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Amlodipine Besylate and Benazepril Hydrochloride
Overview
Active ingredients
Source: NDC Directory| Ingredient | Strength | RxCUI | Monograph |
|---|---|---|---|
| Amlodipine Besylate | 10 mg/1 | 999967 | View |
| Amlodipine Besylate | 2.5 mg/1 | 999967 | View |
| Amlodipine Besylate | 5 mg/1 | 999967 | View |
| Benazepril Hydrochloride | 10 mg/1 | 898356 | View |
| Benazepril Hydrochloride | 20 mg/1 | 898356 | View |
| Benazepril Hydrochloride | 40 mg/1 | 898356 | View |
Forms, strengths and routes
Source: NDC DirectoryPharmacologic classes are listed in the class section below.
Pharmacologic class
Source: NDC Directory| Class | Type | Browse |
|---|---|---|
| Angiotensin Converting Enzyme Inhibitor [EPC] | EPC | All 34 members |
| Angiotensin-converting Enzyme Inhibitors [MoA] | MoA | All 34 members |
| Calcium Channel Antagonists [MoA] | MoA | All 75 members |
| Calcium Channel Blocker [EPC] | EPC | All 55 members |
| Cytochrome P450 3A Inhibitors [MoA] | MoA | All 89 members |
| Decreased Blood Pressure [PE] | PE | All 21 members |
| Dihydropyridine Calcium Channel Blocker [EPC] | EPC | All 49 members |
| Dihydropyridines [CS] | CS | All 49 members |
Regulatory status
Source: Drugs@FDANDC Directory| Product | Trade name | Form | Strength | Ingredient | Status | TE | Flags |
|---|---|---|---|---|---|---|---|
| 078466-001 | AMLODIPINE BESYLATE AND BENAZEPRIL HYDROCHLORIDE | CAPSULE | AMLODIPINE BESYLATE; BENAZEPRIL HYDROCHLORIDE | Prescription | AB | ||
| 078466-002 | AMLODIPINE BESYLATE AND BENAZEPRIL HYDROCHLORIDE | CAPSULE | AMLODIPINE BESYLATE; BENAZEPRIL HYDROCHLORIDE | Prescription | AB | ||
| 078466-003 | AMLODIPINE BESYLATE AND BENAZEPRIL HYDROCHLORIDE | CAPSULE | AMLODIPINE BESYLATE; BENAZEPRIL HYDROCHLORIDE | Prescription | AB | ||
| 078466-004 | AMLODIPINE BESYLATE AND BENAZEPRIL HYDROCHLORIDE | CAPSULE | AMLODIPINE BESYLATE; BENAZEPRIL HYDROCHLORIDE | Prescription | AB | ||
| 078466-005 | AMLODIPINE BESYLATE AND BENAZEPRIL HYDROCHLORIDE | CAPSULE | AMLODIPINE BESYLATE; BENAZEPRIL HYDROCHLORIDE | Prescription | AB | ||
| 078466-006 | AMLODIPINE BESYLATE AND BENAZEPRIL HYDROCHLORIDE | CAPSULE | AMLODIPINE BESYLATE; BENAZEPRIL HYDROCHLORIDE | Prescription | AB | RS | |
| 078466-007 | AMLODIPINE BESYLATE; BENAZEPRIL HYDROCHLORIDE | CAPSULE | AMLODIPINE BESYLATE; BENAZEPRIL HYDROCHLORIDE | Prescription | — |
Therapeutic equivalence
Source: Orange BookWhat this rating means: Therapeutically equivalent — bioequivalence demonstrated by in vivo or in vitro testing
Codes beginning with “A” indicate products the FDA considers therapeutically equivalent. Codes beginning with “B” indicate bioequivalence has not been established. See methodology.
Approval history
Source: Drugs@FDA| Type | No. | Action | Status | Date | Review |
|---|---|---|---|---|---|
| Supplement | 20 | Labeling | Approved | February 21, 2020 | Standard |
| Supplement | 17 | Labeling | Approved | December 3, 2015 | Standard |
| Supplement | 14 | Labeling | Approved | December 3, 2015 | Standard |
| Supplement | 13 | Labeling | Approved | December 3, 2015 | Standard |
| Supplement | 9 | Labeling | Approved | November 5, 2014 | Standard |
| Supplement | 8 | Labeling | Approved | September 27, 2012 | — |
| Supplement | 6 | Labeling | Approved | August 31, 2011 | — |
| Original application | 2 | Approved | July 5, 2011 | — | |
| Supplement | 5 | Labeling | Approved | October 4, 2010 | — |
| Original application | 1 | Approved | February 5, 2010 | — |
Prescribing information
Source: openFDA Drug LabelingReproduced verbatim from the Structured Product Labeling submitted to the FDA (effective 20260331). This is the manufacturer's labelling text, not a summary and not advice.
Boxed Warning
openFDA Drug LabelingWARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue amlodipine and benazepril hydrochloride capsules as soon as possible ( 5.5 ). Drugs that act directly on the renin-angiotensin system (RAS) can cause injury and death to the developing fetus ( 5.5 ) WARNING: FETAL TOXICITY When pregnancy is detected, discontinue amlodipine and benazepril hydrochloride capsules as soon as possible ( 5.5 ). Drugs that act directly on the renin-angiotensin system (RAS) can cause injury and death to the developing fetus ( 5.5 )
Indications and Usage
openFDA Drug Labeling1 INDICATIONS AND USAGE Amlodipine and benazepril hydrochloride capsules are a combination capsule of amlodipine, a dihydropyridine calcium channel blocker (DHP CCB) and benazepril, an angiotensin-converting enzyme (ACE) inhibitor. Amlodipine and benazepril hydrochloride capsules are indicated for the treatment of hypertension in patients not adequately controlled on monotherapy with either agent. ( 1 ) 1.1 Hypertension Amlodipine and benazepril hydrochloride capsules are indicated for the treatment of hypertension in patients not adequately controlled on monotherapy with either agent.
Dosage and Administration
openFDA Drug Labeling2 DOSAGE AND ADMINISTRATION Usual starting dose is 2.5/10 mg. ( 2.1 ) May be used as add-on therapy for patients not adequately controlled with either a dihydropyridine calcium channel blocker or an ACE inhibitor. ( 2.2 ) Patients who experience edema with amlodipine may be switched to amlodipine and benazepril hydrochloride capsules, containing a lower dose of amlodipine. ( 2.1 ) 2.1 General Considerations The recommended initial dose of amlodipine and benazepril hydrochloride capsule, is 1 capsule of amlodipine 2.5 mg/benazepril 10 mg orally once-daily. Begin therapy with amlodipine and benazepril hydrochloride capsules, only after a patient has either (a) failed to achieve the desired antihypertensive effect with amlodipine or benazepril monotherapy, or (b) demonstrated inability to achieve adequate antihypertensive effect with amlodipine therapy without developing edema. The antihypertensive effect of amlodipine and benazepril hydrochloride capsule, is largely attained within 2 weeks. If blood pressure remains uncontrolled, the dose may be titrated up to amlodipine 10 mg/benazepril 40 mg once-daily. The dosing should be individualized and adjusted according to the patient's clinical response. In clinical trials of amlodipine/benazepril combination therapy using amlodipine doses of 2.5 to 10 mg and benazepril doses of 10 to 40 mg, the antihypertensive effects increased with increasing dose of amlodipine in all patient groups, and the effects increased with increasing dose of benazepril in nonblack groups. 2.2 Replacement Therapy Amlodipine and benazepril hydrochloride capsules, may be substituted for the titrated components.
