Accidentally took double dose of carvedilol

Taking a double dose of your seizure medication can lead to dangerous side effects. If you accidentally take your medication twice, you should call your doctor right away. It can be scary when you realize you made a mistake with your medication — a feeling shared by many MyEpilepsyTeam members who have done this.

Accidentally took double dose of carvedilol. Just a couple quick questions before I transfer you. When was this? Do you normally use Gabapentin and if so, when was your last dose? I take 12.5 carvedilol and 600 mg gabapentin twice daily. I took it this morning and then took evening dose 1.5 hours ago. I accidentally took my morning dose just now.

Customer: I accidentally took a double dose of Brilinta. The last dose was about seven hours ago. Should I be concerned Doctor's Assistant: Have you used Brilinta or anything similar before? Customer: I’ve been on Brilinta for 11 months Doctor's Assistant: Have you seen a doctor about this? Customer: Called in on call physician.

Low blood pressure warning: Carvedilol can cause dangerously low blood pressure, which may cause you to lose consciousness. This risk is highest after your first doses and during dosing increases ... I accidentally double dose 120 mg diltiazem this morning, is. 4.9.2022. Dr. Bridget. ... I accidentally took 12.5 mg carvedilol and I take 6.25 my bP. 5.10.2021. Customer: I think I have taken a double dose of Carvedilol 12.5mg. I take two at a time twice a day but I’m afraid I took 4. Doctor's Assistant: The Doctor can help. Just a couple quick questions before I transfer you. ... I accidently took 2 500 mcg of cipro within 20 minutes. 12.8.2023. Dr.DAGO. MD. 26,090 Satisfied Customers.Hey there, I can't speak for the medication side of it. But I get tachycardia often. So I know the feeling of your heart beating like crazy. If it makes you feel any better I know for a fact that i sustained a heart rate 2.5 times my normal for over 6 hours and it never got worse feeling than that first surge of burning and pain. Customer: I just accidentally took 2 carvedilol 25 mg tablets. However, my BP was very high when it did it 164/104. Doctor's Assistant: What medications do you take daily? Are you allergic to any medications? Customer: I take carvedilol and lisinopril w/ HCTG . Treatment. Contact your doctor right away if you take an extra dose of beta blocker. When you take two doses of a beta blocker, your blood pressure and heart rate may drop too low. Your doctor may ask you to come into the office or to check your blood pressure at home. They will have you watch for symptoms of low blood pressure.Carvedilol can be taken at a maximum daily dose of 80 mg although maintainence dose is 10 mg per day If you have taken 2 tablets of 3.125 then you are fine a dn have no cause for concern. Ask Your Own Cardiology Question

Two-headed coins, even pennies, are not considered to be very valuable. This is because the U.S. Mint has never minted two-headed coins on purpose or accidentally. Most two-headed ...Sep 21, 2021 · Low blood pressure warning: Carvedilol can cause dangerously low blood pressure, which may cause you to lose consciousness. This risk is highest after your first doses and during dosing increases ... May 6, 2011 · Answers. The most important effect of a Pradaxa overdose is bleeding. This can include obvious bleeding (such as vomiting of blood, nosebleeds, or bright-red blood in the stool) or bleeding that is less obvious (such as internal bleeding). Signs and symptoms of a Pradaxa overdose might include: Easy bruising; Cuts or scrapes that are slow to ... How to take it. Take irbesartan tablets once a day. Your doctor may suggest that you take your first dose before bedtime, because it can make you dizzy. After the very first dose, you can take irbesartan at any time of day. Try to take it at the same time every day. You can take irbesartan tablets with or without food.Yes, hydrochlorothiazide overdose can result in a sudden and dangerous fall in blood pressure. A change of just 20 mm Hg — a drop from 110 mm Hg systolic to 90 mm Hg systolic, for example — can cause dizziness and fainting. And big drops, from large doses of hydrochlorothiazide, can be life-threatening. Hydrochlorothiazide side effects.

