Q. Since I started taking Amlodipine, I have tinnitus. Can I change it with another medicine?
Hi doctor,
I have high blood pressure for the last four years. According to my doctor, it happens from genetic since both parents are suffering from it. Usually, I have a problem with diastolic blood pressure. It has reached 95, and even more since the systolic stays with 130 or max 140. Since that time, I am using Amlodipine 5 mg and Concor 2.5 mg in the morning daily. My pressure is very good with the two pills, and it is always 110/75. My question is about Amlodipine. Can I change it to another medicine? I am asking this because since I start with it, I started feeling tinnitus in both ears. Is it possible to be the reason? I saw in one report that Amlodipine causes tinnitus sometimes.
Hello,
Welcome to icliniq.com.
It is rare, but yes Amlodipine can cause tinnitus, and it is worthwhile to change it to other medications. The best alternative option is ARBs (Angiotensin II receptor blockers) like Telmisartan. The equivalent dose would be 40 mg once daily, and it would take a week for full effect. And, if blood pressure remains elevated after a week, which is unlikely, then you may need 80 mg. If Telmisartan is not available, then Olmesartan 20 mg is equivalent to Telmisartan 40 mg. It may take a few weeks for it to disappear after stopping it. If it persists after few weeks, then it needs to get examined by an ENT specialist for other causes.
I hope this helps you and get back if you have any doubts.
Hi doctor,
Do you think Telmisartan is better than Amlodipine? I heard that Amlodipine are given to people with very high blood pressure. In my case, it is different, I think, since I am facing a problem with the diastolic blood pressure, and it is always like 90 to 97. The last question is Telmisartan working with the Concor 2.5, or do you recommend me to use only Telmisartan first. As I mentioned now, I am taking Amlodipine 5 with Concor 2.5.
Thank you very much.
Hello,
Welcome back to icliniq.com.
Both Telmisartan and Amlodipine are considered similar. Some patients respond well to Amlodipine while others to Telmisartan, so it is variable. There is no such thing that Amlodipine is given to patients with more severe hypertension. However, Amlodipine acts relatively faster, while Telmisartan may take few days for full effect. You may continue with Concor (Bisoprolol) and add Telmisartan to it. You may even start with 20 mg, which is the lowest possible dose of Telmisartan, and you will probably need 40 mg, which is usually an equivalent dose for Amlodipine 5 mg. You should frequently monitor BP during this changeover.
All the best.
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