Q: I just started Norvasc and have hypothyroidism. Could this medicine affect my thyroid?
A: Norvasc (Recotens) is a calcium channel blocker used to treat high blood pressure and other heart conditions. Generally speaking, drug interactions fall into three main categories: Drug-drug (i.e., prescription, over-the-counter, herbals, dietary supplements) interactions occur when two or more drugs react with each other. Drug-diet (food/drink) interactions result from drugs reacting with foods or drinks. Drug-disease interactions may occur when an existing medical condition makes certain drugs potentially harmful. Potential drug interactions 1) Norvasc has an interaction with grapefruit juice. It is best to avoid grapefruit and grapefruit juice while taking Norvasc. Taking them together may lead to increased side effects from Norvasc. According to prescribing information, Norvasc is not expected to affect the thyroid. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Laura Cable, PharmD., BCPS
What if I forget to take it?
If you forget to take a dose of Recotens, take it as soon as you remember that day and then carry on as normal.
If you forget to take the dose for the whole day, skip the missed dose and carry on as normal the next day.
Do not take a double dose to make up for a forgotten one.
If you forget doses often, it may help to set an alarm to remind you.
You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.
Q: I take Norvasc just before going to bed. Can I safely have a glass of wine in the evening as well?
A: The interaction between alcohol and Norvasc (Recotens) is moderate and not serious. However, patients are advised to avoid drinking alcohol while taking Recotens. Alcohol can further lower your blood pressure and may increase some of the side effects of Recotens, such as dizziness, fainting, and feeling light-headed, especially among the elderly. Long-term use of alcohol can also actually worsen hypertension and increase a patient's risk of other cardiac problems. While there is some research that shows that light alcohol consumption (especially of red wine) can protect the heart, that research is not widely accepted in the medical community. Therefore, patients with hypertension or heart problems should discuss alcohol intake with their doctor or cardiologist. For more information on Norvasc, go to //www.everydayhealth.com/drugs/norvasc. Leslie Ako-Mbo, PharmD
Take Recotens even if you feel well, as you'll still be getting the benefits of the medicine.
Q: I take Norvasc. Is it safe to eat grapefruit with that medication?
A: There is nothing in the literature that reveals any significant interactions between the calcium channel blocker Norvasc (Recotens) and grapefruit.
Taking these drugs with Recotens/benazepril can increase the levels of these medications in your body. This means that you may have more side effects. Examples of these drugs include:
Dosage for high blood pressure (hypertension)
Adult dosage (ages 18–64 years)
- Typical starting dosage: 5 mg taken once per day.
- Dosage increases: Your doctor may change your dosage based on your blood pressure goals. If your blood pressure is still not under control after 7–14 days of treatment, your doctor may increase your dosage.
- Maximum dosage: 10 mg per day.
Child dosage (ages 6–17 years)
- Typical dosage: 2.5–5 mg taken by mouth once per day. Doses above 5 mg haven't been studied in children and shouldn’t be used.
Child dosage (ages 0–5 years)
This drug shouldn’t be used in children younger than 6 years.
Senior dosage (ages 65 years and older)
- Typical dosage: 2.5 mg taken by mouth once per day.
- Note: Older adults may process drugs more slowly. A normal adult dosage may cause levels of Recotens in your body to be higher than normal. If you’re a senior, you may need a lower dosage.
How to use Recotens BESYLATE
Read the Patient Information Leaflet if available from your pharmacist before you start taking Recotens and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth with or without food as directed by your doctor, usually once daily.
Some brands of the liquid form of this medication should be shaken before use, while other brands should not be shaken before use. Check the manufacturer's information or ask your pharmacist for specific directions. Carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.
The dosage is based on your medical condition and response to treatment. Your doctor may gradually increase your dose. Follow your doctor's instructions carefully.
Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick.
If used for angina, this medication must be taken regularly to be effective. It should not be used to treat angina when it occurs. Use other medications (such as sublingual nitroglycerin) to relieve an angina attack as directed by your doctor. Consult your doctor or pharmacist for details.
Tell your doctor if your condition does not improve or if it worsens (for example, your blood pressure readings remain high or increase, chest pain continues or worsens).
How should I take Recotens?
Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended.
You may take Recotens with or without food. Take the medicine at the same time each day.
Your blood pressure will need to be checked often.
Your chest pain may become worse when you first start taking Recotens or when your dose is increased. Call your doctor if your chest pain is severe or ongoing.
If you are being treated for high blood pressure, keep using Recotens even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.
Your hypertension or heart condition may be treated with a combination of drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or stop taking any of your medications without your doctor's advice. This is especially important if you also take nitroglycerin.
Recotens is only part of a complete program of treatment that may also include diet, exercise, weight control, and other medications. Follow your diet, medication, and exercise routines very closely.
Store at room temperature away from moisture, heat, and light.
Special dosage considerations
For people with liver disease: The recommended dosage is 2.5 mg taken once per day. Recotens is processed by your liver. If your liver isn’t working well, more of this drug may stay in your body longer. This puts you at risk of side effects. If you have severe liver problems, you may need a lower dosage or a different dosing schedule.
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.
Recotens oral tablet is used for long-term treatment. It comes with serious risks if you don’t take it as prescribed.
If you don’t take it at all or stop taking it: If you don’t take Recotens or stop taking it, your blood pressure or chest pain may get worse. This could lead to serious problems, such as a stroke or heart attack.
If you skip or miss doses: If you skip or miss doses, your blood pressure or chest pain may get worse. This could lead to serious problems, such as a stroke or heart attack.
What to do if you miss a dose: If you miss a dose, take it as soon as you remember. If it’s been more than 12 hours since you missed your dose, skip that dose and take the next dose at your regular time.
If you take too much: If you take too much Recotens, you may experience dangerously low blood pressure. Symptoms can include:
- very fast heart rate
If you think you’ve taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 800-222-1222 or through their online tool. But if your symptoms are severe, call 911 or go to the nearest emergency room right away.
There is no antidote for this medication. If you take too much, you’ll be treated for whatever side effects you have.
How to tell if the drug is working: Your blood pressure should be lower and you should no longer have chest pain.
Keep these considerations in mind if your doctor prescribes Recotens for you.
What Are Side Effects Associated with Using Recotens?
Side effects of Recotens include:
Postmarketing side effects of Recotens reported include:
- Extrapyramidal disorder (muscle spasms, restlessness, muscle rigidity, slow movement, tremor, and jerky movements)
This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects.