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Can Norvasc Be Abruptly Discontinued?

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Posted on Mon, 13 Feb 2017
Question: Can I just stop norvasc? I have been taking 10mg daily for about a month. I am away from home and cannot connect with my doctor. But my lower legs and feet have been swollen for over a week. They are extremely
Uncomfortable and I see it is the #1 side effect. I want to just stop but thought I better check first.
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern I would like to explain that your symptoms could be related to amlodipine adverse effects.

What are your actual blood pressure values?

Stopping amlodipine will cause a raise in blood pressure.

That is why it is important to switch to another drug like an ACEI (lisinopril or ramipril) or an ARB ( valsartan, telmisartan).

So I would recommend switching from amlodipine 10mg to Valsartan 160mg or lisinopril 20mg.

But these drugs are given under medical prescription.

So, you should discuss with your doctor on the above issues.

Hope to have been helpful!

Kind regards,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 hours later)
I was first tried on lisinopril and my potassium went through the roof. I have never had high blood
pressure until about two months ago when it was 180/90. It usually runs 140/70. So the doc started the rx. I am on vacation Nd have been unable to reach my doctor. Is my actual reading the only concern?


My last reading was 130/70
doctor
Answered by Dr. Ilir Sharka (3 hours later)
Brief Answer:
My opinion as follows:

Detailed Answer:
Hello!

Your actual blood pressure values are within the normal ranges, but this is also thanks to amlodipine, which has lowered your blood pressure values.

If you stop taking amlodipine, your blood pressure values will probably raise above the normal ranges, and even be really high.

So, if you do not tolerate amlodipine ( because it has caused swollen legs) it is necessary switch to another antihypertensive drug.

As lisinopril has raised potassium levels, I would recommend avoid ACEI or ARB drugs.

Instead you should try hydrochlorothiazide 25 mg in the morning or methyldopa instead of amlodipine.

But I would not recommend stopping amlodipine without starting another therapy.

Hope to have been helpful!

Best wishes,
Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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Can Norvasc Be Abruptly Discontinued?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern I would like to explain that your symptoms could be related to amlodipine adverse effects. What are your actual blood pressure values? Stopping amlodipine will cause a raise in blood pressure. That is why it is important to switch to another drug like an ACEI (lisinopril or ramipril) or an ARB ( valsartan, telmisartan). So I would recommend switching from amlodipine 10mg to Valsartan 160mg or lisinopril 20mg. But these drugs are given under medical prescription. So, you should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards, Dr.Iliri