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INTRODUCTION
AMCARD AT TABLET is a combination of Amlodipine and Atenolol which belongs to the group of medicine called Antihypertensive agents. It is used to treat hypertension (also known as high blood pressure) and angina pectoris (chest pain caused due to lack of oxygen supply to the heart). It can also be used to reduce the risk of heart attack (myocardial infarction) among heart patients.
Take AMCARD AT TABLET as advised by your physician. Avoid drinking grapefruit juice while taking AMCARD AT TABLET, as it could further decrease your blood pressure and may make you feel dizzier, drowsier or faint.
Before taking AMCARD AT TABLET, inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you have asthma, diabetes, overactive thyroid gland or low blood volume as a precaution.
AMCARD AT TABLET is not recommended for use in patients with other severe heart problems apart from hypertension and angina (such as heart failure). It is also not suitable for use in patients with severe hypotension (low blood pressure).
Consult your doctor before taking AMCARD AT TABLET if you are pregnant or breastfeeding. The most common side effects of taking AMCARD AT TABLET are swelling of ankles or other body parts, headache, dizziness, sleepiness, tiredness, racing heartbeat, indigestion, constipation, muscle cramps, cold hands and feet and slow heartbeat. Contact your doctor if any of these side effects trouble you.
USES OF AMCARD AT TABLET
- Treats hypertension (high blood pressure)
- Treats angina (chest pain)
- Prevents heart attack
HOW AMCARD AT TABLET WORKS
AMCARD AT TABLET contains two medicines namely amlodipine and atenolol. Atenolol blocks the effects of certain hormones (adrenaline) in the body that naturally increases heart rate. This slows down the heartbeat and makes the heart to pump blood with a lesser force.
Amlodipine is a vasodilator. It relaxes the blood vessels supplying the heart which improves blood flow and oxygen supply to the heart muscles. Collectively, they reduce the strain on the heart and improves heart functions.
DIRECTIONS FOR USE
Take AMCARD AT TABLET as advised by your physician. Swallow the medicines with a glass of water. Do not crush or chew the medicine. AMCARD AT TABLET can be taken with or without meals.
Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition. Continue to take AMCARD AT TABLET for the stipulated duration instructed by your doctor to achieve better results.
SIDE EFFECTS OF AMCARD AT TABLET
COMMON
- edema (swelling of the ankles or other body parts)
- headache, dizziness, sleepiness
- palpitations (fast heartbeat)
- flushing (redness and warmth of the skin)
- stomach pain, nausea, diarrhea, constipation, indigestion
- changes in bowel habit
- tiredness, weakness
- visual disturbances, double vision
- muscle pains
- cold hands and feet
- slow heartbeat
UNCOMMON
- anxiety, depression
- insomnia (sleeplessness)
- changes in taste
- tingling sensation in limbs, loss of pain sensation
- ringing in the ears
- low blood pressure
- increased sweating
- increased urination at night
- inability to obtain an erection, enlargement of the breasts in men
- joint pain, back pain
- weight gain or decrease in weight
RARE
- confusion
Stop taking AMCARD AT TABLET and contact your doctor immediately if you experience any of the following side effects:
- signs of allergic reactions (such as skin rash, swelling of the face, lips, mouth or throat which can lead to difficulty in breathing or swallowing)
- severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling and inflammation of mucous membrane)
- chest pain, shortness of breath (signs of heart attack)
- inflammation of pancreas (causing severe stomach pain that radiates to the back side of the body)
HOW TO MANAGE SIDE EFFECTS
Nausea and vomiting:
Take AMCARD AT TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.
Dizziness:
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.
Headache:
Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.
Constipation:
Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.
WARNING & PRECAUTIONS
PREGNANCY
AMCARD AT TABLET should be used in pregnant women only if it is considered necessary by the physician. Therefore, consult your doctor before taking it.
BREASTFEEDING
AMCARD AT TABLET should be used with caution in breastfeeding women as it may pass through the breast milk to the nursing infant. Therefore, consult your doctor before taking it.
DRIVING AND USING MACHINES
Do not drive or operate any heavy tools or machines if you feel dizzy after taking AMCARD AT TABLET.
ALCOHOL
Avoid consumption of alcohol while taking AMCARD AT TABLET as it could make you feel dizzier.
KIDNEY
AMCARD AT TABLET should be used with caution in patients with kidney problems (such as dialysis). Therefore, consult your doctor before taking it.
LIVER
AMCARD AT TABLET should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.
ALLERGY
Do not take AMCARD AT TABLET if you are allergic to Atenolol, Amlodipine or to any other beta blockers (such as propranolol) or calcium antagonists (such as nifedipine, diltiazem).
LUNGS
AMCARD AT TABLET should be used with caution in patients who have or previously had any breathing problems such as asthma. Therefore, consult your doctor before taking it.