Dosage Forms and Strengths
openFDA Drug Labeling3 DOSAGE FORMS AND STRENGTHS Amlodipine and benazepril hydrochloride capsules, USP are available as follows: 2.5 mg/10 mg, 5 mg/10 mg, 5 mg/20 mg, and 10 mg/20 mg. Capsules (amlodipine mg/benazepril hydrochloride mg): 2.5 mg/10 mg, 5 mg/10 mg, 5 mg/20 mg, 10 mg/20 mg (3)
Contraindications
openFDA Drug Labeling4 CONTRAINDICATIONS Do not co-administer aliskiren with angiotensin receptor blockers (ARBs), angiotensin-converting enzyme (ACE) inhibitors, including amlodipine and benazepril hydrochloride capsules in patients with diabetes. Amlodipine and benazepril hydrochloride capsules are contraindicated in patients with a history of angioedema, with or without previous ACE inhibitor treatment, or patients who are hypersensitive to benazepril, to any other ACE inhibitor, to amlodipine, or to any of the excipients of amlodipine and benazepril hydrochloride capsules. Amlodipine and benazepril hydrochloride capsules are contraindicated in combination with a neprilysin inhibitor (e.g., sacubitril). Do not administer amlodipine and benazepril hydrochloride capsules within 36 hours of switching to or from a neprilysin inhibitor, e.g., sacubitril/valsartan [see Warnings and Precautions (5.1) ] . Do not co-administer aliskiren with ACE inhibitors, including amlodipine and benazepril hydrochloride capsules, in patients with diabetes. (4) Amlodipine and benazepril hydrochloride capsules are contraindicated in patients with a history of angioedema or patients who are hypersensitive to benazepril or to amlodipine. (4) Amlodipine and benazepril hydrochloride capsules are contraindicated in combination with a neprilysin inhibitor (e.g., sacubitril). Do not administer amlodipine and benazepril hydrochloride capsules within 36 hours of switching to or from a neprilysin inhibitor, e.g., sacubitril/valsartan. (4)
Warnings and Cautions
openFDA Drug Labeling5 WARNINGS AND PRECAUTIONS Anaphylactoid reactions, including angioedema (5.2) Myocardial infarction or increased angina in patients with obstructive coronary artery disease. (5.3) Assess for hypotension and hyperkalemia. (5.4 , 5.6) Titrate slowly in patients with impaired hepatic or severely impaired renal function. (5.5 , 5.7) 5.1 Fetal Toxicity Amlodipine and benazepril hydrochloride capsules can cause fetal harm when administered to a pregnant woman. Use of drugs that act on the renin-angiotensin system during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and neonatal morbidity and death. Resulting oligohydramnios can be associated with fetal lung hypoplasia and skeletal deformations. Potential neonatal adverse effects include skull hypoplasia, anuria, hypotension, renal failure, and death. When pregnancy is detected, discontinue amlodipine and benazepril hydrochloride capsules as soon as possible [see Use in Specific Populations (8.1) ] . 5.2 Angioedema and Anaphylactoid Reactions Head and Neck Angioedema: Angioedema of the face, extremities, lips, tongue, glottis, and larynx has been reported in patients treated with benazepril. This may occur at any time during treatment. Angioedema associated with edema of the larynx, tongue, or glottis can compromise the airway and be fatal. If laryngeal stridor or angioedema of the face, tongue, or glottis occurs, discontinue treatment with amlodipine and benazepril hydrochloride capsules and treat immediately. When involvement of the tongue, glottis, or larynx appears likely to cause airway obstruction, appropriate therapy, e.g., administer subcutaneous epinephrine injection 1:1000 (0.3 to 0.5 mL), promptly [see Adverse Reactions (6)] . Patients with a history of angioedema may be at increased risk for angioedema while receiving amlodipine and benazepril hydrochloride capsules. Black patients receiving ACE inhibitors have a higher incidence of angioedema compared to nonblacks. Patients receiving co-administration of ACE inhibitor and mTOR (mammalian target of rapamycin) inhibitor (e.g., temsirolimus, sirolimus, everolimus) therapy or a neprilysin inhibitor may be at increased risk for angioedema [see Drug Interactions (7) ] . Intestinal Angioedema: Intestinal angioedema has been reported in patients treated with ACE inhibitors. These patients presented with abdominal pain (with or without nausea or vomiting); in some cases there was no prior history of facial angioedema and C-1 esterase levels were normal. The angioedema was diagnosed by procedures including abdominal CT scan or ultrasound, or at surgery, and symptoms resolved after stopping the ACE inhibitor. Intestinal angioedema should be included in the differential diagnosis of patients on ACE inhibitors presenting with abdominal pain. Anaphylactoid Reactions During Desensitization: Two patients undergoing desensitizing treatment with hymenoptera (wasp sting) venom while receiving ACE inhibitors sustained life-threatening anaphylactoid reactions. Anaphylactoid Reactions During Membrane Exposure: Anaphylactoid reactions have been reported in patients dialyzed with high-flux membranes and treated concomitantly with an ACE inhibitor. Anaphylactoid reactions have also been reported in patients undergoing low-density lipoprotein apheresis with dextran sulfate absorption. 5.3 Increased Angina and/or Myocardial Infarction Worsening angina and acute myocardial infarction can develop after starting or increasing the dose of amlodipine, particularly in patients with severe obstructive coronary artery disease. 5.4 Hypotension Amlodipine and benazepril hydrochloride capsules can cause symptomatic hypotension, sometimes complicated by oliguria, progressive azotemia, acute renal failure, or death. Symptomatic hypotension is most likely to occur in patients who have heart failure, severe aortic or mitral stenosis, obstructive hypertrophic cardiomyopathy or have been volume or salt depleted as a …
Adverse Reactions
