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Amlodipine side effects: what 267,918 FDA adverse event reports show

Amlodipine · Katerzia · 1,154 reaction terms · 986,499 drug–reaction co-reports · data 2026-09-14
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Drug class

Calcium channel blocker and may be

FDA label, Indications wording

Brand names

Katerzia

openFDA label

Who reports

267,918 reports · 77% serious · 29,515 with death outcome · 53% female

openFDA FAERS counts, all years, deduplication not applied

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.

FDA label, Indications and Usage

What it is

Amlodipine is a fully substituted dialkyl 1,4-dihydropyridine-3,5-dicarboxylate derivative, which is used for the treatment of hypertension, chronic stable angina and confirmed or suspected vasospastic angina.

PubChem CID 2162 (ChEBI)

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Likely indication confounding 12Reporting / coding artifact 1Lab value / disease marker 1Outcome field, not a reaction 1Not in label — unassessed 25
What the badges mean

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. 1,114 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Distributive shock75640.4
37.0–44.2ROR 40.5 · χ² 18,972 / p <1e-300
26.7 EB05 25.2 · IC025 +4.6
3/3 methods agree
Not in label — unassessedserious n=756 · 100% cliniciannot reported in cached trials
Non-cardiogenic pulmonary oedema36240.2
35.4–45.7ROR 40.3 · χ² 9,036 / p <1e-300
26.6 EB05 24.4 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious n=362 · 100% cliniciannot reported in cached trials
Vasoplegia syndrome52137.0
33.3–41.1ROR 37.1 · χ² 12,262 / p <1e-300
25.2 EB05 23.5 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious n=521 · 100% cliniciannot reported in cached trials
Gingival hypertrophy44632.8
29.4–36.7ROR 32.9 · χ² 9,593 / p <1e-300
23.2 EB05 21.5 · IC025 +4.3
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=401 · 100% cliniciannot reported in cached trials
Hyperparathyroidism secondary54621.3
19.4–23.4ROR 21.3 · χ² 8,243 / p <1e-300
16.9 EB05 15.7 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=543NCT00170950: 1/5,757 (0.0%) on Amlodipine (serious AE)
Nephrogenic anaemia96120.0
18.7–21.5ROR 20.1 · χ² 13,758 / p <1e-300
16.1 EB05 15.2 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=961not reported in cached trials
Chronic kidney disease-mineral and bone disorder22120.0
17.3–23.2ROR 20.0 · χ² 3,149 / p <1e-300
16.0 EB05 14.3 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=221not reported in cached trials
Carotid artery thrombosis16418.4
15.5–21.8ROR 18.4 · χ² 2,160 / p <1e-300
15.0 EB05 13.1 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=164 · ♀ 100% (drug 53%) · 100% cliniciannot reported in cached trials
Brash syndrome24517.1
14.9–19.6ROR 17.1 · χ² 3,015 / p <1e-300
14.1 EB05 12.7 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=245 · 100% cliniciannot reported in cached trials
Suspected suicide78715.3
14.2–16.5ROR 15.3 · χ² 8,752 / p <1e-300
12.9 EB05 12.2 · IC025 +3.6
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=787 · 100% cliniciannot reported in cached trials
