Amlodipine Benzoate is a medication that has garnered significant attention in the medical field due to its effectiveness in treating various cardiovascular conditions. Known by several trade names such as
Norvasc, Istin, and Amlobenz, this drug primarily targets
high blood pressure (hypertension) and
angina (
chest pain). It belongs to a class of drugs known as
calcium channel blockers, which help relax and widen blood vessels, making it easier for blood to flow. Developed by pharmaceutical companies and researched extensively in institutions around the world, Amlodipine Benzoate has shown promising results in improving cardiovascular health and is widely prescribed for its efficacy and safety profile.
The mechanism of action of Amlodipine Benzoate revolves around its role as a calcium channel blocker. Specifically, it inhibits the influx of calcium ions into the smooth muscle cells of the cardiovascular system. Calcium ions play a crucial role in the contraction of these muscles, and by blocking their entry, Amlodipine Benzoate effectively causes the relaxation and dilation of blood vessels. This reduction in vascular resistance leads to a decrease in blood pressure, offering relief from hypertension. Moreover, the dilation of coronary arteries improves blood supply to the heart muscle, which is particularly beneficial in treating angina. The drug achieves this effect without significantly affecting the heart rate, making it a preferred choice for patients with coexisting cardiac conditions.
Administration of Amlodipine Benzoate is straightforward, typically taken orally in the form of tablets. The dosage varies based on the medical condition being treated, the severity of the condition, and the patient's response to the medication. For adults with hypertension or angina, the usual starting dose is 5 mg once daily, which can be adjusted up to a maximum of 10 mg per day based on the patient's needs and tolerance. It's important to take the medication at the same time each day to maintain consistent blood levels. The onset of action for Amlodipine Benzoate is relatively slow, with peak plasma concentrations reached 6-12 hours post-dose, and its effects can last for 24 hours, allowing for once-daily dosing. Patients are advised to follow their healthcare provider’s instructions meticulously and not to discontinue the medication abruptly, as this could lead to
adverse cardiovascular events.
Like all medications, Amlodipine Benzoate is associated with a range of side effects. Common side effects include
swelling of the ankles or feet (
edema),
dizziness,
flushing, and palpitations. These are generally mild and often resolve with continued use of the medication. However, there are also more severe side effects to be aware of, such as significant drops in blood pressure (
hypotension), an increased risk of
heart attack in patients with severe
obstructive coronary artery disease, and rare instances of liver dysfunction. Contraindications for the use of Amlodipine Benzoate include known hypersensitivity to the drug or any of its components. Patients with severe hypotension,
cardiogenic shock, or severe
aortic stenosis should avoid this medication. Additionally, caution is advised for patients with
liver impairment, as the drug is metabolized in the liver and could lead to elevated plasma levels, necessitating dosage adjustments.
When it comes to drug interactions, Amlodipine Benzoate can be affected by various other medications, which may necessitate dosage adjustments or careful monitoring. Concomitant use with other antihypertensive agents, such as beta-blockers,
ACE inhibitors, or diuretics, can potentiate the blood-pressure-lowering effects, increasing the risk of hypotension. Patients taking
CYP3A4 inhibitors like
ketoconazole or
erythromycin may experience increased levels of Amlodipine Benzoate in the blood, as these drugs can inhibit its metabolism. Conversely, CYP3A4 inducers such as
rifampicin and St. John's Wort can reduce the efficacy of Amlodipine Benzoate by increasing its clearance from the body. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also attenuate the antihypertensive effect of Amlodipine Benzoate, while certain statins like
simvastatin can have their plasma concentrations increased when taken with this drug, warranting closer monitoring and possible dosage reductions. Patients should always inform their healthcare provider of all medications they are taking to avoid potentially harmful interactions.
In conclusion, Amlodipine Benzoate is a well-established medication used primarily to treat hypertension and angina. Its mechanism of action involves the inhibition of calcium ion influx into vascular smooth muscle cells, leading to vasodilation and reduced blood pressure. Administered orally, the drug has a predictable onset and duration of action, making it convenient for once-daily dosing. While generally well-tolerated, it does come with a range of side effects and contraindications that need to be considered. Additionally, drug interactions can affect the efficacy and safety of Amlodipine Benzoate, highlighting the importance of comprehensive patient history and monitoring. Overall, its benefits in managing cardiovascular conditions make it a valuable tool in the therapeutic arsenal.
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