Amlogal 10mg Uses

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What is Amlogal 10mg?

Amlogal 10mg is used alone or together with other medicines to treat angina (chest pain) and high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Amlogal 10mg is a calcium channel blocker. It affects the movement of calcium into the cells of the heart and blood vessels. As a result, Amlogal 10mg relaxes blood vessels and increases the supply of blood and oxygen to the heart while reducing its workload.

Amlogal 10mg is available only with your doctor's prescription.

Amlogal 10mg indications

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Hypertension: Amlogal 10mg is indicated for the first-line treatment of hypertension and can be used as the sole agent to control blood pressure in the majority of patients. Patients not adequately controlled on a single antihypertensive agent may benefit from the addition of Amlogal 10mg, which has been used in combination with a thiazide diuretic, β-adrenoceptor-blocking agent or an angiotensin-converting enzyme inhibitor.

Amlogal 10mg is also indicated to reduce the risk of fatal coronary heart disease (CHD) and non-fatal myocardial infarction (MI), and to reduce the risk of stroke.

Coronary Artery Disease: Amlogal 10mg is indicated to reduce the risk of coronary revascularization and the need for hospitalization due to angina in patients with coronary artery disease (CAD).

Chronic Stable Angina: Amlogal 10mg is indicated for the first-line treatment of myocardial ischemia, whether due to fixed obstruction (stable angina) and/or vasospasm/vasoconstriction (Prinzmetal’s or variant angina) of coronary vasculature. Amlogal 10mg may be used where the clinical presentation suggests a possible vasospastic/vasoconstrictive component but where vasospasm/vasoconstriction has not been confirmed. Amlogal 10mg may be used alone, as monotherapy, or in combination with other antianginal drugs in patients with angina that is refractory to nitrates and/or adequate doses of beta-blockers.

How should I use Amlogal 10mg?

Use Amlogal 10mg as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Amlogal 10mg.

Uses of Amlogal 10mg in details

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This medication is used along with other treatment for certain blood vessel diseases (e.g., arteriosclerosis obliterans, Raynaud's disease, Buerger's disease, cerebrovascular insufficiency). It works by widening blood vessels to help increase blood flow (improve circulation) to certain parts of the body (e.g., hands/feet, brain). This effect may help to decrease symptoms such as cold hands and feet, numbness, tingling, and decreased memory or judgment.

How to use Amlogal 10mg

This medication is taken by mouth with or without food, usually 3 to 4 times daily or as directed by your doctor. Dosage is based on your medical condition and response to treatment.

Use this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day.

Tell your doctor if your condition persists or worsens.

Amlogal 10mg description

Each 5-mg and 10-mg tablet contains Amlodipine besilate equivalent to Amlogal 10mg 5 mg and 10 mg, respectively.

Amlogal 10mg also contains the following excipients: Calcium hydrogen phosphate anhydrous, microcrystalline cellulose, magnesium stearate, sodium starch glycollate.

Amlogal 10mg besilate is the besilate salt of Amlogal 10mg, a long-acting calcium-channel blocker. It is 3-ethyl-5-methyl-2-(2-aminoethoxymethyl)-4-(2-chlorophenyl)-1,4-dihydro-6-methyl-3,5-pyridinedicarboxylate benzenesulphonate. Its empirical formula is C20H25ClN2O5·C6H6O3S and has a molecular weight of 567.1.

Amlogal 10mg besilate is a white crystalline powder and is slightly soluble in water and sparingly soluble in ethanol.

Amlogal 10mg dosage

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For both hypertension and angina, the usual initial dose is 5 mg Amlogal 10mg once daily, which may be increased to a maximum dose of 10 mg depending on the individual patient's response.

For patients with coronary artery disease, the recommended dosage range is 5 mg to 10 mg once daily. In clinical studies, the majority of patients required 10 mg once daily.

No dose adjustment of Amlogal 10mg is required upon concomitant administration of thiazide diuretics, beta-blockers, and ACE inhibitors.

Amlogal 10mg ODT: For Amlogal 10mg orodispersible tablets, the patient should place the tablet on the tongue and allow it to dissolve.

Elderly: Normal dosage regimens are recommended. Amlogal 10mg, used at similar doses in the elderly or younger patients, is equally well-tolerated.

Children: Safety and effectiveness of Amlogal 10mg in children have not been established.

Patients with Impaired Hepatic Function: See Precautions.

