amLODIPine (Monograph)
Brand names: Katerzia, Norliqva, Norvasc
Drug class: Dihydropyridines
Introduction
Calcium-channel blocking agent; a dihydropyridine derivative with an intrinsically long duration of action.1 2 3
Uses for amLODIPine
Hypertension
Management of hypertension (alone or in combination with other classes of antihypertensive agents), to lower BP, in adults and children ≥6 years of age.1 2 3 4 5 21 113 129 132 133 134 135 136 1200
Commercially available for treatment of hypertension as single-entity preparations and also in fixed combination with benazepril (e.g., Lotrel), olmesartan (e.g., Azor), olmesartan and hydrochlorothiazide (e.g., Tribenzor), telmisartan, valsartan (e.g., Exforge), and valsartan and hydrochlorothiazide (e.g., Exforge HCT).21 113 129 132 133 134 Amlodipine in fixed combination with atorvastatin (Caduet) is used in patients for whom treatment with both amlodipine and atorvastatin is appropriate.107
Comprehensive guidelines for the management of hypertension in adults have been published by various authoritative groups.501 1200 1300 1301 1302
Lifestyle/behavioral modifications (e.g., weight reduction in patients who are overweight or obese, dietary changes, sodium reduction, potassium supplementation, increased physical activity, moderation of alcohol intake, smoking cessation) are recommended as first-line therapy to lower BP and reduce total cardiovascular risk.1200 1300 1302
Calcium-channel blockers are recommended as one of several preferred pharmacologic agents for initial management of hypertension in adults; other preferred options include ACE inhibitors, angiotensin II receptor antagonists, and thiazide or thiazide-like diuretics.501 503 1200 1300 1302 While there may be individual differences with respect to recommendations for initial drug selection and use in specific patient populations, current evidence indicates that these antihypertensive drug classes all generally produce comparable cardiovascular risk reduction benefits.1 501 503 1200 1300
Individualize choice of therapy; consider patient characteristics (e.g., age, ethnicity/race, comorbidities, cardiovascular risk) as well as drug-related factors (e.g., ease of administration, availability, adverse effects, cost).501 503 510 1200 1300 1302
Calcium-channel blockers may be preferred in hypertensive patients with certain coexisting conditions (e.g., ischemic heart disease) and in geriatric patients, including those with isolated systolic hypertension.510 1200
Calcium-channel blockers also may be particularly useful in the management of hypertension in black patients; these patients tend to have a greater BP response to calcium-channel blockers and thiazide diuretics than to other antihypertensive drug classes (e.g., ACE inhibitors, angiotensin II receptor antagonists).69 70 108 109 501 1200
Specific guidelines for the management of hypertension in pregnancy have been published by experts such as the American Heart Association (AHA) and the American College of Obstetrics and Gynecologists (ACOG).1305 1306
Specific guidelines for the management of high BP in children and adolescents have been published by the American Academy of Pediatrics (AAP).1150
Coronary Artery Disease (CAD)
Management of chronic stable angina and confirmed or suspected vasospastic angina (Prinzmetal or variant); may be used alone or in combination with other antianginal agents.1 2 3 4 135 136
Also used in patients with angiographically documented CAD (who do not have heart failure or an ejection fraction <40%) to reduce the risk of a coronary revascularization procedure and hospitalization due to angina.1 22 23
Commercially available as single-entity preparations for this use.1 135 136 Also available in fixed combination with atorvastatin (Caduet) for use in patients for whom treatment with both amlodipine and atorvastatin is appropriate.107
The 2023 AHA/ACC clinical practice guideline for the management of chronic coronary disease addresses the treatment of patients with stable angina symptoms (or ischemic equivalents).1303 Use of beta-blockers, nondihydropyridine calcium-channel blocking agents, or long-acting nitrates is recommended for relief of angina or equivalent symptoms.1303
Pulmonary Arterial Hypertension
Expert consensus guidelines state that a calcium-channel blocker may be used to treat patients with pulmonary arterial hypertension (PAH)† [off-label] who have demonstrated acute vasoreactivity and who do not have right-sided heart failure or any contraindications to such therapy.1309 Long-acting nifedipine or diltiazem, or amlodipine is suggested; verapamil should be avoided due to its potential negative inotropic effects.1309
Raynaud's Phenomenon
Calcium channel blockers have been used in the management of Raynaud’s phenomenon† [off-label].1326 1327 1328 Dihydropyridine calcium channel blockers (e.g., nifedipine, amlodipine) are used more frequently than nondihydropyridine calcium channel blockers; among the dihydropyridine class, nifedipine has the most evidence for use.1326 1327 1328
amLODIPine Dosage and Administration
General
Pretreatment Screening
-
In patients being treated for hypertension, obtain baseline BP measurements.1200
Patient Monitoring
-
In patients being treated for hypertension, follow-up evaluation of adherence and response to drug treatment should occur at monthly intervals until BP control is achieved.1200
-
Periodically reinforce adherence to lifestyle modifications (e.g., heart-healthy diet, sodium intake reduction, increased physical activity).1200
-
Monitor for signs and symptoms of edema, especially in patients with heart failure with reduced ejection fraction.1 135 136 1200
Dispensing and Administration Precautions
-
The ISMP includes amLODIPine and aMILoride on the ISMP List of Confused Drug Names and recommends special safeguards to ensure the accuracy of prescriptions for these drugs.24
Administration
Oral Administration
