AMLODIPINE/VALSARTAN SANDOZ 5 mg/160 mg FILM-COATED TABLETS

2. What you need to know before taking Amlodipine/valsartan Sandoz

Do not take Amlodipine/valsartan Sandoz

• if you are allergic to amlodipineor to any other calcium channel blocker. This may include itching, skin redness, or difficulty breathing,
• if you are allergic to valsartanor to any of the other ingredients of this medication (listed in section 6). If you think you may be allergic, inform your doctor before taking amlodipine/valsartan,
• if you have severe liver problemsor bile problemssuch as biliary cirrhosisor cholestasis,
• if you are pregnant for more than 3 months. (In any case, it is best to avoid taking this medication also at the start of your pregnancy, see section Pregnancy),
• if you have a severe decrease in blood pressure(hypotension),
• if you have an aortic valve narrowing(aortic stenosis) or cardiogenic shock(a situation in which your heart cannot supply enough blood to the body),
• if you have heart failure after a heart attack,
• if you have diabetesor kidney problemsand are being treated with a blood pressure medication that contains aliskiren.

Do not take amlodipine/valsartanand inform your doctor if any of the above cases apply to you.

Warnings and precautions

Consult your doctor before starting to take Amlodipine/valsartan Sandoz:

• if you have been ill (with vomitingor diarrhea),
• if you have liver or kidney problems,
• if you have had a kidney transplantor if you have been told that you have a narrowing of the renal arteries,
• if you have a disease that affects the adrenal glandscalled "primary hyperaldosteronism",
• if you have had heart failureor have had a heart attack.

Follow your doctor's instructions to carefully start the dosage. Your doctor may also check your kidney function,

• if your doctor has told you that you have a narrowing of the heart valves(so-called "aortic or mitral stenosis") or that the thickness of your heart muscle has increased abnormally(so-called "hypertrophic cardiomyopathy"),
• if you have experienced swelling, particularly in the face and throat, while taking other medications (including ACE inhibitors).

If you have these symptoms, stop taking amlodipine/valsartanand contact your doctor immediately. Never take amlodipine/valsartan again,

• if you are taking any of the following medications used to treat high blood pressure:
• an ACE inhibitor(e.g., enalapril, lisinopril, ramipril), especially if you have kidney problems related to diabetes,
• aliskiren.

Consult your doctor if you experience abdominal pain, nausea, vomiting, or diarrhea after taking amlodipine/valsartan. Your doctor will decide whether to continue treatment. Do not stop taking amlodipine/valsartan on your own.

Your doctor may regularly check your kidney function, blood pressure, and electrolyte levels (e.g., potassium) in blood tests.

See also the information under the heading "Do not take Amlodipine/valsartan Sandoz".

Tell your doctor before taking amlodipine/valsartan if any of the above cases apply to you.

Children and adolescents

The use of amlodipine/valsartan is not recommended in children and adolescents (under 18 years of age).

Other medications and Amlodipine/valsartan Sandoz

Tell your doctor or pharmacist if you are taking, have recently taken, or may take any other medication. Your doctor may need to adjust your dose and/or take other precautions. In some cases, you may need to stop taking one of the medications. This is especially applicable to the medications listed below:

• an ACE inhibitoror aliskiren(see also the information under the headings "Do not take Amlodipine/valsartan Sandoz" and "Warnings and precautions");
• diuretics(a type of medication that increases the amount of urine produced);
• lithium(a medication used to treat certain types of depression);
• potassium-sparing diuretics, potassium supplements, salt substitutes that contain potassium, and other substances that may increase potassium levels;
• a certain type of medications for treating paincalled non-steroidal anti-inflammatory drugs (NSAIDs) or selective cyclooxygenase-2 (COX-2) inhibitors. Your doctor may also check your kidney function;
• anticonvulsant agents(e.g., carbamazepine, phenobarbital, phenytoin, fosphenytoin, primidone);
• St. John's Wort;
• nitroglycerinand other nitrates, or other substances called "vasodilators";
• medications used to treat HIV/AIDS(e.g., ritonavir, indinavir, nelfinavir);
• medications used to treat fungal infections(e.g., ketoconazole, itraconazole);
• medications used to treat bacterial infections(such as rifampicin, erythromycin, clarithromycin, telithromycin);
• verapamil, diltiazem(heart medications);
• simvastatin(a medication used to control high cholesterol levels);
• dantrolene(in infusion for severe body temperature abnormalities);
• tacrolimus(used to control the body's immune response, allowing it to accept a transplanted organ);
• medications used to protect against rejection in a transplant(cyclosporine).

