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Amlodipine is a calcium channel blocker prescribed to treat hypertension, ischemic heart disease, angina.

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Generic Amlodipine Information

Introduction

Amlodipine is a calcium‑channel blocker prescribed for the long‑term management of hypertension and chronic stable angina. In the United Kingdom it is listed on the NHS formulary and is widely used as a first‑line antihypertensive. The active compound is Amlodipine besylate, and the medication belongs to the broader group of blood‑pressure agents. In addition to its primary role in lowering elevated blood pressure, Amlodipine improves coronary blood flow, which helps prevent angina attacks and reduces the workload on the heart.

What is Amlodipine?

Amlodipine is a synthetic dihydropyridine calcium‑channel antagonist. It was first approved in Europe in the early 199s and was developed by Pfizer, marketed under the brand name Norvasc. Amlodipine is the generic version of Norvasc, containing the same active compound Amlodipine. Our online pharmacy provides this generic alternative as a cost‑effective treatment option, adhering to the same stringent quality standards required by the UK Medicines and Healthcare products Regulatory Agency (MHRA).

How Amlodipine Works

Amlodipine selectively inhibits L‑type calcium channels located on vascular smooth‑muscle cells. By blocking calcium influx of calcium ions, the drug reduces intracellular calcium concentration, leading to smooth‑muscle relaxation and vasodilation of peripheral arterial beds. This vasodilation decreases systemic vascular resistance, which lowers arterial pressure. In coronary arteries, the same mechanism improves myocardial perfusion, thereby reducing the frequency of angina episodes.

Pharmacokinetically, Amlodipine has a slow onset of action (approximately 2–5 hours) and a long elimination half‑life of 30–50 hours, allowing once‑daily dosing. It is extensively metabolised by the liver (CYP3A4) to inactive metabolites and eliminated principally via the biliary route. The long half‑life provides a stable therapeutic plasma concentration, minimizing blood‑pressure fluctuations.

Conditions Treated with Amlodipine

  • Essential (primary) hypertension – Hypertension affects roughly 30 % of adults in the UK, contributing to stroke, myocardial infarction and renal disease. Amlodipine reduces systolic and diastolic pressures by 8–10 mmHg on average, meeting guideline targets (≤140/90 mmHg for most adults).
  • Chronic stable angina – By dilating coronary arteries, Amlodipine alleviates myocardial ischaemia, decreasing weekly angina attacks and improving exercise tolerance.
  • Raynaud’s phenomenon (off‑label) – Some clinicians prescribe low‑dose Amlodipine to relieve peripheral vasospasm, although this use is not formally approved by the MHRA.

The drug is favoured when patients require a once‑daily regimen, have a history of medication non‑adherence, or when other antihypertensives (e.g., ACE inhibitors) cause intolerable side effects.

Who is Amlodipine For?

Amlodipine is appropriate for adult patients (≥18 years) with diagnosed hypertension or chronic stable angina who require a once‑daily oral antihypertensive. Typical candidates include:

  • Individuals with stage 1 or stage 2 hypertension who have not reached target blood pressure with lifestyle measures alone.
  • Patients who prefer a medication with a low frequency of dosing (once daily) and minimal dietary restrictions.
  • Older adults, because Amlodipine’s long half‑life and minimal renal clearance reduce the need for dose adjustment in chronic kidney disease (CKD) stages 1‑3.

Amlodipine‑treated patients should be evaluated for contraindications such as severe aortic stenosis, unstable heart failure, or known hypersensitivity to dihydropyridines. Caution is advised in pregnant or breastfeeding women, as safety data are limited and the drug is classified as Category B (no evidence of fetal risk in animal studies, but human data are lacking).

Risks, Side Effects, and Interactions

Common

  • Peripheral oedema (particularly of the ankles) – occurs in up to 10 % of patients.
  • Headache, flushing, and facial redness.
  • Dizziness or light‑headedness, especially after the first dose.

Rare

  • Gingival hyperplasia (overgrowth of gum tissue).
  • Palpitations or tachycardia.
  • Elevated liver enzymes (ALT/AST) – monitoring is advised in patients with pre‑existing liver disease.

Serious

  • Severe hypotension (SBP < 90 mmHg) leading to syncope or falls.
  • Acute myocardial infarction or worsening heart failure in patients with pre‑existing severe cardiac dysfunction.
  • Anaphylactic reactions – characterised by rash, itching, swelling of the face or throat, and difficulty breathing.
Drug‑Drug Interactions
  • CYP3A4 inhibitors (e.g., clarithromycin, itraconazole, ketoconazole, ritonavir) can raise Amlodipine plasma concentrations, increasing the risk of hypotension.
  • Simultaneous use with other antihypertensives (e.g., ACE inhibitors, beta‑blockers) may produce additive blood‑pressure lowering effects; clinicians should monitor for excessive hypotension.
  • Cyclosporine may raise Amlodipine levels and vice‑versa; dose adjustments may be required.
  • Grapefruit juice modestly inhibits CYP3A4 in the gut and can increase Amlodipine exposure; patients are advised to limit intake.

