What is the onset of action for amlodipine (calcium channel blocker)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 28, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the FDA Drug Label

With chronic once daily oral administration, antihypertensive effectiveness is maintained for at least 24 hours.

The time to wait for amlodipine to work is at least 24 hours with chronic once daily oral administration, as its antihypertensive effectiveness is maintained for this duration 1.

  • Key points:
    • Amlodipine has a gradual onset of action.
    • Its antihypertensive effectiveness is maintained for at least 24 hours with chronic once daily oral administration.
    • The precise time to reach maximum effect is not specified in the provided drug labels.

From the Research

Amlodipine typically begins working within 24 hours after taking the first dose, but the full blood pressure lowering effect may take 7-10 days to develop, as supported by the most recent study 2. The medication works gradually to relax blood vessels and improve blood flow, and it's essential to continue taking amlodipine as prescribed even if you don't feel any different. Some key points to consider when taking amlodipine include:

  • The standard starting dose is usually 5mg once daily, which may be increased to 10mg daily if needed after 2-4 weeks.
  • Amlodipine works by blocking calcium channels in blood vessel walls, causing them to relax and widen, which reduces blood pressure.
  • During the initial period, some patients may experience side effects like ankle swelling, headache, or flushing, which often improve with continued use.
  • Blood pressure should be monitored regularly while adjusting to the medication, and you should not stop taking amlodipine suddenly without consulting your healthcare provider, as discontinuation of amlodipine treatment results in a slow return of blood pressure to baseline over 7-10 days, with no evidence of a 'rebound' effect 3. The most recent study 2 highlights the cardiovascular benefits of amlodipine in current hypertension management, making it a wise choice for patients with hypertension.

References

Research

Amlodipine in the current management of hypertension.

Journal of clinical hypertension (Greenwich, Conn.), 2023

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.