Asomex 5 Tablet (S-Amlodipine 5 mg): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Sudden swelling of the face, lips, tongue, or throat, or difficulty breathing.
- Chest pain that is new, worsening, or lasts more than a few minutes.
- Severe dizziness, fainting, or inability to stand up due to low blood pressure.
- Yellowing of the skin or eyes, dark urine, or severe abdominal pain.
- Fast, irregular, or pounding heartbeat that does not settle.
- Sudden weakness or numbness on one side of the body, or difficulty speaking.
- Severe headache with blurred vision or confusion.
- Marked decrease in urine output or sudden weight gain with swelling.
If experiencing severe symptoms, call emergency services immediately.
What is bpdin s 5mg tablet used for?
This medicine contains S-Amlodipine 5 mg, a calcium channel blocker used to treat high blood pressure and angina. It relaxes blood vessels, lowers blood pressure, and improves blood flow to the heart. It is taken once daily by mouth and should not be stopped suddenly without medical advice.
- Generic Name: S-Amlodipine
- Manufacturer: DR Best pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 bpdin s 5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा मुख्य रूप से उच्च रक्तचाप यानी हाई ब्लड प्रेशर के इलाज के लिए दी जाती है। यह रक्त वाहिकाओं को फैलाकर दिल पर दबाव कम करती है और रक्तचाप को नियंत्रित रखती है। इसे एंजाइना यानी सीने में दर्द के दौरान होने वाली तकलीफ को कम करने के लिए भी इस्तेमाल किया जाता है। यह दवा रक्तचाप को पूरी तरह ठीक नहीं करती, बल्कि नियंत्रित रखती है, इसलिए इसे रोज नियमित रूप से लेना जरूरी है। डॉक्टर की सलाह के बिना इसे अचानक बंद न करें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में टखनों या पैरों में सूजन, सिरदर्द, चेहरे पर गर्मी लगना, चक्कर आना और थकान शामिल हैं। कुछ लोगों को धड़कन तेज महसूस हो सकती है या जी मिचला सकता है। ये लक्षण आमतौर पर हल्के होते हैं और कुछ दिनों में अपने आप कम हो जाते हैं। अगर सूजन अचानक बढ़ जाए, सांस लेने में तकलीफ हो, चक्कर बहुत तेज हों या सीने में दर्द बढ़ जाए, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को रोज एक ही समय पर लें और डॉक्टर की बताई गई मात्रा से ज्यादा न लें। इसे अचानक बंद न करें, क्योंकि इससे रक्तचाप फिर बढ़ सकता है। इस दवा के साथ ग्रेपफ्रूट या उसका जूस न लें। उठते-बैठते समय धीरे-धीरे उठें ताकि चक्कर न आएं। अपनी सभी दवाओं और बीमारियों की जानकारी डॉक्टर को दें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। घर पर रक्तचाप की रीडिंग नोट करें और हर फॉलो-अप में दिखाएं।
💊 bpdin s 5mg tablet Uses & Benefits
[{"condition":"Essential hypertension","description":"This medicine lowers both systolic and diastolic blood pressure by relaxing arterial smooth muscle, and it is used as once-daily therapy for adults with high blood pressure.","evidence":"Well-established"},{"condition":"Chronic stable angina","description":"This medicine reduces the frequency of angina attacks by improving coronary blood flow and reducing cardiac workload.","evidence":"Well-established"},{"condition":"Vasospastic angina","description":"This medicine can help prevent coronary artery spasm in patients with vasospastic or variant angina.","evidence":"Established"},{"condition":"Hypertension with angina","description":"This medicine is useful when a patient has both high blood pressure and angina, because it addresses both conditions with one daily dose.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Raynaud's phenomenon","description":"Sometimes used off-label to reduce vasospasm in fingers and toes, but it is not a first-line treatment.","evidence":"Limited"},{"condition":"Migraine prophylaxis","description":"Occasionally prescribed off-label for migraine prevention, though evidence is weaker than for standard migraine preventive medicines.","evidence":"Limited"},{"condition":"Diabetic nephropathy with hypertension","description":"May be used as part of blood pressure control in diabetic kidney disease, but kidney-protective effects are not as strong as with certain other antihypertensives.","evidence":"Limited"}]
Primary treatment for: Essential hypertension
Also treats: Chronic stable angina, Vasospastic angina, Hypertension with angina
📋 Drug Information
| Generic Name(s) | S-Amlodipine |
| Brand Name | Asomex 2.5 Tablet |
| Manufacturer | DR Best pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Calcium channel blockers- Dihydropyridines (DHP) |
| Route of Administration | Oral. This medicine is taken by mouth as a tablet and swallowed whole with water |
| Storage | Store this medicine at room temperature between 15°C and 30°C in a dry place. Keep it in the original strip or container, away from direct sunlight, heat, and moisture. Do not store it in the bathroom. Keep all medicines out of the reach of children and pets. |
| Shelf Life | The shelf life is typically 24 months from the date of manufacture when stored as directed. Always check the expiry date printed on the pack and do not use the medicine after that date. |
| WHO Guideline | Not established from the available information. International guidelines generally recommend calcium channel blockers such as amlodipine as first-line treatment for hypertension in many adults, but specific recommendations for the S-enantiomer formulation are not separately established. |
