Table 1.
Pharmacokinetics | Effect | Reference |
---|---|---|
Bioavailability | Amlodipine is orally administrated with a bioavailability of 64–90%. | [2, 19, 22] |
Absorption | Amlodipine reach peak plasma concentration (tmax) 6–12 h after administration, while steady state plasma concentrations will be reached within 7–8 days of daily dosing. | [2, 23] |
Distribution | Amlodipine has a high volume of distribution (21 L/kg) and a large proportion of the dose is distributed in the tissue with ~ 90% of the circulating drug being bound to the plasma membrane. | [2, 22, 23] |
Metabolism | Amlodipine is extensively metabolized in the liver into its inactive metabolites via CYP3A4/5. | [2, 22, 23] |
Elimination | Amlodipine is slowly cleared with an elimination half-life of 40 to 60 h. If discontinued, BP returned to baseline after 1 week. Urine is the major route of elimination. Amlodipine is converted to inactive metabolites (60%), which are excreted into the urine while 10% of the excreted drug remains unchanged. Amlodipine is converted from dihydropyridinebmoiety to a pyridine derivative (M9). Fecal excretion accounts for 20–25% of the dose |
[2, 19, 22, 24, 25] |