Taking Amlodipine/valsartan Sandoz with food and drinks

People taking amlodipine/valsartan should not consume grapefruit or grapefruit juice. This is because grapefruit and grapefruit juice can lead to an increase in the levels of the active ingredient amlodipine in the blood, which can cause an unpredictable increase in the blood pressure-lowering effects of amlodipine/valsartan.

Pregnancy and breastfeeding

Pregnancy

You should inform your doctor if you are pregnant (or might be). Your doctor will usually advise you to stop taking amlodipine/valsartan before you become pregnant or as soon as you find out you are pregnant, and will recommend that you take another blood pressure medication instead. Amlodipine/valsartan should not be used during the first trimester of pregnancy (first 3 months) and must not be used from the second trimester onwards, as it can cause serious harm to your baby.

Breastfeeding

Tell your doctor if you are about to start or are breastfeeding. It has been shown that amlodipine passes into breast milk in small amounts. Amlodipine/valsartan should not be given to women during breastfeeding, and your doctor may decide to give you a treatment that is more suitable if you want to breastfeed, especially to newborns or premature babies.

If you are pregnant or breastfeeding, think you might be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

Driving and using machines

This medication may make you feel dizzy. This can affect your ability to concentrate. Therefore, if you are not sure how this medication will affect you, do not drive, use machines, or perform other activities that require concentration.

3. How to take Amlodipine/valsartan Sandoz

Follow your doctor's instructions for taking this medication exactly. If you are unsure, consult your doctor again. This will help you get the best results and reduce the risk of side effects.

The recommended dose of amlodipine/valsartan is one tablet per day.

• It is best to take the medication at the same time every day.
• Swallow the tablets with a glass of water.
• You can take amlodipine/valsartan with or without food. Do not take amlodipine/valsartan with grapefruit or grapefruit juice.

Depending on your response to treatment, your doctor may suggest a higher or lower dose.

Do not exceed the prescribed dose.

Amlodipine/valsartan Sandoz and advanced age (65 years or older)

Your doctor should be cautious when increasing your dose.

If you have any further questions about the use of this medication, ask your doctor or pharmacist.

If you take more Amlodipine/valsartan Sandoz than you should

If you have taken too many amlodipine/valsartan tablets, or if someone else has taken your tablets, consult a doctor immediately.

If you have taken more amlodipine/valsartan than you should, consult your doctor, pharmacist, or call the Toxicology Information Service, phone: 91 562 04 20, stating the medication and the amount used.

Excess fluid may accumulate in the lungs (pulmonary edema) causing difficulty breathing, which can develop up to 24-48 hours after ingestion.

If you forget to take Amlodipine/valsartan Sandoz

If you forget to take this medication, take it as soon as you remember. Then take the next dose at the usual time. However, if it is almost time for the next dose, do not take the missed dose. Do not take a double dose to make up for missed doses.

If you stop taking Amlodipine/valsartan Sandoz

Stopping your treatment with amlodipine/valsartan may cause your condition to worsen. Do not stop taking your medication unless your doctor tells you to.

4. Possible Adverse Effects

Like all medicines, this medicine can cause adverse effects, although not all people suffer from them.

Some adverse effects can be serious and require immediate medical attention:

A few patients have experienced these serious adverse effects (they can affect up to 1 in 1,000 patients).If you notice any of the following, inform your doctor immediately:

• allergic reaction with symptoms such as skin rash, itching, swelling of the face, lips or tongue, difficulty breathing, low blood pressure (feeling of fainting, dizziness).

Other possible adverse effects of amlodipine/valsartan:

Frequent (may affect up to 1 in 10 patients)

• flu,
• stuffy nose, sore throat and discomfort when swallowing,
• headache,
• swelling in the arms, hands, legs, ankles or feet,
• fatigue,
• asthenia (weakness),
• redness and warming of the face and/or neck.

Infrequent (may affect up to 1 in 100 patients)

• dizziness,
• nausea and abdominal pain,
• dry mouth,
• drowsiness, tingling or numbness of the hands or feet,
• vertigo,
• rapid heartbeat including palpitations,
• dizziness when standing up,
• cough,
• diarrhea,
• constipation,
• skin rash, skin redness,
• joint inflammation, back pain,
• joint pain.

Rare (may affect up to 1 in 1,000 patients)

• feeling of anxiety,
• ringing in the ears (tinnitus),
• fainting,
• increased urine output or urgent need to urinate,
• inability to achieve or maintain an erection,
• feeling of heaviness,
• low blood pressure with symptoms such as dizziness, lightheadedness,
• excessive sweating,
• skin rash all over the body,
• itching,
• muscle spasms.

