Product image of Istin (Amlodipine) supplied by GNH India

Istin

Active Ingredient:
Amlodipine
Origin:
EU

Istin (Amlodipine)

Amlodipine, the active ingredient in Istin, is a calcium channel blocker presented as an oral tablet for oral use. It is used to lower high blood pressure and to relieve chest pain caused by chronic stable angina, primarily in adult patients who require long‑term cardiovascular management and improve overall vascular health.

GNH India supplies Istin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution.

Manufacturer / TM Owner

Upjohn Uk Limited

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Indications & Clinical Uses

  • Amlodipine is a calcium channel blocker that acts on the vascular smooth muscle to manage cardiovascular conditions.
  • Hypertension: reduces elevated blood pressure by relaxing arterial smooth muscle.
  • Chronic stable angina: alleviates chest pain by decreasing cardiac workload and improving myocardial oxygen supply.
  • Coronary artery disease prophylaxis: helps prevent ischemic episodes in patients with established coronary disease.

How It Works

  • Amlodipine selectively inhibits L‑type calcium channels in vascular smooth muscle and cardiac myocytes, reducing calcium influx that drives contraction. This results in arterial vasodilation, lowered peripheral vascular resistance, and decreased cardiac afterload, thereby lowering systemic blood pressure and reducing myocardial oxygen demand.

Side Effects

Amlodipine may cause a range of adverse reactions, most of which are mild and transient.

Common Side Effects

  • Peripheral edema: swelling of the ankles or feet.
  • Headache: mild to moderate intensity.
  • Flushing: sensation of warmth and redness.
  • Dizziness: especially upon standing quickly.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure leading to fainting.
  • Myocardial infarction: rare occurrence of heart attack.
  • Hepatic dysfunction: abnormal liver enzyme elevations.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Monitor blood pressure: ensure adequate control without excessive lowering.
  • Use caution in hepatic impairment: dose adjustments may be required.
  • Avoid abrupt discontinuation: tapering helps prevent rebound hypertension.
  • Assess for heart failure: edema may worsen existing conditions.
  • Review concomitant CYP3A4 inhibitors: may increase amlodipine exposure.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Amlodipine can interact with several medication classes, influencing its efficacy and safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., clarithromycin) may cause excessive hypotension.
  • Co‑administration with other antihypertensives may lead to additive blood‑pressure lowering.

Moderate Interactions (Monitor Closely)

  • Simvastatin and other CYP3A4 substrates may have increased plasma levels.
  • Digoxin concentrations may rise, requiring monitoring.
  • NSAIDs may reduce the antihypertensive effect of amlodipine.

Frequently Asked Questions

Istin contains amlodipine, a calcium channel blocker indicated for management of hypertension and chronic stable angina. It helps lower elevated blood pressure and reduces chest pain by relaxing vascular smooth muscle, improving blood flow to the heart. It is prescribed for adult patients who need long‑term control of these cardiovascular conditions.

Amlodipine blocks L‑type calcium channels in arterial smooth muscle and cardiac myocytes, preventing calcium entry that is necessary for contraction. This inhibition leads to vasodilation of peripheral arteries, decreased systemic vascular resistance, and reduced cardiac afterload, thereby lowering blood pressure and decreasing myocardial oxygen demand.

The dosage of Istin is individualized by the prescribing healthcare professional based on the patient’s blood pressure, angina severity, renal and hepatic function, and concomitant therapies. The prescriber determines the appropriate strength and titration schedule, and patients should follow the written prescription without altering the dose on their own.

Safety of amlodipine during pregnancy and lactation has not been definitively established, and it is generally classified as contraindicated or to be used only if the potential benefit justifies the potential risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternative treatments with their healthcare provider.

To place an order, submit an enquiry on the Istin product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details (including any temperature requirements), and assists with import documentation.

Compared with other antihypertensives, amlodipine offers once‑daily dosing, a long half‑life, and a favorable effect on peripheral edema relative to some other calcium channel blockers. It does not activate the renin‑angiotensin system like some diuretics and is less likely to cause cough, a common side effect of ACE inhibitors. Choice of therapy depends on individual patient profile and comorbidities.

Istin tablets should be stored at ambient temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged or the tablets appear discolored. No special refrigeration is required.

Istin is taken orally, usually once daily, with or without food. The tablet should be swallowed whole with a glass of water and not chewed or crushed, unless the prescriber provides specific instructions. Consistent timing each day helps maintain stable blood levels and optimal blood pressure control.

The most serious risks include severe hypotension, which can cause dizziness, fainting, or shock, and rare cases of myocardial infarction or hepatic dysfunction. Patients should be monitored for signs of excessive blood pressure drop, chest pain, or abnormal liver function tests, and seek immediate medical attention if such symptoms occur.

Istin should be avoided in patients with known hypersensitivity to amlodipine or any other calcium channel blocker, in those with severe aortic stenosis, and in individuals with unstable heart failure where rapid blood pressure reduction could be harmful. Caution is also advised for patients with significant hepatic impairment or those taking interacting medications that could raise amlodipine levels.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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