Patient Medication Information: uses, side effects, how to take - Amlodipine Tablets (Nora Pharma)
What the medicinal ingredient is:
Amlodipine (as Amlodipine Besylate)
What the nonmedicinal ingredients are:
Colloidal silicon dioxide, dibasic calcium phosphate anhydrous, magnesium stearate, microcrystalline cellulose and sodium starch glycolate.
What dosage forms it comes in:
Tablets 2.5 mg, 5 mg and 10 mg amlodipine (as amlodipine besylate)
What the medication is used for:
AMLODIPINE Tablets has been prescribed to you for:
The treatment of high blood pressure
(hypertension), or
The management of a type of chest pain called
angina.
AMLODIPINE Tablets can be used by itself or with other medicines to treat these conditions.
What it does:
AMLODIPINE Tablets is a type of medicine known as a calcium channel blocker (CCB).
AMLODIPINE Tablets relaxes your blood vessels, which lets your blood flow more easily and helps lower your blood pressure.
AMLODIPINE Tablets controls chest pain by improving the supply of blood and oxygen to the heart and by reducing its workload.
When it should not be used:
Do not use AMLODIPINE Tablets if you:
Are allergic to amlodipine (the active ingredient in
AMLODIPINE Tablets), or to the inactive ingredients listed under “What the nonmedicinal ingredients are” below.
Have ever had an allergic reaction to a similar type
of drug.
Have very low blood pressure (less than 90 mmHg
systolic).
Have been diagnosed with aortic stenosis
(narrowing of the aortic heart valve).
Have been diagnosed with unstable heart failure
after a heart attack.
BEFORE you use AMLODIPINE Tablets talk to your doctor, nurse or pharmacist if you:
- Ever had heart or blood vessel diseases.
- Have aortic stenosis (narrowing of a valve of your heart).
- Have liver or kidney problems.
Are pregnant, or plan to become pregnant.
AMLODIPINE Tablets should not be used during pregnancy unless your doctor tells you otherwise.
- Are older than 65 years.
AMLODIPINE Tablets may occasionally cause low blood pressure (hypotension). Your blood pressure should be carefully monitored, especially if you have had a stroke or take other drugs to lower your blood pressure.
If you take AMLODIPINE Tablets together with a drug known as beta-blockers (e.g. acebutolol, atenolol, metoprolol, nadolol), do not suddenly stop using the beta-blocker. If your doctor advises you to discontinue use of the beta-blocker, your dose should be decreased slowly, as recommended by your doctor, before stopping it completely.
AMLODIPINE Tablets is not recommended for use in children less than 6 years of age.
As with most medicines, interactions with other drugs are possible. Tell your doctor, nurse or pharmacist about all medicines you take, including drugsprescribed by other doctors, vitamins, minerals, natural supplements, or alternative medicines. Also mention if you drink alcoholic beverages.
ABOUT THIS MEDICATION WARNINGS AND PRECAUTIONS
INTERACTIONS WITH THIS MEDICATION
Drug-Drug interaction:
Drugs that may interact with AMLODIPINE Tablets include:
- Cyclosporin
- Clarithromycin, Erythromycin (antibiotics)
- Diltiazem
- Azole antifungals (e.g. ketoconazole, itraconazole)
- HIV protease inhibitors (e.g. ritonavir)
- Beta-blockers
- Sildenafil (VIAGRA)
Statin drugs used to treat high cholesterol (e.g.
Simvastatin, Atorvastatin)
- Tacrolimus (an anti-rejection drug)
- Sirolimus, temsirolimus, everolimus
- Dantrolene
Drug-Herb interaction:
St-John Wort
Drug-Food interaction:
Do not eat grapefruit or drink grapefruit juice while on AMLODIPINE Tablets.
One or more of the following signs may occur in an overdose: low blood pressure and rapid heartbeat.
Missed Dose:
If you miss a dose, take it as soon as you remember. If it has been more than 12 hours since you missed your last dose, skip the missed dose and continue with the next dose at your regular time. Do not take double doses.
Side effects include:
- Headaches
- Tiredness, extreme sleepiness
- Stomach pain, nausea
- Dizziness
If any of these affects you severely, tell your doctor, nurse or pharmacist.