Inform your doctor if you are severely affected by any of the mentioned cases.

Adverse effects reported with amlodipine or valsartan alone and not observed with amlodipine/valsartan or observed with a higher frequency than with amlodipine/valsartan:

Amlodipine

Consult your doctor immediately if you experience any of the following very rare, serious adverse effects after taking this medicine:

• sudden wheezing, chest pain, shortness of breath or difficulty breathing,
• swelling of the eyelids, face or lips,
• swelling of the tongue and throat that causes great difficulty breathing,
• severe skin reactions including intense skin rash, hives, skin redness all over the body, significant itching, blistering, peeling and skin inflammation, inflammation of the mucous membranes (Stevens-Johnson syndrome, toxic epidermal necrolysis) or other allergic reactions,
• heart attack, abnormal heartbeat,
• pancreatitis, which can cause severe abdominal pain and back pain accompanied by a great feeling of discomfort.

The following adverse effects have been reported. If any of these cause problems or last more than a week, consult your doctor.

Frequent (may affect up to 1 in 10 patients)

Dizziness, drowsiness, palpitations (feeling the heartbeat), hot flashes, swelling of the ankles (edema), abdominal pain, feeling of discomfort (nausea).

Infrequent (may affect up to 1 in 100 patients)

Mood changes, anxiety, depression, drowsiness, tremors, taste disturbances, fainting, loss of pain sensation, visual disturbances, impaired vision, ringing in the ears; decreased blood pressure, nasal congestion/runny nose caused by inflammation of the nasal mucosa (rhinitis), indigestion, vomiting (discomfort), hair loss, increased sweating, itching of the skin, skin discoloration, urinary disorders, increased need to urinate at night, increased frequency of urination, inability to achieve an erection, discomfort or enlargement of the breasts in men, pain, feeling of discomfort, muscle pain, muscle cramps; weight gain or loss.

Rare (may affect up to 1 in 1,000 patients)

Confusion.

Very rare (may affect up to 1 in 10,000 patients)

Decrease in the number of white blood cells, decrease in blood platelets that can cause easy bleeding or unusual bruising (red blood cell damage), high blood sugar (hyperglycemia), gum inflammation, abdominal swelling (gastritis), abnormal liver function, liver inflammation (hepatitis), yellowing of the skin (jaundice), increased liver enzymes that can affect some medical tests, increased muscle tension, inflammation of blood vessels often with skin rashes, sensitivity to light, disorders combining stiffness, tremors and/or movement disorders.

Valsartan

Very rare (may affect up to 1 in 10,000 patients)

Intestinal angioedema: swelling in the intestine that presents symptoms such as abdominal pain, nausea, vomiting, and diarrhea.

Frequency not known (cannot be estimated from the available data)

Decrease in the number of red blood cells, fever, sore throat or mouth ulcers due to infection, spontaneous bleeding or bruising, high potassium levels in the blood, abnormal liver function test results, decreased kidney function and severely decreased kidney function, swelling mainly of the face and throat, muscle pain, skin rash, purplish red spots, fever, itching, allergic reaction, blisters on the skin (sign of a disease called bullous dermatitis).

If you experience any of the mentioned cases, consult your doctor immediately.

Reporting of adverse effects

If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that is not listed in this prospectus. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of Amlodipine/Valsartan Sandoz

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiration date that appears on the box and blister after CAD. The expiration date is the last day of the month indicated.

Do not store at a temperature above 30°C.

Keep in the original packaging to protect it from moisture.

Do not use this medicine if you notice visible signs of deterioration.

Medicines should not be thrown away through wastewater or household waste. Deposit the packaging and medicines you no longer need at the SIGRE Point in the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This way, you will help protect the environment.

6. Package contents and additional information

Composition of Amlodipine/Valsartan Sandoz

• The active ingredients are amlodipine (as amlodipine besylate) and valsartan.

Each 5 mg/160 mg film-coated tablet contains 5 mg of amlodipine and 160 mg of valsartan.

Each 10 mg/160 mg film-coated tablet contains 10 mg of amlodipine and 160 mg of valsartan.

• The other ingredients are:

5 mg/160 mg film-coated tablets: microcrystalline cellulose, crospovidone, anhydrous colloidal silica, magnesium stearate, hypromellose, titanium dioxide (E171), yellow iron oxide (E172), macrogol 4000, and talc.

10 mg/160 mg film-coated tablets: microcrystalline cellulose, crospovidone, anhydrous colloidal silica, magnesium stearate, hypromellose, titanium dioxide (E171), yellow iron oxide (E172), red iron oxide (E172), macrogol 4000, and talc.

