Amlodipine Blood Pressure Tablets - British Heart Fou...

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Amlodipine Blood Pressure Tablets

Tallarn profile image
18 Replies

Has anyone had a bad reaction from taking Amlodipine, which has resulted in gum infection?

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Tallarn profile image
Tallarn
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18 Replies
mjames1 profile image
mjames1

Yes, Gingival hyperplasia (gum over growth). It's pretty common with amlodipine use, and it can lead to infection especially if food gets trapped underneath, You have to be more diligent with your cleanings and maintenance, etc. I've been taking amlodipine for years, but just started noticing things recently, and my periodontist pointed it out when he looked at my medication list.

Jim

Bertiebongo profile image
Bertiebongo in reply tomjames1

Do you know if this problem arises due to amlodipine being in your system or just when the pill is in your mouth? If the latter, I wonder if post-medication mouthwash might be beneficial.

mjames1 profile image
mjames1 in reply toBertiebongo

Systemic

Mentdent profile image
Mentdent

Amlodopine can make gingivitis worse. Good oral hygiene is important with this drug.

TaffinSussex profile image
TaffinSussex

Yes I am currently having many issues with Amlodapine and one is gum issues. I've started to develop gingival hyperplasia this past 3 weeks. I was previously on Diltiazem too since August (in same group of drugs called calcium channel blockers)...on that for 9 weeks and developed a couple of random gum boils. I treated them myself with regular doses and rinses of colloidal silver and putting Gengigel on at night. I have been weaning off it on the advice of my surgery's pharmacist and my rheumatologist as it's clearly not agreeing with me. Both advised I could just stop it, but as Diltiazem had not controlled my BP (did the opposite in fact), I personally wasn't comfortable about going cold turkey with no other substitute. So it was agreed I could wean off it starting with 2.5mg and after 5 days to stop it. I tried that and developed chest pain and a sharp increase in my BP.

So I decided to continue with a quarter and that worked, BP came down and chest pain ceased. Agreed with the pharmacist a week ago to continue with 1.25mg until 2nd week or so in January and then try again to stop but have a back up ready of Losartan. Worth noting is that the swollen gums are improving as are my sore and infected nostrils and I feel generally better in myself. Not out of the woods yet however.

Tallarn profile image
Tallarn in reply toTaffinSussex

With Gingivitis how long does it normally take before teeth actually drop out.

Any idea?

TaffinSussex profile image
TaffinSussex in reply toTallarn

Sorry...no idea as it varies I'm sure person to person, tooth to tooth...ie how much pressure on the tooth etc and the level and perhaps cause of infection. I have 2 wobbly front teeth, incisors...and they've been like it for 8 years yet one of my upper molars, I didn't even realise it was loose until eating dinner one evening 7.5 years ago and it literally just fell out...I thought I had encountered some hard foreign object in my dinner...much to my horror, it was my whole tooth with the root filling attached. I had my mouth/jaw x rayed in hospital following my gums bleeding on commencement of Apixaban, no infection in my case, I have bone loss due to having Sjögren's Syndrome. Yet my dentist said I had an infection as he'd never heard of Sjögren's, often, it's dentists who first suspect Sjögren's due to these changes. Not in my case, despite having regular 6 monthly checkups and saw many different dentists at the latest practice as they come and go there and 2 at my previous one over a 25 year period.

Incidentally I've been splitting my Amlodapine dose of 1.25mg into 2 doses a.m and p.m for quite a few weeks now and my gum swellings are improving the hyperplasia also feels as though it's changing too for the better. The Apixaban is still causing them to bleed overnight though. It will be interesting to see what happens when I come off that soon in prep for my knee surgery. 🤔

Alfie33 profile image
Alfie33

I get gum problems due to insufficient oxygen in my mouth

TaffinSussex profile image
TaffinSussex in reply toAlfie33

Do you have sleep apnoea by any chance?

Alfie33 profile image
Alfie33 in reply toTaffinSussex

Not that i know of, but I do wake up gasping for breath

TaffinSussex profile image
TaffinSussex in reply toAlfie33

I think you may need to get that checked out...mention it to your GP and maybe ask for a Sleep Clinic referral. Sleep apnoea and cardiac issues often run together... and undiagnosed sleep apnoea can lead to hypertension and /or cardiovascular disease.

Let me know how you get on...good luck.

Alfie33 profile image
Alfie33 in reply toTaffinSussex

Thanks il look into it

Alfie33 profile image
Alfie33 in reply toTaffinSussex

I spoke to my doctor about the reply you sent me, she said its either a side effect to my medication or dehydration.

TaffinSussex profile image
TaffinSussex in reply toAlfie33

Well it can't hurt to monitor your patterns...if you continue to wake gasping for breath though, it may be prudent to request a Sleep Clinic referral as obstructive sleep apnoea causes that very symptom. If you don't have OSA, then that's great but if you do, you need to know.

Alfie33 profile image
Alfie33 in reply toTaffinSussex

Thankyou

PecanSandie profile image
PecanSandie

You might consider using a Waterpik. I started using one and it has helped immensely. And I take 5mg Amlodipine daily and have for years.

Arfo profile image
Arfo

my dentist indicated that it was causing gum issues she wrote to my doctor and changed to another tablet

TaffinSussex profile image
TaffinSussex in reply toArfo

What did it get changed to please?

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