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Generic Amlodipine Information
Introduction
Amlodipine is a long‑acting calcium‑channel blocker prescribed and widely used for the management of elevated blood pressure and certain forms of angina. In Hong Kong, hypertension affects roughly one‑third of adults over 40 years, making effective, well‑tolerated antihypertensive agents essential for reducing cardiovascular morbidity and mortality. Amlodipine belongs to the dihydropyridine class of calcium‑channel antagonists and is marketed both as a generic drug and under several brand names. The medication is listed in the Hong Kong Hospital Authority formulary for primary hypertension and chronic stable angina, reflecting its established safety and efficacy profile.
What is Amlodipine?
Amlodipine is the generic version of Norvasc (originally developed by Pfizer), containing the same active compound — amlodipine besylate. It is classified as a dihydropyridine calcium‑channel blocker. The molecule selectively inhibits the influx of calcium ions through L‑type calcium channels in vascular smooth muscle, leading to vasodilation. Generic amlodipine tablets are typically supplied in 2.5 mg, 5 mg and 10 mg strengths, suitable for once‑daily oral administration.
Our online pharmacy in Hong Kong provides this generic alternative as a cost‑effective treatment option, meeting the same regulatory standards as the branded product.
How Amlodipine Works
Amlodipine binds to the α₁‑subunit of L‑type calcium channels predominantly located on arterial smooth‑muscle cells. By blocking calcium entry, the drug reduces intracellular calcium concentration, which diminishes contractile force and induces dose‑dependent arterial vasodilation. The resultant decrease in peripheral vascular resistance lowers systolic and diastolic blood pressure without significant negative inotropic effects on the heart.
Key pharmacokinetic points:
- Onset of action: blood‑pressure‑lowering effect can be observed within 2–3 hours after the first dose.
- Peak effect: generally reached at 6–12 hours.
- Duration: therapeutic effect persists for 24 hours, supporting once‑daily dosing.
- Half‑life: 30–50 hours, allowing steady plasma concentrations.
- Metabolism: hepatic oxidation via CYP3A4; renal excretion accounts for less than 10 % of the dose, making dose adjustment unnecessary in mild‑to‑moderate renal‑impairment.
Conditions Treated with Amlodipine
- Essential (primary) hypertension – reduces systolic and diastolic pressures, decreasing risk of stroke, myocardial infarction, and heart failure.
- Chronic stable angina – improves myocardial oxygen supply by reducing afterload and coronary artery resistance.
- Raynaud’s phenomenon (off‑label) – vasodilatory effect may lessen peripheral vasospasm.
In Hong Kong, hypertension prevalence climbs with age and urban lifestyle factors. Studies from the Hong Kong Cardiovascular Health Study indicate that approximately 29 % of adults aged 45‑74 years have uncontrolled hypertension, underscoring the importance of readily available agents like amlodipine. For angina, coronary artery disease remains a leading cause of mortality; amlodipine’s anti‑ischemic properties are incorporated into local treatment guidelines.
Patient Groups Most Likely to Benefit
- Elderly patients – once‑daily dosing and long half‑life improve adherence; minimal impact on heart rate reduces fall‑risk.
- Patients with isolated systolic hypertension – amlodipine effectively lowers systolic pressure, which is often the dominant abnormal > 140 mm Hg in older adults.
- Individuals intolerant to ACE inhibitors or β‑blockers – the drug’s distinct mechanism offers an alternative pathway for blood‑pressure control.
- Patients with concomitant peripheral edema – low‑dose combination with an ACE inhibitor or ARB can mitigate edema while preserving antihypertensive efficacy.
Contra‑indications or cautionary use:
- Severe aortic stenosis (may precipitate hypotension).
- Advanced heart failure with reduced ejection fraction (use under specialist supervision).
- Significant hepatic impairment (dose may require reduction).
Risks, Side Effects, and Interactions
Common
- Peripheral edema (ankle‑to‑shin swelling) – due to capillary hydrostatic pressure increase.
- Headache, flushing, or sensation of warmth.
- Dizziness or light‑headedness, especially after the first dose or with rapid posture changes.
- Fatigue or mild palpitations.
Rare
- Gingival hyperplasia (overgrowth of gum tissue).
- Hepatic enzyme elevation (ALT/AST) – usually reversible after discontinuation.
- Ejaculatory dysfunction in male patients (occasionally reported).
Serious
- Severe hypotension (systolic < 90 mm Hg) leading to syncope.
- Acute myocardial infarction or unstable angina (rare when used as monotherapy in high‑risk patients).
- Acute allergic reactions (anaphylaxis, urticaria, angioedema).
Drug–drug interactions
- CYP3A4 inhibitors (e.g., clarithromycin, ketoconazole, itraconazole) can raise amlodipine plasma levels → higher risk of hypotension.
- CYP3A4 inducers (e.g., rifampicin, carbamazepine, St. John’s wort) may reduce efficacy.
- Concurrent use with simvastatin > 20 mg requires dose adjustment because amlodipine increases simvastatin plasma concentration.
- Additive hypotensive effect when combined with other antihypertensives (e.g., ACE inhibitors, ARBs, β‑blockers) – monitor blood pressure closely.
Patients should disclose all prescription, OTC, and herbal products before initiating therapy.
Practical Use: Dosing, Missed Dose, Overdose
- Standard adult dosing for hypertension : start with 5 mg once daily; titrate to 10 mg if target blood pressure is not achieved after 2 weeks. For patients ≥ 65 years or those prone to edema, a 2.5 mg starter dose may be advisable.
- Angina – 5 mg once daily is typical; increase to 10 mg based on symptom control and tolerance.
