Amlodipine and Atorvastatin side effects: what 4,073 FDA adverse event reports show
Drug class
Calcium channel blocker and may be
Label matched
Amlodipine (Katerzia)
Who reports
4,073 reports · 65% serious · 356 with death outcome · 54% female
Used for
KATERZIA is a calcium channel blocker and may be used alone or in combination with other antihypertensive and antianginal agents for the treatment of: Hypertension ( 1.1 ) KATERZIA is indicated for the treatment of hypertension in adults and children 6 years and older, to lower blood pressure.
What it is
KATERZIA oral suspension contains 1.30 mg/mL amlodipine benzoate, equivalent to 1 mg/mL amlodipine, a long-acting calcium channel blocker. Amlodipine benzoate is chemically described as 3-Ethy.
Boxed warning
None in the current label
Causality screen of the 40 strongest signals
What the badges mean
- Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Likely indication confounding The term appears in the label's indications: reports probably describe the disease being treated (or its progression), not a drug effect. Classic confounding by indication.
- Reporting / coding artifact An administrative, monitoring or exposure term (product issue, off-label use, 'test normal', overdose...). Not a biological reaction; a high PRR here reflects how reports are coded.
- Lab value / disease marker A laboratory result, investigation or disease-activity marker (antibody positive, CRP abnormal, swollen joint count) not described in the label. These usually mirror the monitored disease or testing protocol rather than a drug effect; not screened further.
- Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.
Strongest disproportionality signals
Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only and flags pairs whose reports are unusually skewed by sex or come mostly from consumers rather than clinicians. 185 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Type 2 diabetes mellitus | 64 | 9.8 7.7–12.5ROR 9.9 · χ² 495 / p 6e-110 | 9.4 EB05 7.6 · IC025 +2.8 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious PRR 8.9 · ♀ 79% (drug 54%) | no trial data cached |
| Hyperlipidaemia | 19 | 8.2 5.2–12.8ROR 8.2 · χ² 112 / p 1e-26 | 7.1 EB05 4.7 · IC025 +2.0 3/3 methods agree | Likely indication confounding term in indications | serious PRR 7.9 | no trial data cached |
| Blood cholesterol increased | 62 | 6.9 5.4–8.8ROR 6.9 · χ² 304 / p 2e-68 | 6.6 EB05 5.3 · IC025 +2.3 3/3 methods agree | Lab value / disease marker | serious PRR 5.5 | no trial data cached |
| Coronary artery occlusion | 18 | 6.7 4.2–10.7ROR 6.8 · χ² 82 / p 6e-20 | 5.8 EB05 3.9 · IC025 +1.7 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious PRR 6.0 | no trial data cached |
| End stage renal disease | 24 | 6.7 4.5–10.0ROR 6.7 · χ² 111 / p 3e-26 | 6.0 EB05 4.2 · IC025 +1.9 3/3 methods agree | Not in label — unassessed | serious PRR 5.9 · ♀ 29% (drug 54%) | no trial data cached |
| Body height decreased | 14 | 6.7 4.0–11.3ROR 6.7 · χ² 62 / p 2e-15 | 5.6 EB05 3.5 · IC025 +1.6 3/3 methods agree | Not in label — unassessed | serious n=6 | no trial data cached |
| Blood creatine phosphokinase increased | 32 | 5.6 4.0–8.0ROR 5.7 · χ² 118 / p 1e-27 | 5.2 EB05 3.9 · IC025 +1.8 3/3 methods agree | Lab value / disease marker | serious PRR 4.3 | no trial data cached |
| Poisoning deliberate | 10 | 5.5 3.0–10.3ROR 5.5 · χ² 33 / p 5e-9 | 4.5 EB05 2.6 · IC025 +1.1 3/3 methods agree | Not in label — unassessed | serious PRR 4.9 | no trial data cached |
| Mitral valve incompetence | 12 | 5.5 3.1–9.6ROR 5.5 · χ² 39 / p 2e-10 | 4.6 EB05 2.8 · IC025 +1.2 3/3 methods agree | Not in label — unassessed | serious PRR 4.9 | no trial data cached |
