Drugplain

Amlodipine and Valsartan 10 mg/1

Amlodipine and Valsartan · TABLET · Lupin Pharmaceuticals, Inc.

10 Recalls on RecordCurrently in Shortage
Plain English

Amlodipine and Valsartan is a tablet containing amlodipine and valsartan at 10 mg/1, taken oral. Manufactured by Lupin Pharmaceuticals, Inc..

Key Facts

Brand Name
Amlodipine and Valsartan
Generic Name
Amlodipine and Valsartan
NDC Code (Product)
68180-765
Manufacturer
Lupin Pharmaceuticals, Inc.
Strength
10 mg/1
Dosage Form
TABLET
Route
ORAL
Marketing Status
Application #
ANDA090245
Drug Class
Angiotensin 2 Receptor Blocker [EPC]
Marketing Start
03/31/2015

Recall History

10 Recalls on Record
Class II11/27/2018

Teva Pharmaceuticals USA

CGMP Deviations: FDA laboratory testing confirmed presence of an impurity, N-nitrosodimethylamine (NDEA) in product.

OngoingVoluntary: Firm initiated
Class II11/27/2018

Teva Pharmaceuticals USA

CGMP Deviations: FDA laboratory testing confirmed presence of an impurity, N-nitrosodimethylamine (NDEA) in product.

OngoingVoluntary: Firm initiated
Class II08/17/2018

Torrent Pharma Inc.

CGMP Deviations: Carcinogen impurity detected in API used to manufacture drug product.

OngoingVoluntary: Firm initiated
Class II11/20/2018

Mylan Pharmaceuticals Inc.

CGMP Deviations: FDA lab confirmed presence an impurity, N-nitrosodiethylamine (NDEA) contained in the API used to manufacture the product.

OngoingVoluntary: Firm initiated
Class II11/20/2018

Mylan Pharmaceuticals Inc.

CGMP Deviations: FDA lab confirmed presence an impurity, N-nitrosodiethylamine (NDEA) contained in the API used to manufacture the product.

OngoingVoluntary: Firm initiated
Class II08/08/2013

Novartis Pharmaceuticals Corp.

Chemical Contamination: Novartis Pharmaceuticals Corporation has recalled physician sample bottles of Diovan, Exforge, Exforge HCT,Lescol XL, Stalevo, Tekturna and Tekturna HCT Tablets due to contamination with Darocur 1173 a photocuring agent used in inks on shrink-wrap sleeves.

TerminatedVoluntary: Firm initiated
Class II11/20/2018

Mylan Pharmaceuticals Inc.

CGMP Deviations: FDA lab confirmed presence an impurity, N-nitrosodiethylamine (NDEA) contained in the API used to manufacture the product.

OngoingVoluntary: Firm initiated
Class II08/17/2018

Torrent Pharma Inc.

CGMP Deviations: Carcinogen impurity detected in API used to manufacture drug product.

OngoingVoluntary: Firm initiated
Class II08/08/2013

Novartis Pharmaceuticals Corp.

Chemical Contamination: Novartis Pharmaceuticals Corporation has recalled physician sample bottles of Diovan, Exforge, Exforge HCT,Lescol XL, Stalevo, Tekturna and Tekturna HCT Tablets due to contamination with Darocur 1173 a photocuring agent used in inks on shrink-wrap sleeves.

TerminatedVoluntary: Firm initiated
Class II12/04/2018

Mylan Laboratories Limited, (Nashik FDF)

GCMP Deviations: FDA analysis confirmed presence of trace amounts of an impurity, N-nitrosodiethylamine (NDEA) found in the API used to manufacture the product.

OngoingVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

pain12 reports
off label use11 reports
drug ineffective10 reports
drug interaction9 reports
hypertension9 reports
intentional overdose9 reports
product use in unapproved indication9 reports
suicide attempt9 reports
weight decreased9 reports
anaemia8 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Amlodipine and valsartan is the combination tablet of amlodipine, a dihydropyridine calcium channel blocker (DHP CCB), and valsartan, an angiotensin II receptor blocker (ARB). Amlodipine and valsartan is indicated for the treatment of hypertension, to lower blood pressure: In patients not adequately controlled on monotherapy (1) As initial therapy in patients likely to need multiple drugs to achieve their blood pressure goals (1) Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. 1.1 Hypertension Amlodipine and valsartan is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes, including amlodipine and the angiotensin II receptor blocker (ARB) class to which valsartan principally belongs. There are no controlled trials demonstrating risk reduction with amlodipine and valsartan. Control of high blood pressure shoul

