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Amlodipine vs Trazodone: side-by-side comparison

Amlodipine (Dihydropyridine calcium-channel blocker) and Trazodone (Atypical antidepressant / serotonin modulator) belong to different therapeutic classes and are rarely substitutes for each other. The comparison is useful when a single patient is weighing both options for adjacent or overlapping needs.

Property Amlodipine Trazodone
Therapeutic class Dihydropyridine calcium-channel blocker Atypical antidepressant / serotonin modulator
CAS 88150-42-9 19794-93-5
ATC C08CA01 N06AX05
Molecular weight 408.88 g/mol 371.86 g/mol
Brands with this active ingredient 1 1

What they share

Amlodipine and Trazodone share the common regulatory framework for prescription active ingredients, bioequivalence standards for generics, and pharmacist oversight. Beyond that, points in common are limited.

Key differences

Amlodipine acts by a different mechanism than Trazodone, with indications that barely overlap. Comparing the two is useful when a clinician has mentioned both in the same context or the patient wants to understand why one was prescribed instead of the other.

Mechanisms compared

Amlodipine: Amlodipin blockiert selektiv L-Typ-Calciumkanäle in der glatten Gefäßmuskulatur, vermindert den transmembranen Calciumeinstrom und führt zu einer peripheren arteriellen Vasodilatation. Trazodone: Trazodon wird als Serotonin-Antagonist und Wiederaufnahmehemmer (SARI) klassifiziert.

Indications compared

Amlodipine: Amlodipin ist bei Erwachsenen zur Behandlung der essentiellen arteriellen Hypertonie und der chronisch stabilen Angina pectoris sowie der vasospastischen (Prinzmetal-)Angina zugelassen. Trazodone: Trazodon ist zur Behandlung der Major Depression zugelassen.

Safety profile

Amlodipine: Häufige Nebenwirkungen sind periphere Ödeme (typischerweise an den Knöcheln), Flush, Kopfschmerzen, Palpitationen und Müdigkeit; die meisten sind dosisabhängig. Trazodone: Häufige Nebenwirkungen sind Sedierung (gewünschter Effekt bei niedrigen Dosen), Mundtrockenheit, Schwindel, orthostatische Hypotonie und Kopfschmerzen.

Häufig gestellte Fragen

Is Amlodipine better than Trazodone?

Amlodipine and Trazodone are not "better or worse" — they treat different things. The sensible question is which fits your specific need.

Can Amlodipine and Trazodone be combined?

Whether they can be combined depends on the indications and the interaction profile of each. If both are in a single prescription, the prescriber has weighed it; in self-medication they should never be combined.

Do they have the same side-effect profile?

No — they belong to different classes and have distinct side-effect profiles. Each has its own prescribing information.

Products with Amlodipine

Products with Trazodone

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