Administer orally (as tablets, solution, or suspension) without regard to meals, preferably at the same time each day.1 2 3 5 135 136
Also commercially available in fixed combination with benazepril (e.g., Lotrel), olmesartan medoxomil (e.g., Azor), olmesartan and hydrochlorothiazide (e.g., Tribenzor), telmisartan, valsartan (e.g., Exforge), valsartan and hydrochlorothiazide (e.g., Exforge HCT), and atorvastatin (e.g., Caduet).21 107 113 132 133 134 129 See full prescribing information for additional administration instructions for each specific combination product.21 107 113 129 132 133 134
If a dose is missed, administer as soon as possible.1 If >12 hours have elapsed, resume treatment with next dose.1
Amlodipine benzoate oral suspension (Katerzia): Shake the suspension well and measure each dose with a calibrated measuring device; do not use a household teaspoon or tablespoon.135 137
Dosage
Available as amlodipine besylate and amlodipine benzoate; dosage expressed in terms of amlodipine.1 135 136
Pediatric Patients
Hypertension
Amlodipine Monotherapy
OralInitiate drug at the low end of the dosage range; may increase dosage every 2–4 weeks until BP controlled, maximum dosage reached, or adverse effects occur.1150
Children 1–5 years of age† [off-label]: Some experts recommend an initial dosage of 0.1 mg/kg once daily and a maximum dosage of 0.6 mg/kg once daily (up to 5 mg daily).1150
Children ≥6 years of age: Some experts recommend an initial dosage of 2.5 mg once daily and a maximum dosage of 10 mg once daily.1150 However, manufacturer states safety and efficacy of dosages >5 mg daily not established in pediatric patients.1 135 136 1150 Manufacturer states usual effective amlodipine dosage is 2.5–5 mg once daily.1 135 136
Adults
Hypertension
Amlodipine Monotherapy
OralManufacturers state usual initial dosage is 5 mg once daily.1 135 136 In geriatric patients and small or frail individuals, initiate therapy with 2.5 mg once daily.1 135 136
When adding amlodipine to an existing antihypertensive regimen, may use initial dosage of 2.5 mg once daily.1 135 136
Increase amlodipine dosage gradually, generally at 7- to 14-day intervals, until optimum control of BP is obtained (up to a maximum dosage of 10 mg daily).1 May increase more rapidly if warranted and patient’s tolerance and response are frequently assessed.1
Usual maintenance dosage is 2.5–10 mg once daily.1200
Amlodipine/Benazepril Fixed-combination
OralManufacturers state that amlodipine/benazepril fixed-combination preparation usually should be used only after therapy with either drug component alone has failed to achieve the desired antihypertensive effect without development of edema.21
The fixed-combination preparation also can be used as a substitute for the individually titrated drugs.21
Recommended initial dosage is amlodipine 2.5 mg and benazepril hydrochloride 10 mg once daily.21
Adjust dosage of amlodipine/benazepril fixed combination according to patient’s response, up to maximum of amlodipine 10 mg and benazepril hydrochloride 40 mg once daily; antihypertensive effect of a given dosage is largely attained with 2 weeks.21
Amlodipine/Olmesartan Fixed-combination
OralFixed-combination amlodipine/olmesartan tablets may be used for initial treatment of hypertension in patients likely to require combination therapy with multiple antihypertensive agents to control BP.134
When used for initial therapy of hypertension, recommended initial dosage is amlodipine 5 mg and olmesartan medoxomil 20 mg once daily.134 May increase dosage after 1–2 weeks for additional BP control, up to maximum of amlodipine 10 mg and olmesartan medoxomil 40 mg once daily.134
Amlodipine/Olmesartan/Hydrochlorothiazide Fixed-combination
OralManufacturer states that amlodipine/olmesartan/hydrochlorothiazide fixed-combination preparation should not be used for initial treatment of hypertension.132
Individualize amlodipine/olmesartan/hydrochlorothiazide fixed-combination preparation dose selection based on previous therapy.132
May increase dosage of the fixed combination after 2 weeks if additional BP control is needed (up to maximum of amlodipine 10 mg, olmesartan medoxomil 40 mg, and hydrochlorothiazide 25 mg once daily).132
Amlodipine/Telmisartan Fixed-combination
OralFixed-combination amlodipine/telmisartan tablets may be used for initial treatment of hypertension.129 Consider potential benefits and risks of initiating therapy with the fixed combination, including whether the patient is likely to tolerate the lowest available dosage of the combined drugs.129 Usual dosage for initial therapy is amlodipine 5 mg and telmisartan 40 mg once daily; initial dosage of amlodipine 5 mg and telmisartan 80 mg once daily may be used in patients requiring larger BP reductions.129
Can use the fixed combination as a substitute for the individually administered drugs; switch to the fixed-combination preparation containing the corresponding individual doses of amlodipine and telmisartan or increase the dosage of one or both components for additional antihypertensive effects.129
If dose-limiting adverse effects (e.g., edema) have developed during monotherapy with amlodipine 10 mg, can switch to the fixed-combination preparation containing amlodipine 5 mg and telmisartan 40 mg to achieve similar BP control.129
Increase to maximum dosage of amlodipine 10 mg and telmisartan 80 mg once daily, if needed, to control BP.129 May adjust dosage at intervals of at least 2 weeks, since most of the antihypertensive effect of a given dosage is achieved within 2 weeks after a change in dosage.129
Initial therapy with fixed-combination preparation not recommended in patients ≥ 75 years of age and those with hepatic impairment.129
Amlodipine/Valsartan Fixed-combination
OralFixed-combination amlodipine/valsartan tablets may be used for initial treatment of hypertension in patients likely to require combination therapy with multiple antihypertensive agents to control BP.113 Consider potential benefits and risks of initiating therapy with the fixed combination, including whether the patient is likely to tolerate the lowest available dosage of the combined drugs.113 Recommended initial dosage is amlodipine 5 mg and valsartan 160 mg once daily in those who are not volume depleted.113