Blood pressure systolic abnormal33311.9
10.6–13.4ROR 12.0 · χ² 2,877 / p <1e-300
10.4 EB05 9.5 · IC025 +3.2
3/3 methods agree
Likely indication confounding
term in indications
serious n=321 · 100% cliniciannot reported in cached trials
Adjustment disorder16611.3
9.6–13.3ROR 11.3 · χ² 1,345 / p 9e-295
9.8 EB05 8.6 · IC025 +3.0
3/3 methods agree
Not in label — unassessedserious n=165 · ♀ 100% (drug 53%) · 100% cliniciannot reported in cached trials
Blood pressure diastolic abnormal30810.5
9.3–11.9ROR 10.5 · χ² 2,326 / p <1e-300
9.3 EB05 8.5 · IC025 +3.0
3/3 methods agree
Likely indication confounding
term in indications
serious n=298 · ♀ 100% (drug 53%) · 100% cliniciannot reported in cached trials
Rebound acid hypersecretion3479.9
8.8–11.0ROR 9.9 · χ² 2,441 / p <1e-300
8.8 EB05 8.0 · IC025 +3.0
3/3 methods agree
Not in label — unassessedserious n=346not reported in cached trials
Physical deconditioning2769.6
8.5–10.9ROR 9.6 · χ² 1,876 / p <1e-300
8.5 EB05 7.7 · IC025 +2.9
3/3 methods agree
Not in label — unassessedserious n=276not reported in cached trials
End stage renal disease1,9859.3
8.9–9.8ROR 9.4 · χ² 13,176 / p <1e-300
8.4 EB05 8.1 · IC025 +3.0
3/3 methods agree
Not in label — unassessedserious PRR 6.3not reported in cached trials
Sedation complication2649.1
8.0–10.4ROR 9.1 · χ² 1,699 / p <1e-300
8.2 EB05 7.4 · IC025 +2.8
3/3 methods agree
Reporting / coding artifactserious n=262 · ♀ 100% (drug 53%) · 100% cliniciannot reported in cached trials
Creatinine renal clearance decreased3206.7
5.9–7.5ROR 6.7 · χ² 1,413 / p <1e-300
6.2 EB05 5.6 · IC025 +2.4
3/3 methods agree
Lab value / disease markerserious n=314 · ♀ 100% (drug 53%)not reported in cached trials
Shock1,7706.5
6.2–6.8ROR 6.5 · χ² 7,595 / p <1e-300
6.1 EB05 5.8 · IC025 +2.5
3/3 methods agree
Not in label — unassessedserious PRR 4.5 · 96% clinicianNCT00170950: 3/5,740 (0.1%) on Amlodipine (serious AE)
Diastolic dysfunction2326.2
5.5–7.1ROR 6.3 · χ² 940 / p 8e-207
5.8 EB05 5.2 · IC025 +2.3
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=232 · 100% cliniciannot reported in cached trials
Blood pressure inadequately controlled4496.2
5.6–6.8ROR 6.2 · χ² 1,799 / p <1e-300
5.8 EB05 5.3 · IC025 +2.4
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=369NCT00170950: 1/5,757 (0.0%) on Amlodipine (serious AE)
Personality disorder1936.1
5.3–7.1ROR 6.1 · χ² 758 / p 3e-167
5.7 EB05 5.0 · IC025 +2.3
3/3 methods agree
Not in label — unassessedserious n=187 · ♀ 100% (drug 53%) · 100% cliniciannot reported in cached trials
Blood pressure systolic increased1,4286.1
5.8–6.4ROR 6.1 · χ² 5,610 / p <1e-300
5.7 EB05 5.4 · IC025 +2.4
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 4.4not reported in cached trials
Hypomagnesaemia9825.9
5.5–6.3ROR 5.9 · χ² 3,697 / p <1e-300
5.5 EB05 5.2 · IC025 +2.4
3/3 methods agree
Not in label — unassessedserious PRR 4.2 · 90% clinicianNCT00170950: 2/5,757 (0.0%) on Amlodipine (serious AE)
Chronic kidney disease5,4085.9
5.7–6.0ROR 6.0 · χ² 20,349 / p <1e-300
5.5 EB05 5.4 · IC025 +2.4
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 4.2not reported in cached trials
