Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Losartan (Cozaar) and atenolol (Tenormin) are both medications used to treat high blood pressure, but they belong to different medication classes. Losartan is an angiotensin II receptor blocker (ARB), while atenolol is a cardioselective beta blocker. Losartan is also FDA-approved to lower the risk of stroke in people with high blood pressure and a thickened heart (left ventricular hypertrophy), and to slow kidney problems in people with Type 2 diabetes. Atenolol, on the other hand, is approved for treating chest pain (angina) and reducing the risk of death after a heart attack. Losartan is typically taken once daily, at a dose of 25 mg to 100 mg, and is available as a lower-cost generic. Atenolol is also taken once daily, at a dose ranging from 25 mg to 200 mg per day, but can be taken twice daily in some cases. Common side effects of losartan include dizziness and upper respiratory infections, while atenolol can cause tiredness and cold hands and feet, in addition to dizziness. Losartan can interact with nonsteroidal anti-inflammatory drugs (NSAIDs) and medications that raise potassium levels. Both losartan and atenolol can interact with other blood pressure medications, increasing the risk of low blood pressure (hypotension).
Losartan (Cozaar)
Atenolol (Tenormin)
Losartan (Cozaar)
Atenolol (Tenormin)
Summary of Cozaar vs. Tenormin
Summary for ARB
Prescription only
Losartan, also known by the brand name Cozaar, is a first-choice medication that's used to lower blood pressure. It's also shown to protect against stroke in certain people. In addition, this medication can slow down the worsening of kidney problems in certain people with diabetes. Losartan (Cozaar) belongs to the drug class called angiotensin II receptor blockers (ARBs). This medication is taken by mouth once daily and is available as a lower-cost generic. Side effects can include dizziness, fatigue, and upper respiratory infections.
Summary for Beta blocker
Prescription only
Atenolol (Tenormin) is a cardioselective beta-blocker that's used to treat high blood pressure and chest pain. It's also used to lower the risk of death after a heart attack. Atenolol (Tenormin) works by slowing down heart rate and making it easier for your heart to pump blood. Atenolol (Tenormin) is taken by mouth, typically once daily. Some common side effects of this medication include dizziness, feeling tired, and having cold hands and feet.