Amlodipine & valsartan【C (1st trimester) D (2nd/3rd trimester)】

Cardiovascular – Renal Drugs: Antihypertensive: Calcium-Channel Blockers
OASAR1Asartan FC tablet

Each tablet contains amlodipine besylate 6.94 mg (equivalent to amlodipine 5 mg), valsartan 80 mg

OEXFO1 “Exforge FC tablet

Each tablet contains amlodipine besylate 6.94 mg (equivalent to amlodipine 5 mg), valsartan 80 mg

適應症:治療高血壓,此複方藥品不適用於起始治療。

Usual dose:

Hypertension:

Initial Therapy

The initial recommended dose is amlodipine 5 mg/valsartan 160 mg qd and titrate every 1 to 2 weeks, if necessary, to a max. dose of amlodipine 10 mg/valsartan 320 mg daily. The optimum effect is attained within 2 weeks of starting therapy or changing the dose.

Add-On-Therapy

The recommended dose is amlodipine 5 mg/valsartan 160 mg to amlodipine 10 mg/valsartan 320 mg orally once daily. Titrate every 1 to 2 weeks, if necessary, to a max. dose of amlodipine 10 mg/valsartan 320 mg daily.

For patients who experienced dose-limiting adverse effects on either agent alone, switch to a lower dose of that agent in combination with the other to attain similar blood pressure reductions and make subsequent dose adjustments after 3 to 4 weeks to a maximum of amlodipine 10 mg/valsartan 320 mg. The optimum effect is attained within 2 weeks of starting therapy or changing the dose.

Dose adjustment:

Geriatric: amlodipine 2.5 mg should be the initial dose.

Hepatic failure: starting dose amlodipine 2.5 mg qd.

Precaution:

Increased risk for fetal and neonatal toxicity and death when used during pregnancy, especially during the second and third trimester; discontinue therapy as soon as pregnancy is confirmed.

Adverse effect:

Common: Peripheral edema, dizziness, nasopharyngitis, upper respiratory infection.

Serious: Hypotension.

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