| ICMR Guideline | Not established from the available information. Indian guidelines for hypertension generally include calcium channel blockers among first-line options, but specific recommendations for S-Amlodipine are not separately established. |
👨⚕️ 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
This medicine works by blocking L-type calcium channels in the smooth muscle cells of blood vessels. S-Amlodipine is the active S-enantiomer of amlodipine and binds to the dihydropyridine site of these channels. When calcium entry into vascular smooth muscle is reduced, the muscle relaxes and the arteries widen. This lowers peripheral vascular resistance, which lowers blood pressure. In the heart, the same calcium-blocking action reduces coronary artery spasm and afterload, which helps prevent angina. Because the S-enantiomer carries most of the calcium channel blocking activity, this medicine is designed to provide the desired effect with a lower total dose of the active enantiomer.
Mechanism Steps
💡 How to Take bpdin s 5mg tablet
Strength: This medicine is available as an immediate-release oral tablet containing S-Amlodipine 5 mg.
Dosage Information
| Adult Dosage | The usual adult starting dose of this medicine is 5 mg taken by mouth once daily, with or without food. Some patients may need a lower starting dose of 2.5 mg daily, especially if they are elderly, have liver disease, or are taking other blood pressure medicines. The dose may be increased gradually after 1 to 2 weeks if blood pressure is not controlled, but the maximum recommended dose is 10 mg once daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to treatment. Do not change the dose on your own. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for guidance. This medicine should not be given to children without a specialist's prescription. |
| Elderly Dosage | Older adults may be more sensitive to the blood pressure lowering effect of this medicine. A lower starting dose, often 2.5 mg once daily, may be advised, and the dose should be increased slowly under medical supervision. Regular monitoring of blood pressure, kidney function, and symptoms of dizziness is important. |
| Renal Impairment | Kidney function does not significantly affect the elimination of this medicine, so dose adjustment is usually not required for mild to moderate kidney impairment. In severe kidney disease, use with caution and monitor blood pressure and fluid status. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | This medicine is metabolized by the liver, so people with liver impairment may have higher blood levels and a stronger effect. A lower starting dose, often 2.5 mg once daily, is recommended in hepatic impairment, and the dose should be increased slowly with careful monitoring. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended adult dose is 10 mg once daily. Doses above this are not recommended because they do not provide extra benefit and may increase side effects. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of bpdin s 5mg 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 | |
| Clarithromycin | Major | |
| Simvastatin | Major | |
| Ritonavir | Major | |
| Sildenafil | Moderate | |
| Rifampicin | Moderate | |
| Carbamazepine | Moderate | |
| Grapefruit juice | Moderate | |
| Antacids | Minor | |
| Paracetamol | Minor |
🚨 Major Interactions
- CYP3A4 strong inhibitors such as ketoconazole, itraconazole, clarithromycin, and ritonavir
- Simvastatin
- Other blood pressure lowering medicines
⚡ Moderate Interactions
- Grapefruit juice
- Sildenafil and other PDE5 inhibitors
- Beta-blockers
- CYP3A4 inducers such as rifampicin, carbamazepine, and phenytoin
🍷 Alcohol Interaction
Alcohol can increase the blood pressure lowering effect of this medicine and may cause dizziness, lightheadedness, or fainting. It is best to avoid alcohol or keep it to a minimum while taking this medicine. If you do drink, do so only occasionally and in small amounts, and never drive afterward.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to S-Amlodipine, amlodipine, or any ingredient in the tablet","Severe hypotension with systolic blood pressure below 90 mmHg","Cardiogenic shock","Severe aortic stenosis","Unstable angina or acute heart attack unless specifically directed by a cardiologist","Severe liver impairment without specialist supervision"]
⚠️ Warnings & Precautions
["Do not stop this medicine suddenly, because blood pressure can rise again and angina may worsen.","Use caution when driving or operating machinery until you know how this medicine affects you.","Avoid grapefruit and grapefruit juice during treatment.","Tell your doctor if you have liver disease, kidney disease, heart failure, or diabetes.","Inform your doctor about all other medicines, including over-the-counter products and herbal supplements.","Older adults may be more sensitive to the blood pressure lowering effect and should rise slowly from sitting or lying positions.","This medicine may cause ankle swelling, which is not a sign of heart failure in most cases but should still be reported.","Do not use this medicine to treat a sudden hypertensive emergency without medical supervision."]