Dosage & Administration

2 DOSAGE AND ADMINISTRATION General Considerations: Majority of effect attained within 2 weeks (2.1) May be administered with other antihypertensive agents (2.1) Hypertension: May be used as add-on therapy for patients not controlled on monotherapy (2.2) Patients who experience dose-limiting adverse reactions on monotherapy may be switched to amlodipine and valsartan containing a lower dose of that component (2.2) May be substituted for titrated components (2.3) When used as initial therapy: Initiate with 5/160 mg, then titrate upwards as necessary to a maximum of 10/320 mg once daily (2.4) 2.1 General Considerations Dose once daily. The dosage can be increased after 1 to 2 weeks of therapy to a maximum of one 10/320 mg tablet once daily as needed to control blood pressure. The majority of the antihypertensive effect is attained within 2 weeks after initiation of therapy or a change in dose. Amlodipine and valsartan may be administered with other antihypertensive agents. 2.2 Add-on Therapy A patient whose blood pressure is not adequately controlled with amlodipine (or another dihydropyridine calcium-channel blocker) alone or with valsartan (or another ARB) alone may be switched to

Contraindications

4 CONTRAINDICATIONS Do not use in patients with known hypersensitivity to any component. Do not coadminister aliskiren with amlodipine and valsartan in patients with diabetes [see Drug Interactions (7)]. Known hypersensitivity to any component; Do not coadminister aliskiren with amlodipine and valsartan in patients with diabetes (4)

Drug Interactions

7 DRUG INTERACTIONS No drug interaction studies have been conducted with amlodipine and valsartan and other drugs, although studies have been conducted with the individual amlodipine and valsartan components. Amlodipine Impact of Other Drugs on Amlodipine CYP3A Inhibitors Coadministration with CYP3A inhibitors (moderate and strong) results in increased systemic exposure to amlodipine and may require dose reduction. Monitor for symptoms of hypotension and edema when amlodipine is coadministered with CYP3A inhibitors to determine the need for dose adjustment [see Clinical Pharmacology (12.3)]. CYP3A Inducers No information is available on the quantitative effects of CYP3A inducers on amlodipine. Blood pressure should be closely monitored when amlodipine is coadministered with CYP3A inducers (e.g. rifampicin, St. John's Wort). Sildenafil Monitor for hypotension when sildenafil is coadministered with amlodipine [see Clinical Pharmacology (12.2)]. Impact of Amlodipine on Other Drugs Simvastatin Coadministration of simvastatin with amlodipine increases the systemic exposure of simvastatin. Limit the dose of simvastatin in patients on amlodipine to 20 mg daily [see Clinical Pharmacology (

Adverse Reactions

6 ADVERSE REACTIONS In placebo-controlled clinical trials, discontinuation due to side effects occurred in 1.8% of patients in the amlodipine and valsartan-treated patients and 2.1% in the placebo-treated group. The most common reasons for discontinuation of therapy with amlodipine and valsartan were peripheral edema and vertigo. The adverse experiences that occurred in clinical trials (≥ 2% of patients) at a higher incidence than placebo included peripheral edema, nasopharyngitis, upper respiratory tract infection, and dizziness. (6.1) To report SUSPECTED ADVERSE REACTIONS, contact Strides Pharma Inc. at 1-877-244-9825 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The adverse reaction information from clinical trials does, however, provide a basis for identifying the adverse events that appear to be related to drug use and for approximating rates. Studies with Amlodipine and Valsartan: A

Frequently Asked Questions

What is Amlodipine and Valsartan used for?

Amlodipine and Valsartan contains Amlodipine and Valsartan. It is a tablet taken oral. Consult your doctor for specific uses.

Is Amlodipine and Valsartan a controlled substance?

Amlodipine and Valsartan is not classified as a controlled substance by the DEA.

What is the generic name for Amlodipine and Valsartan?

The generic name for Amlodipine and Valsartan is Amlodipine and Valsartan. There are 7 other brand versions of Amlodipine and Valsartan.

What is the NDC code for Amlodipine and Valsartan 10 mg/1?

The NDC (National Drug Code) for Amlodipine and Valsartan 10 mg/1 is 68180-765, listed by Lupin Pharmaceuticals, Inc..