Missed dose – take the forgotten tablet as soon as remembered unless it is within 12 hours of the next scheduled dose. In that case, skip the missed dose and resume the regular schedule; do not double‑dose.
Overdose – symptoms may include marked hypotension, bradycardia, and syncope. Immediate medical evaluation is required. Management is supportive: maintain airway, monitor blood pressure, and administer intravenous fluids or vasopressors as needed. No specific antidote exists.
Practical precautions
- Take the tablet with or without food; consistency enhances absorption.
- Limit alcohol intake, as combined vasodilatory effects may exacerbate dizziness.
- In patients with severe hepatic impairment, consider a reduced starting dose (2.5 mg).
- If ≥ 80 kg body weight and requiring combination therapy, a fixed‑dose combination (e.g., amlodipine/atorvastatin) may simplify regimens, but only under physician guidance.
Buying Amlodipine from Our Online Pharmacy
Patients in Hong Kong can purchase amlodipine safely through our online pharmacy. Key service advantages include:
- Affordable pricing – generic amlodipine is supplied near manufacturer cost, typically 30 %–40 % cheaper than branded equivalents.
- Verified quality – all products originate from licensed, GMP‑certified manufacturers; each batch undergoes third‑party testing for potency and purity.
- Guaranteed delivery – discreet packaging, express delivery within 7 days for local courier services, and regular airmail options (~3 weeks).
- Online‑only access – we partner with overseas licensed pharmacies, allowing patients who face limited local stock or insurance constraints to obtain the medication promptly.
Our platform operates as a pharmacy broker service, coordinating with accredited international suppliers while safeguarding patient privacy. A qualified pharmacist reviews each order to confirm that a valid prescription is on file; where required, we arrange a tele‑consultation with a licensed prescriber, ensuring compliance with Hong Kong regulations without the need for patients to obtain a physical prescription themselves.
FAQ
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Is Amlodipine available in both brand‑name and generic forms in Hong Kong?
Yes, amlodipine is marketed as the branded product Norvasc and as several generic versions produced by different manufacturers. The generic tablets contain the same active compound and are approved by the Hong Kong Pharmacy and Poisons Board. -
Can I order Amlodipine without a Hong Kong‑issued prescription?
Local regulations require a prescription for dispensing amlodipine. Our online pharmacy arranges a tele‑consultation with a licensed practitioner who can issue a valid prescription electronically, allowing you to receive the medication without an in‑person doctor visit. -
What is the typical shelf life of Amlodipine tablets?
Unopened tablets retain full potency for 24 months when stored at 15‑30 °C in a dry environment, protected from light. Check the expiration date on the packaging before use. -
Does Amlodipine interact with traditional Chinese herbal medicines?
Some herbal products (e.g., St. John’s wort, ginkgo biloba) influence CYP3A4 activity and may alter amlodipine levels. It is advisable to discuss any herbal supplement use with your healthcare provider to avoid unintended blood‑pressure changes. -
Are there special storage requirements for Amlodipine during hot Hong Kong summers?
Amlodipine should be kept at room temperature, away from direct sunlight and excessive humidity. Do not store in car trunks or near radiators, as temperatures above 30 °C for prolonged periods could degrade the tablet coating. -
Can pregnant or breastfeeding women use Amlodipine?
Amlodipine is classified as Category C (risk cannot be ruled out) in pregnancy. It should only be used if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should consult a physician, as limited data suggest minimal excretion in breast milk. -
What packaging options are offered for online orders?
Orders are shipped in tamper‑evident, discreet envelopes or boxes, each containing a labeled bottle of tablets (usually 30 days’ supply). The packaging complies with Hong Kong customs regulations for pharmaceutical imports. -
How is the cost of Amlodipine calculated for international shipments?
The price includes the wholesale cost of the generic drug, a modest handling fee, and applicable shipping charges. Import taxes are generally waived for personal‑use quantities (≤ 90 days supply) under Hong Kong’s personal import policy. -
Can I combine Amlodipine with a statin in one pill from your pharmacy?
Fixed‑dose combinations such as amlodipine/atorvastatin are available in some markets, but they are not yet approved in Hong Kong. Our pharmacy currently supplies amlodipine as a single‑ingredient tablet; any combination therapy should be prescribed and obtained separately. -
What should I do if I experience sudden swelling of the ankles while taking Amlodipine?
Peripheral edema is a common side effect. If the swelling is mild, elevating the legs and reducing sodium intake may help. Persistent or severe edema warrants a physician’s review; dose reduction or addition of an ACE inhibitor/ARB may be recommended. -
Is there an age limit for using the 10 mg dose of Amlodipine?
The 10 mg dose is generally suitable for most adults; however, clinicians often start elderly patients (≥ 75 years) at 5 mg or 2.5 mg to reduce the risk of hypotension and falls, then titrate upward if tolerated.
Glossary
- Calcium‑Channel Blocker
- A class of medication that inhibits calcium ion entry into cardiac and smooth‑muscle cells, causing vasodilation and reduced cardiac workload.
- CYP3A4
- An enzyme in the liver responsible for metabolising many drugs; inhibitors raise drug levels, while inducers lower them.
- Peripheral Edema
- Accumulation of fluid in the lower limbs, commonly manifesting as swelling of the ankles and feet; a frequent side effect of vasodilators like amlodipine.
⚠️ Disclaimer
The information provided about Amlodipine is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Amlodipine for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Amlodipine in online pharmacy asia
Please note that this medicine is a generic version of Amlodipine.One can buy Generic Amlodipine online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to amlodipine and fully familiar with medication Amlodipine;
- No paper instructions about side effect warnings or usage directions are sent with Generic Amlodipine medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.