Amlodipine + Valsartan

Find more information about this combination medication at the webpages for Amlodipine and Valsartan

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Brand Name

Valembic AM 5mg/160mg Tablet 10s , Valembic 80 AM Tablet 10s ... show more

Approved Treatment Indication:

Hypertension, Variant Angina Pectoris ... show more

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This medicine contains a combination of 2 drugs Amlodipine and Valsartan.
Amlodipine and Valsartan are both used to treat the same disease or symptom but work in different ways in the body.
Most doctors will advise making sure that each individual medicine is safe and effective before using a combination form.

Summary

What conditions are Amlodipine and Valsartan used for?
Amlodipine and Valsartan are primarily used to manage high blood pressure, also known as hypertension. Amlodipine can also be used to treat angina, which is chest pain, and coronary artery disease, a condition where the blood vessels supplying the heart are blocked. Valsartan is used to treat heart failure and improve survival after a heart attack.
How do Amlodipine and Valsartan work in the body?
Amlodipine and Valsartan work together to lower blood pressure. Amlodipine, a calcium channel blocker, relaxes blood vessels by reducing the influx of calcium into the muscle cells of the vessels. Valsartan, an angiotensin II receptor blocker, prevents a substance called angiotensin II from binding to its receptors, which also helps to relax blood vessels and reduce blood pressure. Together, they help the heart pump blood more efficiently.
What are the usual dosages and routes of administration of Amlodipine and Valsartan?
The usual adult daily dose for Amlodipine is typically 5 mg to 10 mg once daily. For Valsartan, the usual dose ranges from 80 mg to 320 mg per day. Both are taken orally, usually in a single tablet combining the two, and the doses are adjusted to provide effective blood pressure control.
What are the most commonly observed adverse effects of Amlodipine and Valsartan?
Common side effects of Amlodipine include swelling of the hands, feet, ankles, or lower legs, dizziness, and flushing. Valsartan may cause headache, excessive tiredness, and nausea. Both medications can cause dizziness or lightheadedness, especially when standing up quickly.
What are the important safety warnings and contraindications of Amlodipine and Valsartan?
Amlodipine and Valsartan should not be used during pregnancy due to the risk of harm to the fetus. They should also be avoided by patients with severe liver impairment or a history of angioedema, a severe allergic reaction. Caution is advised for those with heart failure or kidney impairment. Both drugs can cause dizziness, especially when standing up quickly.

Government Approvals

None

WHO Essential Medicine

Known Teratogen

Definite

Pharmaceutical Class

Angiotensin 2 Receptor Blocker and Calcium Channel Blocker and Dihydropyridine Calcium Channel Blocker

Controlled Drug Substance

Summary

What conditions are Amlodipine and Valsartan used for?
Amlodipine and Valsartan are primarily used to manage high blood pressure, also known as hypertension. Amlodipine can also be used to treat angina, which is chest pain, and coronary artery disease, a condition where the blood vessels supplying the heart are blocked. Valsartan is used to treat heart failure and improve survival after a heart attack.
How do Amlodipine and Valsartan work in the body?
Amlodipine and Valsartan work together to lower blood pressure. Amlodipine, a calcium channel blocker, relaxes blood vessels by reducing the influx of calcium into the muscle cells of the vessels. Valsartan, an angiotensin II receptor blocker, prevents a substance called angiotensin II from binding to its receptors, which also helps to relax blood vessels and reduce blood pressure. Together, they help the heart pump blood more efficiently.
What are the usual dosages and routes of administration of Amlodipine and Valsartan?
The usual adult daily dose for Amlodipine is typically 5 mg to 10 mg once daily. For Valsartan, the usual dose ranges from 80 mg to 320 mg per day. Both are taken orally, usually in a single tablet combining the two, and the doses are adjusted to provide effective blood pressure control.
What are the most commonly observed adverse effects of Amlodipine and Valsartan?
Common side effects of Amlodipine include swelling of the hands, feet, ankles, or lower legs, dizziness, and flushing. Valsartan may cause headache, excessive tiredness, and nausea. Both medications can cause dizziness or lightheadedness, especially when standing up quickly.
What are the important safety warnings and contraindications of Amlodipine and Valsartan?
Amlodipine and Valsartan should not be used during pregnancy due to the risk of harm to the fetus. They should also be avoided by patients with severe liver impairment or a history of angioedema, a severe allergic reaction. Caution is advised for those with heart failure or kidney impairment. Both drugs can cause dizziness, especially when standing up quickly.

