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What is AMCARD?
- AMCARD contains combination of Amlodipine Besylate and Olmesartan
- Amlodipine tablets belongs to a group of medicines called calcium antagonists
- Olmesartan belongs to a group of medicines called angiotensin-II receptor antagonists. They lower blood pressure by relaxing the blood vessels
CONSUMER MEDICINE INFORMATION
THERAPEUTIC USES
WARNING & PRECAUTIONS
INTERACTIONS
DIRECTIONS FOR USE
SIDE EFFECTS
MORE INFORMATION
What AMCARD is used for?
It is used to treat
- high blood pressure (hypertension)
- chest pain due to narrowing of the blood vessels of the heart muscle (angina pectoris) or the rarer form of chest pain caused by cramping of the blood vessels of the heart muscle called Prinzmetal or variant angina.
Talk to your doctor before taking this medicine, if you:
- are allergic (hypersensitive) to Amlodipine, Olmesartan or to any other ingredients of its medicine
- are suffering from heart conditions
- suffer from chest pain at rest or with minimal effort (unstable angina pectoris)
- have severe low blood pressure (hypotension)
- suffer from severe increase in blood pressure (Hypertensive crisis)
- have liver or kidney problems
- are giving this medicine to a child under 18 years of age
- are elderly, your doctor may monitor you closely
- suffer from yellowing of the skin and eyes (jaundice) or problems with drainage of the bile from the gallbladder (biliary obstruction e.g. gallstones)
- have diabetes or impaired kidney function
- If you think you might be pregnant or breast feeding or are planning to get pregnant, you must tell your doctor before you take AMCARD tablets
- The safety of AMCARD in human pregnancy has not been established. AMCARD has been shown to pass into breast milk in small amounts
- AMCARD has not been studied in children under the age of 6 years
- AMCARD should only be used for hypertension in children and adolescents from 6 years to 17 years of age
- You may feel sleepy or dizzy while being treated for your high blood pressure. If this happens, do not drive or use machines until the symptoms wear off. Ask your doctor for advice
Tell your doctor if you are taking any of the following medicines:
- medicines that can lower blood pressure (e.g. verapamil, diltiazem)
- ketoconazole and itraconazole (antifungal medicines used to treat skin and fungal infections)
- clarithromycin, erythromycin and telithromycin, rifampicin, rifabutin (antibiotics)
- nefazodone, medicine to treat depression
- johns wort, herbal medicine for depression
- dexamethasone (corticosteroid used to treat inflammatory and autoimmune conditions such as rheumatoid arthritis)
- dantrolene (infusion for severe body temperature abnormalities)
- tacrolimus (medicine used to alter the way your immune system works)
- simvastatin (cholesterol lowering medicine)
- cyclosporine (an immunosuppressant)
- phenobarbital, phenytoin and carbamazepine (medicines for epilepsy)
- ritonavir, Indinavir, Nelfinavir, Nevirapine (antiviral medicine used to treat HIV and AIDS)
- sildenafil (medicine for impotence)
- potassium supplements, a salt substitute which contains potassium, water tablets (diuretics) or heparin (for thinning the blood)
- lithium (a medicine used to treat mood swings and some types of depression) used at the same time as AMCARD Tablets may increase the toxicity of lithium
- Non-Steroidal Anti-Inflammatory (NSAIDs) medicines (medicines used to relieve pain, swelling and other symptoms of inflammation, including arthritis) used at the same time as AMCARD Tablets may increase the risk of kidney failure and the effect of Olmesartan can be decreased by NSAIDs
- colesevelam hydrochloride, a drug that lowers the level of cholesterol in your blood, as the effect of AMCARD Tablets may be decreased
- certain antacids (indigestion remedies), as the effect of AMCARD Tablets
- ACE-inhibitor (for example enalapril, lisinopril, Ramipril)
Always take AMCARD tablets exactly as your doctor has told you.
Methods and routes of administration
- You should take this medicine at the same time each day with a drink of water
- AMCARD Tablets can be taken with or without food
- Swallow the tablets with an enough water (e.g. one glass)
- The recommended starting dose is one 10 mg tablet once a day. However, if your blood pressure is not controlled, your doctor may decide to change your dose up to 20 or 40 mg once a day, or prescribe additional medicines
- In patients with mild to moderate kidney disease, your dose will not be higher than 20 mg once a day
Adults
- The usual starting dose is 5 mg once daily. If necessary, your doctor may increase the dose to 10 mg once daily
Use in children and adolescents (6 -17 years old)
- The recommended usual starting dose is 2.5 mg a day. The maximum recommended dose is 5 mg a day
- It is important to keep taking the tablets. Do not wait until your tablets are finished before seeing your doctor
- AMCARD Tablets 2.5 mg is not currently available and the 2.5 mg dose cannot be obtained with AMCARD tablets 5 mg and 10 mg as these tablets are not manufactured to break into two equal halves
Elderly patients
- There is no special dosage for the elderly; however, care must be taken when the dose is increased
If you have kidney problems
- The normal dosage is recommended. AMCARD Tablets cannot be removed from the blood by dialysis (artificial kidney). AMCARD tablets should be administered with caution to patients undergoing dialysis
If you have liver problems
- Your doctor will decide if this medicine is suitable for you and the correct dose for you to take
If you take more AMCARD Tablets
- If you take more tablets than you should or if a child accidentally swallows some, go to your doctor or nearest emergency department immediately and take your medicine pack with you
If you forget to take AMCARD Tablets
- If you forget a dose, take your normal dose on the following day as usual. Do not take a double dose to make up for a forgotten tablet
If you stop taking AMCARD Tablets
- It is important to continue to take Olmesartan unless your doctor tells you to stop
Like all medicines, this medicine can cause side effect, although not everybody gets them.
SERIOUS
COMMON
UNCOMMON
RARE
VERY RARE
- Allergic reactions such as swelling of the face, mouth and/or larynx (voice box) together with itching and rash may occur
- Severe light-headedness or fainting
- swelling of your legs or ankles
- tiredness, extreme sleepiness
- stomach pain, nausea
- dizziness
- flushing (hot or warm feeling in your face)
- arrhythmia (irregular heartbeat)
- muscle rigidity, tremor and/or abnormal muscle movement.
- edema (fluid retention)
- stomach upsets or ache
- gastroenteritis, tiredness, sore throat
- runny or stuffy nose
- bronchitis, flu-like symptoms, cough, pain, pain in the chest, back, bones or joints,
- infection of the urinary tract,
- blood in the urine
- swelling of the face, vertigo, vomiting, weakness, feeling unwell, muscular pain
- allergic skin rash, itching, exanthema (skin eruption), skin lumps (wheals)
- angina (pain or uncomfortable feeling in the chest)
- lack of energy, muscle cramps, impaired kidney function, kidney failure
- a heart attack or your angina may get worse
ADDITIONAL INFORMATION
STORAGE
Taking AMCARD tablets with food and drink
- Grapefruit juice and grapefruit should not be consumed by people who are taking AMCARD tablets. This is because grapefruit and grapefruit juice can lead to an increase in the blood levels of the active ingredient AMCARD, which can cause an unpredictable increase in the blood pressure lowering effect of AMCARD
- Keep this medicine