Appearance of the product and package contents

Amlodipine/Valsartan Sandoz 5 mg/160 mg are oval, dark yellow film-coated tablets with beveled edges and marked with the inscription “NVR” on one side and “ECE” on the other.

Approximate size: 14.2 mm x 5.7 mm.

Amlodipine/Valsartan Sandoz 10 mg/160 mg are oval, light yellow film-coated tablets with beveled edges and marked with the inscription “NVR” on one side and “UIC” on the other.

Approximate size: 14.2 mm x 5.7 mm.

Amlodipine/Valsartan Sandoz is available in packages containing 7, 14, 28, 30, 56, 90, 98, or 280 film-coated tablets and in multiple packages of 4 boxes containing 70 film-coated tablets each, or 20 boxes containing 14 film-coated tablets each. All packages are available with standard blisters; the packages of 56, 98, and 280 film-coated tablets are also available in perforated unit-dose blisters.

Only some package sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Sandoz Farmacéutica, S.A.

Centro Empresarial Parque Norte

Edificio Roble

C/ Serrano Galvache, 56

28033 Madrid

Spain

Manufacturer

Novartis Pharma GmbH

Roonstrasse 25

D-90429 Nürnberg

Germany

Novartis Farmaceutica S.A

Gran Vía Corts Catalanes, 764,

08013 Barcelona

Spain

Novartis Farma S.p.A.

Via Provinciale Schito 131

80058 Torre Annunziata (NA)

Italy

This medicine is authorized in the Member States of the European Economic Area under the following names:

Netherlands Amlodipine/Valsartan Sandoz 5 mg/160 mg, film-coated tablets

Amlodipine/Valsartan Sandoz 10 mg/160 mg, film-coated tablets

Austria Amlodipin / Valsartan Sandoz - 5 mg/160 mg film-coated tablets

Amlodipin / Valsartan Sandoz - 10 mg/160 mg film-coated tablets

Belgium Amlodipine/Valsartan Sandoz 5 mg/160 mg film-coated tablets

Amlodipine/Valsartan Sandoz 10 mg/160 mg film-coated tablets

Bulgaria ?????????/????????? ?????? 5 mg/160 mg ????????? ????????

?????????/????????? ?????? 10 mg/160 mg ????????? ????????

Czech Republic Amlodipin/Valsartan Sandoz 5 mg/160 mg

Amlodipin/Valsartan Sandoz 10 mg/160 mg

Germany Amlodipin/Valsartan - 1 A Pharma 5 mg/160 mg film-coated tablets

Amlodipin/Valsartan - 1 A Pharma 10 mg/160 mg film-coated tablets

Estonia Amlodipine /Valsartan Sandoz

Amlodipine /Valsartan Sandoz

Greece Amlodipine+Valsartan/Sandoz

France AMLODIPINE/VALSARTAN SANDOZ 5 mg/ 160 mg, film-coated tablet

AMLODIPINE/VALSARTAN SANDOZ 10 mg/ 160 mg, film-coated tablet

Croatia Amlodipin/ valsartan Sandoz 5 mg/160 mg film-coated tablets

Amlodipin/valsartan Sandoz 10 mg/160 mg film-coated tablets

Hungary Amlodipin/ Valsartan Sandoz 5 mg/160mg film-coated tablet

Amlodipin/ Valsartan Sandoz 10 mg/160mg film-coated tablet

Ireland Amlodipine/Valsartan Rowex 5 mg/160 mg, Film-coated tablets

Amlodipine/Valsartan Rowex 10 mg/160 mg, Film-coated tablets

Latvia Amlodipine/Valsartan Sandoz 5 mg/160 mg film-coated tablets

Amlodipine/Valsartan Sandoz 10 mg/160 mg film-coated tablets

Poland Amlodipine + Valsartan Sandoz

Amlodipine + Valsartan Sandoz

Portugal Amlodipina + Valsartan Sandoz

Romania AMLODIPINA/VALSARTAN SANDOZ 5 mg/160 mg film-coated tablets

AMLODIPINA/VALSARTAN SANDOZ 10 mg/160 mg film-coated tablets

Slovenia Amlodipin/valsartan Lek 5 mg/160 mg film-coated tablets

Amlodipin/valsartan Lek 10 mg/160 mg film-coated tablets

Slovakia Amlodipín/Valsartan Sandoz 5 mg/160 mg

Amlodipín/Valsartan Sandoz 10 mg/160 mg

Date of the last revision of this prospectus:May 2025

Detailed information about this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/