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AMLODIPINE BESYLATE

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Amlodipine Besylate Tablets Rx only


FULL PRESCRIBING INFORMATION: CONTENTS*




FULL PRESCRIBING INFORMATION

AMLODIPINE BESYLATE DESCRIPTION

Amlodipine besylate is the besylate salt of amlodipine, a long-acting calcium channel blocker.

Amlodipine besylate is chemically described as 3-Ethyl-5-methyl (±)-2-[(2-aminoethoxy) methyl]-4-(2-chlorophenyl)-1,4-dihydro-6-methyl-3,5-pyridinedicarboxylate, monobenzene-sulphonate. Its molecular formula is C20H25CIN2O5• C6H6O3S, and its structural formula is:

AMLODIPINE BESYLATE
Amlodipine besylate is a white crystalline powder with a molecular weight of 567.1. It is slightly soluble in water and sparingly soluble in ethanol. Amlodipine besylate tablets are formulated as white tablets equivalent to 2.5, 5 and 10 mg of amlodipine for oral administration. In addition to the active ingredient, amlodipine besylate, each tablet contains the following inactive ingredients: sodium starch glycolate, mannitol, microcrystalline cellulose, dibasic calcium phosphate anhydrous, colloidal silicon dioxide and magnesium stearate.

CLINICAL PHARMACOLOGY


Mechanism of Action

a







2in vitro

Pharmacokinetics and Metabolism



Ex vivo



Pediatric Patients

Pharmacodynamics









Electrophysiologic Effects:

Clinical Studies

Effects in Hypertension
Adult Patients:

Pediatric Patients:

ffects in Chronic Stable Angina:

Effects in Vasospastic Angina:


Effects in Documented Coronary Artery Disease:








AMLODIPINE BESYLATE



AMLODIPINE BESYLATE

Table 1. Incidence of Significant Clinical Outcomes for CAMELOT
Clinical Outcomes
N (%)
Amlodipine
(N=663)
Placebo
(N=655)
Risk Reduction
(p-value)
Composite CV Endpoint 110
(16.6)
151
(23.1)
31%
(0.003)
Hospitalization for
Angina*
51
(7.7)
84
(12.8)
42%
(0.002)
Coronary
Revascularization*
78
(11.8)
103
(15.7)
27%
(0.033)


Studies in Patients with Congestive Heart Failure:


AMLODIPINE BESYLATE INDICATIONS AND USAGE

  • Hypertension                                                                                                                                                                               Amlodipine is indicated for the treatment of hypertension. It may be used alone or in combination with other antihypertensive agents.
  • Coronary Artery Disease (CAD)
Chronic Stable Angina


Vasospastic Angina (Prinzmetal's or Variant Angina)


Angiographically Documented CAD

AMLODIPINE BESYLATE CONTRAINDICATIONS

Amlodipine is contraindicated in patients with known sensitivity to amlodipine.

WARNINGS

PRECAUTIONS


General

Use in Patients with Congestive Heart Failure




Beta-Blocker Withdrawal

Patients with Hepatic Failure

Drug Interactions

 In vitro

Effect of other agents on amlodipine.







®

Effect of amlodipine on other agents.









Drug/Laboratory Test Interactions

Carcinogenesis, Mutagenesis, Impairment of Fertility

22



2

Pregnancy Category C

2

Nursing Mothers

Pediatric Use

Geriatric Use

AMLODIPINE BESYLATE ADVERSE REACTIONS












Placebo-Controlled Studies



















Cardiovascular

Central and Peripheral Nervous System

Gastrointestinal

General

Musculoskeletal System

Psychiatric

Respiratory System


Skin and Appendages



Special Senses

Urinary System

Autonomic Nervous System

Metabolic and Nutritional

Hemopoietic










CLINICAL PHARMACOLOGY Clinical StudiesStudies in Patients with Coronary Artery Disease



OVERDOSAGE

2





AMLODIPINE BESYLATE DOSAGE AND ADMINISTRATION


Adults





ADVERSE REACTIONS
CLINICAL PHARMACOLOGY, Clinical Studies

Children

CLINICAL PHARMACOLOGY.

Coadministration with Other Antihypertensive and/or Antianginal Drugs

HOW SUPPLIED























0000



®
®

Manufactured by:



Distributed by:





Amlodipine Besylate Tablets SUMMARY OF INFORMATION ABOUT AMLODIPINE BESYLATE TABLETS

amlodipine amlodipine

What is amlodipine?


High Blood Pressure (hypertension)
Amlodipine

Angina
Amlodipine

Who should not use amlodipine?
amlodipineamlodipine,amlodipine besylate tablets

What should I tell my doctor before taking amlodipine?




  • ever had heart disease
  • ever had liver problems
  • are pregnant, or plan to become pregnant. Your doctor will decide if amlodipine is the best treatment for you.
  • are breast-feeding. Do not breast feed while taking amlodipine. You can stop breastfeeding or take a different medicine.
How should I take amlodipine?
  • Take amlodipine once a day, with or without food. You can take amlodipine with most drinks, including grapefruit juice.
  • It may be easier to take your dose if you do it at the same time every day, such as with breakfast, dinner, or at bedtime. Do not take more than one dose of amlodipine at a time.
  • If you miss a dose, take it as soon as you remember. Do not take amlodipine if it has been more than 12 hours since you missed your last dose. Wait and take the next dose at your regular time.
  • Other medicines: You can use nitroglycerin and amlodipine together. If you take nitroglycerin for angina, don't stop taking it while you are taking amlodipine.
  • While you are taking amlodipine, do not stop taking your other prescription medicines, including any other blood pressure medicines, without talking to your  doctor.
  • If you took too much amlodipine, call your doctor or Poison Control Center, or go to the nearest hospital emergency room right away.
What should I avoid while taking amlodipine?
  • Do not breastfeed. It is not known if amlodipine will pass through your milk.
  • Do not start any new prescription or non-prescription medicines or supplements, unless you check  with your doctor first.
What are the possible side effects of amlodipine?
Amlodipine
  • headache
  • swelling of your legs or ankles
  • tiredness, extreme sleepiness
  • stomach pain, nausea
  • dizziness
  • flushing (hot or warm feeling in your face)
  • arrhythmia (irregular heartbeat)
  • heart palpitations (very fast heartbeat)
amlodipine


amlodipine

How do I store amlodipine?
amlodipine besylate tablets amlodipine besylate tablets
amlodipine besylate tablets
amlodipine besylate tablets

General advice about amlodipine
amlodipineamlodipine

amlodipine besylate tabletswww.wockhardtusa.com

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AMLODIPINE BESYLATE


AMLODIPINE BESYLATE

AMLODIPINE BESYLATE TABLET

Product Information

Product Type Human prescription drug label Item Code (Source) NDC:16590-295(NDC:64679-422)
Route of Administration ORAL DEA Schedule

Active Ingredient/Active Moiety

Ingredient Name Basis of Strength Strength
amlodipine besylate AMLODIPINE 5 mg

Product Characteristics

Color Size Imprint Code Shape
white (white to off-white) 9 mm W;422 CAPSULE

Packaging

# Item Code Package Description Marketing Start Date Marketing End Date
1 NDC:16590-295-30 30 in 1 BOTTLE

Marketing Information

Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA078500 2007-09-06


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