Take AMLODIPINE Tablets exactly as prescribed by your doctor, nurse or pharmacist. It may be easier to take your dose if you do it at the same time every day, such as with breakfast or dinner, or at bedtime. Do not stop taking your medication without having first informed your doctor.
Usual dose:
For both high blood pressure and chest pain, the recommended initial dose of AMLODIPINE Tablets is 5 mg once daily. If necessary, your doctor may increase your dose to a maximum dose of 10 mg once daily.
Use in Patients with liver disease:
The starting dose is 2.5 mg once daily and can be gradually increased by your doctor.
Use in Children (6-17 years old):
The recommended dose is 2.5 mg to 5 mg once daily.
Overdose:
SIDE EFFECTS AND WHAT TO DO ABOUT THEM
PROPER USE OF THIS MEDICATION
If you think you, or a person you are caring for, have taken too much AMLODIPINE Tablets contact a health care professional, hospital emergency department or regional poison control centre immediately, even if there are no symptoms.
| SERIOUS SIDE EFFECTS, HOW OFTEN THEY HAPPEN | ||||
| AND WHAT TO DO ABOUT THEM | ||||
| Symptom / effect | Talk with your doctor, nurse or pharmacist | Stop taking drug and seek immediate medical help. | ||
| Only if severe | In all cases | |||
| Common | Flushing: Hot or warm feeling in your face | ✓ | ||
Edema: Swelling of your legs or ankles | ✓ | |||
| Uncommon | Arrhythmia: Rapid, slow or irregular heartbeat | ✓ | ||
Increased frequency, severity, duration of angina: Pressing or squeezing pain in your chest | ✓ | |||
Heart Attack: Pain, fullness and/or squeezing of the chest, jaw | ✓ | |||
This is not a complete list of side effects. For any unexpected effects while taking AMLODIPINE Tablets, contact your doctor, nurse or pharmacist.
Keep AMLODIPINE Tablets out of the reach and sight of children. Store AMLODIPINE Tablets at room temperature (between 15-300C). Protect AMLODIPINE Tablets from light.
HOW TO STORE IT
Reporting Side Effects
You can report any suspected side effects associated with the use of health products to Health Canada by:
Visiting the Web page on Adverse Reaction
Reporting (https://www.canada.ca/en/health- canada/services/drugs-health-
products/medeffect-canada/adverse-reaction- reporting.html) for information on how to report online, by mail or by fax; or
- Calling toll-free at 1-866-234-2345
NOTE: Should you require information related to the management of side effects, contact your health professional. The Canada Vigilance Program does not provide medical advice.
MORE INFORMATION
| SERIOUS SIDE EFFECTS, HOW OFTEN THEY HAPPEN | ||||
| AND WHAT TO DO ABOUT THEM | ||||
| Symptom / effect | Talk with your doctor, nurse or pharmacist | Stop taking drug and seek immediate medical help. | ||
Only if severe | In all cases | |||
| pain and/or arm pain, shortness of breath | ||||
Liver Disorder: Yellowing of the skin or eye, dark urine, abdominal pain, nausea, vomiting, loss of appetite | ✓ | |||
Allergic Reactions: Rash, hives, swelling of the face, lips, tongue or throat, difficulty breathing or swallowing | ✓ | |||
Low blood Pressure: Dizziness, fainting, lightheadedne ss May occur when you go from lying or sitting to standing up | ✓ | |||
| Unknown | Extrapyrami dal symptoms: Muscle stiffness, body spasms, upward eye rolling, exaggeration of reflexes, drooling, difficulty moving how and when you want. | ✓ | ||
If you want more information about AMLODIPINE Tablets:
- Talk to your healthcare professional.
Find the full product monograph that is prepared for healthcare professionals and includes this Consumer Information by visiting the Health Canada website (https://www.canada.ca/en/health- canada/services/drugs-health-products/drug- products/drug-product-database.html); or by contacting
Nora Pharma Inc.
40 Prince-Arthur, Suite 310
Saint-Lambert, Quebec
J4P 1X2
