Norvasc pills 10mg №10×3

Name:
Norvasc tabl 10mg in bl. in pack. No. 10×3 The main active ingredient Amlodipine Release form tablets Composition 1 Norvasc 5 mg tablet contains 6.944 mg of amlodipine besylate, equivalent to 5 mg of amlodipine. 1 Norvasc 10 mg tablet contains 13.899 mg of amlodipine besylate, equivalent to 10 mg of amlodipine. Auxiliary components of the drug: microcrystalline cellulose (E460), anhydrous calcium hydrogen phosphate (E341), sodium starch glycolate (type A), magnesium stearate (E470).
Description:
5mg tablets: white or almost white emerald shaped (octahedron with uneven sides) tablets engraved with “AML 5” and score line on one side and the “Pfizer” logo on the other. or white or off-white emerald shaped tablets (octahedron with uneven sides) engraved with “AML 5” and score line on one side and unmarked on the other. 10 mg tablets: white or off-white emerald shaped (octahedron with uneven sides) tablets debossed with “AML-10” on one side and the “Pfizer” logo on the other. or white or off-white emerald shaped tablets (octahedron with uneven sides) debossed with “AML-10” on one side and unmarked on the other. The 5 mg tablets can be divided into two equal halves. The 5 and 10 mg tablets are available as 10 tablets in PVC or PVDC/aluminum blister packs. 3 blisters with instructions for use in a cardboard box. Dosage 5 mg and 10 mg Pharmacotherapeutic group Calcium channel blockers. Selective calcium channel blockers with a predominant effect on the vessels. Derivatives of dihydropyridine. ATX code: C08CA01. Indications for use The active substance of the drug Norvasc – amlodipine belongs to a group of medicines called calcium channel blockers. Norvasc is used to treat high blood pressure (hypertension) or a type of chest pain called angina, including the rare form Prinzmetal’s angina or variant angina. In patients with high blood pressure, this drug causes blood vessels to relax, making it easier for blood to pass through. In patients with angina, Norvasc improves the blood supply to the heart muscle and, accordingly, increases the flow of oxygen to it, thereby preventing the occurrence of chest pain. This drug does not provide immediate relief from chest pain due to angina pectoris. Contraindications If you are allergic (hypersensitive) to amlodipine or any of the ingredients that make up the drug and listed in the Composition section, or any other drugs from the group of calcium channel blockers. Symptoms may include itching, redness of the skin, or difficulty breathing. If you have very low blood pressure (hypotension). If you have a narrowed aortic valve (aortic stenosis) or have developed cardiogenic shock (a condition in which the heart is unable to supply enough blood to the organs of the body). If you have developed heart failure after a myocardial infarction. Use during pregnancy and lactation Pregnancy The safety of amlodipine in women during pregnancy has not been established. If you think you may be pregnant, or are planning to become pregnant, you should tell your doctor before you start taking Norvasc. Breastfeeding It has been established that amlodipine passes into breast milk in small amounts. If you are breastfeeding or intend to start breastfeeding, you should tell your doctor about this before you start taking Norvasc. Before taking any medicine, ask your doctor or pharmacist for advice. Dosage and Administration Always take the medicine exactly as your doctor or pharmacist has told you. If you have any doubts about taking the drug, consult your doctor or pharmacist. The recommended starting dose of Norvasc is 5 mg once daily. The dose of Norvasc can be increased to 10 mg once daily. This medicinal product can be used both before and after meals and drinks. This medicine should be taken at the same time of day with water. Do not take Norvasc with grapefruit juice. Use in children and adolescents As a rule, in children and adolescents (aged 6 to 17 years), the recommended initial dose of the drug is 2.5 mg per day. The maximum recommended dose of the drug is 5 mg per day. Norvasc 5 mg tablets can be divided into two halves to obtain a dose of 2.5 mg. It is important not to stop taking the drug. Don’t wait until you run out of pills to go to the doctor. If you take more Norvasc tablets than you should. Taking too many tablets can cause your blood pressure to drop to dangerous levels. This may cause dizziness, lightheadedness, weakness, or fainting. With a very strong drop in blood pressure, shock can develop. The skin becomes cold and clammy, and unconsciousness may develop. If you have taken too many Norvasc tablets, seek medical attention immediately. If you forget to take Norvasc Don’t worry. If you forget to take a tablet, skip that dose completely. Take the next dose at the correct time. Do not take a double dose to make up for a missed dose. If you stop taking Norvasc, your doctor will tell you how long to take this medicine. If you stop taking this drug before the recommended time, your condition may return. If you have any further questions on the use of this medicine, ask your doctor or pharmacist. Side effects Like all medicines, Norvasc can cause side effects, although not everybody gets them. Call your doctor right away if you experience any of the following side effects after taking this drug: wheezing, chest pain, shortness of breath or difficulty breathing; swelling of the eyelids, face, or lips; swelling of the