Drug & supplement interaction

Squill + Atenolol, Chlorthalidone

Atenolol, Chlorthalidone brand name: Tenoretic.

Moderate Interaction
Medically reviewed by · Updated September 2026
The bottom line Moderate

Squill has a moderate interaction with Atenolol, Chlorthalidone. Squill contains cardiac glycosides. Theoretically, concomitant use with potassium-depleting diuretics can increase the risk of cardiac glycoside toxicity due to potassium depletion.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Squill and Atenolol, Chlorthalidone

Here is the interaction we found between these two, with the evidence behind it.

Moderate

DIURETIC DRUGS

Why this applies to Atenolol, Chlorthalidone

Atenolol, Chlorthalidone falls under DIURETIC DRUGS — the group Squill interacts with.

Squill contains cardiac glycosides. Theoretically, concomitant use with potassium-depleting diuretics can increase the risk of cardiac glycoside toxicity due to potassium depletion. Some diuretics that can deplete potassium include chlorothiazide (Diuril), chlorthalidone (Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, Hydrodiuril, Microzide), and others.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the thing to know about Tenoretic: it's a combo pill, and one half of it (chlorthalidone) is a water pill that can quietly lower your body's potassium over time. Squill, on the other hand, packs natural heart compounds called cardiac glycosides that work a lot like the prescription drug digoxin. When potassium drops, the heart becomes more sensitive to those glycosides, which can tip you toward toxicity.

In real life that could show up as nausea, vision changes, dizziness, or an irregular or unusually slow heartbeat. This is a theoretical concern based on how the two work, not something proven in studies, but Squill itself can be quite toxic. Please don't start Squill without checking with your pharmacist or doctor first.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Squill Also Interacts With Other Medications

Squill has 1 major, 154 moderate known drug interactions in our database — the Atenolol, Chlorthalidone one above is one of them. If you take anything else, check it against the full list below.

Major 1 Moderate 154 No known interaction 2,675 (incl. Atenolol, Chlorthalidone)
Taking anything else?

Check Another of Your Medications Against Squill

Covers the 2,830 medications we’ve checked against Squill. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Atenolol, Chlorthalidone

This page covers Squill only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Atenolol, Chlorthalidone page lists 229 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Dolomite (major) and Indian Snakeroot (major).

By severity: 9 major · 197 moderate · 23 minor.

From our pharmacist’s overview on the Atenolol, Chlorthalidone page

“Tenoretic combines two blood pressure drugs, the beta-blocker atenolol and the diuretic chlorthalidone, which gives supplements two separate ways to interfere, and I would treat this list with genuine care. Of the 229 ingredients on file, the bulk either add to its blood-pressure-lowering effect or pile onto what the diuretic does to f…”

Reviewed by 2 · Jul 18, 2026

Open the Atenolol, Chlorthalidone interaction page

One more smart check

Taking Squill as Part of a Dietary Supplement Product? Check It for Interactions

We hold 2 real supplement products containing Squill, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Squill. Your product may carry other ingredients that interact with Atenolol, Chlorthalidone too, on top of Squill — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Squill and Atenolol, Chlorthalidone Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Squill
Top half

#588 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Atenolol, Chlorthalidone
Top 5%

#76 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Squill

What is Squill?

Squill
  • Cough and chest congestion
  • Fluid retention (diuretic)
  • Heart conditions (traditional 'cardiac tonic')
  • Hair loss (topical use)
  • Rodenticide (red squill, non-medicinal)

Squill is a bulb plant that contains potent cardiac glycosides, which can affect the heart much like the drug digoxin. While it has a long history of use as a cough remedy and heart tonic, it can be dangerously toxic and there is little solid evidence for its modern use, so we do not recommend taking it without close medical supervision.

Read the full Squill monograph & all interactions
Keep checking

Other Drugs & Squill

Browse every other medication we’ve checked against Squill — both the ones with a known interaction and the ones without. Select any drug for the full detail.

1Major
154Moderate
0Minor
2,674No known interaction
1 Major 154 Moderate 2,674 No interaction
Major

1 interaction

Moderate

154 interactions

Showing 60 of 154 moderate interactions — see all 154 on the Squill page.

No interaction 2,674 drugs checked — show the list

We also checked Squill against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,674 medications checked with no known interaction — see the full Squill list.

See the full Squill interactions page
See every supplement checked against Atenolol, Chlorthalidone, ranked by severity
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Squill monograph › Uses, safety, and every drug interaction in one place Atenolol, Chlorthalidone supplement interactions › Every supplement checked against Atenolol, Chlorthalidone, ranked by severity Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Squill and Atenolol, Chlorthalidone Together: Common Questions

Can you take Squill with Atenolol, Chlorthalidone?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Squill and Atenolol, Chlorthalidone interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Atenolol, Chlorthalidone and Squill?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.