openFDA Drug Labeling6 ADVERSE REACTIONS Discontinuation because of adverse reactions occurred in 4% of amlodipine and benazepril hydrochloride capsules-treated patients and 3% of placebo-treated patients. The most common reasons for discontinuation of therapy with amlodipine and benazepril hydrochloride capsules were cough and edema. (6.1) To report SUSPECTED ADVERSE REACTIONS, contact Amneal Pharmaceuticals LLC at 1-877-835-5472 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The adverse reaction information from clinical trials does, however, provide a basis for identifying the adverse events that appear to be related to drug use and for approximating rates. Amlodipine and benazepril hydrochloride capsules have been evaluated for safety in over 2,991 patients with hypertension; over 500 of these patients were treated for at least 6 months, and over 400 were treated for more than 1 year. In a pooled analysis of 5 placebo-controlled trials involving amlodipine and benazepril hydrochloride capsules doses up to 5/20, the reported side effects were generally mild and transient, and there was no relationship between side effects and age, sex, race, or duration of therapy. Discontinuation of therapy due to side effects was required in approximately 4% of patients treated with amlodipine and benazepril hydrochloride capsules and in 3% of patients treated with placebo. The most common reasons for discontinuation of therapy with amlodipine and benazepril hydrochloride capsules in these studies were cough and edema (including angioedema). The peripheral edema associated with amlodipine use is dose-dependent. When benazepril is added to a regimen of amlodipine, the incidence of edema is substantially reduced. The addition of benazepril to a regimen of amlodipine should not be expected to provide additional antihypertensive effect in African-Americans. However, all patient groups benefit from the reduction in amlodipine-induced edema. The side effects considered possibly or probably related to study drug that occurred in these trials in more than 1% of patients treated with amlodipine and benazepril hydrochloride capsules are shown in the table below. Cough was the only adverse event with at least possible relationship to treatment that was more common on amlodipine and benazepril hydrochloride capsules (3.3%) than on placebo (0.2%). Percent Incidence in U. S. Placebo-controlled Trials Benazepril/Amlodipine Benazepril Amlodipine Placebo N = 760 N = 554 N = 475 N = 408 Cough 3.3 1.8 0.4 0.2 Headache 2.2 3.8 2.9 5.6 Dizziness 1.3 1.6 2.3 1.5 Edema* 2.1 0.9 5.1 2.2 *Edema refers to all edema, such as dependent edema, angioedema, facial edema. The incidence of edema was greater in patients treated with amlodipine monotherapy (5.1%) than in patients treated with amlodipine and benazepril hydrochloride capsules (2.1%) or placebo (2.2%). Other side effects considered possibly or probably related to study drug that occurred in U.S. placebo-controlled trials of patients treated with amlodipine and benazepril hydrochloride capsules or in postmarketing experience were the following: Body as a Whole: Asthenia and fatigue. CNS: Insomnia, nervousness, anxiety, tremor, and decreased libido. Dermatologic: Flushing, hot flashes, rash, skin nodule, and dermatitis. Digestive: Dry mouth, nausea, abdominal pain, dyspepsia, and esophagitis. Hematologic: Neutropenia Musculoskeletal: cramps, and muscle cramps. Urogenital: Sexual problems, such as impotence, and polyuria. Monotherapies of benazepril and amlodipine have been evaluated for safety in clinical trials in over 6,000 and 11,000 patients, respectively. The observed adverse reactions to the monotherapies in these trials were similar …
Drug Interactions
openFDA Drug Labeling7 DRUG INTERACTIONS • Potassium supplements/potassium-sparing diuretics: hyperkalemia. ( 7.1 ) • Lithium: Increased serum lithium levels; toxicity symptoms. ( 7.1 ) • Injectable gold: facial flushing, nausea, vomiting, hypotension. ( 7.1 ) • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Risk of renal dysfunction, loss of antihypertensive effect. ( 7.1 ) • Do not exceed doses greater than 20 mg daily of simvastatin. ( 7.1 ) • mTOR inhibitors: increased risk of angioedema. ( 7.1 ) • Dual inhibition of the renin-angiotensin system (RAS): Increased risk of renal impairment, hypotension, and hyperkalemia. ( 7.1 ) • Neprilysin inhibitors: increased risk of angioedema. ( 7.1 ) 7.1 Drug/Drug Interactions Amlodipine Simvastatin: Coadministration of simvastatin with amlodipine increases the systemic exposure of simvastatin. Limit the dose of simvastatin in patients on amlodipine to 20 mg daily. CYP3A4 Inhibitors: Coadministration with CYP3A inhibitors (moderate and strong) results in increased systemic exposure to amlodipine and may require dose reduction. Monitor for symptoms of hypotension and edema when amlodipine is coadministered with CYP3A4 inhibitors to determine the need for dose adjustment. CYP3A4 Inducers: No information is available on the quantitative effects of CYP3A4 inducers on amlodipine. Blood pressure should be monitored when amlodipine is coadministered with CYP3A4 inducers (e.g. rifampicin, St. John's Wort). Benazepril Potassium Supplements and Potassium-Sparing Diuretics: Benazepril can attenuate potassium loss caused by thiazide diuretics. Potassium-sparing diuretics (spironolactone, amiloride, triamterene, and others) or potassium supplements can increase the risk of hyperkalemia. If concomitant use of such agents is indicated, the patient's serum potassium should be monitored frequently. Lithium: Increased serum lithium levels and symptoms of lithium toxicity have been reported in patients receiving ACE inhibitors during therapy with lithium. When coadministering amlodipine and benazepril hydrochloride capsules and lithium, frequent monitoring of serum lithium levels is recommended. Gold: Nitritoid reactions (symptoms include facial flushing, nausea, vomiting and hypotension) have been reported rarely in patients on therapy with injectable gold (sodium aurothiomalate) and concomitant ACE inhibitor therapy. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) including Selective Cyclooxygenase-2 Inhibitors (COX-2 Inhibitors): In patients who are elderly, volume-depleted (including those on diuretic therapy), or with compromised renal function, coadministration of NSAIDs, including selective COX-2 inhibitors, with ACE inhibitors, including benazepril, may result in deterioration of renal function, including possible acute renal failure. These effects are usually reversible. Monitor renal function periodically in patients receiving benazepril and NSAID therapy. The antihypertensive effect of ACE inhibitors, including benazepril, may be attenuated by NSAIDs. Antidiabetic Agents: In rare cases, diabetic patients receiving an ACE inhibitor (including benazepril) concomitantly with insulin or oral antidiabetics may develop hypoglycemia. Such patients should therefore be advised about the possibility of hypoglycemic reactions and should be monitored accordingly. Mammalian Target of Rapamycin (mTOR) Inhibitors: The risk of angioedema may be increased in patients receiving coadministration of ACE inhibitors and mTOR inhibitors (e.g., temsirolimus, sirolimus, everolimus). Dual Blockade of the Renin-Angiotensin System (RAS): Dual blockade of the RAS with angiotensin receptor blockers, ACE inhibitors, or aliskiren is associated with increased risks of hypotension, hyperkalemia, and changes in renal function (including acute renal failure) compared to monotherapy. Most patients receiving the combination of two RAS inhibitors do not obtain any additional benefit compared to monotherapy. In general, avoid combined use of RAS inhibitor …