HEART DISEASE
AMCARD AT TABLET is not recommended for use in patients with severe heart problems such as heart failure, aortic stenosis (narrowing of arteries) or cardiogenic shock (inability of heart to pump blood). It should be used with caution in patients having a history of recent heart attack or heart failure. Therefore, consult your doctor before taking it.
OTHERS
AMCARD AT TABLET is not recommended for use if you:
- have severe low blood pressure (hypotension)
- have a very poor blood circulation
- have untreated phaeochromocytoma (a tumor present in the adrenal gland)
- have metabolic acidosis (high acid levels in the blood)
Before taking AMCARD AT TABLET, inform your doctor if you:
- have severe uncontrollable increase in blood pressure (hypertensive crisis)
- have diabetes
- have low blood volume (loss of fluids from the body due to vomiting or diarrhea)
- have thyrotoxicosis (increased activity of the thyroid gland)
- have psoriasis (an autoimmune skin condition causing white patches)
- any scheduled for any operations or procedures
Use in pediatrics:
AMCARD AT TABLET is not recommended for use in children and adolescents (aged below 18 years) due to lack of safety data. Therefore, consult your doctor for advice.
Use in geriatrics:
AMCARD AT TABLET should be used with caution in the elderly patients. Therefore, consult your doctor before taking it.
INTERACTIONS
A. Drug-Drug interactions:
Before taking AMCARD AT TABLET, inform your doctor if you are taking any of the following medicines such as:
- other medicines used to treat high blood pressure and angina (such as nifedipine, verapamil, diltiazem, enalapril, ramipril, metoprolol, clonidine)
- ketoconazole, itraconazole (used to treat fungal infections)
- ritonavir, indinavir, nelfinavir (used in treatment of HIV infections)
- rifampicin, erythromycin, clarithromycin (used to treat bacterial infections)
- dantrolene (a medicine used to treat muscle spasms)
- medicines used to control elevated cholesterol levels (Ex. simvastatin)
- medicines used to prevent graft rejection and to suppress immune functions (such as tacrolimus, sirolimus, temsirolimus, everlimus, cyclosporine)
- St. John’s wort (an herbal medicine used to treat depression)
- medicine used to treat irregular heartbeat (Ex. amiodarone, digoxin, quinidine or disopyramide)
- adrenaline (a medicine used to stimulate the heart)
- indomethacin or ibuprofen (medicines used for pain relief)
- medicines used to treat nose or sinus congestion and other cold remedies (such as montelukast, levocetirizine)
- medicines used to treat diabetes (Ex. insulin, metformin, glimepiride)
B. Drug-Food interaction:
Avoid drinking grapefruit juice while taking AMCARD AT TABLET, as it could lead to further decrease your blood pressure and may make you feel dizzier, drowsier or faint.
Overdosage:
If you or anyone else accidentally took more AMCARD AT TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdosage might include dizziness, fainting, light-headedness, weakness, shock, cool or clampy skin and shortness of breath.
SYNOPSIS
| Drug | : | Amlodipine, Atenolol |
| Pharmacological Category | : | Calcium Channel Blocker, Beta blockers |
| Therapeutic Indication | : | Hypertension, Angina pectoris |
| Dosage Forms | : | Tablet, Capsule, Tabcap, Captab |
MORE INFORMATION
- Keep AMCARD AT TABLET out of the sight and reach of children
- Store AMCARD AT TABLET at room temperature
FAQs ABOUT AMCARD AT TABLET
Q: What are the uses of AMCARD AT TABLET?
A: AMCARD AT TABLET is used to treat hypertension and angina. It can also be used to prevent heart attack among heart patients.
Q: What type of a medicine is AMCARD AT TABLET?
A: AMCARD AT TABLET is an antihypertensive medicine. It relaxes blood vessels which improves blood flow and oxygen supply to the heart. It also slows down the heartbeat which makes the heart to pump more blood with lesser force.
Q: What happens when I stop taking AMCARD AT TABLET?
A: Do not stop taking AMCARD AT TABLET without consulting your doctor as your blood pressure may raise once again. Make sure to take AMCARD AT TABLET for the stipulated duration recommended by your doctor to achieve maximum results.
Q: What is the best time to take AMCARD AT TABLET?
A: AMCARD AT TABLET can be taken with or without meals. Your doctor will decide the best time for you to take AMCARD AT TABLET based on your age, body weight and disease condition.
Q: What to do if I forgot to take a dose of AMCARD AT TABLET?
A: If you have missed a dose of AMCARD AT TABLET, take it as soon as you remember. However, if it is time for the next dose of AMCARD AT TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of AMCARD AT TABLET to compensate the missed ones.
Q: What precautions should be followed while taking AMCARD AT TABLET?
A: Before taking AMCARD AT TABLET, inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you have severe high or low blood pressure, or other heart problems (such as narrowing of the arteries, cardiogenic shock or a recent heart attack). Consult your doctor before taking AMCARD AT TABLET if you are pregnant and breastfeeding. Regularly visit your doctor and take all the necessary blood test recommended by your doctor without fail.