If BP is controlled with amlodipine and valsartan (administered separately), can switch to the fixed-combination preparation containing the corresponding individual doses for convenience.113
If BP is not adequately controlled by monotherapy with amlodipine (or another dihydropyridine-derivative calcium-channel blocker) or valsartan (or another angiotensin II receptor antagonist), can switch to amlodipine/valsartan fixed combination.113
If dose-limiting adverse effects have developed during monotherapy with amlodipine or valsartan, can switch to a fixed-combination preparation containing a lower dose of that drug to achieve similar BP control; adjust dosage according to patient’s response after 3–4 weeks of therapy.113
Increase to maximum dosage of amlodipine 10 mg and valsartan 320 mg once daily, if needed, to control BP.113 May adjust dosage at intervals of 1–2 weeks, since most of the antihypertensive effect of a given dosage is achieved within 2 weeks after a change in dosage.113
Amlodipine/Valsartan/Hydrochlorothiazide Fixed-combination
OralManufacturers state amlodipine/valsartan/hydrochlorothiazide fixed-combination preparation should not be used for initial treatment of hypertension.133
Can switch to fixed-combination amlodipine/valsartan/hydrochlorothiazide tablets if BP is not adequately controlled by combined therapy with any 2 of the following drug classes: calcium-channel blockers, angiotensin II receptor antagonists, and diuretics.133
In patients who experience dose-limiting adverse effects of amlodipine, valsartan, or hydrochlorothiazide while receiving any dual combination of these drugs, may switch to the triple fixed-combination preparation containing a lower dose of that component.133
Can use the fixed combination as a substitute for the individually titrated drugs.133
May increase dosage of the fixed combination after 2 weeks if additional BP control is needed (up to maximum of amlodipine 10 mg, valsartan 320 mg, and hydrochlorothiazide 25 mg once daily).133
Fixed-combination preparation may be used with other antihypertensive agents.133
Amlodipine/Atorvastatin Fixed-combination Therapy for Hypertension (Amlodipine) and for Dyslipidemias and Prevention of Cardiovascular Events (Atorvastatin)
OralCan use the fixed combination as a substitute for the individually titrated drugs; switch to the fixed-combination preparation containing the corresponding individual doses of amlodipine and atorvastatin or increase the dosage of one or both components for additional antihypertensive and/or antihyperlipidemic effects.107
Can use the fixed combination to provide additional therapy for patients currently receiving one component of the preparation.107 Select initial dosage based on the current dosage of the component being used and the recommended initial dosage for the added monotherapy.107
Can use the fixed combination to initiate treatment in patients requiring therapy for hypertension and dyslipidemia.107 Select initial dosage of the fixed combination based on recommended dosages of the individual components (e.g., 5 mg of amlodipine and 10 to 20 mg of atorvastatin) based on patient-specific factors (e.g., age, drug interactions).107 Maximum dosage of amlodipine and atorvastatin in fixed-combination preparation is 10 and 80 mg daily, respectively107
CAD
Amlodipine Therapy for Angina
OralRecommended amlodipine dosage is 5–10 mg once daily;1 2 135 136 adequate control usually requires a maintenance dosage of 10 mg daily.1 135 136
Amlodipine Therapy for Angiographically Documented CAD
OralRecommended amlodipine dosage is 5–10 mg once daily;1 adequate control usually requires a maintenance dosage of 10 mg daily.1 135 136
Amlodipine/Atorvastatin Fixed-combination Therapy for CAD (Amlodipine) and for Dyslipidemias and Prevention of Cardiovascular Events (Atorvastatin)
OralCan use the fixed combination as a substitute for the individually titrated drugs; switch to the fixed-combination preparation containing the corresponding individual doses of amlodipine and atorvastatin or increase the dosage of one or both components for additional antianginal and/or antihyperlipidemic effects.107
Can use the fixed combination to provide additional therapy for patients currently receiving one component of the preparation.107 Select initial dosage of the fixed combination based on the current dosage of the component being used and the recommended initial dosage for the added monotherapy.107
Can use the fixed combination to initiate treatment in patients requiring therapy for angina and dyslipidemia.107 Select initial dosage of the fixed combination based on recommended dosages of the individual components.107 Maximum dosage of amlodipine and atorvastatin in fixed-combination preparation is 10 and 80 mg daily, respectively107
Special Populations
The following information addresses dosage of amlodipine in special populations. Dosages of drugs administered in fixed combination with amlodipine also may require adjustment in certain patient populations; the need for such dosage adjustments must be considered in the context of cautions, precautions, and contraindications specific to that population and drug.21 107 113 134 129 132 133
Hepatic Impairment
Hypertension
Initially, amlodipine 2.5 mg once daily (as initial or add-on therapy).1 21 Titrate slowly.1 129 135 136
Angina
Initially, amlodipine 5 mg daily.1 135 136 Manufacturers state that adequate control of angina usually requires a maintenance dosage of 10 mg daily.1 135 136
Renal Impairment
Amlodipine dosage modification generally not necessary.1 2 3 5 135 136
Geriatric Patients
Hypertension
Consider reduced initial amlodipine dosage.1 2 4 113 129 132 133 134 Some manufacturers recommend initial dosage of 2.5 mg once daily for geriatric patients.1 113 133 135 136
