S-Amlodipine 2.5 mg Tablet: Comprehensive Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe dizziness or fainting
- New or worsening chest pain
- Swelling of the face, lips, tongue, or throat
- Difficulty breathing
- Yellowing of the skin or eyes
- Dark urine or severe abdominal pain
- Irregular heartbeat or palpitations
- Sudden severe headache with blurred vision
If experiencing severe symptoms, call emergency services immediately.
What is asomex 2.5 tablet used for?
This medicine contains S-Amlodipine 2.5 mg, a calcium channel blocker used to treat high blood pressure and prevent angina. It works by relaxing blood vessels, allowing blood to flow more easily. Take it once daily, with or without food, but avoid grapefruit juice. Common side effects include ankle swelling, headache, and dizziness. Do not stop taking it without consulting your doctor.
- Generic Name: S-Amlodipine
- Manufacturer: Emcure Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 asomex 2.5 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एस-एम्लोडिपिन 2.5 मिलीग्राम युक्त एक टैबलेट है, जिसका उपयोग उच्च रक्तचाप (हाइपरटेंशन) को नियंत्रित करने और एनजाइना (सीने में दर्द) को रोकने के लिए किया जाता है। यह रक्त वाहिकाओं को आराम देकर रक्त के प्रवाह को आसान बनाती है, जिससे रक्तचाप कम होता है और हृदय को ऑक्सीजन की आपूर्ति बढ़ती है। इसे आमतौर पर दिन में एक बार लिया जाता है, भोजन के साथ या बिना। इस दवा को चिकित्सक के परामर्श के बिना बंद न करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में टखनों या पैरों में सूजन, सिरदर्द, चक्कर आना, थकान और चेहरे पर लालिमा शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको बेहोशी, सीने में तेज दर्द, सांस लेने में कठिनाई, या चेहरे, होंठ या गले में सूजन हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को अपने डॉक्टर के निर्देशानुसार ही लें। इसे हर दिन एक ही समय पर लें। भोजन के साथ या बिना ले सकते हैं, लेकिन पेट की परेशानी से बचने के लिए भोजन के साथ लेना बेहतर है। अंगूर का जूस इस दवा के साथ न लें, क्योंकि इससे दवा का स्तर बढ़ सकता है। शराब का सेवन न करें या सीमित करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। दवा बंद करने से पहले डॉक्टर से परामर्श करें।
💊 asomex 2.5 tablet Uses & Benefits
[{"condition":"Hypertension","description":"This medicine is used to lower high blood pressure in adults, reducing the risk of stroke, heart attack, and kidney problems.","evidence":"Well-established"},{"condition":"Chronic stable angina","description":"This medicine helps prevent chest pain caused by coronary artery disease by improving blood flow to the heart.","evidence":"Well-established"},{"condition":"Vasospastic angina (Prinzmetal's angina)","description":"This medicine can reduce the frequency of chest pain episodes caused by coronary artery spasm.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Raynaud's phenomenon","description":"Sometimes prescribed off-label to reduce the frequency and severity of Raynaud's attacks by improving blood flow to fingers and toes.","evidence":"Limited"},{"condition":"Migraine prophylaxis","description":"Occasionally used off-label to prevent migraines, though evidence is not strong.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Chronic stable angina, Vasospastic angina
📋 Drug Information
| Generic Name(s) | S-Amlodipine |
| Brand Name | Asomex 2.5 Tablet |
| Manufacturer | Emcure Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Calcium channel blockers- Dihydropyridines (DHP) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | The World Health Organization recommends calcium channel blockers, including amlodipine, as first-line agents for the treatment of hypertension in adults, especially in the elderly and those with isolated systolic hypertension. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) guidelines for hypertension recommend calcium channel blockers as one of the preferred first-line antihypertensive drugs in India, particularly in elderly patients and those with high salt intake. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
S-Amlodipine is a dihydropyridine calcium channel blocker. It selectively inhibits the influx of calcium ions into vascular smooth muscle cells and cardiac muscle cells. By blocking L-type calcium channels, it reduces the availability of intracellular calcium, leading to relaxation of vascular smooth muscle. This causes dilation of peripheral arterioles and reduces peripheral vascular resistance, which lowers blood pressure. It also dilates coronary arteries and arterioles, improving blood flow to the heart and reducing angina. Unlike non-dihydropyridine calcium channel blockers, S-Amlodipine has little effect on heart rate or cardiac conduction at usual doses.