Give one dose in the morning and one in the evening. Ideally these times are 10–12 hours apart. For example, this could be between 7am and 8am and between 7pm and 8pm. Give the medicine at about the same time (s) each day so that this becomes part of your child’s daily routine, which will help you to remember.Take carvedilol at the same time every day. Do not skip doses or stop taking carvedilol without first talking to your doctor. Stopping suddenly may make your condition worse. If you are switched from carvedilol tablets to carvedilol extended-release capsules (Coreg CR), your daily total dose of this medicine may be higher or lower than before.Last Updated 1/2/2020. Treatment. Contact your doctor right away, if you take an extra dose of carvedilol. When you take two doses of carvedilol, your blood pressure and heart rate may drop too low. Your doctor may ask you to come into the office or to check your blood pressure at home.Potential side effects from taking too much Lexapro include nausea, dizziness, low pressure, and palpitations. Accidentally taking an extra dose of any medication can certainly happen, and it is important to be aware of the steps that you should take if you find yourself in this precarious situation. First and foremost, if you ever …Carvedilol is a beta-blocker used to treat heart failure and high blood pressure. It can cause dangerously low blood pressure and heart rate if taken in overdose. Learn how to prevent, treat and avoid this …

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It was twice as successful as other cessation therapies. People who try to quit smoking go to great lengths. But the key to quitting might be found in a drug that’s illegal in much...I would love to hear from people who are taking lisinopril and carvedilol together. I was diagnosed with peripartum cardiomyopathy and I have been taking these medications for 4 months now. I just want to know if this medicine will work and how long for whomever is taking it, did it work for... read more. Updated 23 Nov 2023 4 answers.Hi, this morning I took, accidentally, double dose of tegretol, which makes my daily intake, 600 mg. Usually I take 1,5 tablet of 200 mg.carbamazepine. Did not go anywhere for help, did nothing, went thru it OK. ... If you had intended to take double dose regularly, it would take a few days before you noticed the effect. ...Accidentally taking a double dose of beta blocker can happen for various reasons. Some common causes include: Forgetting that you have already taken a dose. Misreading the medication label or instructions. Confusion due to multiple medications. Taking medication while distracted or in a hurry.Accidentally taking a double dose of beta blocker can happen for various reasons. Some common causes include: Forgetting that you have already taken a dose. Misreading the …Accidentally took Carvedilol 3.125mg and my Atorvastatin 20mg twice - I took a double dose of my Carvedilol 3.125mg and my Atorvastatin 20mg by accident and need to know if this could possibly hurt...

Diltiazem overdose symptoms may include: Extremely low blood pressure (hypotension); heart failure; a slow heart rate (bradycardia). This may cause signs or symptoms that include: Lightheadedness; Dizziness; Fainting; Difficulty breathing; Fluid retention. Unfortunately if you feel any of the above symptoms, please seek medical help, call ER.Key points. Accidentally taking one extra dose of Effexor XR is unlikely to cause significant side effects, but the risk of serious reactions varies by person. The most likely side effects experienced after taking an extra dose include nausea, dizziness, and stomach pain. It's never a bad idea to contact the Poison Control Center at 1-800-222 ...Two-headed coins, even pennies, are not considered to be very valuable. This is because the U.S. Mint has never minted two-headed coins on purpose or accidentally. Most two-headed ...Accidentally taking a double dose of beta blocker can happen for various reasons. Some common causes include: Forgetting that you have already taken a dose. Misreading the …I accidentally bought regular strength acetaminophen (325mg) instead of extra strength (500mg). since the dosage of extra strength is 1000mg (2x500mg), can i just take 3 regular strength totaling 975mg? this would still be less that 3 extra strength. A doctor has provided 1 answer. A member asked:Finasteride Overdose Symptoms. Common side effects of finasteride may include: Decreased libido (sex drive). Erectile dysfunction or difficulty maintaining erections. Breast tenderness or enlargement (gynecomastia). Skin rash or itching. Swelling in the hands or feet. Dizziness or weakness.Two-headed coins, even pennies, are not considered to be very valuable. This is because the U.S. Mint has never minted two-headed coins on purpose or accidentally. Most two-headed ...Here are some steps you can take if you have accidentally taken a double dose of Nyquil: 1. Stay Calm : Panicking will not help the situation. Take a deep breath and remain calm. 2. Read the Label : Refer to the packaging or label to confirm the recommended dosage and any warnings. 3. Assess Your Symptoms : Monitor your symptoms and check for ...Dec 2, 2022 · I would love to hear from people who are taking lisinopril and carvedilol together. I was diagnosed with peripartum cardiomyopathy and I have been taking these medications for 4 months now. I just want to know if this medicine will work and how long for whomever is taking it, did it work for... read more. Updated 23 Nov 2023 4 answers.

