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Two medicines, side by side

Amlodipine vs atenolol

Amlodipine and atenolol are both labeled for high blood pressure, angina and heart attack and coronary artery disease. Drugs@FDA records approvals of amlodipine since 1992 and of atenolol since 1981. Pharmacies paid $0.0102 per amlodipine besylate 5 mg tablet and $0.0217 per atenolol 25 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, amlodipine is a calcium channel blocker and atenolol a beta-adrenergic blocker.

Check it at the source: the amlodipine FDA label on DailyMed (effective February 15, 2023); the atenolol FDA label on DailyMed (effective September 18, 2025).

Highlights of the amlodipine record

Amlodipine (Norvasc) · label of February 15, 2023

Used for

From the label: indications

NORVASC is a calcium channel blocker and may be used alone or in combination with other antihypertensive and antianginal agents for the treatment of: • Hypertension ( 1.1 ) o NORVASC is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. […]

On the market

Earliest approval on file
July 31, 1992
Generic labelers
42 labelers
Pharmacy cost
$0.0102 per tablet

Supply and safety

Shortage
No current entry
Recalls
30

Highlights of the atenolol record

Atenolol (Tenormin) · label of September 18, 2025

Used for

From the label: indications

Hypertension TENORMIN is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure lowers the risk of fatal and non-fatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including atenolol. […]

On the market

Earliest approval on file
August 19, 1981
Generic labelers
35 labelers
Pharmacy cost
$0.0217 per tablet

Supply and safety

Shortage
No current entry
Recalls
4

Source: FDA drug labels via openFDA (Amlodipine label of February 15, 2023, Atenolol label of September 18, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do amlodipine and atenolol differ on the record?

In FDA's classes, amlodipine is a calcium channel blocker and atenolol a beta-adrenergic blocker.

Generics: amlodipine since 2005; atenolol since 1988 (Drugs@FDA).

AmlodipineAtenolol
Labeled forHigh blood pressure, Angina, Heart attack and coronary artery diseaseHigh blood pressure, Angina, Heart attack and coronary artery disease
Pharmacologic classCalcium Channel Blocker, Dihydropyridine Calcium Channel Blockerbeta-Adrenergic Blocker
How it works (label)Amlodipine is a dihydropyridine calcium antagonist (calcium ion antagonist or slow‑channel blocker) that inhibits the transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle.n/a
Half-life (label)n/aThe elimination half-life of oral TENORMIN is approximately 6 to 7 hours, and there is no alteration of the kinetic profile of the drug by chronic administration.
Earliest approval on file (Drugs@FDA)July 31, 1992August 19, 1981
First generic approvedOctober 3, 2005July 15, 1988
Generic labelers (NDC)42 labelers35 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0102 per tablet (Amlodipine besylate 5 mg tablet)$0.0217 per tablet (Atenolol 25 mg tablet)
12-month price change-10%-3%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded304
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)409,186132,491
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to amlodipine
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