Mechanism Steps
💡 How to Take asomex 2.5 tablet
Strength: S-Amlodipine 2.5 mg immediate-release tablet.
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for hypertension or angina is 2.5 mg to 5 mg once daily. The dose may be increased gradually up to a maximum of 10 mg once daily, depending on your blood pressure response and tolerability. For elderly patients or those with liver impairment, a lower starting dose of 2.5 mg once daily is recommended. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially hypotension. Start with a low dose (2.5 mg once daily) and titrate slowly. Monitor blood pressure and renal function regularly. |
| Renal Impairment | No dose adjustment is required for patients with renal impairment. However, monitor blood pressure and renal function closely. |
| Hepatic Impairment | In patients with hepatic impairment, the clearance of S-Amlodipine is reduced, leading to increased plasma levels. Start with a lower dose (2.5 mg once daily) and titrate slowly. Monitor for side effects. |
| Maximum Daily Dose | 10 mg once daily. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of asomex 2.5 tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Rifampicin | Major | |
| Simvastatin | Major | |
| Beta-blockers | Moderate | |
| ACE inhibitors | Moderate | |
| Diuretics | Moderate | |
| NSAIDs | Moderate | |
| Grapefruit juice | Moderate | |
| Antacids | Minor | |
| Sildenafil | Minor |
🚨 Major Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir, clarithromycin)
- CYP3A4 inducers (e.g., rifampicin, carbamazepine, phenytoin, St. John's wort)
- Simvastatin
⚡ Moderate Interactions
- Other antihypertensive drugs (e.g., beta-blockers, ACE inhibitors, diuretics)
- Grapefruit juice
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering effect of this medicine and increase the risk of dizziness, drowsiness, and fainting. It is advisable to limit or avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to amlodipine or other dihydropyridine calcium channel blockers","Severe hypotension (systolic blood pressure
⚠️ Warnings & Precautions
["May cause symptomatic hypotension, especially in patients with severe aortic stenosis or volume depletion. Monitor blood pressure closely.","May worsen angina or precipitate myocardial infarction upon initiation or dose increase. Use with caution in patients with severe obstructive coronary artery disease.","Peripheral edema is a common dose-related side effect. It may be managed with dose reduction or addition of a diuretic.","Use with caution in patients with hepatic impairment; lower doses may be required.","Use with caution in elderly patients; start with lower doses and monitor for hypotension.","Avoid abrupt withdrawal, as it may worsen angina.","Grapefruit juice should be avoided as it can increase drug levels.","This medicine may impair the ability to drive or operate machinery, especially at the start of treatment."]
🤱 Lactation Safety
Amlodipine is excreted in human breast milk in small amounts. There is limited information on the effects on the breastfed infant. Breastfeeding is not recommended while taking this medicine unless the potential benefit outweighs the risk. Consult your doctor.
💊 Overdose Management
Overdose of this medicine can cause excessive peripheral vasodilation, severe hypotension, and reflex tachycardia. Management includes supportive care, monitoring of vital signs, and treatment of hypotension with intravenous fluids and vasopressors if necessary. Activated charcoal may be considered if ingestion is recent. There is no specific antidote. Hemodialysis is not effective because amlodipine is highly protein-bound.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose (more than half the dosing interval has passed), skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually once daily at the same time each day. You may take it with or without food, but taking it with food may reduce stomach upset. Do not crush, chew, or break the tablet unless your doctor advises otherwise. Avoid drinking grapefruit juice while taking this medicine, as it can increase the amount of medicine in your blood and cause side effects. Do not drive or operate heavy machinery until you know how this medicine affects you, as it can cause dizziness. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use potassium supplements or salt substitutes containing potassium without your doctor's approval. Keep all your medical appointments and get your blood pressure checked regularly. Do not stop this medicine abruptly without talking to your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients (above 65 years) may be more sensitive to the blood pressure-lowering effects of this medicine. Start with a low dose (2.5 mg once daily) and titrate slowly. Monitor blood pressure, renal function, and for signs of dizziness or falls. Avoid dehydration.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It should be used during pregnancy only if clearly needed. Your doctor may switch you to a safer alternative. Discuss the risks and benefits with your healthcare provider.
