AMLODIPINE 5mg and 10 mg TABLETS
Package leaflet: Information for the user
Read all of this leaflet carefully before you start taking this medicine because it contains important Information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed this leaflet. See section 4.
What is in this leaflet
1. What Amlodipine is and what it is used for
2. What you need to know before you take Amlodipine
3. How to take Amlodipine
4. Possible side effects
5. How to store Amlodipine
6. Contents of the pack and other information
2. What Amlodipine is and what it is used for
Amlodipine contains the active substance amlodipine which belongs to a group of medicines called calcium antagonists.
Amlodipine is used to treat high blood pressure (hypertension) or a certain type of chest pain called angina, a rare form of which is Prnizmetal’s or variant angina.
In patients with high blood pressure your medicine works by relaxing blood vessels, so that blood passes through them more easily. In patients with angina Amlodipine works by improving blood supply to the heart muscle which then receives more oxygen and as a result chest pain is prevented. Your medicine does not provide immediate relief of chest pain from angina.
3. What you need to know before you take Amlodipine
Do not take Amlodipine:
• If you are allergic to amlodipine, or any of the other ingredients of this medicine listed in section 6, or to any other calcium antagonists. This may be itching,
reddening of the skin or difficulty in breathing.
• If you have severe low blood pressure (hypotension)
• If you have narrowing of the aortic heart valve (aortic stenosis) or cardiogenic shock (a condition where your heart is unable to supply enough blood to the body)
• If you suffer from heart failure after a heart attack.
Take special care with Amlodipine
You should inform your doctor if you have or have had any of the following conditions:
• Recent heart attacks
• Heart failure
• Severe increase in blood pressure (Hypertensive crisis)
• Liver disease
• You are elderly and your dose needs to be increased.
Children and adolescents
Amlodipine has not been studied in children under the age of 6 years. Amlodipine should only used for hypertension in children and adolescents from 6 years to 17 years of age (see section 3).
For more information, talk to your doctor.
Other medicines and Amlodipine
TeII your doctor or pharmacist if you are taking, have recently taken any other medicines, including medicines obtained without a prescription.
Amlodipine may affect or be affected by other medicines, such as:
• ketoconazole, itraconazole (anti-fungal medicines)
• ritonavir, indinavir, nelfinavir (so called protease inhibitors used to treat HIV)
• rifampicin, erythromycin (antibiotics)
• Hypericum Perforatum (St. John’s Wort)
• verapamil, diltiazem (heart medicines)
• dantrolene (infusion for severe body temperature abnormalities)
•tacrolimus (used to controI your body’s immune response, enabling your body to accept the transplanted organ)
• clarithromycin (for infections caused by bacteria)
• simvastatin (cholesterol lowering medicine).
Amlodipine may lower your blood pressure even more if you are already taking other medicines to treat your high blood pressure.
Amlodipine with food and drink
Grapefruit juice and grapefruit should not be consumed by people who are taking Amlodipine. This is because grapefruit juice can lead to an increase in the blood levels of the active ingredient amlodipine, which can cause an unpredictable increase in the blood pressure lowering effect of Amlodipine.
Pregnancy and breast-feeding
The safety of amlodipine in human pregnancy has not been established. If you think you might be pregnant, or are planning to get pregnant, you must tell your doctor before you take Amlodipine.
It is not known whether amlodipine is passed into breast milk. If you are breast-feeding or about to start breast-feeding you must tell your doctor taking Almodipine.
If you are pregnant or breast-feeding, think you may be pregnant or planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Driving and using machines
Amlodipine may affect your ability to drive or use machines. If the tablets make you feel sick, dizzy or tired, or give you a headache, do not drive or use machines and contact your doctor immediately.
Amlodipine contains sodium
This medicine contains less than 1 mmol sodium (23 mg) per tablet, which means is essentially ‘sodium-free’.
3. How to take Amlodipine
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
The recommended initial dose is Amlodipine 5 mg once daily. The dose can be increased to Amlodipine 10 mg once daily.
Your medicine can used before or after food and drinks. You should take your medicine at the same time each day. Swallow the tablet with a glass of water. Do not take Amlodipine with grapefruit juice.
Use in children and adolescents
For children and adolescents (6-17 years old), the recommended usual staring dose is 2.5 mg a day. The maximum recommended dose is 5 mg a day. Amlodipine 2.5 mg is not currently available. The 2.5 mg dose can be obtained with Amlodipine 5 mg tablets as these tablets can be divided into two equal doses.
Amlodipine 10 mg tablets can also be divided into equal doses.
If you take more Amlodipine than you should
Taking too many tablets my cause your blood pressure to become low or even dangerously low. You may feel dizzy, lightheaded, faint or weak. If blood pressure drop is severe enough shock can occur. Your skin could feel cool and clammy and you could lose consciousness. Seek immediate medical attention if you take too many Amlodipine tablets.
