Prescription Drug Information: Amlodipine and Valsartan (Page 5 of 6)

16 HOW SUPPLIED/STORAGE AND HANDLING

Amlodipine and Valsartan Tablets are available as non-scored tablets containing amlodipine besylate equivalent to 5 mg or 10 mg of amlodipine free-base with valsartan 160 mg or 320 mg, providing for the following available combinations: 5/160 mg, 10/160 mg, 5/320 mg and 10/320 mg.

All strengths are packaged in bottles of 30 and 90 counts.

5/160 mg Tablets – White to off-white film-coated, oval-shaped biconvex tablets, debossed with “p” on one side of the tablet and “574” on the other.

Bottles of 30 NDC # 64380-214-01

Bottles of 90 NDC # 64380-214-02

10/160 mg Tablets — White to off-white film-coated, oval-shaped biconvex tablets, debossed with “p” on one side of the tablet and “575” on the other.

Bottles of 30 NDC # 64380-215-01

Bottles of 90 NDC # 64380-215-02

5/320 mg Tablets — White to off-white film-coated, oval-shaped biconvex tablets, debossed with “p” on one side of the tablet and “576” on the other.

Bottles of 30 NDC # 64380-216-01

Bottles of 90 NDC # 64380-216-02

10/320 mg Tablets — White to off-white film-coated, oval-shaped biconvex tablets, debossed with “p” on one side of the tablet and “577” on the other.

Bottles of 30 NDC # 64380-217-01

Bottles of 90 NDC # 64380-217-02

Store amlodipine and valsartan at 25°C (77°F); excursions permitted to 15-300 C (59-860 F). [See USP Controlled Room Temperature.] Protect from moisture.

17 PATIENT COUNSELING INFORMATION

Information for Patients

Advise the patient to read the FDA-approved patient labeling (Patient Information).

Pregnancy: Advise female patients of childbearing age about the consequences of exposure to amlodipine and valsartan during pregnancy. Discuss treatment options with women planning to become pregnant. Ask patients to report pregnancies to their physicians as soon as possible [see Warnings and Precautions (5.1), Use in Specific Populations (8.1)].

Lactation: Advise women not to breastfeed during treatment with amlodipine and valsartan [see Use in Specific Populations (8.2)].

Symptomatic Hypotension: Advise patients that lightheadedness can occur, especially during the first days of therapy, and that it should be reported to their healthcare provider. Tell patients that if syncope occurs to discontinue amlodipine and valsartan until the physician has been consulted. Caution all patients that inadequate fluid intake, excessive perspiration, diarrhea, or vomiting can lead to an excessive fall in blood pressure, with the same consequences of lightheadedness and possible syncope [see Warnings and Precautions (5.2)].

Hyperkalemia: Advise patients not to use salt substitutes without consulting their healthcare provider [see Drug Interactions (7)].

FDA-APPROVED PATIENT LABELING

PATIENT INFORMATION

AMLODIPINE (am-LOE-d-peen) AND VALSARTAN (val-SAR-tan) TABLETS

Read the Patient Information that comes with Amlodipine and Valsartan Tablets before you start taking it and each time you get a refill. There may be new information. This leaflet does not take the place of talking with your doctor about your medical condition or treatment. If you have any questions about Amlodipine and Valsartan, ask your doctor or pharmacist.