Q: Can I consume alcohol while taking AMCARD AT TABLET?
A: Avoid consumption of alcohol while taking AMCARD AT TABLET as it might make you feel dizzier and drowsier.
Q: What happens if I accidentally take more AMCARD AT TABLET?
A: If you or anyone else accidentally took more AMCARD AT TABLET, consult your doctor immediately. Symptoms of overdosage might include dizziness, fainting, light-headedness, weakness, shock, cool or clampy skin and shortness of breath.
Q: Can I take AMCARD AT TABLET daily?
A: Take AMCARD AT TABLET as advised by your physician. Your doctor will evaluate your health condition and suggests whether can you take AMCARD AT TABLET every day or not.
Q: Can AMCARD AT TABLET cause ankle swelling?
A: AMCARD AT TABLET may cause edema or swelling of ankles in few patients. If you experience ankle swelling, keep your legs on a table or slightly elevated from the ground level. If this symptom bothers you, contact your doctor.
Q: What are the side effects of AMCARD AT TABLET?
A: The most common side effects of taking AMCARD AT TABLET are swelling of ankles or other body parts, headache, dizziness, sleepiness, tiredness, racing heartbeat, indigestion, constipation, muscle cramps, cold hands and feet and slow heartbeat. Contact your doctor if any of these side effects trouble you.
Q: Can I stop taking AMCARD AT TABLET once my symptoms subside?
A: No. Do not stop taking AMCARD AT TABLET without consulting your doctor. As hypertension is a chronic condition, long term treatment may be necessary to control its symptoms. Therefore, take AMCARD AT TABLET as advised by your doctor for the stipulated duration. Premature discontinuation of therapy may increase your blood pressure once again.
Q: Can AMCARD AT TABLET be taken during pregnancy?
A: AMCARD AT TABLET should be used in pregnant women only if it is considered necessary by the physician. Therefore, consult your doctor before taking it.
Q: Can the use of AMCARD AT TABLET affect the liver?
A: Yes. AMCARD AT TABLET may affect the way your liver work. Therefore, it should be used with caution in patients with liver problems. Consult your doctor before taking it.
Q: Can AMCARD AT TABLET cause erectile dysfunction?
A: AMCARD AT TABLET may cause problems in erection in few individuals. Consult your doctor if it bothers you.
REFERENCES
1. KD. Tripathi. Antiadrenergic agents and drugs for glaucoma. Antianginal and Other Anti-ischaemic Drugs, Antihypertensive Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 149, 549 & 562-563.
2. Gerald G. Briggs and Roger K. Freeman. A reference guide to fetal and neonatal risk: Drugs in Pregnancy and Lactation. Tenth Edition. 2015. Page – 196-198 and 306-316.
3. Gang Ling, Ai-jun Liu, Fu-ming Shen, Guo-jun Cai, Jian-guo Liu & Ding-feng Su. Effects of combination therapy with atenolol and amlodipine on blood pressure control and stroke prevention in stroke-prone spontaneously hypertensive rats. Acta Pharmacologica Sinica. November 2007. [Accessed on 3rd January 2023] https://www.nature.com/articles/aps2007215
4. Kishen G. Bulsara; Manouchkathe Cassagnol. Amlodipine. StatPearls. NIH. National Library of Medicine, National Center for biotechnology information. PMC. PubMed Central. January 2022. [Accessed on 3rd January 2023] https://www.ncbi.nlm.nih.gov/books/NBK519508/
5. Dr. Reddy’s Laboratories (UK) Ltd. Electronic Medicines Compendium (EMC). [Revised in July 2022] [Accessed on 3rd January 2023] https://www.medicines.org.uk/emc/files/pil.3478.pdf
6. Zentiva Pharma UK Limited. Electronic Medicines Compendium (EMC). [Revised in December 2021] [Accessed on 3rd January 2023] https://www.medicines.org.uk/emc/files/pil.13960.pdf
7. Accord Healthcare Limited, Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on 3rd January 2023] https://www.medicines.org.uk/emc/files/pil.6025.pdf
8. Cipla Ltd. AMLOPRES AT Tablets (Amlodipine + Atenolol). Ciplamed. [Revised in December 2020]. [Accessed on 3rd January 2023] https://www.ciplamed.com/content/amlopres-at-tablets
9. Central Drugs Standard Control Organization. Amlodipine besylate eq. to Amlodipine 5mg+ Atenolol 50mg Besylate uncoated tablets. May 1996. [Accessed on 3rd January 2023] https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadApprovalNewDrugs/dciApprovedfdc.pdf
10. Leeford Healthcare Pvt Ltd. Wellamo AT. [Accessed on 3rd January 2023] https://www.leeford.in/product/1150/wellamo-at
USEFUL DIAGNOSTIC TESTS
- Kidney function test
AUTHOR DETAILS
Written By Srilekha. R, B.Pharm
Last updated on 04 Jan 2023 | 12:02 PM(IST)
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