🏥 Post-Surgery Considerations
After surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthesia and other medications used during surgery. Your doctor may advise you to stop it temporarily before surgery. Do not stop without medical advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may cause dry mouth or interact with local anesthetics. Maintain good oral hygiene. If you experience gum swelling (gingival hyperplasia), consult your dentist.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness or fatigue, especially when starting treatment. Avoid strenuous exercise until you know how the medicine affects you. Stay hydrated during exercise. If you experience chest pain, shortness of breath, or severe dizziness during exercise, stop and seek medical attention.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. It is usually safe to continue your normal daily activities, but take precautions when rising from sitting or lying positions. Inform your employer if your job involves operating machinery or working at heights.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your doctor decides to discontinue it, they will gradually reduce the dose to prevent rebound hypertension or worsening angina. Always follow your doctor's instructions.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe and effective for controlling blood pressure and angina. Regular monitoring of blood pressure, kidney function, and liver function is recommended. Some patients may develop peripheral edema, which can be managed. Do not stop the medicine without medical advice, as abrupt withdrawal can worsen angina or increase blood pressure.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, weight loss, and stress reduction can help control blood pressure and may reduce the need for medication.
Evidence: Well-establishedACE inhibitors, ARBs, beta-blockers, and diuretics are alternative or add-on treatments for hypertension.
Evidence: Well-establishedNitrates, beta-blockers, and ranolazine are alternatives for angina, depending on the underlying cause.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations as recommended by your doctor. However, if you are feeling unwell, it is best to postpone vaccination until you recover.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or exposure to extreme temperatures. Store at room temperature and protect from light and moisture. If crossing time zones, continue taking your dose at the same local time as usual, but consult your doctor if you need specific timing adjustments. Check customs regulations for carrying prescription medicines in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts lowering blood pressure within 24 to 48 hours, but the full effect may take 1 to 2 weeks. It is important to take it regularly.
A: Yes, you can take it with or without food. Taking it with food may reduce stomach upset.
A: If you remember within 12 hours of the missed dose, take it as soon as possible. If more than 12 hours have passed, skip the missed dose and continue with your regular schedule. Do not double dose.
A: No, do not stop without consulting your doctor. High blood pressure often has no symptoms, and stopping can cause it to rise again, increasing the risk of complications.
A: This medicine should be used during pregnancy only if clearly needed. Consult your doctor to discuss the risks and benefits.
🤔 Common Patient Concerns
🔄 Substitutes for asomex 2.5 tablet
View AllAlternative brands with exact same active ingredient:
-
davaindia s-amlodipine 2.5mg tabletDavaindia Generic Pharmacy ₹12.00 88.9% CHEAPER
-
big dvr 2.5mg tabletBestoChem Formulations India Ltd ₹17.34 84% CHEAPER
-
s-amcard 2.5 tabletSystopic Laboratories Pvt Ltd ₹17.34 84% CHEAPER
-
amlovas s 2.5mg tabletMacleods Pharmaceuticals Pvt Ltd ₹22.50 79.2% CHEAPER
-
amlocard-s 2.5 tabletIntra Labs India Pvt Ltd ₹24.12 77.7% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure high blood pressure permanently.
Fact: This medicine controls high blood pressure but does not cure it. You need to take it regularly and make lifestyle changes to manage your blood pressure. - Myth: You can stop taking this medicine once your blood pressure is normal.
Fact: High blood pressure often has no symptoms, and stopping the medicine can cause your blood pressure to rise again, increasing the risk of stroke and heart attack. Always consult your doctor before stopping. - Myth: This medicine causes kidney damage.
Fact: This medicine is not directly harmful to the kidneys. In fact, controlling blood pressure helps protect kidney function. However, regular monitoring is advised. - Myth: Taking this medicine with grapefruit juice is safe.
Fact: Grapefruit juice can increase the levels of this medicine in your blood, leading to side effects. It is best to avoid grapefruit juice while taking this medicine.
🔄 Alternative Options
Generic Alternatives
- S-Amlodipine 2.5 mg tablet
Brand Alternatives
- Asomex 2.5 Tablet