| Laryngitis | 11 | 5.2 2.9–9.4ROR 5.2 · χ² 33 / p 4e-9 | 4.4 EB05 2.6 · IC025 +1.1 3/3 methods agree | Not in label — unassessed | serious n=4 | no trial data cached |
| Hypoglycaemia (low blood sugar) | 48 | 5.1 3.8–6.8ROR 5.1 · χ² 154 / p 1e-35 | 4.9 EB05 3.8 · IC025 +1.8 3/3 methods agree | Not in label — unassessed | serious PRR 5.0 · ♀ 20% (drug 54%) | no trial data cached |
| Economic problem | 15 | 5.0 3.0–8.3ROR 5.0 · χ² 44 / p 1e-11 | 4.4 EB05 2.8 · IC025 +1.3 3/3 methods agree | Reporting / coding artifact | serious PRR 4.8 | no trial data cached |
| Oedema peripheral (swelling of legs/feet) | 119 | 5.0 4.2–6.0ROR 5.1 · χ² 380 / p 6e-85 | 4.9 EB05 4.2 · IC025 +2.0 3/3 methods agree | Labeled (related wording) related wording | serious PRR 3.6 | no trial data cached |
| Metabolic acidosis | 30 | 4.9 3.4–7.0ROR 4.9 · χ² 89 / p 2e-21 | 4.6 EB05 3.4 · IC025 +1.6 3/3 methods agree | Not in label — unassessed | serious PRR 4.3 · ♀ 0% (drug 54%) | no trial data cached |
| Cardiac failure congestive | 76 | 4.8 3.9–6.0ROR 4.9 · χ² 228 / p 1e-51 | 4.7 EB05 3.9 · IC025 +1.9 3/3 methods agree | Not in label — unassessed | serious PRR 4.3 | no trial data cached |
| Back injury | 10 | 4.8 2.6–8.8ROR 4.8 · χ² 26 / p 2e-7 | 4.0 EB05 2.3 · IC025 +0.9 3/3 methods agree | Not in label — unassessed | serious PRR 3.9 | no trial data cached |
| Nocturia (night-time urination) | 11 | 4.7 2.6–8.4ROR 4.7 · χ² 28 / p 5e-8 | 4.0 EB05 2.4 · IC025 +1.0 3/3 methods agree | Not in label — unassessed | serious PRR 2.6 | no trial data cached |
| Blood triglycerides increased | 16 | 4.6 2.9–7.6ROR 4.7 · χ² 42 / p 4e-11 | 4.1 EB05 2.7 · IC025 +1.2 3/3 methods agree | Lab value / disease marker | serious PRR 4.0 | no trial data cached |
| Diabetes mellitus | 69 | 4.6 3.7–5.9ROR 4.7 · χ² 194 / p 2e-44 | 4.5 EB05 3.7 · IC025 +1.8 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious PRR 4.2 | no trial data cached |
| Hypertensive crisis | 10 | 4.6 2.5–8.6ROR 4.6 · χ² 25 / p 3e-7 | 3.9 EB05 2.3 · IC025 +0.9 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious PRR 4.1 | no trial data cached |
| Blood pressure abnormal | 17 | 4.4 2.8–7.1ROR 4.4 · χ² 42 / p 5e-11 | 4.0 EB05 2.7 · IC025 +1.2 3/3 methods agree | Likely indication confounding term in indications | serious PRR 3.3 | no trial data cached |
| Hiatus hernia | 11 | 4.4 2.4–7.9ROR 4.4 · χ² 25 / p 2e-7 | 3.8 EB05 2.3 · IC025 +0.9 3/3 methods agree | Not in label — unassessed | serious PRR 4.0 | no trial data cached |
| Chronic kidney disease | 64 | 4.3 3.4–5.5ROR 4.4 · χ² 159 / p 8e-37 | 4.2 EB05 3.4 · IC025 +1.7 3/3 methods agree | Likely indication confounding term in indications | serious PRR 3.9 | no trial data cached |
| Blood urea increased | 14 | 4.3 2.5–7.2ROR 4.3 · χ² 32 / p 8e-9 | 3.8 EB05 2.4 · IC025 +1.0 3/3 methods agree | Lab value / disease marker | serious PRR 3.6 | no trial data cached |
| Glomerular filtration rate decreased | 10 | 4.3 2.3–7.9ROR 4.3 · χ² 22 / p 2e-6 | 3.6 EB05 2.1 · IC025 +0.8 3/3 methods agree | Lab value / disease marker | serious PRR 4.6 | no trial data cached |
| Upper limb fracture | 16 | 4.1 2.5–6.7ROR 4.1 · χ² 35 / p 2e-9 | 3.7 EB05 2.5 · IC025 +1.1 3/3 methods agree | Not in label — unassessed | serious PRR 4.2 | no trial data cached |
| Abasia | 20 | 4.1 2.7–6.4ROR 4.1 · χ² 44 / p 2e-11 | 3.8 EB05 2.6 · IC025 +1.2 3/3 methods agree | Not in label — unassessed | serious PRR 3.5 | no trial data cached |
