PTCB Certified Pharmacy Technician (PTCE)MedicationsMedium

A pharmacy technician is reviewing a patient's medication profile and notes a new prescription for 'amlodipine 5 mg, take 1 tablet daily.' The patient also has a history of peripheral edema. Which of the following is an important counseling point or drug interaction to consider with amlodipine?

  1. AAmlodipine interacts significantly with grapefruit juice, requiring avoidance.
  2. BAmlodipine requires a potassium-restricted diet.
  3. CAmlodipine should be taken with food to prevent stomach upset.
  4. DAmlodipine can worsen peripheral edema, and the patient should be monitored for this side effect.
Show answer & explanation

Correct answer: D. Amlodipine can worsen peripheral edema, and the patient should be monitored for this side effect.

Amlodipine, a dihydropyridine calcium channel blocker, is known to cause peripheral edema as a common dose-related side effect. Given the patient's history, monitoring for worsening edema is crucial.

Why the other options are wrong

  • A. While some calcium channel blockers interact with grapefruit juice, amlodipine's interaction is generally considered less clinically significant than for other CCBs, and worsening edema is a more direct and common concern for this specific drug and patient history.
  • B. Amlodipine does not typically require a potassium-restricted diet; this is more relevant for drugs affecting potassium levels directly.
  • C. Amlodipine can be taken with or without food; stomach upset is not a primary concern.

Amlodipine Side Effects

Amlodipine is a calcium channel blocker used to treat hypertension and angina, commonly associated with dose-dependent peripheral edema.

  • Peripheral edema (swelling of ankles/feet) is a very common side effect.
  • Other side effects include headache, flushing, and dizziness.
  • Can be taken with or without food.

Memory trick: Amlodipine helps your 'Heart', but watch out for 'Leg Swelling'!

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