Second or third-degree heart block","Cardiogenic shock","Decompensated heart failure","Severe renal impairment (creatinine clearance
⚠️ Warnings & Precautions
["Do not stop abruptly; taper gradually to avoid rebound angina or hypertension.","Use with caution in patients with asthma or COPD; may cause bronchospasm.","May mask symptoms of hypoglycemia in diabetic patients.","Can cause electrolyte imbalances; monitor potassium and sodium levels.","May worsen peripheral vascular disease.","Use with caution in elderly patients; increased risk of falls and electrolyte disturbances.","Avoid in pregnancy unless clearly needed; may cause fetal harm.","Not recommended during breastfeeding."]
🤱 Lactation Safety
Atenolol is excreted in breast milk and may cause bradycardia and hypotension in the nursing infant. Indapamide is also excreted in breast milk. This medicine is not recommended during breastfeeding unless the potential benefit outweighs the risk. Consult your doctor.
💊 Overdose Management
Overdose may cause severe bradycardia, hypotension, heart failure, and electrolyte disturbances. Treatment is supportive and symptomatic. Gastric lavage may be considered if recent ingestion. Administer intravenous fluids, atropine for bradycardia, and vasopressors for hypotension. Monitor electrolytes and renal function. Contact a poison control center immediately.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not stop taking it suddenly, as abrupt withdrawal of Atenolol can worsen angina or lead to a heart attack. Inform your doctor if you have asthma, diabetes, kidney or liver disease, or thyroid disorders. Avoid alcohol as it can enhance the blood pressure-lowering effect and cause dizziness. Stay hydrated, especially during hot weather or exercise, to prevent dehydration and electrolyte imbalance. Regular monitoring of blood pressure, heart rate, and blood tests for kidney function and electrolytes is important. Do not use potassium supplements without medical advice. If you are scheduled for surgery, inform your surgeon and anesthesiologist about this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to dizziness, electrolyte imbalances, and falls. Start with a lower dose and monitor closely. Regular blood tests are essential.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy as it may harm the fetus. If you are planning pregnancy, consult your doctor to switch to a safer alternative. Use effective contraception while on this medicine.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine. It may interact with anesthesia and affect heart rate and blood pressure. Your doctor may adjust or temporarily stop it before surgery.
🦷 Dental Procedures
Inform your dentist about this medicine. It may cause dry mouth or interact with local anesthetics containing epinephrine. Monitor blood pressure during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe, but avoid strenuous activities initially as this medicine may cause dizziness or fatigue. Stay hydrated and monitor your heart rate. Consult your doctor before starting a new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when starting treatment. Avoid driving or operating heavy machinery until you know how it affects you. Take it in the morning to minimize nighttime urination. Adjust work schedules if needed.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Abrupt withdrawal can cause rebound hypertension, angina, or heart attack. Your doctor may taper the dose gradually if needed.
📅 Long-Term Use Effects
Long-term use may require regular monitoring of blood pressure, heart rate, kidney function, and electrolytes. Atenolol can cause fatigue and cold extremities. Indapamide can lead to electrolyte imbalances. Periodic blood tests are essential. Do not stop without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress reduction can help manage blood pressure.
Evidence: Well-establishedACE inhibitors, ARBs, or calcium channel blockers may be alternatives.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, inform your doctor about this medicine before any vaccination. Continue routine vaccinations as recommended.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage. Adjust dosing times if crossing time zones, but consult your doctor first. Store at room temperature and protect from extreme heat or moisture. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts lowering blood pressure within a few hours, but full effects may take 1-2 weeks. Regular monitoring is important.
A: No, do not stop without consulting your doctor. High blood pressure often has no symptoms, and stopping suddenly can be dangerous.
A: Take it as soon as you remember if less than 12 hours have passed. If more than 12 hours, skip it and continue your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for atelol d 50mg/2.5mg tablet
View AllAlternative brands with exact same active ingredient:
-
atekind d 50mg/2.5mg tabletMankind Pharma Ltd ₹15.90 82.1% CHEAPER
-
aten-d tabletZydus Cadila ₹135.45 52.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped once blood pressure is normal.
Fact: High blood pressure often requires lifelong treatment. Stopping suddenly can cause rebound hypertension or angina. - Myth: This medicine causes kidney damage.
Fact: When used as prescribed and monitored, this medicine is safe. Regular monitoring helps prevent kidney issues. - Myth: You can take this medicine without a prescription.
Fact: This is a prescription medicine. It should only be taken under a doctor's supervision.
🔄 Alternative Options
Generic Alternatives
- Atenolol + Indapamide generic tablets
Brand Alternatives
- Atelol D 50mg/2.5mg tablet