Amlodipine and Benazepril side effects: what 634 FDA adverse event reports show
Drug class
Calcium channel blocker and may be
Label matched
Amlodipine (Katerzia)
Who reports
634 reports · 57% serious · 66 with death outcome · 46% 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
- 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.
- 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. 1,032 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 |
|---|---|---|---|---|---|---|
| Angioneurotic oedema | 70 | 60.7 47.9–76.9ROR 61.2 · χ² 3,947 / p <1e-300 | 58.3 EB05 47.7 · IC025 +5.0 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Hyperparathyroidism secondary | 42 | 38.5 28.4–52.2ROR 38.7 · χ² 1,472 / p <1e-300 | 37.3 EB05 28.8 · IC025 +4.2 3/3 methods agree | Not in label — unassessed | serious n=7 | no trial data cached |
| Chronic kidney disease-mineral and bone disorder | 17 | 36.7 22.7–59.2ROR 36.7 · χ² 546 / p 6e-121 | 34.8 EB05 23.0 · IC025 +3.4 3/3 methods agree | Not in label — unassessed | serious n=5 | no trial data cached |
| Brash syndrome | 20 | 34.2 22.0–53.1ROR 34.2 · χ² 602 / p 3e-133 | 32.7 EB05 22.4 · IC025 +3.5 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Sick sinus syndrome | 15 | 29.8 17.9–49.5ROR 29.8 · χ² 384 / p 9e-86 | 28.4 EB05 18.3 · IC025 +3.1 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Blood pressure inadequately controlled | 75 | 28.6 22.8–35.9ROR 28.8 · χ² 1,945 / p <1e-300 | 28.1 EB05 23.1 · IC025 +4.2 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=3 | no trial data cached |
| Nephrogenic anaemia | 54 | 26.7 20.4–34.9ROR 26.8 · χ² 1,294 / p 1e-283 | 26.2 EB05 20.8 · IC025 +4.0 3/3 methods agree | Not in label — unassessed | serious n=7 | no trial data cached |
| Diabetes mellitus non-insulin-dependent | 17 | 26.7 16.5–43.0ROR 26.7 · χ² 390 / p 4e-87 | 25.7 EB05 16.9 · IC025 +3.1 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | – | no trial data cached |
| Joint sprain | 12 | 26.1 14.8–46.2ROR 26.2 · χ² 263 / p 2e-59 | 24.9 EB05 15.0 · IC025 +2.7 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Colonic polyp | 18 | 24.8 15.6–39.4ROR 24.8 · χ² 383 / p 1e-85 | 24.0 EB05 16.0 · IC025 +3.1 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Hypertensive heart disease | 18 | 22.0 13.9–35.0ROR 22.1 · χ² 338 / p 1e-75 | 21.3 EB05 14.2 · IC025 +3.0 3/3 methods agree | Likely indication confounding term in indications | – | no trial data cached |
| Muscle cramp | 16 | 20.5 12.5–33.5ROR 20.5 · χ² 275 / p 5e-62 | 19.7 EB05 12.6 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Lumbar radiculopathy | 10 | 19.7 10.6–36.7ROR 19.7 · χ² 158 / p 2e-36 | 18.3 EB05 9.7 · IC025 +2.3 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Carotid artery stenosis | 26 | 17.0 11.6–25.0ROR 17.1 · χ² 374 / p 1e-83 | 16.6 EB05 11.7 · IC025 +3.0 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Rebound acid hypersecretion | 22 | 16.5 10.9–25.1ROR 16.5 · χ² 303 / p 4e-68 | 16.0 EB05 10.8 · IC025 +2.9 3/3 methods agree | Not in label — unassessed | serious n=4 | no trial data cached |
| Ventricular hypertrophy | 16 | 14.5 8.9–23.7ROR 14.5 · χ² 187 / p 7e-43 | 13.6 EB05 8.2 · IC025 +2.5 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | – | no trial data cached |
| Lacunar infarction | 15 | 14.4 8.7–23.9ROR 14.4 · χ² 173 / p 9e-40 | 13.4 EB05 7.9 · IC025 +2.5 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=1 | no trial data cached |
| Diabetic neuropathy | 31 | 14.3 10.1–20.4ROR 14.3 · χ² 368 / p 2e-82 | 13.9 EB05 10.0 · IC025 +3.0 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | – | no trial data cached |
