Caduet

amlodipine-atorvastatin
Chemical Name: atorvastatin
Drug Type: miscellaneous antihypertensive combinations

You should not use this medicine if you have liver disease.

Amlodipine and atorvastatin can harm an unborn baby or cause birth defects. Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away.

Do not breast-feed while taking amlodipine and atorvastatin.

Atorvastatin is in a group of drugs called HMG CoA reductase inhibitors, or "statins." Atorvastatin reduces levels of "bad" cholesterol (low-density lipoprotein, or LDL) and triglycerides in the blood, while increasing levels of "good" cholesterol (high-density lipoprotein, or HDL).

Amlodipine is a calcium channel blocker. Amlodipine relaxes the blood vessels, improving blood flow and making it easier for the heart to pump.

Amlodipine and atorvastatin is a combination medicine used to treat high blood pressure (hypertension) or chest pain (angina), and to lower the risk of stroke, heart attack, and other heart complications in people with type 2 diabetes, coronary heart disease, or other risk factors.

Amlodipine and atorvastatin is used in adults and children who are at least 10 years old.

Amlodipine and atorvastatin may also be used for purposes not listed in this medication guide.

You should not use this medicine if you are allergic to amlodipine (Norvasc) or atorvastatin (Lipitor), or if:

  • you have liver disease; or
  • you are pregnant or breast-feeding.

Do not use amlodipine and atorvastatin if you are pregnant. It could harm the unborn baby or cause birth defects. Use effective birth control to prevent pregnancy while you are using this medicine. If you become pregnancy, stop taking this medicine and tell your doctor right away.

It is not known whether amlodipine and atorvastatin passes into breast milk or if it could harm a nursing baby. Do not breast-feed while taking amlodipine and atorvastatin.

To make sure amlodipine and atorvastatin is safe for you, tell your doctor if you have ever had:

  • liver disease;
  • kidney disease;
  • heart disease;
  • diabetes;
  • a thyroid disorder; or
  • if you drink more than 2 alcoholic beverages daily.

Atorvastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. This condition may be more likely to occur in older adults and in people who have kidney disease or poorly controlled hypothyroidism (underactive thyroid).

Certain other drugs can increase your risk of serious muscle problems when used with amlodipine and atorvastatin. Your doctor may need to change your treatment plan if you use any of the following drugs:

  • colchicine;
  • cyclosporine;
  • medicines that contain niacin (Advicor, Niaspan, Niacor, Simcor, Slo-Niacin, and others);
  • an antibiotic--clarithromycin, erythromycin;
  • antifungal medicine--itraconazole, ketoconazole, voriconazole;
  • certain cholesterol medications--gemfibrozil, fenofibric acid, fenofibrate; or
  • antiviral medicine to treat hepatitis C or HIV/AIDS--boceprevir, darunavir, fosamprenavir, lopinavir, nelfinavir, ritonavir, saquinavir, telaprevir, tipranavir.

Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Amlodipine and atorvastatin is usually taken once a day, with or without food. Take the medicine at the same time each day.

Do not break an amlodipine and atorvastatin tablet. Tell your doctor if you have trouble swallowing the pill.

You may need to stop using amlodipine and atorvastatin for a short time if you have:

  • uncontrolled seizures;
  • an electrolyte imbalance (such as high or low potassium levels in your blood);
  • severely low blood pressure;
  • a severe infection or illness; or
  • surgery or a medical emergency.

While using amlodipine and atorvastatin, you may need frequent blood tests. Your kidney function may also need to be checked.

You may need to take amlodipine and atorvastatin on a long-term basis. Keep using this medication even if you feel fine. High blood pressure or high cholesterol often have no symptoms.

Amlodipine and atorvastatin is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely.

Store at room temperature away from moisture and heat.

Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 12 hours away. Do not take extra medicine to make up the missed dose.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Avoid eating foods that are high in fat or cholesterol. This medication will not be as effective in treating your condition if you do not follow the diet plan recommended by your doctor.

Avoid drinking alcohol. It can raise triglyceride levels and may increase your risk of liver damage. Alcohol can also further lower blood pressure and can increase some of the side effects of amlodipine and atorvastatin.

Grapefruit and grapefruit juice may interact with atorvastatin and lead to potentially dangerous effects. Avoid the use of grapefruit products while taking amlodipine and atorvastatin.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

In rare cases, atorvastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, and dark colored urine.

Stop using amlodipine and atorvastatin and call your doctor at once if you have:

  • muscle stiffness, tremors, abnormal muscle movements;
  • severe drowsiness, feeling like you might pass out;
  • worsening chest pain, or chest pain spreading to the arm or jaw, nausea, sweating, general ill feeling; or
  • liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Common side effects may include:

  • muscle or joint pain;
  • diarrhea;
  • nausea, upset stomach; or
  • swelling in your legs or ankles.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Tell your doctor about all your current medicines and any you start or stop using, especially:

  • other cholesterol medication;
  • birth control pills;
  • an antibiotic or antifungal medicine;
  • antiviral medicine to treat HIV or hepatitis C
  • heart medication; or
  • medicine to prevent organ transplant rejection.

This list is not complete. Other drugs may interact with amlodipine and atorvastatin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Your pharmacist can provide more information about amlodipine and atorvastatin.