Potential side effects from taking too much Lexapro include nausea, dizziness, low pressure, and palpitations. Accidentally taking an extra dose of any medication can certainly happen, and it is important to be aware of the steps that you should take if you find yourself in this precarious situation. First and foremost, if you ever …

I think i took an extra dose of 6.25 carvedilol. woke up thinking i hadn't taken it so i took 1. but that didn't feel right so i counted my pills, i was one short of what i expected. so apparently i did take an extra dose. should i go to the er? A doctor has provided 1 answer. ... Took extra double dose of carvedilol by mistake should there be ...In these patients, it is okay to be on two beta-blockers. – There is a small risk of bradycardia and hypotension with this combination- which should only occur in somewhere around < 15% of patients. If it happens- reduce the doses of one or both of the beta-blockers. ER-Rx Episode 86.I accidentally double dose 120 mg diltiazem this morning, is. 4.9.2022. Dr. Bridget. Pharmacist. ... I accidentally took 12.5 mg carvedilol and I take 6.25 my bP. 5.10.2021. Dr. Megan. Clinical Pharmacist. 1,853 Satisfied Customers. What would happen if I took my heart medication twice at one.Jan 6, 2020 · Manufacturers and guidelines recommend that if patients forget and miss a dose of carvedilol, they should take a dose as soon as they remember. 1-4 However, do not take two doses within six hours of each other. 5. If it’s almost time to take the next dose, wait and take the next dose at the usual time. 1-4 Extra doses should not be taken ... Wellbutrin has a long half life of about 20-25 hours which means that 20-25 hours after the last dose 50% of the drug will still be in his system. After another 20-25 hours 25% will remain, etc. At that rate it could take as long as 4-6 days for the drug to completely clear his system (assuming he's not taken any more of the medication).decreased sexual ability or desire. edema (swelling in the legs or feet) weakness. If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk with your doctor or pharmacist. Serious side effects. Call your doctor right away if you have serious side effects.Carvedilol should be swallowed with a drink of water. High blood pressure. The recommended dose is 12.5 mg once a day for the first two days. After this, the dose is increased to 25 mg once a day. If necessary, your doctor may gradually increase the dose further at intervals of two weeks or more.Take with food. ≥18yrs: CHF: initially 3.125mg twice daily for 2 weeks, may double dose every 2 weeks if tolerated; mild to moderate HF (>85kg): usual max 50mg twice daily. Reduce dose if pulse <55.The most common immediate side effect from overdosing on lisinopril is a drop in blood pressure, which can cause fainting, dizziness or extreme weakness 1 3. Mayo Clinic staff say there is more danger from the after effects of the drop in pressure depending on what the patient was doing at the time of the blood pressure drop than internal harm ...