| Concomitant disease progression | 12 | 14.0 7.9–24.6ROR 14.0 · χ² 131 / p 1e-30 | 12.5 EB05 6.7 · IC025 +2.2 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Ischaemic cardiomyopathy | 18 | 13.3 8.4–21.2ROR 13.4 · χ² 192 / p 5e-44 | 12.4 EB05 7.8 · IC025 +2.5 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | – | no trial data cached |
| Coronary artery disease | 172 | 12.9 11.2–15.0ROR 13.2 · χ² 1,876 / p <1e-300 | 12.8 EB05 11.3 · IC025 +3.4 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 3.3 | no trial data cached |
| End stage renal disease | 103 | 12.8 10.6–15.6ROR 13.0 · χ² 1,107 / p 4e-243 | 12.7 EB05 10.7 · IC025 +3.3 3/3 methods agree | Not in label — unassessed | serious PRR 18.0 | no trial data cached |
| Stomach discomfort | 29 | 12.7 8.8–18.3ROR 12.7 · χ² 300 / p 2e-67 | 12.2 EB05 8.6 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Left ventricular hypertrophy | 22 | 11.8 7.8–17.9ROR 11.8 · χ² 205 / p 7e-47 | 10.9 EB05 7.2 · IC025 +2.5 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=1 | no trial data cached |
| Renal failure chronic | 40 | 11.8 8.6–16.1ROR 11.8 · χ² 382 / p 3e-85 | 11.3 EB05 8.5 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | serious PRR 4.3 | no trial data cached |
| Spinal column stenosis | 24 | 11.5 7.7–17.2ROR 11.5 · χ² 219 / p 9e-50 | 10.7 EB05 7.2 · IC025 +2.6 3/3 methods agree | Not in label — unassessed | serious n=1 | no trial data cached |
| Difficulty in walking | 17 | 11.2 6.9–18.0ROR 11.2 · χ² 147 / p 4e-34 | 10.0 EB05 6.2 · IC025 +2.3 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Therapeutic agent toxicity | 16 | 10.9 6.6–17.7ROR 10.9 · χ² 133 / p 5e-31 | 9.5 EB05 5.8 · IC025 +2.2 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Angina unstable | 31 | 10.8 7.6–15.4ROR 10.9 · χ² 266 / p 4e-60 | 10.2 EB05 7.3 · IC025 +2.6 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Tricuspid valve incompetence | 37 | 10.7 7.8–14.8ROR 10.8 · χ² 316 / p 6e-71 | 10.2 EB05 7.5 · IC025 +2.7 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Excoriation | 12 | 10.7 6.1–18.8ROR 10.7 · χ² 95 / p 7e-23 | 8.9 EB05 5.0 · IC025 +2.0 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Mitral valve incompetence | 51 | 10.3 7.9–13.6ROR 10.4 · χ² 419 / p 2e-93 | 9.9 EB05 7.7 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Peripheral vascular disorder | 23 | 10.2 6.8–15.3ROR 10.2 · χ² 180 / p 2e-41 | 9.2 EB05 6.2 · IC025 +2.4 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Essential hypertension | 11 | 9.7 5.4–17.6ROR 9.7 · χ² 77 / p 7e-19 | 7.8 EB05 4.4 · IC025 +1.8 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | – | no trial data cached |
| Hyperlipidaemia | 48 | 9.2 6.9–12.2ROR 9.2 · χ² 341 / p 2e-76 | 8.7 EB05 6.7 · IC025 +2.6 3/3 methods agree | Likely indication confounding term in indications | – | no trial data cached |
| Cardiomegaly | 49 | 9.1 6.8–12.0ROR 9.1 · χ² 342 / p 1e-76 | 8.6 EB05 6.7 · IC025 +2.6 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious PRR 2.8 | no trial data cached |
| Diastolic dysfunction | 12 | 8.9 5.0–15.6ROR 8.9 · χ² 76 / p 2e-18 | 7.2 EB05 4.2 · IC025 +1.8 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | – | no trial data cached |
| Rhinitis allergic | 17 | 8.8 5.4–14.1ROR 8.8 · χ² 109 / p 8e-26 | 7.5 EB05 4.8 · IC025 +2.0 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Arteriosclerosis coronary artery | 25 | 8.7 5.9–12.8ROR 8.7 · χ² 162 / p 3e-37 | 7.8 EB05 5.4 · IC025 +2.2 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=1 | no trial data cached |
| Cardiac failure congestive | 305 | 8.6 7.7–9.6ROR 8.9 · χ² 2,047 / p <1e-300 | 8.5 EB05 7.7 · IC025 +2.9 3/3 methods agree | Not in label — unassessed | serious PRR 2.1 | 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 |
|---|---|---|---|---|---|---|
| Nausea | 621 | 1.8 1.7–1.9ROR 1.9 · χ² 228 / p 9e-52 | 1.8 EB05 1.7 · IC025 +0.7 | Labeled adverse reaction exact term | serious PRR 1.3 · 76% consumer | no trial data cached |