| Oedema | 43 | 4.1 3.0–5.5ROR 4.1 · χ² 98 / p 3e-23 | 3.9 EB05 3.0 · IC025 +1.5 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 2.8 | no trial data cached |
| Renal failure acute | 34 | 4.1 2.9–5.7ROR 4.1 · χ² 76 / p 2e-18 | 3.9 EB05 2.9 · IC025 +1.4 3/3 methods agree | Not in label — unassessed | serious PRR 3.6 | no trial data cached |
| Glaucoma | 15 | 4.0 2.4–6.6ROR 4.0 · χ² 31 / p 1e-8 | 3.6 EB05 2.3 · IC025 +1.0 3/3 methods agree | Not in label — unassessed | serious PRR 3.3 | no trial data cached |
| Renal failure (kidney failure) | 104 | 4.0 3.3–4.8ROR 4.1 · χ² 233 / p 7e-53 | 3.9 EB05 3.3 · IC025 +1.7 3/3 methods agree | Not in label — unassessed | serious PRR 3.5 | no trial data cached |
| Rotator cuff syndrome | 10 | 4.0 2.2–7.4ROR 4.0 · χ² 20 / p 5e-6 | 3.5 EB05 2.0 · IC025 +0.7 3/3 methods agree | Not in label — unassessed | serious PRR 3.7 | no trial data cached |
| Hypoacusis | 33 | 4.0 2.8–5.6ROR 4.0 · χ² 70 / p 3e-17 | 3.8 EB05 2.8 · IC025 +1.3 3/3 methods agree | Not in label — unassessed | serious PRR 3.7 | no trial data cached |
| Coronary artery disease | 23 | 3.9 2.6–5.8ROR 3.9 · χ² 46 / p 5e-12 | 3.6 EB05 2.6 · IC025 +1.2 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 3.5 | no trial data cached |
| Thinking abnormal | 14 | 3.8 2.3–6.5ROR 3.9 · χ² 27 / p 1e-7 | 3.5 EB05 2.2 · IC025 +0.9 3/3 methods agree | Not in label — unassessed | serious PRR 4.6 | no trial data cached |
| Cardiomyopathy | 11 | 3.8 2.1–6.9ROR 3.8 · χ² 20 / p 3e-6 | 3.4 EB05 2.0 · IC025 +0.7 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious PRR 3.4 | no trial data cached |
| Respiratory arrest | 20 | 3.7 2.4–5.7ROR 3.7 · χ² 37 / p 6e-10 | 3.4 EB05 2.4 · IC025 +1.0 3/3 methods agree | Not in label — unassessed | serious PRR 3.1 | no trial data cached |
| Seasonal allergy | 10 | 3.6 2.0–6.8ROR 3.7 · χ² 17 / p 2e-5 | 3.2 EB05 1.9 · IC025 +0.6 | Not in label — unassessed | serious n=4 | no trial data cached |
| Activities of daily living impaired | 14 | 3.6 2.1–6.1ROR 3.6 · χ² 24 / p 6e-7 | 3.3 EB05 2.1 · IC025 +0.8 3/3 methods agree | Not in label — unassessed | serious PRR 3.4 | no trial data cached |
| Limb discomfort | 21 | 3.5 2.3–5.4ROR 3.5 · χ² 35 / p 2e-9 | 3.3 EB05 2.3 · IC025 +1.0 3/3 methods agree | Not in label — unassessed | serious PRR 2.5 | no trial data cached |
Trial evidence (ClinicalTrials.gov)
Most frequently reported reactions
By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Hypertension (high blood pressure) | 132 | 3.2 2.7–3.8ROR 3.3 · χ² 200 / p 1e-45 | 3.2 EB05 2.7 · IC025 +1.4 3/3 methods agree | Likely indication confounding term in indications | serious PRR 2.7 | no trial data cached |
| Oedema peripheral (swelling of legs/feet) | 119 | 5.0 4.2–6.0ROR 5.1 · χ² 380 / p 6e-85 | 4.9 EB05 4.2 · IC025 +2.0 3/3 methods agree | Labeled (related wording) related wording | serious PRR 3.6 | no trial data cached |
| Renal failure (kidney failure) | 104 | 4.0 3.3–4.8ROR 4.1 · χ² 233 / p 7e-53 | 3.9 EB05 3.3 · IC025 +1.7 3/3 methods agree | Not in label — unassessed | serious PRR 3.5 | no trial data cached |
| Blood pressure increased | 97 | 3.3 2.7–4.0ROR 3.3 · χ² 151 / p 6e-35 | 3.2 EB05 2.7 · IC025 +1.4 3/3 methods agree | Likely indication confounding term in indications | serious PRR 3.2 | no trial data cached |
| Myalgia (muscle pain) | 92 | 2.8 2.3–3.4ROR 2.8 · χ² 104 / p 8e-25 | 2.8 EB05 2.3 · IC025 +1.1 3/3 methods agree | Not in label — unassessed | serious PRR 2.0 | no trial data cached |
| Blood glucose increased | 84 | 2.3 1.9–2.8ROR 2.3 · χ² 60 / p 5e-15 | 2.3 EB05 1.9 · IC025 +0.8 | Lab value / disease marker | serious PRR 2.7 | no trial data cached |
