Amlodipine
Amlodipine.JPG

Amlodipine

CLINICAL USE

Calcium-channel blocker:
  • Hypertension
  • Angina prophylaxis

    DOSE IN NORMAL RENAL FUNCTION

    5–10 mg daily

    PHARMACOKINETICS

  • Molecular weight                           : 567.1 (as besilate)
  • %Protein binding                           : >95
  • %Excreted unchanged in urine     :
  • <10           :
  • Volume of distribution (L/kg)       : 20
  • half-life – normal/ESRD (hrs)      : 35–50/50

    DOSE IN RENAL IMPAIRMENT

    GFR (mL/MIN)

  • 20 to 50     : Dose as in normal renal function
  • 10 to 20     : Dose as in normal renal function
  • <10           : Dose as in normal renal function

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES

  • CAPD                : Not dialysed. Dose as in normal renal function
  • HD                     : Not dialysed. Dose as in normal renal function
  • HDF/high flux   : Unlikely to be dialysed. Dose as in normal renal function
  • CAV/VVHD      : Not dialysed. Dose as in normal renal function

    IMPORTANT DRUG INTERACTIONS

    Potentially hazardous interactions with other drugs
  • Anaesthetics: enhanced hypotensive effect
  • Antihypertensives: enhanced hypotensive effect; increased risk of first dose hypotensive effect of post-synaptic alpha- blockers
  • Antivirals: concentration possibly increased by ritonavir Theophylline: possibly increased theophylline concentration

    ADMINISTRATION

    Reconstition

    Route

    Oral

    Rate of Administration

    Comments

    OTHER INFORMATION

    Amlodipine is extensively metabolised to inactive metabolites



    See how to identify renal failure stages according to GFR calculation

    See how to diagnose irreversible renal disease

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