What is the most important information I should know about AMLODIPINE AND VALSARTAN?
  • Amlodipine and valsartan can cause harm or death to an unborn baby.
  • Talk to your doctor about other ways to lower your blood pressure if you plan to become pregnant.
  • If you get pregnant while taking amlodipine and valsartan, tell your doctor right away.
What is Amlodipine and Valsartan? Amlodipine and valsartan contains 2 prescription medicines:
  1. amlodipine, a calcium channel blocker
  2. valsartan, an angiotensin receptor blocker (ARB).
Amlodipine and valsartan may be used to lower high blood pressure (hypertension) in adults
  • when 1 medicine to lower your high blood pressure is not enough
  • as the first medicine to lower high blood pressure if your doctor decides you are likely to need more than 1 medicine.
Amlodipine and valsartan has not been studied in children under 18 years of age. What should I tell my doctor before taking Amlodipine and Valsartan? Tell your doctor about all of your medical conditions, including if you:
  • are pregnant or plan to become pregnant. See “What is the most important information I should know about Amlodipine and Valsartan?”
  • are breastfeeding or plan to breastfeed. Amlodipine and Valsartan is present in human milk. It is not known whether amlodipine and valsartan affects your breastfed baby or milk production. Do not breastfeed while you are taking amlodipine and valsartan.
  • have heart problems
  • have liver problems
  • have kidney problems
  • are vomiting or having a lot of diarrhea
  • have ever had a reaction called angioedema to another blood pressure medicine. Angioedema causes swelling of the face, lips, tongue, throat, and may cause difficulty breathing.
Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. Some of your other medicines and amlodipine and valsartan could affect each other, causing serious side effects. Especially tell your doctor if you take:
  • simvastatin or other cholesterol-lowering medicine
  • other medicines for high blood pressure or a heart problem
  • water pills (diuretics)
  • potassium supplements. Your doctor may check the amount of potassium in your blood periodically.
  • a salt substitute. Your doctor may check the amount of potassium in your blood periodically.
  • nonsteroidal anti-inflammatory drugs (like ibuprofen or naproxen)
  • medicines used to prevent and treat fungal skin infections (such as ketoconazole, itraconazole)
  • medicines used to treat bacterial infections (such as clarithromycin, telithromycin)
  • certain antibiotics (rifamycin group), a drug used to protect against transplant rejection (cyclosporine) or an antiretroviral drug used to treat HIV/AIDS infection (ritonavir). These drugs may increase the effect of valsartan.
  • lithium, a medicine used in some types of depression.
Know the medicines you take. Keep a list of your medicines and show it to your doctor or pharmacist when you get a new medicine. Talk to your doctor or pharmacist before you start taking any new medicine. Your doctor or pharmacist will know what medicines are safe to take together. How should I take Amlodipine and Valsartan?
  • Take amlodipine and valsartan exactly as your doctor tells you.
  • Take amlodipine and valsartan once each day.
  • Amlodipine and valsartan can be taken with or without food.
  • If you miss a dose, take it as soon as you remember. If it is close to your next dose, do not take the missed dose. Just take the next dose at your regular time.
  • If you take too much amlodipine and valsartan, call your doctor or Poison Control Center, or go to the emergency room.
  • Tell all your doctors or dentist you are taking amlodipine and valsartan if you:
o are going to have surgery o go for kidney dialysis What should I avoid while taking Amlodipine and Valsartan? You should not take amlodipine and valsartan during pregnancy. See “What is the most important information I should know about Amlodipine and Valsartan?” What are the possible side effects of Amlodipine and Valsartan? Amlodipine and valsartan may cause serious side effects including:
  • harm to an unborn baby causing injury and even death. See “What is the most important information I should know about amlodipine and valsartan?”
  • low blood pressure (hypotension). Low blood pressure is most likely to happen if you:
  • take water pills
  • are on a low-salt diet
  • get dialysis treatments
  • have heart problems
  • get sick with vomiting or diarrhea
  • drink alcohol
Lie down if you feel faint or dizzy. Call your doctor right away.
  • more heart attacks and chest pain (angina) in people that already have severe heart problems. This may happen when you start amlodipine and valsartan or when there is an increase in your dose of amlodipine and valsartan. Get emergency help if you get worse chest pain or chest pain that does not go away.
  • kidney problems. Kidney problems may become worse in people that already have kidney disease. Some people will have changes in blood tests for kidney function and may need a lower dose of amlodipine and valsartan. Call your doctor if you have swelling in your feet, ankles, or hands or unexplained weight gain. If you have heart failure, your doctor should check your kidney function before prescribing amlodipine and valsartan.
  • laboratory blood test changes in people with heart failure. Some people with heart failure who take valsartan, 1 of the medicines in amlodipine and valsartan, have changes in blood tests including increased potassium and decreased kidney function.
The most common side effects of amlodipine and valsartan include:
  • swelling (edema) of the hands, ankles, or feet
  • nasal congestion, sore throat, and discomfort when swallowing
  • upper respiratory tract infection (head or chest cold)
  • dizziness
Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of amlodipine and valsartan. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. How should I store Amlodipine and Valsartan?
  • Store amlodipine and valsartan at room temperature between 59°F to 86°F (15°C to 30°C).
  • Keep amlodipine and valsartan dry (protect it from moisture).
Keep Amlodipine and Valsartan and all medicines out of the reach of children. General Information about Amlodipine and Valsartan Medicines are sometimes prescribed for conditions that are not mentioned in the patient information leaflet. Do not use amlodipine and valsartan for a condition for which it was not prescribed. Do not give amlodipine and valsartan to other people, even if they have the same symptoms that you have. It may harm them. This patient information leaflet summarizes the most important information about amlodipine and valsartan. If you would like more information about amlodipine and valsartan, talk with your doctor. You can ask your doctor or pharmacist for information about amlodipine and valsartan that is written for health professionals. For more information call 1-877-244-9825. What are the ingredients in Amlodipine and Valsartan? Active ingredients: Amlodipine besylate and valsartan The inactive ingredients for all strengths of the tablets are colloidal silicon dioxide, crospovidone, magnesium stearate and microcrystalline cellulose. The film coating contains polyethylene glycol, polyvinyl alcohol, talc and titanium dioxide. What is high blood pressure (hypertension)? Blood pressure is the force of blood in your blood vessels when your heart beats and when your heart rests. You have high blood pressure when the force is too much. Amlodipine and valsartan can help your blood vessels relax so your blood pressure is lower. Medicines that lower blood pressure lower your chance of having a stroke or heart attack. High blood pressure makes the heart work harder to pump blood throughout the body and causes damage to blood vessels. If high blood pressure is not treated, it can lead to stroke, heart attack, heart failure, kidney failure and vision problems. *Norvasc® is a registered trademark of Pfizer, Inc. **Viagra® is a registered trademark of Pfizer, Inc. ***Diovan® is a registered trademark of Novartis Distributed by: Strides Pharma Inc. East Brunswick, NJ 08816 Revised: 05/2023 OS574-01-1-06

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