PTCB Certified Pharmacy Technician (PTCE)MedicationsMedium
A pharmacy technician is assisting a patient who is concerned about taking 'amlodipine 5 mg daily' because they are experiencing swollen ankles since starting the medication. Which of the following is the most appropriate response?
- AYou should elevate your legs and apply ice to reduce the swelling.
- BThis is a common side effect; you can take an over-the-counter diuretic.
- CThis is a common side effect of amlodipine; notify your prescriber at your convenience.
- DSwelling is a serious allergic reaction; you should stop taking the medication immediately.
Show answer & explanationAnswer & explanation
Correct answer: C. This is a common side effect of amlodipine; notify your prescriber at your convenience.
Peripheral edema (swelling of the ankles and feet) is a very common and dose-dependent side effect of amlodipine, a dihydropyridine calcium channel blocker. While often benign, it can be bothersome and may warrant a dose adjustment or a change in medication by the prescriber. It is not an allergic reaction and typically does not require immediate discontinuation, but the prescriber should be informed.
Why the other options are wrong
- A. While elevating legs might provide temporary relief, it does not address the underlying cause or the need for medical evaluation of a medication side effect.
- B. A technician cannot recommend over-the-counter medications, especially diuretics, as it constitutes counseling and medical advice.
- D. Peripheral edema is a common side effect, not typically an allergic reaction, and stopping the medication without medical guidance can be dangerous.
Amlodipine Side Effects (Peripheral Edema)
A common dose-dependent side effect of amlodipine, a calcium channel blocker, characterized by swelling in the ankles and feet due to vasodilation.
- Often affects ankles and feet.
- Typically benign but can be bothersome.
- May require dose adjustment or alternative medication by a prescriber.
Memory trick: Side effects happen, inform the doctor, stay safe.