🤱 Lactation Safety
This medicine may pass into breast milk in small amounts. Breastfeeding should be continued only after discussing the risks and benefits with your doctor. If you are breastfeeding, your doctor may choose a different medicine or monitor your baby for any unusual symptoms.
💊 Overdose Management
An overdose of this medicine can cause a dangerous drop in blood pressure, dizziness, fainting, and a fast or irregular heartbeat. If you suspect an overdose, contact emergency medical services or go to the nearest hospital immediately. Do not try to vomit or drink large amounts of water on your own. Treatment in hospital may include monitoring of blood pressure and heart rate, intravenous fluids, and medicines to support circulation. Take the medicine strip or prescription with you to help the treating team.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember, provided it is not almost time for the next dose. If it is nearly time for the next dose, skip the missed dose and continue with your regular schedule. Never take two doses at the same time to make up for a missed dose. If you are unsure, contact your doctor or pharmacist for advice.
Additional Safety Advice
Take this medicine exactly as prescribed, preferably at the same time each day. Do not stop it suddenly on your own, because blood pressure can rebound. Avoid drinking grapefruit juice while taking this medicine, as it can raise the amount of medicine in your body. Stand up slowly from sitting or lying positions to reduce dizziness. Tell your doctor about all other medicines, especially blood pressure drugs, water pills, and erectile dysfunction medicines. If you are pregnant, planning pregnancy, or breastfeeding, inform your doctor before continuing this medicine. Keep a record of your home blood pressure readings and bring them to every follow-up visit. Do not use extra doses to make up for a missed one. Store the tablets in their original strip or container, away from heat, moisture, and direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more sensitive to the blood pressure lowering effect of this medicine and are at higher risk of dizziness and falls. A lower starting dose, often 2.5 mg once daily, may be advised. Blood pressure, kidney function, and symptoms should be monitored regularly. Rise slowly from sitting or lying positions to avoid falls.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, discuss this medicine with your doctor before you conceive. High blood pressure needs to be controlled during pregnancy, but some medicines are preferred over others. Do not stop or change your medicine on your own. Your doctor will choose the safest option for you and your baby.
🏥 Post-Surgery Considerations
Inform your surgeon and anaesthetist that you take this medicine before any surgery. It may affect blood pressure during and after the procedure. Your doctor may advise you to continue, adjust, or temporarily stop it depending on the type of surgery and your condition. Do not make changes without medical advice.
🦷 Dental Procedures
Tell your dentist that you take this medicine before any dental procedure. It can cause gum overgrowth in rare cases, so good oral hygiene is important. Blood pressure should be well controlled before dental work. If you feel dizzy or unwell during the procedure, inform the dentist immediately.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Regular physical activity is good for blood pressure, but start slowly and avoid sudden intense exertion if you have angina. If you feel chest pain, severe breathlessness, or dizziness during exercise, stop immediately and seek medical advice. Your doctor can help you plan a safe exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine usually does not stop you from working, but it can cause dizziness or tiredness, especially when you first start it or when the dose is increased. Avoid driving or operating heavy machinery until you know how it affects you. If your job involves heights or dangerous equipment, discuss it with your doctor. Most people can continue their normal daily activities once their blood pressure is stable.