Angina
Initially, amlodipine 5 mg daily.1 Adequate control usually requires a maintenance dosage of 10 mg once daily.1
Cautions for amLODIPine
Contraindications
Warnings/Precautions
Hypotension
Possible symptomatic hypotension, particularly in patients with severe aortic stenosis.1 135 136 Acute hypotension unlikely because of gradual onset of action.1
Increased Angina and/or Acute MI
Possible worsening of angina or acute MI, particularly in patients with severe obstructive CAD, or upon initiation or dosage increase of amlodipine.1 135 136
Patients with Hepatic Failure
Amlodipine is extensively metabolized in the liver; clearance is decreased, AUC is increased, and plasma elimination half-life is increased to 56 hours.1
Reduce initial dosage to 2.5 mg once daily and titrate the drug slowly in patients with severe hepatic impairment.1
Use of Fixed Combinations
When amlodipine is used in fixed combination with other drugs (e.g., other antihypertensive agents, atorvastatin), consider boxed warnings, cautions, precautions, contraindications, and interactions associated with the concomitant agent(s).21 107 113 129 132 133 134
Specific Populations
Pregnancy
Limited data on drug-associated risk for major birth defects and miscarriage.1 135 136 Limited data suggest amlodipine found in cord blood; may cross placenta in measurable quantities in the third trimester.138
Hypertension in pregnancy increases maternal risk for pre-eclampsia, gestational diabetes, premature delivery, and delivery complications (e.g., need for cesarean section, postpartum hemorrhage).1 Hypertension increases fetal risk for intrauterine growth restriction and intrauterine death.1 Carefully monitor and manage hypertension in pregnant women.1
Lactation
Distributed into milk; relative infant dose 4.2%.1 No adverse effects observed on the breastfed infant; no available information on effects on milk production.1
Females and Males of Reproductive Potential
No evidence of impaired fertility in animals.1
Pediatric Use
Safety and efficacy of amlodipine in children <6 years of age not established.1
Safety and effectiveness of amlodipine (2.5–5 mg daily) for treatment of hypertension established in pediatric patients 6–17 years of age.1 135 136
Safety and efficacy of amlodipine in fixed combination with atorvastatin, benazepril, olmesartan (with or without hydrochlorothiazide), telmisartan, or valsartan (with or without hydrochlorothiazide) not established in pediatric patients. 21 107 113 129 132 133 134
Geriatric Use
Increased amlodipine exposure. 1 Select amlodipine dosage with caution; initiate with dosage at lower end of recommended range (i.e., 2.5 mg daily).1
Clinical studies included insufficient numbers of patients ≥65 years of age to determine whether geriatric patients respond differently than younger patients; other clinical experience has not revealed age-related differences in response or tolerance.1
Hepatic Impairment
Increased amlodipine exposure.1 Reduced initial dosage recommended.1 2 4 Titrate slowly in patients with severe hepatic impairment.1
Renal Impairment
Amlodipine pharmacokinetics not significantly influenced; no dosage adjustment recommended.1
Common Adverse Effects
Edema, dizziness, flushing, palpitations, fatigue, nausea, abdominal pain, somnolence.1 135 136 Adverse effects reported in clinical trial in pediatric patients with hypertension similar to those reported in adults.1
Drug Interactions
Amlodipine is a weak CYP3A inhibitor.1
The following information addresses potential interactions with amlodipine.1 When amlodipine is used in fixed combination with other drugs, consider interactions associated with the concomitant agent(s).21 107 113 129 132 133 134
Drugs Affecting Hepatic Microsomal Enzymes
Moderate or strong CYP3A inhibitors: Increased amlodipine exposure.1 Amlodipine dosage reduction may be necessary.1 Monitor patients for symptoms of hypotension or edema.1
CYP3A inducers: Data lacking; closely monitor BP.1
Specific Drugs and Food
Drug or Food |
Interaction |
Comments |
---|---|---|
Alcohol |
No change in alcohol exposure1 |
|
Antacids (e.g., aluminum hydroxide and magnesium hydroxide) |
No change in amlodipine exposure1 |
|
Antifungals, azole (e.g., itraconazole) |
Possible increased amlodipine exposure1 |
Amlodipine dosage reduction may be necessary; monitor patients for hypotension and edema1 |
Cimetidine |
No effects on amlodipine exposure1 |
|
Digoxin |
No effects on digoxin exposure1 No change in plasma protein binding of digoxin1 |
|
Diltiazem |
Increased amlodipine exposure1 |
Amlodipine dosage reduction may be necessary; monitor patients for hypotension and edema1 |
HMG-CoA reductase inhibitors (statins) |
Atorvastatin: No effects on atorvastatin exposure1 Simvastatin: Increased simvastatin exposure1 |
Simvastatin: Limit simvastatin dosage to ≤20 mg daily1 |
Grapefruit juice |
Altered amlodipine bioavailability possible but no evidence of altered pharmacodynamics;64 65 74 75 no change in amlodipine exposure in another study1 |
|
Immunosuppressants (cyclosporine, tacrolimus) |
Cyclosporine: Increased cyclosporine trough concentrations1 Tacrolimus: Increased tacrolimus exposure, possibly irrespective of CYP3A5 genotype1 |
Frequently monitor blood concentrations of the immunosuppressant; adjust the immunosuppressant dosage as necessary1 |
Indomethacin |
No change in plasma protein binding of indomethacin1 |
|
Macrolides (clarithromycin, erythromycin) |
Clarithromycin: Possible increased amlodipine exposure1 Erythromycin: No substantial change in amlodipine exposure1 |
Clarithromycin: Amlodipine dosage reduction may be necessary; monitor patients for hypotension and edema1 |
Phenytoin |
No change in plasma protein binding of phenytoin1 |
|
Sildenafil |
Pharmacokinetic interaction unlikely; additional reduction of BP possible1 |
Monitor patients for hypotension1 |
Warfarin |
No change in PT1 No change in plasma protein binding of warfarin1 |