| Cerebrovascular accident (stroke) | 77 | 2.3 1.9–2.9ROR 2.4 · χ² 58 / p 2e-14 | 2.3 EB05 1.9 · IC025 +0.8 | Not in label — unassessed | serious PRR 2.0 | no trial data cached |
| Cardiac failure congestive | 76 | 4.8 3.9–6.0ROR 4.9 · χ² 228 / p 1e-51 | 4.7 EB05 3.9 · IC025 +1.9 3/3 methods agree | Not in label — unassessed | serious PRR 4.3 | no trial data cached |
| Myocardial infarction (heart attack) | 75 | 2.2 1.8–2.7ROR 2.2 · χ² 48 / p 2e-12 | 2.2 EB05 1.8 · IC025 +0.7 | Likely indication confounding term in indications; also in warnings | serious PRR 2.0 | no trial data cached |
| Diabetes mellitus | 69 | 4.6 3.7–5.9ROR 4.7 · χ² 194 / p 2e-44 | 4.5 EB05 3.7 · IC025 +1.8 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious PRR 4.2 | no trial data cached |
| Flushing | 65 | 3.3 2.6–4.2ROR 3.3 · χ² 101 / p 4e-24 | 3.2 EB05 2.6 · IC025 +1.3 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 0.9 · 73% consumer | no trial data cached |
| Chronic kidney disease | 64 | 4.3 3.4–5.5ROR 4.4 · χ² 159 / p 8e-37 | 4.2 EB05 3.4 · IC025 +1.7 3/3 methods agree | Likely indication confounding term in indications | serious PRR 3.9 | no trial data cached |
| Type 2 diabetes mellitus | 64 | 9.8 7.7–12.5ROR 9.9 · χ² 495 / p 6e-110 | 9.4 EB05 7.6 · IC025 +2.8 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious PRR 8.9 · ♀ 79% (drug 54%) | no trial data cached |
| Blood cholesterol increased | 62 | 6.9 5.4–8.8ROR 6.9 · χ² 304 / p 2e-68 | 6.6 EB05 5.3 · IC025 +2.3 3/3 methods agree | Lab value / disease marker | serious PRR 5.5 | no trial data cached |
| Joint swelling | 56 | 2.4 1.8–3.1ROR 2.4 · χ² 44 / p 1e-11 | 2.4 EB05 1.9 · IC025 +0.8 | Not in label — unassessed | serious PRR 1.2 | no trial data cached |
Unlabeled candidate signals
These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.
- End stage renal disease — n=24, PRR 6.7
- Hypoglycaemia — n=48, PRR 5.1
- Metabolic acidosis — n=30, PRR 4.9
- Cardiac failure congestive — n=76, PRR 4.8
- Abasia — n=20, PRR 4.1
- Renal failure acute — n=34, PRR 4.1
- Renal failure — n=104, PRR 4.0
- Hypoacusis — n=33, PRR 4.0
- Respiratory arrest — n=20, PRR 3.7
- Limb discomfort — n=21, PRR 3.5
✓ A hand-written Bradford Hill causality assessment exists for this drug: Amlodipine (dihydropyridine CCBs) ↔ Peripheral oedema.
Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.
Common questions
What are the most reported side effects of Amlodipine and Atorvastatin?
In FDA FAERS, the most frequently co-reported reaction terms for Amlodipine and Atorvastatin are hypertension, oedema peripheral, renal failure, blood pressure increased, myalgia, blood glucose increased. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.
Does Amlodipine and Atorvastatin have an FDA boxed warning?
No. The FDA label retrieved for Amlodipine and Atorvastatin has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Amlodipine and Atorvastatin causes these side effects?
No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.
Sources & methods
- FDA label via openFDA (set ID df673a4d-acb8-444c-a472-c87ab8cbd366, effective 20251216; matched on
openfda.generic_name.exact:"AMLODIPINE") - Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
- FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA
count=aggregation, fieldpatient.drug.openfda.generic_name.exact, 225 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction - Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
- Seriousness and sex counts from openFDA
count=serious,patient.patientsex,seriousnessdeath
Page generated 2026-10-08. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.