Use in Specific Populations
openFDA Drug Labeling8 USE IN SPECIFIC POPULATIONS 8.1 Pregnancy Risk Summary Amlodipine and benazepril hydrochloride capsules can cause fetal harm when administered to a pregnant woman. Use of drugs that act on the RAS during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and neonatal morbidity and death. Most epidemiologic studies examining fetal abnormalities after exposure to antihypertensive use in the first trimester have not distinguished drugs affecting the RAS from other antihypertensive agents. When pregnancy is detected, discontinue amlodipine and benazepril hydrochloride capsules as soon as possible. The estimated background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. Clinical Considerations Disease-associated maternal and/or embryo/fetal risk Hypertension in pregnancy increases the maternal risk for pre-eclampsia, gestational diabetes, premature delivery, and delivery complications (e.g., need for cesarean section, and post-partum hemorrhage). Hypertension increases the fetal risk for intrauterine growth restriction and intrauterine death. Pregnant women with hypertension should be carefully monitored and managed accordingly. Fetal/Neonatal Adverse Reactions Oligohydramnios in pregnant women who use drugs affecting the renin-angiotensin system in the second and third trimesters of pregnancy can result in the following: reduced fetal renal function leading to anuria and renal failure, fetal lung hypoplasia, skeletal deformations, including skull hypoplasia, hypotension and death. Perform serial ultrasound examinations to assess the intra-amniotic environment. Fetal testing may be appropriate, based on the week of gestation. Patients and physicians should be aware, however, that oligohydramnios may not appear until after the fetus has sustained irreversible injury. If oligohydramnios is observed, consider alternative drug treatment. Closely observe neonates with histories of in utero exposure to amlodipine and benazepril hydrochloride capsules for hypotension, oliguria, and hyperkalemia. In neonates with a history of in utero exposure to amlodipine and benazepril hydrochloride capsules, if oliguria or hypotension occurs, support blood pressure and renal perfusion. Exchange transfusions or dialysis may be required as a means of reversing hypotension and replacing renal function. Data Animal Data Benazepril and Amlodipine: When rats received benazepril: amlodipine at doses ranging from 5:2.5 to 50:25 mg/kg/day, dystocia was observed at an increasing dose-related incidence at all doses tested. On a body surface area basis, the 2.5 mg/kg/day dose of amlodipine is twice the amlodipine dose delivered when the maximum recommended dose of amlodipine and benazepril hydrochloride capsules is given to a 60 kg patient. Similarly, the 5 mg/kg/day dose of benazepril is approximately equivalent with the benazepril dose delivered when the maximum recommended dose of amlodipine and benazepril hydrochloride capsules is given to a 60 kg patient. No teratogenic effects were seen when benazepril and amlodipine were administered in combination to pregnant rats or rabbits. Rats received doses of up to 50:25 mg (benazepril: amlodipine)/kg/day (12 times the MRHD on a body surface area basis, assuming a 60 kg patient). Rabbits received doses of up to 1.5:0.75 mg/kg/day (equivalent to the maximum recommended dose of amlodipine and benazepril hydrochloride capsules given to a 60 kg patient). 8.2 Lactation Risk Summary Minimal amounts of unchanged benazepril and of benazeprilat are excreted into the breast milk of lactating women treated with benazepril, so that a newborn child ingesting nothing but breast milk would …
Mechanism of Action
openFDA Drug Labeling12.1 Mechanism of Action Benazepril Benazepril and benazeprilat inhibit angiotensin-converting enzyme (ACE) in human subjects and in animals. ACE is a peptidyl dipeptidase that catalyzes the conversion of angiotensin I to the vasoconstrictor substance angiotensin II. Angiotensin II also stimulates aldosterone secretion by the adrenal cortex. Inhibition of ACE results in decreased plasma angiotensin II, which leads to decreased vasopressor activity and to decreased aldosterone secretion. The latter decrease may result in a small increase of serum potassium. Hypertensive patients treated with benazepril and amlodipine for up to 56 weeks had elevations of serum potassium up to 0.2 mEq/L [see Warnings and Precautions ( 5.8 )] . Removal of angiotensin II negative feedback on renin secretion leads to increased plasma renin activity. In animal studies, benazepril had no inhibitory effect on the vasopressor response to angiotensin II and did not interfere with the hemodynamic effects of the autonomic neurotransmitters acetylcholine, epinephrine, and norepinephrine. ACE is identical to kininase, an enzyme that degrades bradykinin. Whether increased levels of bradykinin, a potent vasodepressor peptide, play a role in the therapeutic effects of amlodipine and benazepril hydrochloride remains to be elucidated. While the mechanism through which benazepril lowers blood pressure is believed to be primarily suppression of the renin-angiotensin aldosterone system, benazepril has an antihypertensive effect even in patients with low-renin hypertension. Amlodipine Amlodipine is a dihydropyridine calcium antagonist (calcium ion antagonist or slow channel blocker) that inhibits the transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle. Experimental data suggest that amlodipine binds to both dihydropyridine and nondihydropyridine binding sites. The contractile processes of cardiac muscle and vascular smooth muscle are dependent upon the movement of extracellular calcium ions into these cells through specific ion channels. Amlodipine inhibits calcium ion influx across cell membranes selectively, with a greater effect on vascular smooth muscle cells than on cardiac muscle cells. Negative inotropic effects can be detected in vitro but such effects have not been seen in intact animals at therapeutic doses. Serum calcium concentration is not affected by amlodipine. Within the physiologic pH range, amlodipine is an ionized compound (pKa=8.6), and its kinetic interaction with the calcium channel receptor is characterized by a gradual rate of association and dissociation with the receptor binding site, resulting in a gradual onset of effect. Amlodipine is a peripheral arterial vasodilator that acts directly on vascular smooth muscle to cause a reduction in peripheral vascular resistance and reduction in blood pressure.