| Fatigue (tiredness) | 533 | 1.6 1.4–1.7ROR 1.6 · χ² 113 / p 1e-26 | 1.6 EB05 1.5 · IC025 +0.5 | Labeled adverse reaction exact term | serious PRR 1.6 · 82% consumer | no trial data cached |
| Drug ineffective (drug did not work) | 527 | 0.9 0.8–1.0ROR 0.9 · χ² 4 / p 0.018 | 0.9 EB05 0.9 · IC025 -0.3 PRR-only: not supported by EBGM or IC | Reporting / coding artifact | serious PRR 0.8 · 76% consumer | no trial data cached |
| Dizziness | 480 | 2.2 2.0–2.4ROR 2.3 · χ² 322 / p 3e-72 | 2.2 EB05 2.0 · IC025 +1.0 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 1.1 | no trial data cached |
| Diarrhoea (diarrhea) | 455 | 1.6 1.5–1.8ROR 1.6 · χ² 110 / p 6e-26 | 1.6 EB05 1.5 · IC025 +0.5 | Not in label — unassessed | serious PRR 2.5 · 77% consumer | no trial data cached |
| Dyspnoea (shortness of breath) | 427 | 1.7 1.6–1.9ROR 1.8 · χ² 133 / p 5e-31 | 1.7 EB05 1.6 · IC025 +0.6 | Not in label — unassessed | serious PRR 1.7 · ♀ 72% (drug 46%) | no trial data cached |
| Headache | 417 | 1.5 1.4–1.7ROR 1.5 · χ² 76 / p 1e-18 | 1.5 EB05 1.4 · IC025 +0.4 | Not in label — unassessed | serious PRR 1.8 · ♀ 71% (drug 46%) · 81% consumer | no trial data cached |
| Pain | 400 | 1.5 1.3–1.6ROR 1.5 · χ² 65 / p 4e-16 | 1.5 EB05 1.4 · IC025 +0.4 | Labeled adverse reaction exact term | serious PRR 1.2 | no trial data cached |
| Asthenia (weakness) | 386 | 2.3 2.1–2.6ROR 2.4 · χ² 302 / p 6e-68 | 2.3 EB05 2.2 · IC025 +1.1 3/3 methods agree | Not in label — unassessed | serious PRR 1.5 | no trial data cached |
| Myocardial infarction (heart attack) | 352 | 4.6 4.1–5.1ROR 4.7 · χ² 988 / p 4e-217 | 4.5 EB05 4.2 · IC025 +2.0 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 0.4 | no trial data cached |
| Renal failure (kidney failure) | 321 | 5.5 4.9–6.1ROR 5.7 · χ² 1,180 / p 9e-259 | 5.4 EB05 5.0 · IC025 +2.3 3/3 methods agree | Not in label — unassessed | serious PRR 8.3 | no trial data cached |
| Hypertension (high blood pressure) | 319 | 3.4 3.1–3.8ROR 3.5 · χ² 555 / p 7e-123 | 3.4 EB05 3.1 · IC025 +1.6 3/3 methods agree | Likely indication confounding term in indications | serious PRR 1.6 | no trial data cached |
| Vomiting | 309 | 1.5 1.3–1.7ROR 1.5 · χ² 53 / p 2e-13 | 1.5 EB05 1.4 · IC025 +0.4 | Not in label — unassessed | serious PRR 2.2 | no trial data cached |
| Cerebrovascular accident (stroke) | 306 | 4.1 3.7–4.6ROR 4.2 · χ² 723 / p 1e-159 | 4.1 EB05 3.7 · IC025 +1.8 3/3 methods agree | Not in label — unassessed | serious PRR 0.2 | no trial data cached |
| Cardiac failure congestive | 305 | 8.6 7.7–9.6ROR 8.9 · χ² 2,047 / p <1e-300 | 8.5 EB05 7.7 · IC025 +2.9 3/3 methods agree | Not in label — unassessed | serious PRR 2.1 | 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.
- Angioneurotic oedema — n=70, PRR 60.7
- Hyperparathyroidism secondary — n=42, PRR 38.5
- Brash syndrome — n=20, PRR 34.2
- Nephrogenic anaemia — n=54, PRR 26.7
- Carotid artery stenosis — n=26, PRR 17.0
- Rebound acid hypersecretion — n=22, PRR 16.5
- End stage renal disease — n=103, PRR 12.8
- Stomach discomfort — n=29, PRR 12.7
- Renal failure chronic — n=40, PRR 11.8
- Spinal column stenosis — n=24, PRR 11.5
✓ 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 Benazepril?
In FDA FAERS, the most frequently co-reported reaction terms for Amlodipine and Benazepril are nausea, fatigue, dizziness, diarrhoea, dyspnoea, headache. 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 Benazepril have an FDA boxed warning?
No. The FDA label retrieved for Amlodipine and Benazepril has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Amlodipine and Benazepril 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, 1,072 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.