amLODIPine Pharmacokinetics
Absorption
Bioavailability
Amlodipine besylate tablets: Peak plasma amlodipine concentrations attained 6–12 hours after oral administration.1 Amlodipine besylate solution (Norliqva): Peak plasma amlodipine concentrations attained within 6.5 hours after oral administration.136 Absolute bioavailability ranges from 64–90%.1
Duration
Antihypertensive effects persist for at least 24 hours after chronic once-daily use.1
Steady-state plasma levels achieved in 7–8 days.1
Food
Food does not affect bioavailability of amlodipine.1 107 113 129 132 133 134
Amlodipine benzoate (Katerzia) suspension: No effect of high-fat, high-calorie breakfast on absorption.135
Amlodipine besylate (Norliqva) solution: No effect of high-fat, high-calorie meal on peak plasma concentration and AUC.136
Distribution
Extent
Distributed into milk; present in cord blood.1 138
Plasma Protein Binding
Approximately 93%.1
Elimination
Metabolism
Amlodipine is extensively (about 90%) metabolized to inactive metabolites in the liver.1
Elimination Route
Excreted in urine as metabolites (60%) and unchanged drug (10%).1
Half-life
Terminal elimination half-life is 30–50 hours.1
Special Populations
In geriatric patients, amlodipine clearance decreased, and AUC increased about 40–60%.1
In pediatric patients 6–17 years of age, weight-adjusted clearance and volume of distribution similar to adults.1
In patients with hepatic impairment, amlodipine clearance decreased, and AUC increased about 40–60%; plasma elimination half-life 56 hours.1
In patients with moderate to severe heart failure, amlodipine AUC increased about 40–60%.1
Stability
Storage
Oral
Solution
Norliqva (amlodipine besylate): Original amber glass bottle at 20–25°C (excursions permitted to 15–30°C).136
Suspension
Katerzia (amlodipine benzoate): 2–8°C; avoid freezing and excessive heat.135 Protect from light.135
Tablets
Amlodipine: Tight, light-resistant containers at 15–30°C.1
Actions
-
Amlodipine inhibits transmembrane influx of extracellular calcium ions across the membranes of myocardial cells and vascular smooth muscle cells, without changing serum calcium concentrations.1
-
Amlodipine is a peripheral arterial vasodilator; acts directly on vascular smooth muscle causing reductions in peripheral vascular resistance and BP.1
-
Amlodipine reduces total peripheral resistance (afterload) and rate pressure product, and thus myocardial oxygen demand, at any given level of exercise in patients with exertional angina.1
-
Amlodipine blocks constriction and restores blood flow in coronary arteries in response to calcium, potassium, epinephrine, serotonin, and thromboxane A2 analog in animal studies and human vessels in vitro.1
Advice to Patients
-
When amlodipine is used in fixed combination with other drugs, advise patients of important cautionary information about the concomitant agent(s).21 107 113 129 132 133 134
-
Advise patients that amlodipine is administered once a day, at any time of day, with or without food.1
-
Advise patients and caregivers on how to administer the oral suspension or solution formulations..136 137
-
If a dose of amlodipine is missed, advise patients to take the next dose as soon as possible.1 If it has been more than 12 hours since the dose was missed, do not take the dose; wait and take the next dose at the normal scheduled time.1
-
Advise patients to inform their clinicians of existing or contemplated concomitant therapy, including prescription and OTC drugs and dietary or herbal supplements, as well as any concomitant illnesses.1 135 136
-
Advise women to inform clinicians if they suspect they are or plan to become pregnant or plan to breast-feed.1 135 136
-
Advise patients of other important precautionary information.1
Additional Information
The American Society of Health-System Pharmacists, Inc. represents that the information provided in the accompanying monograph was formulated with a reasonable standard of care, and in conformity with professional standards in the field. Readers are advised that decisions regarding use of drugs are complex medical decisions requiring the independent, informed decision of an appropriate health care professional, and that the information contained in the monograph is provided for informational purposes only. The manufacturer’s labeling should be consulted for more detailed information. The American Society of Health-System Pharmacists, Inc. does not endorse or recommend the use of any drug. The information contained in the monograph is not a substitute for medical care.
Preparations
Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.
Please refer to the ASHP Drug Shortages Resource Center for information on shortages of one or more of these preparations.
* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name
Routes |
Dosage Forms |
Strengths |
Brand Names |
Manufacturer |
---|---|---|---|---|
Oral |
Suspension |
1 mg (of amlodipine) per 1 mL* |
AmLODIPine Benzoate Suspension |
|
Katerzia |
Azurity |
Routes |
Dosage Forms |
Strengths |
Brand Names |
Manufacturer |
---|---|---|---|---|
Oral |
Solution |
1 mg (of amlodipine) per 1 mL |
Norliqva |
CMP Pharma |
Tablets |
2.5 mg (of amlodipine)* |
AmLODIPine Besylate Tablets |
||
Norvasc |
Pfizer |
|||
5 mg (of amlodipine)* |
AmLODIPine Besylate Tablets |
|||
Norvasc |
Pfizer |
|||
10 mg (of amlodipine)* |
AmLODIPine Besylate Tablets |
|||
Norvasc |
Pfizer |
* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name
Routes |
Dosage Forms |
Strengths |
Brand Names |
Manufacturer |
---|---|---|---|---|
Oral |
Capsules |
2.5 mg (of amlodipine) with Benazepril Hydrochloride 10 mg* |
AmLODIPine and Benazepril Hydrochloride Capsules |
|
5 mg (of amlodipine) with Benazepril Hydrochloride 10 mg* |
AmLODIPine and Benazepril Hydrochloride Capsules |
|||
Lotrel |
Novartis |
|||
5 mg (of amlodipine) with Benazepril Hydrochloride 20 mg* |
AmLODIPine and Benazepril Hydrochloride Capsules |
|||
Lotrel |
Novartis |
|||