Description
openFDA Drug Labeling11 DESCRIPTION Amlodipine and benazepril hydrochloride capsules, USP are a combination of amlodipine besylate and benazepril hydrochloride. Benazepril hydrochloride is a white to off-white crystalline powder, soluble (greater than 100 mg/mL) in water, in ethanol, and in methanol. Benazepril hydrochloride's chemical name is 3-[[1-(ethoxycarbonyl)-3-phenyl-(1S)-propyl]amino]-2,3,4,5-tetrahydro-2-oxo-1 H -1-(3S)-benzazepine-1-acetic acid monohydrochloride; its structural formula is Its empirical formula is C 24 H 28 N 2 O 5 •HCl, and its molecular weight is 460.96. Benazeprilat, the active metabolite of benazepril, is a nonsulfhydryl angiotensin-converting enzyme (ACE) inhibitor. Benazepril is converted to benazeprilat by hepatic cleavage of the ester group. Amlodipine besylate is a white to almost white powder, slightly soluble in water and sparingly soluble in ethanol. Its chemical name is (R,S)3-ethyl-5-methyl-2-(2-aminoethoxymethyl)-4-(2-chlorophenyl)-1,4-dihydro-6-methyl-3,5-pyridinedicarboxylate benzenesulfonate; its structural formula is Its empirical formula is C 20 H 25 ClN 2 O 5 •C 6 H 6 O 3 S, and its molecular weight is 567.1. Amlodipine besylate is the besylate salt of amlodipine, a dihydropyridine calcium channel blocker. Amlodipine and benazepril hydrochloride capsules USP are formulated in 6 different strengths for oral administration with a combination of amlodipine besylate equivalent to 2.5 mg, 5 mg or 10 mg of amlodipine, with 10 mg, 20 mg or 40 mg of benazepril hydrochloride providing for the following available combinations: 2.5 mg/10 mg, 5 mg/10 mg, 5 mg/20 mg, 5 mg/40 mg, 10 mg/20 mg and 10 mg/40 mg. The inactive ingredients of the capsules are crospovidone, hydrophobic fumed silica, lactose anhydrous, magnesium stearate, microcrystalline cellulose, povidone, gelatin, titanium dioxide (not present in 10 mg/20 mg strength), black iron oxide, red iron oxide (present in 5 mg/10 mg, 5 mg/20 mg and 10 mg/ 20 mg strength), yellow iron oxide, (present in 5 mg/10 mg strength), D&C Yellow #10 (present in 5 mg/40 mg strength), FD&C Blue #1 (present in 10 mg/40 mg strength), FD&C Blue #2 (present in 10 mg/20 mg strength), FD&C Green #3 (present in 5 mg/40 mg strength),FD&C Red #40 (present in 10 mg/40 mg strength), FD&C Yellow #6 (present in 5 mg/ 40 mg strength), shellac, propylene glycol, potassium hydroxide. image image
Overdosage
openFDA Drug Labeling10 OVERDOSAGE Only a few cases of human overdose with amlodipine have been reported. One patient was asymptomatic after a 250 mg ingestion; another, who combined 70 mg of amlodipine with an unknown large quantity of a benzodiazepine, developed refractory shock and died. Human overdoses with any combination of amlodipine and benazepril have not been reported. In scattered reports of human overdoses with benazepril and other ACE inhibitors, there are no reports of death. Treatment: Patients should be admitted to hospital and, generally, should be managed in an intensive care setting, with continuous monitoring of cardiac function, blood gases, and blood biochemistry. Emergency supportive measures such as artificial ventilation or cardiac pacing should be instituted if appropriate. In the event of a potentially life-threatening oral overdose, use induction of vomiting or gastric lavage and/or activated charcoal to remove the drug from the gastrointestinal tract (only if presented within 1 hour after ingestion of amlodipine and benazepril hydrochloride capsules). Other clinical manifestations of overdose should be managed symptomatically based on modern methods of intensive care. To obtain up-to-date information about the treatment of overdose, a good resource is your certified Regional Poison-Control Center. Telephone numbers of certified poison-control centers are listed in the Physicians’ Desk Reference (PDR). In managing overdose, consider the possibilities of multiple-drug overdoses, drug-drug interactions, and unusual drug kinetics in your patient. The most likely effect of overdose with amlodipine and benazepril hydrochloride capsules is vasodilation, with consequent hypotension and tachycardia. Simple repletion of central fluid volume (Trendelenburg positioning, infusion of crystalloids) may be sufficient therapy, but pressor agents (norepinephrine or high-dose dopamine) may be required. With abrupt return of peripheral vascular tone, overdoses of other dihydropyridine calcium channel blockers have sometimes progressed to pulmonary edema, and patients must be monitored for this complication. Analyses of bodily fluids for concentrations of amlodipine, benazepril, or their metabolites are not widely available. Such analyses are, in any event, not known to be of value in therapy or prognosis. No data are available to suggest physiologic maneuvers (e.g., maneuvers to change the pH of the urine) that might accelerate elimination of amlodipine, benazepril, or their metabolites. Benazeprilat is only slightly dialyzable; attempted clearance of amlodipine by hemodialysis or hemo-perfusion has not been reported, but amlodipine’s high protein binding makes it unlikely that these interventions will be of value. Angiotensin II could presumably serve as a specific antagonist-antidote to benazepril, but angiotensin II is essentially unavailable outside of scattered research laboratories.
How Supplied / Storage and Handling
openFDA Drug Labeling16 HOW SUPPLIED/STORAGE AND HANDLING Amlodipine and benazepril hydrochloride is available as capsules containing amlodipine besylate equivalent to 2.5 mg, 5 mg or 10 mg of amlodipine, with 10 mg, 20 mg or 40 mg of benazepril hydrochloride providing for the following available combinations: 2.5 mg/10 mg, 5 mg/10 mg, 5 mg/20 mg, 5 mg/40 mg, 10 mg/20 mg and 10 mg/40 mg. All six strengths are packaged with 1 desiccant in bottles of 30 capsules, 2 desiccants in bottles of 100 capsules and 3 desiccants in bottles of 500 capsules. Amlodipine and benazepril hydrochloride capsules USP, 2.5 mg/10 mg contain white to off-white powder and size “4” hard gelatin capsules of ivory color cap and ivory color body, filled in size “1” hard gelatin capsule with bluish green color cap and ivory color body, imprinted “RDY”on cap and “338”on body with black ink and are supplied in bottles of 30, 100 and 500. Bottles of 30 NDC 55111-338-30 Bottles of 100 NDC 55111-338-01 Bottles of 500 NDC 55111-338-05 Amlodipine and benazepril hydrochloride capsules USP, 5 mg/10 mg contain white to off-white powder and size “4” hard gelatin capsules of ivory color cap and ivory color body, filled in size “1” hard gelatin capsule with yellow color cap and ivory color body, imprinted “RDY”on cap and “339” on body with black ink and are supplied in bottles of 30, 100 and 500. Bottles of 30 NDC 55111-339-30 Bottles of 100 NDC 55111-339-01 Bottles of 500 NDC 55111-339-05 Amlodipine and benazepril hydrochloride capsules USP, 5 mg/20 mg contain white to off-white powder and size “4” hard gelatin capsules of flesh color cap and flesh color body, filled in size “1” hard gelatin capsule with medium orange color cap and ivory color body, imprinted “RDY” on cap and “340” on body with black ink and are supplied in bottles of 30, 100 and 500. Bottles of 30 NDC 55111-340-30 Bottles of 100 NDC 55111-340-01 Bottles of 500 NDC 55111-340-05 Amlodipine and benazepril hydrochloride capsules USP, 5 mg/40 mg contain white to off-white powder and size “4” hard gelatin capsules of white opaque color cap and white opaque color body, filled in size “1” hard gelatin capsule with dark brown opaque color cap and ivory opaque color body, imprinted “RDY” on cap and “587” on body with black ink and are supplied in bottles of 30, 100 and 500. Bottles of 30 NDC 55111-587-30 Bottles of 100 NDC 55111-587-01 Bottles of 500 NDC 55111-587-05 Amlodipine and benazepril hydrochloride capsules USP, 10 mg/20 mg contain white to off-white powder and size “4” hard gelatin capsules of flesh color cap and flesh color body, filled in size “1” hard gelatin capsule with light grey color cap and ivory color body, imprinted “RDY” on cap and “341” on body with black ink and are supplied in bottles of 30, 100 and 500. Bottles of 30 NDC 55111-341-30 Bottles of 100 NDC 55111-341-01 Bottles of 500 NDC 55111-341-05 Amlodipine and benazepril hydrochloride capsules USP, 10 mg/40 mg contain white to off-white powder and size “4” hard gelatin capsules of white opaque color cap and white opaque color body, filled in size “1” hard gelatin capsule with purple opaque color cap and ivory opaque color body, imprinted “RDY” on cap and “586” on body with black ink and are supplied in bottles of 30, 100 and 500. Bottles of 30 NDC 55111-586-30 Bottles of 100 NDC 55111-586-01 Bottles of 500 NDC 55111-586-05 Storage: Store at 20°-25°C (68°-77°F); [See USP Controlled Room Temperature.] Protect from moisture. Dispense in tight container (USP).
