DE LA SALLE LIPA

COLLEGE OF NURSING
1962 J.P. Laurel National Highway, Lipa City
Tel. (043)756-5555, 756-2491, 756-2391 loc 270

GENERIC NAME

DRUG STUDY
BRAND NAME

MAJOR DRUG
CATEGORY

Amlodipone 10 mg every
after dinner

Norvase

Calcium Channel blocker

DRUG ACTION

USES

SIDE
EFFECTS/ADVERSE
REACTIONS

Binds to dihydropyridine
and nondihydropyridine
cell membrane receptor
sites on
myocardial and vascular
smooth-muscle
cells and inhibits influx of
extracellular calcium
ions across slow calcium
channels.
SIGNIFICANT DRUG
INTERACTION
beta blockers: Possibly
excessive hypotension
fentanyl: Increased risk of
severe hypotension
and increased fluid volume
requirements

Antihypertensive

USUAL DRUG DOSE

5 to 10 mg

Headache
Peripheral edema
Nausea
Muscle cramps
Rash
Pruritus

CONTRAINDICATIONS
Hypersensitivity to
amlodipine or its
components

during surgery

NURSINGMEDICATION MANAGEMENT

ASSESSMENT
Assess for heart failure, report signs
and symptoms to prescriber.

EDUCATION
Tell patient to take missed dose as
soon as remembered and next dose
in 24 hours.
Tell patient to immediately notify
prescriber of dizziness, arm or leg
swelling, difficulty breathing, hives,
or rash.
Suggest taking amlodipine with
food to reduce GI upset.
Advise patient to routinely have
blood pressure checked for possible
hypotension

INTERVENTION
Use amlodipine cautiously in
patients with heart block, heart
failure, impaired renal function,
hepatic disorder, or severe aortic
stenosis.
Monitor blood pressure while
adjusting dosage, especially in
patients with heart failure or severe
aortic stenosis.
EVALUATION
Review all other significant adverse
reactions.