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Amlodipine Besylate and Benazepril Hydrochloride

Prescription ANDA TE AB Official labelling
Informational index, not medical advice. Content is reproduced from public FDA and NLM data. Always confirm against the manufacturer's current prescribing information. Report adverse events to FDA MedWatch.

Overview

Brand name
Amlodipine Besylate and Benazepril Hydrochloride
Generic name
Amlodipine Besylate and Benazepril Hydrochloride
Dosage form
Capsule
Route
Oral
Marketing category
ANDA · ANDA
Labeler
Lupin Pharmaceuticals, Inc.
Product type
Human Prescription Drug
DEA schedule
Not scheduled
Active ingredients
6
NDC product codes
48
Packages
77
Data completeness
83% of corroborating sources present

Active ingredients

Source: NDC Directory
Active ingredients and strengths as listed in the 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 Directory
Dosage form
Capsule
Route of administration
Oral
Presentations
125

Pharmacologic classes are listed in the class section below.

Pharmacologic class

Source: NDC Directory
Established pharmacologic classes (EPC), mechanisms of action (MoA), chemical structures (CS) and physiologic effects (PE).
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
Application number
078466
Application type
ANDA · Abbreviated New Drug Application
Approval date
February 5, 2010
Sponsor
LUPIN PHARMS
Products on application
7
Submissions recorded
10
Products approved under application 078466.
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 Book
TE code
AB
Reference Listed Drug
No
Reference Standard
Yes

What 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
Most recent submissions on application 078466.
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 Labeling

Reproduced 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.

HUMAN PRESCRIPTION DRUG · 20260331 HUMAN PRESCRIPTION DRUG · 20260327 HUMAN PRESCRIPTION DRUG · 20260206 HUMAN PRESCRIPTION DRUG · 20260101

Boxed Warning

openFDA Drug Labeling

WARNING: 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 Labeling

1 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 Labeling

2 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 Labeling

3 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 Labeling

4 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 Labeling

5 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 Labeling

6 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 Labeling

7 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 Labeling

8 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 Labeling

12.1 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 Labeling

11 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

10 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 Labeling

16 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 FAERS
168,883
FAERS reports mentioning this drug
as of 2026-09-25T03:42:24+00:00
A report count is not a risk measure. FAERS accepts voluntary and mandatory reports without establishing causation, and reporting is influenced by how widely a drug is used, how long it has been marketed, and media attention. FDA states that reports “do not prove that the drug caused the event”. Compare rates, not totals.

Attributed 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
Drug recall enforcement reports associated with this product.
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
Every National Drug Code package associated with this medication. The NDC is the identifier used for dispensing, billing and pharmacovigilance in the United States.
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

Every dataset that contributed a fact to 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.