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Clarification regarding aten 50 usage
My mother has been diagnosed with neurogenic claudication with spinal stenosis along with high blood pressure.She has been prescribed aten 50 to be used every morning for this high BP condition.Dramatically after taking aten 50 her legs feel completely free from pain or stiffness or numbness for upto 10 hours till evening and after that again pains , tingling, stiffness starts .So can she take another aten content medication in evening as she is comfortable only with aten ,she couldn't tolerate any other composition like telmisartan ,beta blocker like concor .So please kindly clarify me
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You are describing here two different problem
1. High BP
2. Spinal stenosis
1. Taking Atenalol 50 twice is not advisable as your doctor has prescribed once a day we need to know her BP reading in rest for 4-5 days before changing medicine or increasing Doses
2. For stenosis what is MRI reading?? Which level of stenosis need to know as tingling and pain is due to stenosis
I advice you to see a Neurosurgeon for spine problem and till then avoid forward bending she might take LYRICA 75 twice for neuropathy
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• Your mother has Spinal Stenosis causing neurogenic claudication — this is a nerve compression problem, not primarily a BP issue
• She is taking Atenolol 50 mg
Health Tips
• Walking slightly bent forward (shopping cart sign) helps stenosis
• Avoid prolonged standing
• Use lumbar support
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Not good to take aten twice without being examined by a Dr.please consult a physician physically.
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Do consult
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"It is interesting to note that your mother feels significant relief in her leg pain and stiffness for 10 hours after taking Aten 50. However, clinically, Atenolol is a beta-blocker used for managing Blood Pressure and heart rate; it is not a painkiller or a treatment for Neurogenic Claudication (Spinal Stenosis). The relief she feels could be due to a decrease in systemic vascular resistance or a placebo effect, but increasing the dose to twice a day just for pain relief is not advisable without strict medical supervision."
Next Steps
Taking Atenolol twice a day (100mg total) can significantly lower the heart rate (Bradycardia) and Blood Pressure, which can be dangerous, especially in elderly patients. Since she cannot tolerate Telmisartan or Concor, any change in her BP medication must be done very cautiously. Neurogenic Claudication is caused by nerve compression in the spine, and its standard treatment involves nerve-pain medications (like Pregabalin or Gabapentin) and physical therapy, rather than increasing beta-blockers."
Health Tips
"I suggest the following:
Monitor Heart Rate & BP: Before considering any dose adjustment, check her pulse and BP at home when she feels the pain returning in the evening.
Consult a Neurologist/Orthopedic Surgeon: For her Spinal Stenosis, she needs specialized management that targets the nerve compression directly.
Do not self-medicate: Please do not start a second dose of Aten 50 on your own. It is vital to discuss these 'pain relief' observations with her treating physician to see if a different, safer class of medication can be added for evening coverage
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Consult the treating physician and manage it stepwise.
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Hello. I have reviewed your query regarding your mother's medication and her symptoms.
It is interesting that a blood pressure medication like Atenolol is providing relief for symptoms of neurogenic claudication.
While Atenolol is a beta-blocker primarily used for hypertension, its effect on your mother's leg pain needs careful clinical evaluation before adjusting the dosage.
1. Understanding the Symptoms
Neurogenic Claudication & Spinal Stenosis: These conditions involve the narrowing of the spinal canal, which puts pressure on the nerves. This typically causes pain, tingling, and numbness in the legs that worsens with standing or walking.
Medication Effect: Atenolol's primary job is to slow the heart rate and reduce blood pressure. If it is helping her leg symptoms, it may be due to improved overall hemodynamics or a secondary effect on her vascular system.
2. Clarification on Aten 50 Dosage
Standard Dosing: Aten 50 is typically designed to work for 24 hours for blood pressure control. However, its peak clinical effect often wears off sooner.
Safety Concerns: You must not add an evening dose of Aten 50 without a direct recommendation from her cardiologist or treating physician. Doubling the dose can dangerously slow her heart rate (bradycardia) or drop her blood pressure too low (hypotension), especially during sleep.
Why other meds failed: Her intolerance to Telmisartan or Concor (Bisoprolol) suggests she has a specific sensitivity to certain classes of antihypertensives.
3. Recommended Next Steps
Consult Her Doctor: Ask the physician if the Atenolol can be split into two smaller doses (e.g., 25mg in the morning and 25mg in the evening) instead of one large 50mg dose. This might provide more consistent relief throughout the day without increasing the total daily amount.
Nerve Management: Since her primary diagnosis is spinal stenosis, she might benefit more from medications specifically for nerve pain (like Pregabalin or Gabapentin) or physical therapy rather than increasing her blood pressure medication.
Summary Advice:
Do not increase the Atenolol dose on your own. Discuss the "10-hour window" of relief with her doctor to see if a split-dose strategy or the addition of a nerve-specific medication is appropriate for her spinal condition.
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Aten 50 is basically to control blood pressure... as in case of spinal stenosis it has nothing to do with aten 50 .... so don't increase it's dose ... let it be once in morning if bp is maintained ..... as for pain nd numbness. Take pregabalin + methycobalamine once at night for 15 days ... along with you can also start physiotherapy exercise..... hot fomentation at localised areas . Use hard mattress to sleep ...avoid heavy weight lifting nd bending forward ... if you have x ray or mri report can you please send it
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Pregabanyl NT one at night DUE TO SPINAL STENOSIS NERVE COMPRESSION SO PAIN IS THERE
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ATN 50 should be taken only as prescribed by the concerned doctor. ATN is primarily for BP control not for pain management. For relief she can take another ATN 50 in evening but the prerequisite is BP checking and monitoring !! If the BP is still high in the evening ( likely >140/90 ) she can take another ATN tablet otherwise you have to consult a doctor. For neurogenic clarification you can go for drugs like Gabapentin, pregablin even after taking these drugs if she isn't getting relief check out a spine surgeon and discuss the case with him/her
Next Steps
Check BP before giving another ATN tablet in the evening !! Start BP monitoring in morning and evening
Health Tips
Try out some spine flexion & core strengthening exercises to relieve the pain !!
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No, she should not take an extra dose of Atenolol in the evening without medical advice.
Because it’s a BP medicine, not a treatment for spinal stenosis.
Extra dose can cause low BP, slow pulse, dizziness
Why she feels better is likely indirect effect (BP control / muscle relaxation)—not a reliable or intended benefit.
Next Steps
Review spinal stenosis treatment (physiotherapy, pain management)
Doctor may adjust BP meds safely if needed.
Health Tips
Seek urgent care if:
Leg weakness, worsening pain, or bladder/bowel issues.
Hope this helps. Wishing your mother relief and recovery
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If bp is control after taking aten 50 .then you can take this.
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Itâs good that she is getting relief, but Aten 50 atenolol is primarily for BP control and not meant for treating nerve related pain from spinal stenosis.
The temporary relief youâre noticing may be indirect, and increasing or repeating the dose on your own is not advisable, as it can affect heart rate and blood pressure.
For her leg symptoms, proper management of spinal stenosis medications, physiotherapy is important.
If youâd like, I can review her reports and help you with a safer, more effective plan for both BP and leg symptoms.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Vascular surgeon opinion
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Annpurna Pai
General Physician
31 yrs exp
Mumbai
No ..she cannot take another Aten tablet without doctor's advise . As its advised for high blood and not for neurogenic claudication .
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes. She can. But monitor bp
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