If you forget to take Amlodipine
Don’t worry. If you forget to take a tablet, leave out that dose completely. Take your next dose at the right time. Do not take a double dose to make up for a missed dose.
If you stop taking Amlodipine
Your doctor will advise you how long to take your medicine. Your condition may return if you stop using your medicine before you are advised.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side-effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Visit your doctor immediately if you experience any of the following very rare, severe side effects after taking this medicine.
• Sudden wheeziness, chest pain, shortness of breath or difficulty in breathing
• Swelling of eyelids, face or lips
• Swelling of the tongue and throat which causes great difficulty breathing
• Severe skin reactions including intense skin rash, hives, reddening of the skin over your whole body, severe itching, blistering, peeling and swelling of the skin, inflammation of mucous membranes (Stevens Johnson Syndrome) or other allergic reactions
• Heart attack, abnormal heart beat
• Inflamed pancreas which may cause severe abdominal and back pain accompanied with feeling very unwell.
The following very common side effect has been reported. If this causes you problems or if it lasts for more than one week, you should contact your doctor.
Very common: may affect more than 1 in 10 people
• oedema (fluid retention)
The following common side effects have been reported. If any of these cause you problems or if they last for more than one week, you should contact your doctor.
• Headache, dizziness, sleepiness (especially at the beginning of treatment)
• Palpitations (awareness of your heart beat), flushing
• Abdominal pain, feeling sick (nausea)
• Altered bowel habits, diarrhoea, constipation, indigestion,
• Tiredness, weakness
• Visual disturbances, double vision
• Muscle cramps
• Ankle swelling
Other side effects that have been reported include the following list. If any of these get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Uncommon: may affect up to 1 in 100 people
• Mood changes, anxiety, depression, sleeplessness
• Trembling, taste abnormalities, fainting, weakness.
• Numbness or tingling sensation in your limbs; loss of pain sensation
• Ringing in the ears
• Low blood pressure
• Sneezing/running nose caused by inflammation of the lining of the nose (rhinitis)
• Dry mouth, vomiting (being sick)
• Hair loss, increased sweating, itchy skin, red patches on skin, skin discolouration
• Disorder in passing urine, increased need to urinate at night, increased number of times of passing urine
• Inability to obtain an erection; discomfort or enlargement of the breasts in men
• Pain feeling unwell
• Joint or muscle pain, muscle cramps, back pain
• Weight increase or decrease.
Rare: may affect up to 1 in 1,000 people
Very rare: may affect up to 1 in 10,000 people
• Decrease numbers of white blood cells, decrease in blood platelets which may result in unusual bruising or easy bleeding (red blood cell damage)
• Excess sugar in blood (hypergIycaemia)
• A disorder of the nerves which can cause weakness, tingling or numbness
• Cough, swelling of the gums
• Abdominal bloating (gastritis)
• Abnormal liver function, inflammation of the liver (hepatitis), yellowing of the skin (jaundice), liver enzyme increase which may have an effect on some medical tests
• Increased muscle tension
• Inflammation of blood vesseIs, often with skin rash
• Sensitivity to light
• Disorders combining rigidity, tremor, and/or movement disorders.
Not known: frequency cannot be estimated from the available data.
• Trembling, rigid posture, mask-like face, slow movements and a shuffling, unbalanced walk.
Reporting side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects directly via the Yellow card Scheme at: www.mhra.gov.uk/yellowcard
By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Amlodipine
Keep this medicine out of the sight and reach of children.
Do not store above 25°C. Store in the original packaging. Keep the blister in the outer carton.
Do not use this medicine after the expiry date, that is stated on the label and carton after ‘EXP’. The expiry date refers to the last day of that month.
Do not take these tablets if there are any signs of discolouration or deterioration of the tablets.
Do not throw away any medicines via waste water or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
6. Contents of the pack and other information
• The active ingredient is amlodipine (as besilate)
• The other ingredients are microcrystalline cellulose, calcium hydrogen phosphate, sodium starch glycolate and magnesium stearate.
What Amlodipine looks like and contents of the pack:
• Amlodipine 5 mg round white tablet, 8 mm in diameter. One side is slightly concave with a breakline and debossed ‘A5’. The other side is slightly convex and plain and are available in pack sizes of 15, 20, 28, 30, 84, 90, 98, 100, 112 and 300 tablets.
• Amlodipine 10 mg round white tablet, 11 mm in diameter. One side is slightly concave with a breakline and debossed ‘A10’. The other side is slightly convex and plain and are available in pack sizes of 14, 15, 20, 28, 30, 50, 56, 84, 90, 98, 100 and 112 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder.
TEVA UK Limited, Eastbourne, BN22 9AG
TEVA Pharmaceutical Works Private
H-4042 Debrecen, Pallagi ut 13, Hungary
This leaflet was last revised in April 2016