tongue and throat, making breathing very difficult; severe skin reactions, including severe skin rash, hives, redness of the skin of the whole body, severe itching, blistering, peeling and swelling of the skin, inflammation of the mucous membranes (Stevens-Johnson syndrome, toxic epidermal necrolysis) or other allergic reactions; myocardial infarction, heart rhythm disturbance; inflammation of the pancreas, which can manifest itself in the form of severe pain in the abdomen and back, accompanied by a feeling of severe malaise. The following undesirable phenomenon was recorded very often. If it bothers you or if it lasts longer than one week, you should contact your doctor. Very common: may affect up to 1 in 10 people with swelling. The following side effects have been reported frequently. If they bother you or their duration exceeds one week, you should contact your doctor. Often (may affect less than 1 person in 10) headache, dizziness, drowsiness (especially at the beginning of treatment); palpitations (feeling of heartbeats), hot flashes; stomach pain, feeling nauseous (nausea); change in stool frequency, diarrhea, constipation, indigestion; fatigue, weakness; visual disturbances, double vision; muscle cramps; ankle swelling. The following is a list of other reported adverse reactions. If any of these side effects become serious or if you notice side effects not listed in this leaflet, please tell your doctor or pharmacist. Uncommon (may affect up to 1 in 100 people): mood changes, agitation, depression, insomnia; trembling, taste disturbances, fainting; numbness or tingling in the limbs, loss of pain; tinnitus; low blood pressure; sneezing/runny nose caused by inflammation of the nasal mucosa (rhinitis); cough; dry mouth, vomiting (feeling sick); hair loss, increased sweating, skin itching, red spots on the skin, discoloration of the skin; violation of urination, increased need to urinate at night, increased frequency of urination; inability to achieve an erection, discomfort or enlargement of the mammary glands in men; pain, feeling unwell; joint or muscle pain, back pain; increase / decrease in body weight. Rare (may affect up to 1 in 1,000 people) confusion. Very rare (may affect up to 1 in 10,000 people) low white blood cell count, low platelet count, which can lead to unusual bruising or easy bleeding (damage to red blood cells); increased blood glucose levels (hyperglycemia); nerve damage, which may present with weakness, tingling, or numbness; swelling of the gums; bloating (gastritis); abnormal liver function, inflammation of the liver (hepatitis), yellow discoloration of the skin (jaundice), elevated liver enzymes, which may interfere with some medical tests; increased muscle tension; inflammation of the blood vessels, often accompanied by a skin rash; sensitivity to sunlight; disorders that are characterized by the simultaneous development of joint stiffness, trembling of the limbs and / or movement disorders. Reporting adverse reactions If you experience any adverse reactions, please consult your physician. This recommendation applies to any possible adverse reactions, including those not listed in the package insert. You can also report adverse reactions to the adverse drug reactions (actions) information database, including reports of drug failures. By reporting adverse reactions, you help to get more information about the safety of the drug. Interactions with other drugs Tell your doctor or pharmacist if you are currently taking or have recently taken any other medicines, including over-the-counter medicines. Norvasc may be affected or affected by other medicines you take, such as: ketoconazole, itraconazole (antifungal medicines); ritonavir, indinavir, nelfinavir (so-called protease inhibitors used to treat HIV infection); rifampicin, erythromycin, clarithromycin (antibiotics); Hypericum perforatum (preparations containing St. John’s wort); verapamil, diltiazem (heart drugs); dantrolene (in the form of infusion with a pronounced increase in body temperature); tacrolimus, sirolimus, temsirolimus, and everolimus (medicines used to change how the immune system works); simvastatin (a cholesterol-lowering drug); cyclosporine (immunosuppressant). Norvasc may lower blood pressure more pronounced when other medicines are used to treat high blood pressure. Precautions Before taking the drug Norvasc, you should consult with your doctor or pharmacist. If you have or have previously developed the following conditions, you should tell your doctor about it: recent myocardial infarction; heart failure; pronounced increase in blood pressure (hypertensive crisis); liver disease; You are an elderly person and you need to increase the dose of the drug. Children and adolescents Norvasc has not been studied in children under 6 years of age. Norvasc should only be used to treat hypertension in children and adolescents aged 6 to 17 years (see How to take). For more information, contact your healthcare provider. Sodium content The sodium content of this medicinal product is less than 1 mmol (23 mg) per 1 tablet, i.e. it is actually “sodium-free”. Storage conditions Keep this drug out of the reach of children. Do not use this drug after the expiry date which is stated after the word “EXP” on the package. The expiration date corresponds to the last day of the indicated month. Tablets Store at a temperature not exceeding 25°C. 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