Indications and Purpose

What is combination of Amlodipine and Valsartan used for?

Amlodipine and Valsartan are primarily indicated for the treatment of hypertension (high blood pressure). Amlodipine is also used to treat angina (chest pain) and coronary artery disease, while Valsartan is used to treat heart failure and improve survival after a heart attack. Together, they effectively manage high blood pressure and reduce the risk of cardiovascular events, such as strokes and heart attacks, by improving blood flow and reducing the heart's workload.

How does combination of Amlodipine and Valsartan work?

Amlodipine and Valsartan work together to lower blood pressure through complementary mechanisms. Amlodipine, a calcium channel blocker, relaxes blood vessels by inhibiting calcium ion influx into vascular smooth muscle, reducing peripheral resistance. Valsartan, an angiotensin II receptor blocker, prevents angiotensin II from binding to its receptors, which also relaxes blood vessels and reduces blood pressure. Both medications help the heart pump blood more efficiently by decreasing the workload on the heart.

How effective is combination of Amlodipine and Valsartan?

Clinical trials have demonstrated that Amlodipine and Valsartan effectively lower blood pressure, with each component contributing to the overall effect. Amlodipine, as a calcium channel blocker, has been shown to reduce blood pressure by relaxing blood vessels. Valsartan, an angiotensin II receptor blocker, also lowers blood pressure by preventing blood vessel constriction. Together, they provide a complementary effect, enhancing blood pressure control. Studies have shown that the combination is more effective than either drug alone in achieving target blood pressure levels, reducing the risk of cardiovascular events.

How does one know if combination of Amlodipine and Valsartan is working?

The benefit of Amlodipine and Valsartan is primarily assessed by measuring reductions in blood pressure. Regular blood pressure monitoring helps determine the effectiveness of the treatment. Additionally, the reduction in symptoms associated with high blood pressure, such as headaches or dizziness, can indicate the medication's effectiveness. Long-term benefits are assessed by a decrease in the risk of cardiovascular events like heart attacks and strokes, which are common complications of untreated hypertension.

Directions for Use

What is the usual dose of combination of Amlodipine and Valsartan?

The usual adult daily dose for Amlodipine is typically 5 mg to 10 mg once daily, depending on the patient's response and tolerance. For Valsartan, the usual dose ranges from 80 mg to 320 mg per day, also based on individual needs and response. When combined in a single tablet, the doses are adjusted to provide effective blood pressure control, often starting at 5 mg/160 mg or 10 mg/160 mg of Amlodipine and Valsartan, respectively. Both medications are taken once daily, and the combination allows for a synergistic effect in lowering blood pressure.

How does one take combination of Amlodipine and Valsartan?

Amlodipine and Valsartan can be taken with or without food, making it convenient for daily use. It is important to take the medication at the same time each day to maintain consistent blood levels. Patients should follow any dietary instructions provided by their healthcare provider, such as a low-salt diet, to enhance the medication's effectiveness. There are no specific food restrictions, but patients should avoid using salt substitutes containing potassium without consulting their doctor.

For how long is combination of Amlodipine and Valsartan taken?

Amlodipine and Valsartan are typically used as long-term treatments for managing high blood pressure. They do not cure hypertension but help control it, so they are usually taken indefinitely unless a healthcare provider advises otherwise. Both medications require consistent daily use to maintain their blood pressure-lowering effects. Regular monitoring by a healthcare provider is essential to ensure the treatment remains effective and to adjust dosages if necessary.

