Norvasc

Norvasc

amlodipine

Manufacturer:

Pfizer USA

Distributor:

Viatris
Concise Prescribing Info
Contents
Amlodipine besilate
Indications/Uses
1st-line treatment of HTN & sole agent to control BP in majority of patients. Reduce risk of fatal CHD, non-fatal MI & stroke. Reduce risk of coronary revascularization & the need for hospitalization due to angina in patients w/ CAD. 1st-line treatment of myocardial ischemia, whether due to fixed obstruction &/or vasospasm/vasoconstriction of coronary vasculature. Monotherapy or in combination w/ other anti-anginal drugs in patients w/ angina that is refractory to nitrates &/or adequate doses of β-blockers.
Dosage/Direction for Use
HTN 2.5-10 mg once daily. Angina Initially 5 mg once daily, may be increased to a max of 10 mg. CAD 5-10 mg once daily. Childn 6-17 yr 2.5-5 mg once daily.
Administration
May be taken with or without food.
Contraindications
Hypersensitivity to dihydropyridines.
Special Precautions
Increased risk of pulmonary edema. Hepatic impairment. Pregnancy & lactation. Childn <6 yr.
Adverse Reactions
Headaches, dizziness; abdominal pain. Somnolence; palpitations; flushing; nausea; edema, fatigue. Ped: Vasodilatation; epistaxis; asthenia.
Drug Interactions
Increase in exposure to simvastatin. Increase in amlodipine systemic exposure w/ diltiazem. May increase exposure of mTOR inhibitors (eg, sirolimus, temsirolimus, everolimus). Increased bioavailability w/ grapefruit or grapefruit juice. May increase plasma conc w/ strong CYP3A4 inhibitors (eg, ketoconazole, itraconazole, ritonavir). Increased risk of hypotension w/ clarithromycin. May decrease plasma conc w/ CYP3A4 inducers (eg, rifampicin, Hypericum perforatum). May affect the trough conc of cyclosporin in renal transplant patients. Increased risk of tacrolimus blood levels.
MIMS Class
Calcium Antagonists / Anti-Anginal Drugs
ATC Classification
C08CA01 - amlodipine ; Belongs to the class of dihydropyridine derivative selective calcium-channel blockers with mainly vascular effects. Used in the treatment of cardiovascular diseases.
Presentation/Packing
Form
Norvasc tab 10 mg
Packing/Price
100's (P3,657.5/pack)
Form
Norvasc tab 2.5 mg
Packing/Price
100's;30's
Form
Norvasc tab 5 mg
Packing/Price
100's (P2,170.75/pack)
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