🛑 When to Stop This Medicine
Do not stop this medicine on your own. Your doctor may stop it or change it if your blood pressure is well controlled with lifestyle changes, if you develop serious side effects, or if you become pregnant. Always consult your doctor before stopping, because sudden withdrawal can cause blood pressure to rise and angina to worsen.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when monitored by a doctor. It controls blood pressure but does not cure high blood pressure, so treatment is usually continued for years. Regular monitoring of blood pressure, kidney function, and symptoms is important. Some people develop persistent ankle swelling over time. Rarely, liver problems or gum overgrowth may occur. Do not stop the medicine on your own, because uncontrolled blood pressure can damage the heart, brain, kidneys, and eyes.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A low-salt diet rich in fruits and vegetables can help lower blood pressure and may reduce the dose of medicine needed.
Evidence: Well-establishedAerobic exercise such as brisk walking can lower blood pressure and improve heart health.
Evidence: Well-establishedLosing excess weight can significantly lower blood pressure and improve overall health.
Evidence: Well-establishedYoga, meditation, and breathing exercises can help manage stress and support blood pressure control.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There is no known interaction between this medicine and routine vaccines. You can receive vaccinations as advised by your doctor. If you have recently been unwell or have a fever, discuss the timing of vaccination with your healthcare provider.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate unless the label specifically says so.
✅ DO
Keep the tablets in their original strip or container.
❌ DON'T
Do not transfer them to unmarked containers.
✅ DO
Keep away from direct sunlight, heat, and moisture.
❌ DON'T
Do not store in the bathroom or near the kitchen stove.
✅ DO
Keep out of the reach of children and pets.
❌ DON'T
Do not use after the expiry date printed on the pack.
✈️ Traveling with This Medicine
Carry this medicine in its original strip or container with the prescription copy when you travel. Keep enough supply for the entire trip plus a few extra days in case of delays. Store it in your hand luggage, away from heat and direct sunlight. If you cross time zones, take the dose at your usual local time unless your doctor advises otherwise. Carry a written list of your medicines and allergies. Check the customs rules of your destination for prescription medicines, and keep the medicine in its original packaging to avoid questions.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Blood pressure starts to fall within several hours, but the full effect usually develops over 1 to 2 weeks of regular use.
A: No. Blood pressure is normal because the medicine is working. Stopping it suddenly can cause blood pressure to rise again. Always consult your doctor before making any change.
A: Common side effects include ankle swelling, headache, flushing, dizziness, and tiredness. Most are mild and improve with time.
A: Yes, this medicine can be taken with or without food. Avoid grapefruit and grapefruit juice.
A: Use during pregnancy only if your doctor decides it is clearly needed. Do not start or stop it without medical advice.
A: Alcohol can increase dizziness and low blood pressure. It is best to avoid it or keep it to a minimum.
🤔 Common Patient Concerns
🔄 Substitutes for bpdin s 5mg tablet
View AllAlternative brands with exact same active ingredient:
-
s-amoline 5 tabletZeelab Pharmacy Pvt Ltd ₹6.00 70% CHEAPER
-
davaindia s-amlodipine 5mg tabletDavaindia Generic Pharmacy ₹15.00 25% CHEAPER
-
amlonip 5mg tabletCurelife Pharmaceuticals ₹26.63 33.2% COSTLIER
-
s-amcard 5 tabletSystopic Laboratories Pvt Ltd ₹29.06 45.3% COSTLIER
-
apruv 5mg tabletEmcure Pharmaceuticals Ltd ₹33.75 68.8% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped once blood pressure becomes normal.
Fact: Blood pressure becomes normal because the medicine is working. Stopping it suddenly can cause blood pressure to rise again and increase the risk of complications. - Myth: This medicine damages the kidneys.
Fact: This medicine is not directly harmful to the kidneys at usual doses. Regular monitoring is still important, especially if you have kidney disease. - Myth: Ankle swelling means the medicine is not working.
Fact: Ankle swelling is a known side effect of this class of medicine. It does not mean the medicine is failing, but it should be reported to your doctor. - Myth: This medicine can be taken only when you feel unwell.
Fact: High blood pressure often has no symptoms. This medicine must be taken regularly to keep blood pressure controlled. - Myth: Grapefruit juice is safe with this medicine.
Fact: Grapefruit can increase the blood levels of this medicine and raise the risk of side effects. It is best avoided.
🔄 Alternative Options
Generic Alternatives
- S-Amlodipine 5 mg tablet
- Amlodipine 5 mg tablet
Brand Alternatives
- Asomex 5 Tablet