Left ventricular hypertrophy3015.8
5.2–6.6ROR 5.8 · χ² 1,117 / p 4e-245
5.5 EB05 5.0 · IC025 +2.3
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=298 · 100% cliniciannot reported in cached trials
Orthostatic hypotension (dizziness on standing)1,1985.7
5.4–6.0ROR 5.7 · χ² 4,317 / p <1e-300
5.4 EB05 5.1 · IC025 +2.3
3/3 methods agree
Not in label — unassessedserious PRR 4.4NCT00170950: 5/5,740 (0.1%) on Amlodipine (serious AE)
Atrioventricular block first degree2995.7
5.1–6.4ROR 5.7 · χ² 1,072 / p 2e-235
5.3 EB05 4.8 · IC025 +2.2
3/3 methods agree
Not in label — unassessedserious n=293 · 100% clinicianNCT00170950: 1/5,740 (0.0%) on Amlodipine (serious AE)
Anti-neutrophil cytoplasmic antibody positive vasculitis1655.6
4.8–6.6ROR 5.6 · χ² 578 / p 5e-128
5.2 EB05 4.6 · IC025 +2.1
3/3 methods agree
Not in label — unassessedserious n=163 · ♀ 100% (drug 53%) · 100% cliniciannot reported in cached trials
Breath sounds abnormal3335.6
5.0–6.3ROR 5.6 · χ² 1,167 / p 5e-256
5.2 EB05 4.8 · IC025 +2.2
3/3 methods agree
Not in label — unassessedserious n=326not reported in cached trials
Metabolic acidosis2,1185.5
5.3–5.8ROR 5.6 · χ² 7,358 / p <1e-300
5.2 EB05 5.0 · IC025 +2.3
3/3 methods agree
Not in label — unassessedserious PRR 3.9NCT00170950: 1/5,740 (0.0%) on Amlodipine (serious AE)
Completed suicide (death by suicide)5,5335.4
5.3–5.6ROR 5.5 · χ² 18,790 / p <1e-300
5.1 EB05 5.0 · IC025 +2.3
3/3 methods agree
Outcome field, not a reactionserious PRR 3.8 · 100% clinicianNCT00170950: 1/5,740 (0.0%) on Amlodipine (serious AE)
Cardiogenic shock9225.3
5.0–5.7ROR 5.4 · χ² 3,036 / p <1e-300
5.0 EB05 4.8 · IC025 +2.2
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious PRR 3.8 · 100% clinicianNCT00170950: 3/5,740 (0.1%) on Amlodipine (serious AE)
Acute kidney injury (sudden kidney damage)9,8105.3
5.2–5.4ROR 5.5 · χ² 32,413 / p <1e-300
5.0 EB05 5.0 · IC025 +2.3
3/3 methods agree
Not in label — unassessedserious PRR 3.8not reported in cached trials
Aplastic anaemia3365.3
4.7–5.9ROR 5.3 · χ² 1,090 / p 3e-239
5.0 EB05 4.5 · IC025 +2.1
3/3 methods agree
Not in label — unassessedserious n=336 · 100% cliniciannot reported in cached trials
Blood pressure diastolic decreased4615.1
4.7–5.6ROR 5.1 · χ² 1,430 / p <1e-300
4.8 EB05 4.5 · IC025 +2.1
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 3.7not reported in cached trials
Hypertensive crisis6775.0
4.6–5.4ROR 5.0 · χ² 2,024 / p <1e-300
4.7 EB05 4.4 · IC025 +2.1
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious PRR 3.5NCT00170950: 1/5,740 (0.0%) on Amlodipine (serious AE)
Potentiating drug interaction1934.8
4.2–5.6ROR 4.8 · χ² 547 / p 2e-121
4.6 EB05 4.0 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious n=188 · ♀ 0% (drug 53%) · 100% cliniciannot reported in cached trials
Gingival swelling2574.8
4.2–5.4ROR 4.8 · χ² 721 / p 5e-159
4.5 EB05 4.1 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious n=219not reported in cached trials
Haemodynamic instability4324.7
4.3–5.2ROR 4.7 · χ² 1,192 / p 2e-261
4.5 EB05 4.1 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious PRR 3.3 · 100% cliniciannot reported in cached trials