Adverse event reports
Source: openFDA FAERSAttributed to this product's most-reported active ingredient: AMLODIPINE BESYLATE. Combination products with more than six active ingredients are not attributed, because a report count summed across a long ingredient list measures the list, not the medicine.
Recalls
Source: FDA Enforcement| Classification | Reported | Firm | Reason | Status |
|---|---|---|---|---|
| Class II | August 6, 2025 | Lupin Pharmaceuticals Inc. | Labeling: Incorrect or Missing Lot and/or Exp Date: released with wrong expiry date as Feb.2027 instead of Jan.2027 | Terminated |
| Class II | August 8, 2012 | Dr. Reddy's Laboratories, Inc. | Adulterated Presence of Foreign Tablets: Dr. Reddy's Laboratories has received complaints of mislabeled bottles of Amlodipine Besylate and Benazepril Hydrochloride Capsules and Ciprofloxacin Tablets. | Terminated |
Packaging and NDCs
Source: NDC Directory| Package NDC | Product NDC | Labeler | Description | Marketing start |
|---|---|---|---|---|
| 50090-5137-0 | 50090-5137 | A-S Medication Solutions | 30 CAPSULE in 1 BOTTLE (50090-5137-0) | August 27, 2020 |
| 50090-5137-1 | 50090-5137 | A-S Medication Solutions | 90 CAPSULE in 1 BOTTLE (50090-5137-1) | August 31, 2020 |
| 50090-5357-0 | 50090-5357 | A-S Medication Solutions | 90 CAPSULE in 1 BOTTLE (50090-5357-0) | November 12, 2020 |
| 50090-5389-0 | 50090-5389 | A-S Medication Solutions | 90 CAPSULE in 1 BOTTLE (50090-5389-0) | November 23, 2020 |
| 50090-5404-0 | 50090-5404 | A-S Medication Solutions | 30 CAPSULE in 1 BOTTLE (50090-5404-0) | December 9, 2020 |
| 50090-6185-0 | 50090-6185 | A-S Medication Solutions | 30 CAPSULE in 1 BOTTLE (50090-6185-0) | October 25, 2022 |
| 50090-6185-1 | 50090-6185 | A-S Medication Solutions | 90 CAPSULE in 1 BOTTLE (50090-6185-1) | October 25, 2022 |
| 50090-6427-0 | 50090-6427 | A-S Medication Solutions | 30 CAPSULE in 1 BOTTLE (50090-6427-0) | April 7, 2023 |
| 50090-6427-1 | 50090-6427 | A-S Medication Solutions | 90 CAPSULE in 1 BOTTLE (50090-6427-1) | April 7, 2023 |
| 69238-2684-1 | 69238-2684 | Amneal Pharmaceuticals NY LLC | 100 CAPSULE in 1 BOTTLE (69238-2684-1) | April 14, 2026 |
| 69238-2685-1 | 69238-2685 | Amneal Pharmaceuticals NY LLC | 100 CAPSULE in 1 BOTTLE (69238-2685-1) | April 14, 2026 |
| 69238-2686-1 | 69238-2686 | Amneal Pharmaceuticals NY LLC | 100 CAPSULE in 1 BOTTLE (69238-2686-1) | April 14, 2026 |
| 69238-2687-1 | 69238-2687 | Amneal Pharmaceuticals NY LLC | 100 CAPSULE in 1 BOTTLE (69238-2687-1) | April 14, 2026 |
| 68001-130-00 | 68001-130 | BluePoint Laboratories | 100 CAPSULE in 1 BOTTLE (68001-130-00) | July 16, 2015 |
| 68001-131-00 | 68001-131 | BluePoint Laboratories | 100 CAPSULE in 1 BOTTLE (68001-131-00) | July 16, 2015 |
| 68001-132-00 | 68001-132 | BluePoint Laboratories | 100 CAPSULE in 1 BOTTLE (68001-132-00) | July 16, 2015 |
| 68001-133-00 | 68001-133 | BluePoint Laboratories | 100 CAPSULE in 1 BOTTLE (68001-133-00) | July 16, 2015 |
| 68001-134-00 | 68001-134 | BluePoint Laboratories | 100 CAPSULE in 1 BOTTLE (68001-134-00) | July 16, 2015 |
| 68001-135-00 | 68001-135 | BluePoint Laboratories | 100 CAPSULE in 1 BOTTLE (68001-135-00) | July 16, 2015 |
| 71335-1946-1 | 71335-1946 | Bryant Ranch Prepack | 30 CAPSULE in 1 BOTTLE (71335-1946-1) | September 21, 2021 |
| 71335-1946-2 | 71335-1946 | Bryant Ranch Prepack | 90 CAPSULE in 1 BOTTLE (71335-1946-2) | September 21, 2021 |
| 71335-1946-3 | 71335-1946 | Bryant Ranch Prepack | 60 CAPSULE in 1 BOTTLE (71335-1946-3) | September 21, 2021 |
| 71335-1946-4 | 71335-1946 | Bryant Ranch Prepack | 100 CAPSULE in 1 BOTTLE (71335-1946-4) | September 21, 2021 |
| 71335-2634-1 | 71335-2634 | Bryant Ranch Prepack | 30 CAPSULE in 1 BOTTLE (71335-2634-1) | June 2, 2025 |
| 71335-2634-2 | 71335-2634 | Bryant Ranch Prepack | 90 CAPSULE in 1 BOTTLE (71335-2634-2) | June 2, 2025 |
| 71335-2634-3 | 71335-2634 | Bryant Ranch Prepack | 60 CAPSULE in 1 BOTTLE (71335-2634-3) | June 2, 2025 |
| 71335-2634-4 | 71335-2634 | Bryant Ranch Prepack | 100 CAPSULE in 1 BOTTLE (71335-2634-4) | June 2, 2025 |
| 71335-3055-1 | 71335-3055 | Bryant Ranch Prepack | 30 CAPSULE in 1 BOTTLE (71335-3055-1) | February 5, 2026 |
| 71335-3055-2 | 71335-3055 | Bryant Ranch Prepack | 90 CAPSULE in 1 BOTTLE (71335-3055-2) | February 5, 2026 |
| 71335-3067-1 | 71335-3067 | Bryant Ranch Prepack | 30 CAPSULE in 1 BOTTLE (71335-3067-1) | February 6, 2026 |
| 71335-3067-2 | 71335-3067 | Bryant Ranch Prepack | 60 CAPSULE in 1 BOTTLE (71335-3067-2) | February 6, 2026 |
| 71335-3067-3 | 71335-3067 | Bryant Ranch Prepack | 90 CAPSULE in 1 BOTTLE (71335-3067-3) | February 6, 2026 |
| 71335-3095-1 | 71335-3095 | Bryant Ranch Prepack | 30 CAPSULE in 1 BOTTLE (71335-3095-1) | February 24, 2026 |