Patients with Renal Failure: Amlogal 10mg may be used at normal doses in patients with renal failure.

Changes in Amlogal 10mg plasma concentrations are not correlated with the degree of renal impairment. Amlogal 10mg is not dialyzable.

Amlogal 10mg interactions

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What other drugs will affect Amlogal 10mg?

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In vitro data in human plasma indicate that Amlogal 10mg has no effect on the protein-binding of drugs tested (digoxin, phenytoin, warfarin and indomethacin).

Special Studies: Effect of Other Agents on Amlogal 10mg:

Cimetidine: Co-administration of Amlogal 10mg with cimetidine did not alter the pharmacokinetics of Amlogal 10mg.

Grapefruit Juice: Co-administration of 240 mL of grapefruit juice with a single oral dose of Amlogal 10mg 10 mg in 20 healthy volunteers had no significant effect on the pharmacokinetics of Amlogal 10mg.

Antacid: Co-administration of antacid with a single dose of Amlogal 10mg had no significant effect on the pharmacokinetics of Amlogal 10mg.

Sildenafil: A single 100-mg dose of sildenafil in subjects with essential hypertension had no effect on the pharmacokinetic parameters of Amlogal 10mg. When Amlogal 10mg and sildenafil were used in combination, each agent independently exerted its own blood pressure-lowering effect.

Effect of Amlogal 10mg on Other Agents: Atorvastatin: Co-administration of multiple 10-mg doses of Amlogal 10mg with 80 mg of atorvastatin resulted in no significant change in the steady-state pharmacokinetic parameters of atorvastatin.

Digoxin: Co-administration of Amlogal 10mg with digoxin did not change serum digoxin levels or digoxin renal clearance in normal volunteers.

Ethanol (alcohol): Single and multiple 10-mg doses of Amlogal 10mg had no significant effect on the pharmacokinetics of ethanol.

Warfarin: Co-administration of Amlogal 10mg with warfarin did not change the warfarin prothrombin response time.

In clinical trials, Amlogal 10mg has been safely administered with thiazide diuretics, β-blockers, ACE inhibitors, long-acting nitrates, sublingual nitroglycerin, digoxin, warfarin, NSAIDs, antibiotics and oral hypoglycemic drugs.

Drug/Laboratory Test Interactions: None known.

Amlogal 10mg side effects

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What are the possible side effects of Amlogal 10mg?

The most common adverse effects of Amlogal 10mg besilate, similar to that of other calcium-channel blockers, are associated with its vasodilating effects are often lessened with continued use of the drug. Among them are flushing, headache disorders, dizziness and peripheral edema, the most common of which are edema and flushing which are due to the vasodilating effect of Amlogal 10mg.

Abdominal pain with cramps, fatigue, palpitations, tachycardia and nausea are less frequently experienced with the use of Amlogal 10mg.

Other adverse effects associated with the use of Amlogal 10mg include increased micturition, eye pain and other visual disturbances, mental or mood changes eg, depression, anxiety or nervousness, decreased sexual ability/desire, constipation and fainting.

At the start of the treatment, a paradoxical increase in ischemic chest pain may be experienced. In some patients, cerebral or myocardial ischemia or transient blindness caused by excessive fall in blood pressure occur. Amlogal 10mg, in 1 study was found to induce gingival overgrowth.

Hypersensitivity reactions to Amlogal 10mg may occur leading to rashes, including erythema multiforme, fever and abnormal liver functions eg, cholestasis. Other symptoms of allergic reactions are itching, swelling, severe dizziness and trouble breathing.

Amlogal 10mg contraindications

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What is the most important information I should know about Amlogal 10mg?

Before taking Amlogal 10mg, tell your doctor if you have congestive heart failure or liver disease.

Drinking alcohol can further lower your blood pressure and may increase certain side effects of Amlogal 10mg.

If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

Amlogal 10mg is only part of a complete program of treatment that may also include diet, exercise, weight control, and other medications. Follow your diet, medication, and exercise routines very closely.

Tell your doctor about all other heart or blood pressure medications you are taking.

Your chest pain may become worse when you first start taking Amlogal 10mg or when your dose is increased. Call your doctor if your chest pain is severe or ongoing.

Active ingredient matches for Amlogal 10mg:

Amlodipine in Luxembourg.


List of Amlogal 10mg substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
AMLOGARD Capsule/ Tablet / 10mg / 10 units (Pfizer)$ 1.38
AMLOGARD Capsule/ Tablet / 5mg / 10 units (Pfizer)$ 0.93
Amlogard 2.5mg TAB / 10 (Pfizer)$ 0.49
Amlogard 5mg TAB / 10 (Pfizer)$ 0.96
Amlogard 10mg TAB / 10 (Pfizer)$ 1.38
2.5 mg x 10's (Pfizer)$ 0.49
5 mg x 10's (Pfizer)$ 0.96
10 mg x 10's (Pfizer)$ 1.38
AMLOGARD 10 MG TABLET 1 strip / 30 tablets each (Pfizer)$ 1.79
AMLOGARD 2.5 MG TABLET 1 strip / 30 tablets each (Pfizer)$ 0.73
AMLOGARD 5 MG TABLET 1 strip / 30 tablets each (Pfizer)$ 0.88
AMLOGARD tab 2.5 mg x 10's (Pfizer)$ 0.53
AMLOGARD tab 5 mg x 10's (Pfizer)$ 1.04
AMLOGARD tab 10 mg x 10's (Pfizer)$ 1.38
Amlogard 10mg Tablet (Pfizer)$ 0.15
Amlogard 2.5mg Tablet (Pfizer)$ 0.02
Amlogard 5mg Tablet (Pfizer)$ 0.03
AMLOGEN Capsule/ Tablet / 10mg / 10 units (Alkem)$ 0.31
AMLOGEN Capsule/ Tablet / 5mg / 10 units (Alkem)$ 0.21
AMLOGEN Capsule/ Tablet / 2.5mg / 10 units (Alkem)$ 0.11
2.5 mg x 10's (Alkem)$ 0.11
5 mg x 10's (Alkem)$ 0.19
10 mg x 10's (Alkem)$ 0.31
Amlogen 2.5mg TAB / 10 (Alkem)$ 0.11
Amlogen 5mg TAB / 10 (Alkem)$ 0.19
Amlogen 10mg TAB / 10 (Alkem)$ 0.31
AMLOGEN 10 MG TABLET 1 strip / 7 tablets each (Alkem)$ 1.43
AMLOGEN 10 MG TABLET 1 strip / 10 tablets each (Alkem)$ 0.26
AMLOGEN 2.5 MG TABLET 1 strip / 7 tablets each (Alkem)$ 0.13
AMLOGEN tab 2.5 mg x 10's (Alkem)$ 0.11
AMLOGEN tab 5 mg x 10's (Alkem)$ 0.19
AMLOGEN tab 10 mg x 10's (Alkem)$ 0.31
Amlogen tab 10 mg 10's (Alkem)$ 3.00
Amlogen tab 10 mg 50's (Alkem)
Amlogen tab 5 mg 10's (Alkem)$ 1.89
Amlogen 2.5mg TAB / 10 (Alkem)$ 0.11
Amlogen 5mg TAB / 10 (Alkem)$ 0.19
Amlogen 10mg TAB / 10 (Alkem)$ 0.31
Amlogen 2.5mg Tablet (Alkem)$ 0.02
Amloget 5 mg x 2 Blister x 10 Tablet
Amloget 10 mg x 2 Blister x 10 Tablet
Amlogold 2.5mg TAB / 10 (Goldline)$ 0.30
Amlogold 5mg TAB / 10 (Goldline)$ 0.39
2.5 mg x 10's (Goldline)$ 0.30
5 mg x 10's (Goldline)$ 0.39
AMLOGOLD 2.5MG TABLET 1 strip / 10 tablets each (Goldline)$ 0.49
AMLOGOLD 5MG TABLET 1 strip / 10 tablets each (Goldline)$ 0.39
AMLOGOLD tab 2.5 mg x 10's (Goldline)$ 0.30
AMLOGOLD tab 5 mg x 10's (Goldline)$ 0.39
Amlogold 2.5mg Tablet (Goldline)$ 0.05
Amlogold 5mg Tablet (Goldline)$ 0.04
Amlogold-AT Amlodipine besylate 5 mg, Atenolol 50 mg. TAB / 10 (Goldline)$ 0.42
10's (Goldline)$ 0.42
AMLOGOLD-AT tab 10's (Goldline)$ 0.42

References

  1. PubChem. "amlodipine". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  2. DrugBank. "amlodipine". http://www.drugbank.ca/drugs/DB00381 (accessed September 17, 2018).
  3. MeSH. "Antihypertensive Agents". https://www.ncbi.nlm.nih.gov/mesh/68... (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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