5 mg (of amlodipine) with Benazepril Hydrochloride 40 mg* |
AmLODIPine and Benazepril Hydrochloride Capsules |
|||
10 mg (of amlodipine) with Benazepril Hydrochloride 20 mg* |
AmLODIPine and Benazepril Hydrochloride Capsules |
|||
Lotrel |
Novartis |
|||
10 mg (of amlodipine) with Benazepril Hydrochloride 40 mg* |
AmLODIPine and Benazepril Hydrochloride Capsules |
|||
Lotrel |
Novartis |
|||
Tablets |
5 mg (of amlodipine) with Olmesartan Medoxomil 20 mg* |
AmLODIPine and Olmesartan Medoxomil Tablets |
||
Azor |
Cosette |
|||
5 mg (of amlodipine) with Olmesartan Medoxomil 40 mg* |
AmLODIPine and Olmesartan Medoxomil Tablets |
|||
Azor |
Cosette |
|||
10 mg (of amlodipine) with Olmesartan Medoxomil 20 mg* |
AmLODIPine and Olmesartan Medoxomil Tablets |
|||
Azor |
Cosette |
|||
10 mg (of amlodipine) with Olmesartan Medoxomil 40 mg* |
AmLODIPine and Olmesartan Medoxomil Tablets |
|||
Azor |
Cosette |
|||
Tablets, film-coated |
2.5 mg (of amlodipine) with Atorvastatin Calcium 10 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
||
2.5 mg (of amlodipine) with Atorvastatin Calcium 20 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
2.5 mg (of amlodipine) with Atorvastatin Calcium 40 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
5 mg (of amlodipine) with Atorvastatin Calcium 10 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
Caduet |
Pfizer |
|||
5 mg (of amlodipine) with Atorvastatin Calcium 20 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
Caduet |
Pfizer |
|||
5 mg (of amlodipine) with Atorvastatin Calcium 40 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
Caduet |
Pfizer |
|||
5 mg (of amlodipine) with Atorvastatin Calcium 80 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
Caduet |
Pfizer |
|||
Olmesartan Medoxomil 20 mg, Amlodipine 5 mg, and Hydrochlorothiazide 12.5 mg* |
Olmesartan medoxomil, AmLODIPine, and Hydrochlorothiazide Tablets |
|||
Tribenzor |
Cosette |
|||
Olmesartan Medoxomil 40 mg, Amlodipine 5 mg, and Hydrochlorothiazide 12.5 mg* |
Olmesartan medoxomil, AmLODIPine, and Hydrochlorothiazide Tablets |
|||
Tribenzor |
Cosette |
|||
5 mg (of amlodipine) with Valsartan 160 mg and Hydrochlorothiazide 12.5 mg* |
AmLODIPine Besylate, Valsartan, and Hydrochlorothiazide Tablets |
|||
Exforge HCT |
Novartis |
|||
Olmesartan Medoxomil 40 mg, Amlodipine 5 mg, and Hydrochlorothiazide 25 mg* |
Olmesartan medoxomil, AmLODIPine, and Hydrochlorothiazide Tablets |
|||
Tribenzor |
Cosette |
|||
5 mg (of amlodipine) with Valsartan 160 mg and Hydrochlorothiazide 25 mg* |
AmLODIPine Besylate, Valsartan, and Hydrochlorothiazide Tablets |
|||
Exforge HCT |
Novartis |
|||
5 mg (of amlodipine) with Valsartan 160 mg* |
AmLODIPine Besylate and Valsartan Tablets |
|||
Exforge |
Novartis |
|||
5 mg (of amlodipine) with Valsartan 320 mg* |
AmLODIPine Besylate and Valsartan Tablets |
|||
Exforge |
Novartis |
|||
10 mg (of amlodipine) with Atorvastatin Calcium 10 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
Caduet |
Pfizer |
|||
10 mg (of amlodipine) with Atorvastatin Calcium 20 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
Caduet |
Pfizer |
|||
10 mg (of amlodipine) with Atorvastatin Calcium 40 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
Caduet |
Pfizer |
|||
10 mg (of amlodipine) with Atorvastatin Calcium 80 mg (of atorvastatin)* |
AmLODIPine Besylate and Atorvastatin Calcium Tablets |
|||
Caduet |
Pfizer |
|||
Olmesartan Medoxomil 40 mg, Amlodipine 10 mg, and Hydrochlorothiazide 12.5 mg* |
Olmesartan medoxomil, AmLODIPine, and Hydrochlorothiazide Tablets |
|||
Tribenzor |
Cosette |
|||
10 mg (of amlodipine) with Valsartan 160 mg and Hydrochlorothiazide 12.5 mg* |
AmLODIPine Besylate, Valsartan, and Hydrochlorothiazide Tablets |
|||
Exforge HCT |
Novartis |
|||
Olmesartan Medoxomil 40 mg, Amlodipine 10 mg, and Hydrochlorothiazide 25 mg* |
Olmesartan medoxomil, AmLODIPine, and Hydrochlorothiazide Tablets |
|||
Tribenzor |
Cosette |
|||
10 mg (of amlodipine) with Valsartan 160 mg and Hydrochlorothiazide 25 mg* |
AmLODIPine Besylate, Valsartan, and Hydrochlorothiazide Tablets |
|||
Exforge HCT |
Novartis |
|||
10 mg (of amlodipine) with Valsartan 320 mg and Hydrochlorothiazide 25 mg* |
AmLODIPine Besylate, Valsartan, and Hydrochlorothiazide Tablets |
|||
Exforge HCT |
Novartis |
|||
10 mg (of amlodipine) with Valsartan 160 mg* |
AmLODIPine Besylate and Valsartan Tablets |
|||
Exforge |
Novartis |
|||
10 mg (of amlodipine) with Valsartan 320 mg* |
AmLODIPine Besylate and Valsartan Tablets |
|||
Exforge |
Novartis |
|||
Tablets, multilayer |
Telmisartan 40 mg and Amlodipine 5 mg* |
Telmisartan and AmLODIPine Besylate Tablets |
||
Telmisartan 40 mg and Amlodipine 10 mg* |
Telmisartan and AmLODIPine Besylate Tablets |
|||
Telmisartan 80 mg and Amlodipine 5 mg* |
Telmisartan and AmLODIPine Besylate Tablets |
|||
Telmisartan 80 mg and Amlodipine 10 mg* |
Telmisartan and AmLODIPine Besylate Tablets |
AHFS DI Essentials™. © Copyright 2025, Selected Revisions August 10, 2025. American Society of Health-System Pharmacists, Inc., 4500 East-West Highway, Suite 900, Bethesda, Maryland 20814.
† Off-label: Use is not currently included in the labeling approved by the US Food and Drug Administration.
References
1. Pfizer Laboratories. Norvasc (amlodipine besylate) tablets prescribing information. New York; 2019 Jan.
2. Murdoch D, Heel RC. Amlodipine: a review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in cardiovascular disease. Drugs. 1991; 41:478-505. https://pubmed.ncbi.nlm.nih.gov/1711448
3. Burges RA, Dodd MG. Amlodipine. Cardiovasc Drug Rev. 1990; 8:25-44.
4. Anon. Amlodipine—a new calcium-channel blocker. Med Lett Drugs Ther. 1992; 34:99-100. https://pubmed.ncbi.nlm.nih.gov/1406450
5. Meredith PA, Elliott HL. Clinical pharmacokinetics of amlodipine. Clin Pharmacokinet. 1992; 22:22-31. https://pubmed.ncbi.nlm.nih.gov/1532771
21. Novartis. Lotrel (amlodipine besylate and benazepril hydrochloride) capsules prescribing information. East Hanover, NJ; 2023 Aug.
