Contra-indicated in patients with sinus bradycardia, heart block greater than first degree, cardiogenic shock, or overt cardiac failure.
Beta-Adalat and Tenif are atenolol and nifedipine. Kalten, Tenoret 50 and Tenoretic are atenolol and chlorthalidone. Chlorthalidone is a sulfonamide and can be absorbed systemically. Sulfonamides can produce severe, possibly fatal, reactions such as toxic epidermal necrolysis and Stevens-Johnson syndrome.