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Amlodipine as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (10 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Fatigue (tiredness)16,3281.7
1.6–1.7ROR 1.7 · χ² 4,339 / p <1e-300
1.6 EB05 1.6 · IC025 +0.7Labeled adverse reaction
exact term
serious PRR 1.6NCT00170950: 3/5,740 (0.1%) on Amlodipine (serious AE)
Diarrhoea (diarrhea)14,6411.8
1.8–1.8ROR 1.8 · χ² 5,240 / p <1e-300
1.8 EB05 1.8 · IC025 +0.8Not in label — unassessedserious PRR 1.6NCT00170950: 17/5,740 (0.3%) on Amlodipine (serious AE)
Nausea13,9031.4
1.4–1.4ROR 1.4 · χ² 1,523 / p <1e-300
1.4 EB05 1.4 · IC025 +0.4Labeled adverse reaction
exact term
serious PRR 1.4NCT00170950: 9/5,740 (0.2%) on Amlodipine (serious AE)
Dyspnoea (shortness of breath)13,6121.9
1.9–1.9ROR 2.0 · χ² 5,869 / p <1e-300
1.9 EB05 1.9 · IC025 +0.9Not in label — unassessedserious PRR 1.6NCT00170950: 40/5,740 (0.7%) on Amlodipine (serious AE)
Drug ineffective (drug did not work)12,5770.7
0.7–0.8ROR 0.7 · χ² 1,160 / p 1e-254
0.7 EB05 0.7 · IC025 -0.4
PRR-only: not supported by EBGM or IC
Reporting / coding artifactserious PRR 1.0not reported in cached trials
Off label use (used outside approved label)11,7951.1
1.0–1.1ROR 1.1 · χ² 47 / p 3e-12
1.1 EB05 1.0 · IC025 +0.1Reporting / coding artifactserious PRR 1.1not reported in cached trials
Dizziness11,0661.8
1.7–1.8ROR 1.8 · χ² 3,607 / p <1e-300
1.7 EB05 1.7 · IC025 +0.8Labeled adverse reaction
exact term
serious PRR 1.7NCT01252563: 45/13,343 (0.3%) on Amlodipine
Headache10,2471.3
1.3–1.3ROR 1.3 · χ² 657 / p 3e-145
1.3 EB05 1.3 · IC025 +0.3Not in label — unassessedserious PRR 1.4NCT01252563: 14/13,343 (0.1%) on Amlodipine
Acute kidney injury (sudden kidney damage)9,8105.3
5.2–5.4ROR 5.5 · χ² 32,413 / p <1e-300
5.0 EB05 5.0 · IC025 +2.3
3/3 methods agree
Not in label — unassessedserious PRR 3.8not reported in cached trials
Pain9,4631.2
1.2–1.2ROR 1.2 · χ² 339 / p 4e-76
1.2 EB05 1.2 · IC025 +0.2Labeled adverse reaction
exact term
serious PRR 1.1NCT00170950: 21/5,740 (0.4%) on Amlodipine (serious AE)
Vomiting9,1211.5
1.5–1.6ROR 1.6 · χ² 1,693 / p <1e-300
1.5 EB05 1.5 · IC025 +0.6Not in label — unassessedserious PRR 1.4NCT00170950: 13/5,740 (0.2%) on Amlodipine (serious AE)
Fall8,7882.1
2.1–2.1ROR 2.1 · χ² 4,990 / p <1e-300
2.1 EB05 2.0 · IC025 +1.0
3/3 methods agree
Not in label — unassessedserious PRR 1.7NCT00170950: 13/5,740 (0.2%) on Amlodipine (serious AE)
Asthenia (weakness)8,7351.8
1.8–1.9ROR 1.9 · χ² 3,313 / p <1e-300
1.8 EB05 1.8 · IC025 +0.8Not in label — unassessedserious PRR 1.5NCT00170950: 9/5,740 (0.2%) on Amlodipine (serious AE)
Hypotension (low blood pressure)8,6613.5
3.4–3.6ROR 3.6 · χ² 14,872 / p <1e-300
3.4 EB05 3.3 · IC025 +1.7
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 2.8NCT01252563: 1/13,343 (0.0%) on Amlodipine (serious AE)
Malaise (feeling unwell)8,2231.5
1.4–1.5ROR 1.5 · χ² 1,250 / p 5e-274
1.5 EB05 1.4 · IC025 +0.5Not in label — unassessedserious PRR 1.5NCT01252563: 1/13,343 (0.0%) on Amlodipine (serious AE)

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.

✓ 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?

In FDA FAERS, the most frequently co-reported reaction terms for Amlodipine are fatigue, diarrhoea, nausea, dyspnoea, dizziness, 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 have an FDA boxed warning?

No. The FDA label retrieved for Amlodipine has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Amlodipine 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

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.