Ankle swelling is a side effect of Norvasc (amlodipine)

Novask (Amlodipine) is a type of drug called a calcium channel blocker. These drugs contain compounds that relax blood vessels and lower blood pressure. This makes it easier for your heart to pump blood throughout your body.

As important as Norvasc is the treatment of high blood pressure (hypertension) and angina pectoris (heart-related chest pain), it can cause side effects. One of the most common is ankle swelling caused by a buildup of fluid in the tissue.

This article explains why people taking Norvasc experience swollen ankles and what can be done to relieve this common but frustrating side effect.

symptom

edemaor abnormal swelling of tissue caused by fluid buildup, is a common side effect of calcium channel blockers, especially Norvasc. It usually involves the ankles and feet due to gravity, but can also affect the hands and calves.

Risk is largely dose-dependent, meaning that higher doses correspond to greater likelihood (or worsening) of symptoms.

Other side effects of Norvasc include headache, dizziness, fainting, dizziness, irregular heartbeat, chest pain, or heart palpitations.

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Edema is abnormal swelling of tissue due to fluid buildup and is a common side effect of Norvasc. The ankles and feet are most commonly affected, but the hands and lower legs may also be affected.

Angina pectoris treated with calcium channel blockers

reason

Edema often occurs with calcium channel blockers because these drugs cause vasodilation. Dilation, in turn, lowers blood pressure and improves blood flow throughout the body.

However, improved blood flow can increase pressure within smaller blood vessels called capillaries. This causes fluid to seep through the walls of the blood vessels into surrounding tissue.

Edema can occur with all calcium channel blockers.

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Norvasc helps lower blood pressure by triggering vasodilation. In turn, the increased blood flow can increase the pressure within the smaller blood vessels, causing excess fluid to seep through the vessel walls into surrounding tissue.

treat

If you develop edema while taking Norvasc, do not stop treatment until you speak with your healthcare provider. In some cases, you may take a diuretic (“water pill”) to reduce swelling. Alternatively, the dose of Norvasc can be reduced.

If symptoms persist, your healthcare provider may switch you to another calcium channel blocker or another class of blood pressure medication.

Notably, swollen ankles are also a symptom of heart failure and pulmonary hypertension. Therefore, Norvasc may not be the cause of the edema, but just contribute to the development of the edema. Your healthcare provider may want to do additional testing to rule out these conditions before changing treatment.

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If you develop edema while using Norvasc, your healthcare provider may choose to reduce your dose or switch you to another calcium channel blocker or a completely different class of blood pressure medication.

How to treat high blood pressure

Recommended dose

Norvasc is available as tablets in doses of 2.5, 5 and 10 milligrams (mg). The standard recommended dose is 5 mg once daily, which can be increased to a maximum dose of 10 mg once daily if desired.

People who are younger, elderly, or have liver problems should start with a dose of 2.5 mg and increase gradually to get the desired response.

Never exceed the recommended daily dose. Calcium channel blockers can be taken in overdose, causing potentially serious side effects such as:

  • constipate
  • Puzzled
  • drowsiness
  • slow heartbeat
  • slurred speech
  • shortness of breath
  • weakness
  • nausea
  • Elevated blood sugar

If an overdose is suspected, call the Poison Control Line at 1-800-222-1222, available 24 hours a day, 7 days a week. Do not induce vomiting unless a trained poison control professional tells you to.

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For most adults, the recommended dose of Norvasc is 5 mg once daily, with a maximum dose of 10 mg once daily if needed. Do not exceed recommended dose.

Do calcium supplements interfere with calcium channel blockers?

generalize

Norvasc (amlodipine besylate) is a type of medicine called a calcium channel blocker, which is used to treat high blood pressure and angina. One of the most common side effects of Norvasc is edema, or abnormal swelling of tissue due to fluid buildup. While the ankles and feet are most commonly affected, the hands and lower legs may also be swollen.

Calcium channel blockers like Norvasc help lower blood pressure by dilating blood vessels. In turn, increased blood flow can increase pressure within smaller blood vessels, causing fluid to leak through the vessel walls into surrounding tissue.

Call your healthcare provider if you develop edema while taking Norvasc. You may switch to another calcium channel blocker or a different class of blood pressure medication. Alternatively, you can simply reduce the dose of Norvasc and see if it helps. Never stop or change treatment without first talking to your healthcare provider.

VigorTip words

Edema can be a worrying and frustrating side effect of Norvasc. However, on its own, edema is not a reason to stop treatment. Even if your healthcare provider can’t fully resolve the swelling, the benefits of drugs like Norvasc often outweigh the risks.

However, that doesn’t mean you should ignore side effects or “live with it”. By exercising regularly, eating healthy, and maintaining an ideal weight, you can minimize or reduce the symptoms of edema caused by Norvasc.

living with high blood pressure