How long does it take for combination of Amlodipine and Valsartan to work?

Amlodipine and Valsartan work together to lower blood pressure, but they have different onset times. Amlodipine, a calcium channel blocker, typically starts to work within 6 to 12 hours after administration, as it gradually relaxes blood vessels. Valsartan, an angiotensin II receptor blocker, begins to lower blood pressure within 2 to 4 hours after ingestion. When combined, the effects of these medications can be seen within a few hours, but it may take several weeks to achieve the full blood pressure-lowering benefits. Both medications work by reducing peripheral resistance, but through different mechanisms, providing a complementary effect.

How does one store combination of Amlodipine and Valsartan?

Amlodipine and Valsartan tablets should be stored at room temperature, away from excess heat and moisture, and not in the bathroom. They do not require refrigeration. It is important to keep the medication in its original container, tightly closed, and out of reach of children. Proper storage ensures the medication remains effective and safe to use. If the medication is in suspension form, it should be stored in the refrigerator and protected from light.

Warnings and Precautions

Are there harms and risks from taking combination of Amlodipine and Valsartan?

Common side effects of Amlodipine include swelling of the hands, feet, ankles, or lower legs, dizziness, and flushing. Valsartan may cause headache, excessive tiredness, and nausea. Both medications can cause dizziness or lightheadedness, especially when standing up quickly. Serious side effects include more frequent or severe chest pain, rapid or irregular heartbeat, and fainting. If any serious side effects occur, medical attention should be sought immediately. Both medications require monitoring for potential interactions and side effects.

Can I take combination of Amlodipine and Valsartan with other prescription drugs?

Amlodipine and Valsartan can interact with several prescription drugs. Amlodipine may interact with CYP3A inhibitors, increasing its effects, and should be used cautiously with other blood pressure medications to avoid excessive lowering of blood pressure. Valsartan can interact with NSAIDs, potentially reducing its effectiveness and affecting kidney function. Both medications should not be used with aliskiren in patients with diabetes due to increased risks of adverse effects. Monitoring by a healthcare provider is essential to manage these interactions effectively.

Can I take combination of Amlodipine and Valsartan with vitamins or supplements?

When taking Amlodipine and Valsartan, it's important to be cautious with potassium supplements and salt substitutes containing potassium, as they can increase the risk of hyperkalemia (high potassium levels). Patients should inform their healthcare provider about all vitamins and supplements they are taking to avoid potential interactions. While there are no specific interactions with other vitamins or supplements, maintaining open communication with a healthcare provider ensures safe and effective use of the medication.

Can I take combination of Amlodipine and Valsartan if I am pregnant?

Amlodipine and Valsartan are not recommended during pregnancy due to the risk of fetal harm. Valsartan, in particular, can cause injury or death to the developing fetus, especially in the second and third trimesters. Amlodipine's safety during pregnancy is not well established, and it should only be used if the potential benefits justify the risks. Women who are pregnant or planning to become pregnant should discuss alternative treatments with their healthcare provider to ensure the safety of the unborn child.

Can I take combination of Amlodipine and Valsartan while breastfeeding?

The safety of Amlodipine and Valsartan during lactation is not well established. Amlodipine is present in human milk, but its effects on the breastfed infant are unknown. Valsartan's presence in human milk is not well documented, but it is found in animal milk. Due to the potential for adverse effects on the nursing infant, breastfeeding is not recommended while taking these medications. Women should discuss alternative treatments with their healthcare provider if they are breastfeeding or plan to breastfeed.

Who should avoid taking combination of Amlodipine and Valsartan?

Amlodipine and Valsartan have important warnings and contraindications. They should not be used during pregnancy due to the risk of fetal harm. Patients with severe liver impairment or a history of angioedema should avoid these medications. Caution is advised for those with heart failure or renal impairment. Both drugs can cause dizziness, especially when standing up quickly, so patients should rise slowly from sitting or lying positions. Regular monitoring by a healthcare provider is essential to manage potential risks and ensure safe use.