| 71335-3095-2 | 71335-3095 | Bryant Ranch Prepack | 90 CAPSULE in 1 BOTTLE (71335-3095-2) | February 24, 2026 |
| 71335-3125-1 | 71335-3125 | Bryant Ranch Prepack | 30 CAPSULE in 1 BOTTLE (71335-3125-1) | April 20, 2026 |
| 71335-3125-2 | 71335-3125 | Bryant Ranch Prepack | 60 CAPSULE in 1 BOTTLE (71335-3125-2) | April 20, 2026 |
| 71335-3125-3 | 71335-3125 | Bryant Ranch Prepack | 90 CAPSULE in 1 BOTTLE (71335-3125-3) | April 20, 2026 |
| 55111-338-01 | 55111-338 | Dr.Reddy's Laboratories Limited | 100 CAPSULE in 1 BOTTLE (55111-338-01) | April 19, 2010 |
| 55111-338-05 | 55111-338 | Dr.Reddy's Laboratories Limited | 500 CAPSULE in 1 BOTTLE (55111-338-05) | April 19, 2010 |
| 55111-338-30 | 55111-338 | Dr.Reddy's Laboratories Limited | 30 CAPSULE in 1 BOTTLE (55111-338-30) | April 19, 2010 |
| 55111-339-01 | 55111-339 | Dr.Reddy's Laboratories Limited | 100 CAPSULE in 1 BOTTLE (55111-339-01) | April 19, 2010 |
| 55111-339-05 | 55111-339 | Dr.Reddy's Laboratories Limited | 500 CAPSULE in 1 BOTTLE (55111-339-05) | April 19, 2010 |
| 55111-339-30 | 55111-339 | Dr.Reddy's Laboratories Limited | 30 CAPSULE in 1 BOTTLE (55111-339-30) | April 19, 2010 |
| 55111-340-01 | 55111-340 | Dr.Reddy's Laboratories Limited | 100 CAPSULE in 1 BOTTLE (55111-340-01) | April 19, 2010 |
| 55111-340-05 | 55111-340 | Dr.Reddy's Laboratories Limited | 500 CAPSULE in 1 BOTTLE (55111-340-05) | April 19, 2010 |
| 55111-340-30 | 55111-340 | Dr.Reddy's Laboratories Limited | 30 CAPSULE in 1 BOTTLE (55111-340-30) | April 19, 2010 |
| 55111-341-01 | 55111-341 | Dr.Reddy's Laboratories Limited | 100 CAPSULE in 1 BOTTLE (55111-341-01) | April 19, 2010 |
| 55111-341-05 | 55111-341 | Dr.Reddy's Laboratories Limited | 500 CAPSULE in 1 BOTTLE (55111-341-05) | April 19, 2010 |
| 55111-341-30 | 55111-341 | Dr.Reddy's Laboratories Limited | 30 CAPSULE in 1 BOTTLE (55111-341-30) | April 19, 2010 |
| 55111-586-01 | 55111-586 | Dr.Reddy's Laboratories Limited | 100 CAPSULE in 1 BOTTLE (55111-586-01) | July 5, 2011 |
| 55111-586-05 | 55111-586 | Dr.Reddy's Laboratories Limited | 500 CAPSULE in 1 BOTTLE (55111-586-05) | July 5, 2011 |
| 55111-586-30 | 55111-586 | Dr.Reddy's Laboratories Limited | 30 CAPSULE in 1 BOTTLE (55111-586-30) | July 5, 2011 |
| 55111-587-01 | 55111-587 | Dr.Reddy's Laboratories Limited | 100 CAPSULE in 1 BOTTLE (55111-587-01) | July 5, 2011 |
| 55111-587-05 | 55111-587 | Dr.Reddy's Laboratories Limited | 500 CAPSULE in 1 BOTTLE (55111-587-05) | July 5, 2011 |
| 55111-587-30 | 55111-587 | Dr.Reddy's Laboratories Limited | 30 CAPSULE in 1 BOTTLE (55111-587-30) | July 5, 2011 |
| 68180-459-01 | 68180-459 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-459-01) | August 1, 2018 |
| 68180-463-01 | 68180-463 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-463-01) | October 4, 2018 |
| 68180-472-01 | 68180-472 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-472-01) | August 1, 2018 |
| 68180-473-01 | 68180-473 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-473-01) | October 4, 2018 |
| 68180-755-01 | 68180-755 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-755-01) | February 5, 2010 |
| 68180-756-01 | 68180-756 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-756-01) | February 5, 2010 |
| 68180-757-01 | 68180-757 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-757-01) | February 5, 2010 |
| 68180-757-02 | 68180-757 | Lupin Pharmaceuticals, Inc. | 500 CAPSULE in 1 BOTTLE (68180-757-02) | February 5, 2010 |
| 68180-758-01 | 68180-758 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-758-01) | February 5, 2010 |
| 68180-758-02 | 68180-758 | Lupin Pharmaceuticals, Inc. | 500 CAPSULE in 1 BOTTLE (68180-758-02) | February 5, 2010 |
| 68180-759-01 | 68180-759 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-759-01) | July 5, 2011 |
| 68180-760-01 | 68180-760 | Lupin Pharmaceuticals, Inc. | 100 CAPSULE in 1 BOTTLE (68180-760-01) | July 5, 2011 |
| 51655-201-52 | 51655-201 | Northwind Health Company, LLC | 30 CAPSULE in 1 BOTTLE, PLASTIC (51655-201-52) | April 19, 2023 |
| 82868-041-90 | 82868-041 | Northwind Health Company, LLC | 90 CAPSULE in 1 BOTTLE, PLASTIC (82868-041-90) | January 19, 2024 |
| 72789-432-90 | 72789-432 | PD-Rx Pharmaceuticals, Inc. | 90 CAPSULE in 1 BOTTLE, PLASTIC (72789-432-90) | September 26, 2024 |
| 72789-502-90 | 72789-502 | PD-Rx Pharmaceuticals, Inc. | 90 CAPSULE in 1 BOTTLE, PLASTIC (72789-502-90) | May 7, 2025 |
| 68788-8818-3 | 68788-8818 | Preferred Pharmaceuticals Inc. | 30 CAPSULE in 1 BOTTLE (68788-8818-3) | January 15, 2025 |
| 70518-2566-0 | 70518-2566 | REMEDYREPACK INC. | 90 CAPSULE in 1 BOTTLE, PLASTIC (70518-2566-0) | February 4, 2020 |
