Product image of Kliqqo (Amlodipine Besilate, Nebivolol Hydrochloride) supplied by GNH India

Kliqqo

Active Ingredient:
Amlodipine Besilate, Nebivolol Hydrochloride
Origin:
EU

Kliqqo (Amlodipine Besilate, Nebivolol Hydrochloride)

Amlodipine besilate and nebivolol hydrochloride, the active ingredients in Kliqqo, are a calcium‑channel blocker and a selective β1‑adrenergic antagonist respectively, presented as oral tablets for systemic use. They are employed to lower elevated blood pressure in adult patients with hypertension.

GNH India supplies Kliqqo as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches to meet global demand. Our distribution network ensures timely delivery and reliable product traceability across multiple continents.

Manufacturer / TM Owner

Menarini International Operations Luxembourg S.A.

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Indications & Clinical Uses

  • Kliqqo combines amlodipine and nebivolol to treat hypertension, a condition characterized by elevated arterial pressure.
  • Essential hypertension: provides consistent reduction of systolic and diastolic blood pressure.
  • Isolated systolic hypertension: helps lower high systolic readings while maintaining diastolic stability.
  • Secondary hypertension (renovascular, endocrine): contributes to blood pressure control when used as part of a comprehensive regimen.
  • Hypertensive patients with cardiovascular risk: improves vascular compliance and reduces cardiac workload.

How It Works

  • Amlodipine besilate blocks L‑type calcium channels in vascular smooth muscle, preventing calcium influx and causing arterial dilation, which lowers peripheral resistance. Nebivolol hydrochloride selectively antagonizes β1‑adrenergic receptors, decreasing heart rate and myocardial contractility, while simultaneously stimulating endothelial nitric‑oxide synthase to promote nitric‑oxide‑mediated vasodilation. The combined actions result in additive blood‑pressure reduction through decreased cardiac output and reduced vascular tone, overall improving systemic hemodynamics.

Side Effects

Like all antihypertensive agents, Kliqqo may be associated with adverse reactions that vary in frequency and severity.

Common Side Effects

  • Headache: mild to moderate headache may occur during treatment.
  • Peripheral edema: swelling of ankles or feet is frequently reported.
  • Dizziness: light‑headedness, especially after the first doses.
  • Fatigue: feeling of tiredness or reduced energy.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure causing fainting.
  • Bradycardia: abnormally slow heart rate that may require medical attention.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Angioedema: swelling of face, lips, tongue, or throat.

Precautions & Warnings

  • Before initiating Kliqqo, clinicians should consider several safety measures.
  • Blood pressure monitoring: check BP regularly after initiation and dose changes.
  • Cardiac assessment: evaluate heart rate and conduction in patients with known arrhythmias.
  • Liver function: assess hepatic status before starting therapy and periodically thereafter.
  • Concomitant antihypertensives: adjust doses to avoid excessive hypotension.
  • Pregnancy and lactation: use only if clearly needed after risk‑benefit evaluation.
  • Store at ambient temperature: keep tablets in original container, protect from moisture and heat.

Avoid Interactions

Kliqqo may interact with other medicines; some combinations require avoidance while others need careful monitoring.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): may increase amlodipine levels.
  • Strong CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): can raise nebivolol concentrations.
  • Other potent antihypertensives (e.g., clonidine, hydralazine): risk of additive hypotension.
  • Grapefruit juice: enhances amlodipine exposure leading to possible toxicity.

Moderate Interactions (Monitor Closely)

  • Diuretics: may potentiate blood‑pressure lowering effect.
  • NSAIDs: can blunt antihypertensive response.
  • Additional calcium‑channel blockers: increased risk of edema.
  • Antacids containing aluminum or magnesium: may affect absorption of amlodipine.

Frequently Asked Questions

Kliqqo is a prescription oral tablet that combines amlodipine besilate and nebivolol hydrochloride. It is indicated for the management of hypertension in adult patients, helping to lower elevated systolic and diastolic blood pressure. The dual mechanism targets vascular resistance and cardiac output, providing a convenient single‑pill option for clinicians treating high blood pressure.

Amlodipine besilate belongs to the calcium‑channel blocker class. It selectively inhibits L‑type calcium channels in arterial smooth muscle, preventing calcium entry that is necessary for contraction. This results in vasodilation of peripheral arteries, decreasing systemic vascular resistance and consequently lowering blood pressure.

Nebivolol hydrochloride is a highly selective β1‑adrenergic receptor antagonist. By blocking β1 receptors in the heart, it reduces heart rate and myocardial contractility, decreasing cardiac output. Additionally, nebivolol stimulates endothelial nitric‑oxide synthase, enhancing nitric‑oxide production and causing further vasodilation, which together contribute to blood‑pressure reduction.

The specific dose of Kliqqo is determined by the prescribing healthcare professional based on the individual’s blood‑pressure profile, comorbid conditions, and response to therapy. Dosage adjustments are made according to clinical judgment and patient tolerance; patients should follow the prescriber’s instructions and not alter the dose on their own.

Safety of Kliqqo during pregnancy or lactation has not been established. The potential risks to the fetus or infant must be weighed against the benefits of treating hypertension. It should only be used if the prescriber deems it essential, and alternative therapies with more established safety data may be preferred.

To place an order, submit an enquiry on the Kliqqo product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Compared with single‑agent therapies, Kliqqo offers a fixed‑dose combination of a calcium‑channel blocker and a β1‑blocker, providing complementary mechanisms that can achieve greater blood‑pressure control with a single pill. This may improve adherence versus taking two separate tablets. However, clinicians consider individual patient factors, potential drug interactions, and tolerability when selecting between combination therapy and alternative classes such as ACE inhibitors or ARBs.

Kliqqo tablets should be stored at ambient temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged. No refrigeration is required for this oral solid dosage form.

Kliqqo is taken orally, usually once daily, with or without food, as directed by the prescriber. The tablet should be swallowed whole with a glass of water; it should not be crushed, chewed, or split unless specifically advised. Consistent timing each day helps maintain stable blood‑pressure control.

The most serious adverse events associated with Kliqqo include severe hypotension, symptomatic bradycardia, hepatic dysfunction, and angioedema. Patients should seek immediate medical attention if they experience fainting, unusually slow heart rate, yellowing of the skin or eyes, or swelling of the face, lips, tongue, or throat. Regular monitoring helps detect these rare but critical reactions early.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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