Amlodipine (Norvasc)
Long-acting calcium channel blocker for hypertension and angina. Its 30-50 hour half-life provides smooth 24-hour blood pressure control with once-daily dosing.
Projected serum levels — 5 mg, once daily
Maintenance schedule: 5 mg once daily (oral).
Loading schedule: 12.4 mg on day 1, then 5 mg once daily — reaching therapeutic levels sooner.
Modeled steady state after ~4 days: peak ≈ 6.8 mg, trough ≈ 4.6 mg body load. Population-based estimate over 15 days for a 5 mg dose at a 70 kg reference body mass — the interactive app scales curves to your doses, timing, and body mass.
Key facts
- Category
- Calcium Channel Blocker
- Route modeled
- Oral
- Model confidence
- inferred
- Half-life
- 35 h
- Common dose
- 5 mg
- Suggested maximum
- 10 mg/day
- Reference dose range
- 2.5–10 mg (single dose)
- Suggested cadence
- once daily
- Validated against
- 10 mg oral — Cmax 0.006 mg/L at 8 h
Documented interactions
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contraindicated
Carbamazepine (Tegretol) + Amlodipine (Norvasc)
Carbamazepine (Tegretol) inducer of CYP3A4 predicted to change Amlodipine (Norvasc) AUC by ~0.20x
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contraindicated
Clarithromycin (Biaxin) + Amlodipine (Norvasc)
Clarithromycin (Biaxin) mechanism_based of CYP3A4 predicted to change Amlodipine (Norvasc) AUC by ~10.00x
-
contraindicated
Dasatinib (Sprycel) + Amlodipine (Norvasc)
Dasatinib (Sprycel) time_dependent_inhibitor of CYP3A4 predicted to change Amlodipine (Norvasc) AUC by ~5.00x
-
contraindicated
Diltiazem + Amlodipine (Norvasc)
Diltiazem mechanism_based of CYP3A4 predicted to change Amlodipine (Norvasc) AUC by ~10.00x
-
contraindicated
Efavirenz (Sustiva) + Amlodipine (Norvasc)
Efavirenz (Sustiva) inducer of CYP3A4 predicted to change Amlodipine (Norvasc) AUC by ~0.12x
-
contraindicated
Grapefruit (whole fruit) + Amlodipine (Norvasc)
Grapefruit (whole fruit) mechanism_based of CYP3A4 predicted to change Amlodipine (Norvasc) AUC by ~10.00x
Serum checks 260 modeled interaction pairings for amlodipine (norvasc) across your whole stack — absorption conflicts, enzyme inhibition, and nutrient depletion included.
Research behind this entry
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A comparison of outcomes with angiotensin-converting-enzyme inhibitors and diuretics for hypertension in the elderly (ALLHAT)
Largest hypertension trial (42,418 patients) found amlodipine provided similar cardiovascular protection to chlorthalidone, with superior stroke prevention.
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Prevention of cardiovascular events with an antihypertensive regimen of amlodipine adding perindopril as required versus atenolol adding bendroflumethiazide as required (ASCOT-BPLA)
Major trial of 19,257 patients found amlodipine-based regimen was superior to atenolol-based regimen, reducing cardiovascular events by 16%, stroke by 23%, and all-cause mortality by 11%.
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Amlodipine, a once-daily calcium channel blocker: a review of its effects on blood pressure
Comprehensive review establishing amlodipine as the first truly once-daily calcium channel blocker with smooth 24-hour blood pressure control and minimal reflex tachycardia.
3 published studies referenced in the app, each with a plain-language summary.