This leaflet is about the use of amlodipine for high blood pressure (which is also called hypertension).
This leaflet is for parents and carers about how to use this medicine in children. Our information sometimes differs from that provided by the manufacturers, because their information is usually aimed at adults. Please read this leaflet carefully. Keep it somewhere safe so that you can read it again
Amlodipine
Brand names: Istin®
If high blood pressure (hypertension) carries on for a long time, it can lead to damage to various parts of the body, such as the brain, heart and kidneys. Amlodipine helps to lower blood pressure by opening up blood vessels.
Amlodipine is usually given once each day. This is usually in the morning. Give the medicine at about the same time each day so that this becomes part of your child’s daily routine, which will help you to remember.
Your doctor will work out the amount of amlodipine (the dose) that is right for your child. The dose will be shown on the medicine label.
Your doctor may suggest that your child has a low dose to start with. They may then increase the dose as your child gets used to the medicine and depending on your child’s blood pressure.
It is important that you follow your doctor’s instructions about how much to give.
You can crush the tablet and mix it with a small amount of soft food such as yogurt, honey or mashed potato. Make sure your child swallows it all straight away, without chewing. Crushed tablets can also be mixed into 5 -10 mL of water (one or two medicine spoons) in a small glass. Make sure your child takes it straight away. You can use an oral syringe to give the mixture to your child.
Liquid medicine: Measure out the right amount using an oral syringe or medicine spoon. You can get these from your pharmacist. Do not use a kitchen teaspoon as it will not give the right amount. Make sure your child takes it all straight away.Your child’s blood pressure will start to come down after a few days, although you will not see any difference in your child. Your doctor will check your child’s blood pressure to see how well the medicine is working.
If your child is sick again, seek advice from your family doctor, pharmacist, hospital doctor or nurse.
Give the missed dose when you remember during the day, as long as this is at least 12 hours before the next dose is due.
It can be dangerous to give your child too much amlodipine because it may make their blood pressure too low (your child will feel dizzy and may faint).
If you think you may have given your child too much amlodipine, contact your doctor or local NHS services (details at end of leaflet) or take your child to hospital.
Take the medicine container or packaging with you, even if it is empty. This will be useful to the doctor. Have the medicine or packaging with you if you telephone for advice.
We use medicines to make our children better, but sometimes they have other effects that we don’t want (side-effects).
Take your child to hospital or call an ambulance straight away if:
Your child may get some of the following side-effects when they first start taking amlodipine. These effects are usually mild and should wear off after a few days. If they are still a problem after 2 weeks, or you are worried, contact your doctor but continue to give amlodipine
There may sometimes be other side-effects that are not listed above. If you notice anything unusual and are concerned, contact your doctor. You can report any suspected side-effects to a UK safety scheme at yellowcard.mhra.gov.uk.
Your doctor will check your child’s blood pressure regularly while they are taking amlodipine.
If you think someone else may have taken the medicine by accident, contact a doctor straight away.
Your doctor, pharmacist or nurse will be able to give you more information about amlodipine and about other medicines used to treat high blood pressure.
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