22. Nissen SE, Tuzcu EM, Libby P, et al. Effect of antihypertensive agents on cardiovascular events in patients with coronary disease and normal blood pressure: the CAMELOT study: a randomized controlled trial. JAMA. 2004 Nov 10;292(18):2217-25. doi: 10.1001/jama.292.18.2217. PMID: 15536108.
23. Pitt B, Byington RP, Furberg CD et al. Effect of amlodipine on the progression of atherosclerosis and the occurrence of clinical events. PREVENT Investigators. Circulation. 2000 Sep 26;102(13):1503-10. doi: 10.1161/01.cir.102.13.1503. PMID: 11004140.
24. Institute for Safe Medication Practices (ISMP). ISMP list of confused drug names (2024). https://online.ecri.org/hubfs/ISMP/Resources/ISMP_ConfusedDrugNames.pdf
64. Joseffson M, Zackrisson AL, Ahlner J. Effect of grapefruit juice on the pharmacokinetics of amlodipine. Eur J Clin Pharmacol. 1996; 51:189-93. https://pubmed.ncbi.nlm.nih.gov/8911887
65. Ameer B, Weintraub RA. Drug interactions with grapefruit juice. Clin Pharmacokinet. 1997; 33:103-21. https://pubmed.ncbi.nlm.nih.gov/9260034
69. Appel LJ. The verdict from ALLHAT—thiazide diuretics are the preferred initial therapy for hypertension. JAMA. 2002; 288:3039-42. https://pubmed.ncbi.nlm.nih.gov/12479770
70. The ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA. 2002; 288:2981-97. https://pubmed.ncbi.nlm.nih.gov/12479763
74. Vincent J, Harris SI, Foulds G et al. Lack of effect on grapefruit juice on the pharmacokinetics and pharmacodynamics of amlodipine. Br J Clin Pharmacol. 2000; 50:455-63. https://pubmed.ncbi.nlm.nih.gov/11069440
75. Vincent J, Harris S, Foulds G et al. Amlodipine and grapefruit juice. Br J Clin Pharmacol. 2002; 53:406. Letter
107. Pfizer Labs. Caduet (amlodipine besylate/atorvastatin calcium) tablets prescribing information. New York, NY; 2024 May.
108. Wright JT, Dunn JK, Cutler JA et al. Outcomes in hypertensive black and nonblack patients treated with chlorthalidone, amlodipine, and lisinopril. JAMA. 2005; 293:1595-607. https://pubmed.ncbi.nlm.nih.gov/15811979
109. Neaton JD, Kuller LH. Diuretics are color blind. JAMA. 2005; 293:1663-6. Editorial. https://pubmed.ncbi.nlm.nih.gov/15811986
110. Leenen FHH, Nwachuku CE, Black HR et al. Clinical events in high-risk hypertensive patients randomly assigned to calcium-channel blocker versus angiotensin-converting enzyme inhibitor in the Antihypertensive and Lipid-Lowering treatment to prevent Heart Attack Trial. Hypertension. 2006; 48:374-84. https://pubmed.ncbi.nlm.nih.gov/16864749
111. Messerli FH, Staessen JA. Amlodipine better than lisinopril: how one randomized clinical trial ended fallacies from observational studies. Hypertension. 2006; 48:359-61. Editorial. https://pubmed.ncbi.nlm.nih.gov/16894055
113. Novartis Pharmaceuticals Corp. Exforge (amlodipine and valsartan) tablets prescribing information. East Hanover, NJ; 2021 Apr.
129. Mylan Pharmaceuticals, Inc. Telmisartan and amlodipine besylate) tablets prescribing information. Morgantown, WV; 2018 Nov.
132. Daiichi Sankyo, Inc. Tribenzor (olmesartan medoxomil, amlodipine, hydrochlorothiazide) tablets prescribing information. Durham, NC; 2019 Aug.
133. Novartis Pharmaceuticals Corporation. Exforge HCT (amlodipine, valsartan, hydrochlorothiazide) tablets prescribing information. East Hanover, NJ; 2021 Feb.
134. Cosette Pharmaceuticals, Inc. Azor (amlodipine and olmesartan medoxomil) tablets prescribing information. South Plainfield, NJ; 2022 Feb.
135. Azurity Pharmaceuticals, Inc. Katerzia (amlodipine) oral suspension prescribing information. Woburn, MA; 2023 Apr.
136. CMP Pharma, Inc. Norliqva (amlodipine) oral solution. prescribing information. Farmville, NC; 2022 Feb.
137. Azurity Pharmaceuticals, Inc. Katerzia patient and caregiver brochure. Accessed 2024 Jul 18.
138. Morgan JL, Kogutt BK, Meek C, Stehel EK, McIntire DD, Sheffield JS, Roberts SW. Pharmacokinetics of amlodipine besylate at delivery and during lactation. Pregnancy Hypertens. 2018 Jan;11:77-80. doi: 10.1016/j.preghy.2018.01.002. Epub 2018 Jan 4. PMID: 29523279; PMCID: PMC5846630.
171. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age-specific relevance of usual blood pressure to vascular mortality. Lancet. 2002;360:1903-13.