| 70518-4382-0 | 70518-4382 | REMEDYREPACK INC. | 90 CAPSULE in 1 BOTTLE, PLASTIC (70518-4382-0) | July 2, 2025 |
| 70518-4386-0 | 70518-4386 | REMEDYREPACK INC. | 90 CAPSULE in 1 BOTTLE, PLASTIC (70518-4386-0) | July 6, 2025 |
| 70518-4388-0 | 70518-4388 | REMEDYREPACK INC. | 90 CAPSULE in 1 BOTTLE, PLASTIC (70518-4388-0) | July 6, 2025 |
| 70518-4499-0 | 70518-4499 | REMEDYREPACK INC. | 90 CAPSULE in 1 BOTTLE, PLASTIC (70518-4499-0) | October 11, 2025 |
| 50090-5137 | 50090-5137 | A-S Medication Solutions | — | April 19, 2010 |
| 50090-5357 | 50090-5357 | A-S Medication Solutions | — | October 4, 2018 |
| 50090-5389 | 50090-5389 | A-S Medication Solutions | — | October 4, 2018 |
| 50090-5404 | 50090-5404 | A-S Medication Solutions | — | February 5, 2010 |
| 50090-6185 | 50090-6185 | A-S Medication Solutions | — | August 1, 2018 |
| 50090-6427 | 50090-6427 | A-S Medication Solutions | — | August 1, 2018 |
| 69238-2684 | 69238-2684 | Amneal Pharmaceuticals NY LLC | — | April 14, 2026 |
| 69238-2685 | 69238-2685 | Amneal Pharmaceuticals NY LLC | — | April 14, 2026 |
| 69238-2686 | 69238-2686 | Amneal Pharmaceuticals NY LLC | — | April 14, 2026 |
| 69238-2687 | 69238-2687 | Amneal Pharmaceuticals NY LLC | — | April 14, 2026 |
| 68001-130 | 68001-130 | BluePoint Laboratories | — | July 16, 2015 |
| 68001-131 | 68001-131 | BluePoint Laboratories | — | July 16, 2015 |
| 68001-132 | 68001-132 | BluePoint Laboratories | — | July 16, 2015 |
| 68001-133 | 68001-133 | BluePoint Laboratories | — | July 16, 2015 |
| 68001-134 | 68001-134 | BluePoint Laboratories | — | July 16, 2015 |
| 68001-135 | 68001-135 | BluePoint Laboratories | — | July 16, 2015 |
| 71335-1946 | 71335-1946 | Bryant Ranch Prepack | — | August 1, 2018 |
| 71335-2634 | 71335-2634 | Bryant Ranch Prepack | — | February 5, 2010 |
| 71335-3055 | 71335-3055 | Bryant Ranch Prepack | — | October 4, 2018 |
| 71335-3067 | 71335-3067 | Bryant Ranch Prepack | — | October 4, 2018 |
| 71335-3095 | 71335-3095 | Bryant Ranch Prepack | — | August 1, 2018 |
| 71335-3125 | 71335-3125 | Bryant Ranch Prepack | — | August 1, 2018 |
| 55111-338 | 55111-338 | Dr.Reddy's Laboratories Limited | — | April 19, 2010 |
| 55111-339 | 55111-339 | Dr.Reddy's Laboratories Limited | — | April 19, 2010 |
| 55111-340 | 55111-340 | Dr.Reddy's Laboratories Limited | — | April 19, 2010 |
| 55111-341 | 55111-341 | Dr.Reddy's Laboratories Limited | — | April 19, 2010 |
| 55111-586 | 55111-586 | Dr.Reddy's Laboratories Limited | — | July 5, 2011 |
| 55111-587 | 55111-587 | Dr.Reddy's Laboratories Limited | — | July 5, 2011 |
| 68180-459 | 68180-459 | Lupin Pharmaceuticals, Inc. | — | August 1, 2018 |
| 68180-463 | 68180-463 | Lupin Pharmaceuticals, Inc. | — | October 4, 2018 |
| 68180-472 | 68180-472 | Lupin Pharmaceuticals, Inc. | — | August 1, 2018 |
| 68180-473 | 68180-473 | Lupin Pharmaceuticals, Inc. | — | October 4, 2018 |
| 68180-755 | 68180-755 | Lupin Pharmaceuticals, Inc. | — | February 5, 2010 |
| 68180-756 | 68180-756 | Lupin Pharmaceuticals, Inc. | — | February 5, 2010 |
| 68180-757 | 68180-757 | Lupin Pharmaceuticals, Inc. | — | February 5, 2010 |
| 68180-758 | 68180-758 | Lupin Pharmaceuticals, Inc. | — | February 5, 2010 |
| 68180-759 | 68180-759 | Lupin Pharmaceuticals, Inc. | — | July 5, 2011 |
| 68180-760 | 68180-760 | Lupin Pharmaceuticals, Inc. | — | July 5, 2011 |
| 51655-201 | 51655-201 | Northwind Health Company, LLC | — | April 19, 2023 |
| 82868-041 | 82868-041 | Northwind Health Company, LLC | — | January 19, 2024 |
| 72789-432 | 72789-432 | PD-Rx Pharmaceuticals, Inc. | — | February 5, 2010 |
| 72789-502 | 72789-502 | PD-Rx Pharmaceuticals, Inc. | — | August 1, 2018 |
| 68788-8818 | 68788-8818 | Preferred Pharmaceuticals Inc. | — | January 15, 2025 |
| 70518-2566 | 70518-2566 | REMEDYREPACK INC. | — | February 4, 2020 |
| 70518-4382 | 70518-4382 | REMEDYREPACK INC. | — | July 2, 2025 |
| 70518-4386 | 70518-4386 | REMEDYREPACK INC. | — | July 6, 2025 |
| 70518-4388 | 70518-4388 | REMEDYREPACK INC. | — | July 6, 2025 |
| 70518-4499 | 70518-4499 | REMEDYREPACK INC. | — | October 11, 2025 |
Sources for this page
| Dataset | Agency | Used for |
|---|---|---|
| NDC Directory | FDA | Identity, ingredients, strengths, forms, routes, labelers, packages |
| Drugs@FDA | FDA | Application, sponsor, submissions, review documents, marketing status |
| Orange Book | FDA | Therapeutic equivalence codes, reference drug flags, patents, exclusivity |
| Drug Labeling | FDA / NLM | Prescribing information reproduced above |
| FAERS | FDA | Adverse event report counts |
| Enforcement | FDA | Recall records |
Generated September 25, 2026 · 12 sections on this page.