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Two medicines, side by side

Atenolol vs labetalol

Atenolol and labetalol are both labeled for high blood pressure. Drugs@FDA records approvals of atenolol since 1981 and of labetalol since 1984. Pharmacies paid $0.0217 per atenolol 25 mg tablet and $0.215 per labetalol HCl 300 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the atenolol FDA label on DailyMed (effective September 18, 2025); the labetalol FDA label on DailyMed (effective March 2, 2026).

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

Highlights of the labetalol record

Labetalol (Trandate) · label of March 2, 2026

Used for

From the label: indications

Labetalol hydrochloride tablets, USP are indicated in the management of hypertension. Labetalol hydrochloride tablets USP may be used alone or in combination with other antihypertensive agents, especially thiazide and loop diuretics.

On the market

Earliest approval on file
August 1, 1984
Generic labelers
43 labelers
Pharmacy cost
$0.215 per tablet

Supply and safety

Shortage
No current entry
Recalls
6

Source: FDA drug labels via openFDA (Atenolol label of September 18, 2025, Labetalol label of March 2, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do atenolol and labetalol differ on the record?

Both are in FDA's class beta-adrenergic blockers.

Half-life, in each label's words: Atenolol, “The elimination half-life of oral TENORMIN is approximately 6 to 7 hours, and there is no alteration of the kinetic …”; Labetalol, “The plasma half-life of labetalol following oral administration is about 6 to 8 hours.”

Generics: atenolol since 1988; labetalol since 1998 (Drugs@FDA).

AtenololLabetalol
Labeled forHigh blood pressure, Angina, Heart attack and coronary artery diseaseHigh blood pressure
Pharmacologic classbeta-Adrenergic Blockerbeta-Adrenergic Blocker
How it works (label)n/an/a
Half-life (label)The 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.The plasma half-life of labetalol following oral administration is about 6 to 8 hours.
Earliest approval on file (Drugs@FDA)August 19, 1981August 1, 1984
First generic approvedJuly 15, 1988August 3, 1998
Generic labelers (NDC)35 labelers43 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0217 per tablet (Atenolol 25 mg tablet)$0.215 per tablet (Labetalol HCl 300 mg tablet)
12-month price change-3%+3%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded46
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)132,49113,250
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 atenolol
every medicine labeled for the same conditions