173. Neal B, MacMahon S, Chapman N. Effects of ACE inhibitors, calcium antagonists, and other blood-pressure-lowering drugs. Lancet. 2000;356:1955-64. https://pubmed.ncbi.nlm.nih.gov/11130523
201. Ogden LG, He J, Lydick E, Whelton PK. Long-term absolute benefit of lowering blood pressure in hypertensive patients according to the JNC VI risk stratification. Hypertension. 2000;35:539-543. https://pubmed.ncbi.nlm.nih.gov/10679494
501. James PA, Oparil S, Carter BL et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014; 311:507-20. https://pubmed.ncbi.nlm.nih.gov/24352797
503. Go AS, Bauman MA, Coleman King SM et al. An effective approach to high blood pressure control: a science advisory from the American Heart Association, the American College of Cardiology, and the Centers for Disease Control and Prevention. Hypertension. 2014; 63:878-85. https://pubmed.ncbi.nlm.nih.gov/24243703
510. Staessen JA, Fagard R, Thijs L et al. Randomised double-blind comparison of placebo and active treatment for older patients with isolated systolic hypertension. The Systolic Hypertension in Europe (Syst-Eur) Trial Investigators. Lancet. 1997; 350:757-64 . https://pubmed.ncbi.nlm.nih.gov/9297994
1150. Flynn JT, Kaelber DC, Baker-Smith CM et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics. 2017; 140 https://pubmed.ncbi.nlm.nih.gov/28827377
1200. Whelton PK, Carey RM, Aronow WS et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018; 71:el13-e115. https://pubmed.ncbi.nlm.nih.gov/29133356
1210. SPRINT Research Group, Wright JT, Williamson JD et al. A randomized trial of intensive versus standard blood-pressure control. N Engl J Med. 2015; 373:2103-16. https://pubmed.ncbi.nlm.nih.gov/26551272
1219. Karmali KN, Lloyd-Jones DM. Global risk assessment to guide blood pressure management in cardiovascular disease prevention. Hypertension. 2017; 69:e2-e9. https://pubmed.ncbi.nlm.nih.gov/28115516
1300. Mancia G, Kreutz R, Brunström M, et al. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023 Dec 1;41(12):1874-2071. doi: 10.1097/HJH.0000000000003480. Epub 2023 Sep 26. Erratum in: J Hypertens. 2024 Jan 1;42(1):194. doi: 10.1097/HJH.0000000000003621. PMID: 37345492.
1301. American Diabetes Association Professional Practice Committee. 10. Cardiovascular Disease and Risk Management: Standards of Care in Diabetes-2025. Diabetes Care. 2025 Jan 1;48(Supplement_1):S207-S238. doi: 10.2337/dc25-S010. PMID: 39651970; PMCID: PMC11635050.
1302. Unger T, Borghi C, Charchar F, et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension. 2020 Jun;75(6):1334-1357. doi: 10.1161/HYPERTENSIONAHA.120.15026. Epub 2020 May 6. PMID: 32370572.
1303. Writing Committee Members; Virani SS, Newby LK, Arnold SV, et al. 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2023 Aug 29;82(9):833-955. doi: 10.1016/j.jacc.2023.04.003. Epub 2023 Jul 20. Erratum in: J Am Coll Cardiol. 2023 Oct 31;82(18):1808. doi: 10.1016/j.jacc.2023.09.794. Erratum in: J Am Coll Cardiol. 2024 Apr 30;83(17):1716. doi: 10.1016/j.jacc.2024.03.399. PMID: 37480922.
1304. Tita AT, Szychowski JM, Boggess K et al; Chronic Hypertension and Pregnancy (CHAP) Trial Consortium. Treatment for Mild Chronic Hypertension during Pregnancy. N Engl J Med. 2022 May 12;386(19):1781-1792. doi: 10.1056/NEJMoa2201295. Epub 2022 Apr 2. PMID: 35363951; PMCID: PMC9575330.
1305. Garovic VD, Dechend R, Easterling T et al; American Heart Association Council on Hypertension; Council on the Kidney in Cardiovascular Disease, Kidney in Heart Disease Science Committee; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Lifestyle and Cardiometabolic Health; Council on Peripheral Vascular Disease; and Stroke Council. Hypertension in Pregnancy: Diagnosis, Blood Pressure Goals, and Pharmacotherapy: A Scientific Statement From the American Heart Association. Hypertension. 2022 Feb;79(2):e21-e41. doi: 10.1161/HYP.0000000000000208. Epub 2021 Dec 15. Erratum in: Hypertension. 2022 Mar;79(3):e70. doi: 10.1161/HYP.0000000000000212. PMID: 34905954; PMCID: PMC9031058.
1306. American College of Obstetricians and Gynecologists Practice Advisory. Clinical Guidance for the Integration of the Findings of the Chronic Hypertension and Pregnancy (CHAP) Study. Accessed 2024 Jul 10. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2022/04/clinical-guidance-for-the-integration-of-the-findings-of-the-chronic-hypertension-and-pregnancy-chap-study
1309. Klinger JR, Elliott CG, Levine DJ, et al. Therapy for Pulmonary Arterial Hypertension in Adults: Update of the CHEST Guideline and Expert Panel Report. Chest. 2019 Mar;155(3):565-586. doi: 10.1016/j.chest.2018.11.030. Epub 2019 Jan 17. Erratum in: Chest. 2021 Jan;159(1):457. PMID: 30660783.
1326. Ennis H, Hughes M, Anderson ME, et al. Calcium channel blockers for primary Raynaud's phenomenon. Cochrane Database Syst Rev. 2016 Feb 25;2(2):CD002069. doi: 10.1002/14651858.CD002069.pub5. PMID: 26914257; PMCID: PMC7065590.
1327. Rirash F, Tingey PC, Harding SE, et al. Calcium channel blockers for primary and secondary Raynaud's phenomenon. Cochrane Database Syst Rev. 2017 Dec 13;12(12):CD000467. doi: 10.1002/14651858.CD000467.pub2. PMID: 29237099; PMCID: PMC6486273.
1328. Landry GJ. Current medical and surgical management of Raynaud's syndrome. J Vasc Surg. 2013 Jun;57(6):1710-6. doi: 10.1016/j.jvs.2013.03.012. Epub 2013 Apr 23. PMID: 23618525.
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