Patients should disclose all current medications, including over‑the‑counter supplements, to their healthcare provider.

Practical Use: Dosing, Missed Dose, Overdose

  • Usual starting dose: 5 mg once daily, taken with or without food. In older or frail patients, a 2.5 mg dose may be initiated.
  • Maintenance dose: Most adults achieve blood‑pressure control on 5–10 mg daily. Doses above 10 mg are not recommended.
  • Missed dose: Take the missed tablet as soon as remembered unless it is within 12 hours of the next scheduled dose. Do not double‑dose.
  • Overdose: Symptoms may include profound hypotension, dizziness, fainting, and cardiac arrhythmias. Immediate medical assessment is required; supportive care (intravenous fluids, vasopressors) is the mainstay of treatment.

Precautions:

  • Avoid excessive alcohol, which can potentiate hypotensive effects.
  • No specific food interactions, but high‑salt meals may blunt antihypertensive efficacy.
  • Renal impairment does not significantly affect clearance, but severe hepatic dysfunction (Child‑Pugh C) warrants dose reduction.

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Patients who encounter limited availability through conventional pharmacies or who seek a reliable, low‑cost generic alternative may find our platform a practical solution.

FAQ

  • Is Amlodipine available in both brand‑name and generic forms in the UK?
    Yes. The original brand‑name product is Norvasc, marketed by Pfizer. Generic versions containing the same active compound Amlodipine are produced by multiple manufacturers and are widely prescribed across the NHS.

  • What does a typical Amlodipine tablet look like?
    Generic tablets are usually white, round, film‑coated and may be scored for splitting. The brand‑name Norvasc tablet is orange‑coloured, round, and film‑coated. In both cases, the imprint includes the dose‑strength (e.g., “5 mg”).

  • Can Amlodipine be stored at temperatures above room temperature?
    Amlodipine should be stored at 15‑30 °C (59‑86 °F). Prolonged exposure to higher temperatures may accelerate degradation of the active ingredient, potentially reducing efficacy.

  • Do certain foods influence Amlodipine absorption?
    Food does not markedly affect the bioavailability of Amlodipine, allowing it to be taken with or without meals. However, high‑salt meals may lessen overall blood‑pressure reduction, so a moderate sodium intake is advised.

  • Is it safe to travel internationally while taking Amlodipine?
    Amlodipine is a widely recognised medication; carrying a copy of the prescription or a doctor’s note is advisable for customs. Keep tablets in their original packaging to avoid confusion, and maintain them in a cool, dry place during travel.

  • Are there differences between European and US formulations of Amlodipine?
    The active ingredient is identical, but excipients such as lactose, magnesium stearate, or colourants may vary. Patients with specific allergies should review of the ingredient list for each region.

  • What regulatory body oversees Amlodipine in the UK?
    The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for licensing, safety monitoring, and quality control of all medicines, including generic Amlodipine, sold within the United Kingdom.

  • Can Amlodipine cause a false positive on drug‑testing screens?
    Amlodipine is not a prohibited substance and does not interfere with standard immunoassay drug‑screening panels. It should not generate false‑positive results in occupational or clinical testing.

  • Why might some patients develop ankle swelling while on Amlodipine?
    Peripheral oedema occurs because dihydropyridine calcium‑channel blockers preferentially dilate arterioles, raising hydrostatic pressure in capillaries. The resultant fluid shift into interstitial tissue commonly manifests as ankle swelling. Dose reduction or adding a low‑dose ACE inhibitor can mitigate this effect.

  • Has Amlodipine been evaluated in large clinical trials?
    Yes. The ASCOT‑BPLA (Anglo‑Scandinavian Cardiac Outcomes Trial – Blood Pressure Lowering Arm) demonstrated the drug’s superiority in reducing cardiovascular events compared with atenolol. Additional meta‑analyses confirm its efficacy and safety in diverse hypertensive populations.

  • Are there any special considerations for patients with asthma?
    Amlodipine does not possess significant β‑adrenergic activity and is generally safe for asthmatic patients. However, any new onset dyspnoea should be assessed promptly to rule out cardiac causes or drug‑related side effects.

  • What is the legal status of importing Amlodipine for personal use in the UK?
    Personal importation of medicines not supplied on the NHS is permitted under UK law provided the product is for personal use, the quantity does not exceed a three‑month supply, and it is obtained from a reputable source. Importation should comply with customs declarations and the MHRA’s import guidelines.

Glossary

Calcium‑channel blocker
A class of medication that inhibits calcium entry into vascular smooth‑muscle cells, leading to vasodilation and reduced blood pressure.
Peripheral oedema
Swelling of the lower limbs due to fluid accumulation in the interstitial spaces, often seen with dihydropyridine agents.
Half‑life
The time required for the plasma concentration of a drug to decrease by half; for Amlodipine this is 30–50 hours, supporting once‑daily dosing.
CYP3A4
An enzyme in the liver and intestine that metabolises many drugs; inhibitors of CYP3A4 can increase Amlodipine levels.

⚠️ Disclaimer

The information provided about Amlodipine is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Amlodipine for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

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