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Page Created On : 24 Feb 2021 9:02 AM GMT , Page Last Updated On : 22 March 2021 11:18 AM GMT

Azelnidipine (Rx)

Type : Otc Prescription
Approval : DGMI
Schedule :
Pharmacological Class: Calcium Channel Blocker
Therapy Class: Anti-Hypertensive Agents
Chemical Class:
Innovator Name: Innovotar

Brands Available in India:


Azovas ( Azelnidipine) is a third-generation calcium channel blocker and is used in the treatment of Hypertension. Azovas is marketed by J.B. Chemicals & Pharmaceuticals Ltd. and comes in two doses namely Azovas 8 mg and Azovas 16 mg.

Azelnidipine is a dihydropyridine calcium channel blocker and is known to be less susceptible to hepatic first-pass effect and its antihypertensive effect is slow sustained. This drug expresses hypotensive action by L-type and T-type Ca+ channel antagonism and blood vessels dilation.

Studies have shown it to besides its slow and sustained hypotensive action, it had little effect on the heart rate compared to similar drugs and was more renal friendly. ( See Product Leaflet).

Mechanism of Action

Mechanism of Action

Indications and usage

  • Essential hypertension

  • Stage I Hypertension

  • Stage II Hypertension

Dosage and administration

Usually, Azelnidipine 8 ~ 16 mg in adults administered orally once after breakfast daily. It is to be noted that start the administration with a low dose or even with a single 8 mg tablet, dose should be adjusted according to the symptoms, up to 16 mg per day

Dosage forms and strengths

Tablets, 8 mg, 16 mg


Azelnidipine should not be administered in the following patients:

Warnings and Precautions

  • Careful administration (It should be administered with caution in the following patients.)
    • Patients with serious liver and kidney dysfunction. The drug is metabolized in the liver
    • Also in patients with severe renal dysfunction in general, there is a possibility that the renal function is reduced
    • Elderly (See section “Use in Special Population” in Product Leaflet for details)
  • Important Precautions
    • When administration of calcium antagonists stopped abruptly, it have been reported that patients develop symptoms, which reduced gradually when with washout of the drug, it should be carefully monitored. Also, be careful not to stop the medication without a physician’s supervision to the patient.
    • Because with the administration of this drug there is a risk of excessive decrease of pressure in rare cases, make appropriate measures such as dose reduction or withdrawal from medication in such cases.
    • Because it may cause dizziness based on the hypotensive effects, take precautions when working with dangerous operation of aerial work, automotive and machinery.
    • Myocardial infarction, arrhythmia and heart failure (atrial fibrillation, etc.) have been reported during treatment with this drug, though causal relationship is not clear.
    • It has been reported that dialysis effluent of CAPD (continuous ambulatory peritoneal dialysis) patients becomes clouded, it is important to note the differential diagnosis from peritonitis, etc.

Adverse Reactions

Azelnidipine is a calcium channel blocker. It regulates the blood pressure by relaxing the blood vessels and reducing the pressure on them, thereby making it easier for the heart to pump more blood throughout the body. In this way, it normalizes the blood pressure in patients with high blood pressure.

Drug Interactions

Download the Product Leaflet, to see the detailed drug interactions.

Use in specific populations

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Download the Product Leaflet, to see the the detailed information on the Undesirable Side effects/ Overdose.

Clinical Pharmacology

Download the Product Leaflet, to see the details on Pharmacodynamic and Pharmacokinetic Properties of Azovas


  • What are you using Azovas Tablet for?
  • What were the side-effects while using Azovas 16mg Tablet?
  • How do you take Azovas Tablet?
  • How much was the improvement?