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Accidentally took Carvedilol 3.125mg and my Atorvastatin 20mg twice - I took a double dose of my Carvedilol 3.125mg and my Atorvastatin 20mg by accident...Here, we report massive carvedilol ingestion confirmed by quantitative analysis. The case report deals with an 84-year-old man who chewed a total of 60 (6.25 mg) tablets and rapidly developed symptoms. Vital signs on presentation were systolic blood pressure 70 mmHg; heart rate 45 beats/min.; respirations 18 breaths/min.; temperature 37 degrees .decreased sexual ability or desire. edema (swelling in the legs or feet) weakness. If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk with your doctor or pharmacist. Serious side effects. Call your doctor right away if you have serious side effects.The most common immediate side effect from overdosing on lisinopril is a drop in blood pressure, which can cause fainting, dizziness or extreme weakness 1 3. Mayo Clinic staff say there is more danger from the after effects of the drop in pressure depending on what the patient was doing at the time of the blood pressure drop than internal harm ...The main cause of portal hypertension is cirrhosis and therefore carvedilol is increasingly used in these patients. Due to its extensive hepatic metabolism, carvedilol is contraindicated in severe hepatic impairment. However, there are no dosage adjustments in the manufacturer’s labelling for mild to moderate hepatic impairment.If you open and close the cover without inhaling the medicine, you will lose one dose (you will see this on the dose counter). There is no need to shake the inhaler and it is not possible to accidentally take a double dose or an extra dose in 1 inhalation. To prepare your dose, slide the cover down on the inhaler to expose the mouthpiece.I think i took an extra dose of 6.25 carvedilol. woke up thinking i hadn't taken it so i took 1. but that didn't feel right so i counted my pills, i was one short of what i expected. so apparently i did take an extra dose. should i go to the er?Carvedilol also prevents episodes of stroke, heart attack, and heart failure. Carvedilol belongs to a class of drugs called beta-adrenergic blocking agents, also known as beta-blocking agents, or more commonly, beta-blockers. Beta-blockers work by affecting the response of nerves to certain stimuli. As a result, this prescription drug helps ... CARVEDILOL (KAR ve dil ol) treats high blood pressure and heart failure. It may also be used to prevent further damage after a heart attack. It works by lowering your blood pressure and heart rate, making it easier for your heart to pump blood to the rest of your body. It belongs to a group of medications called beta blockers. However, the dose is usually not more than 25 mg 2 times a day. Children—Use and dose must be determined by your doctor. Missed Dose . If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not …Customer: I take 6.25 MG of carvedilol twice a day, I have accidentally take two instead of one tonight. How serious is this? I am 75 yrs old and currently doing well. I've had two TIA 's one in April 2013 the other in January 2014. Change in diet etc since then and good BP, 111over very Doctor's Assistant: What medications do you take daily? Are you … ….

Clopidogrel (Plavix) Clopidogrel (Plavix®) is an antiplatelet drug you can take to prevent blood clots. It keeps platelets in your blood from coming together and making clots. You may need clopidogrel to prevent future issues if you had a heart attack, stroke or certain types of heart surgery. Contents Overview Additional Common Questions.Nov 21, 2023 · The recommended starting dose of COREG is 3.125 mg twice daily for 2 weeks. If tolerated, patients may have their dose increased to 6.25, 12.5, and 25 mg twice daily over successive intervals of at least 2 weeks. Patients should be maintained on lower doses if higher doses are not tolerated. A maximum dose of 50 mg twice daily has been ... Low blood pressure warning: Carvedilol can cause dangerously low blood pressure, which may cause you to lose consciousness. This risk is highest after your first doses and during dosing increases ...Doctor: Dr.Saleem. You will have to observe for any development of symptoms such as dizziness, light headedness, nausea and severe lethargy if you can't monitor the BP. Keep yourself hydrated. Doctor: Dr.Saleem. A single overdose usually doesn't cause much problems but it's better to be a bit cautious.Dec 11, 2020 · Carvedilol can be taken at a maximum daily dose of 80 mg although maintainence dose is 10 mg per day If you have taken 2 tablets of 3.125 then you are fine a dn have no cause for concern. Ask Your Own Cardiology Question Customer: My Mom accidentally took a double dose of Olmesartan-HCTZ 20-12.5 tonight. Will she be ok Doctor's Assistant: The Pharmacist can help. Just a couple quick questions before I transfer you. ... I take Carvedilol 12.5 mg 2 x a day; (1) @ 8:00 am after. 10.7.2018. Dr. C. Rollins. Pharm. D. 2,562 Satisfied Customers.Try these simple tips: Get the Walgreens app. 1. Set up reminders. Use your phone’s or smartwatch’s alarm function or calendar to set up reminders. Or download the Walgreens app and tap the ...Jul 1, 2023 · Beta-blockers are a type of medicine used to treat high blood pressure and heart rhythm disturbances. They are one of several classes of medicines used to treat the heart and related conditions. Beta-blockers are also used in the treatment of thyroid disease, migraine, and glaucoma. These drugs are a common cause of poisoning. Like with most medicines, you may experience some side effects when taking metformin, with some of the most common of them including: Being sick or feeling nauseous. Vomiting. Loss of appetite. Stomach ache. Metallic taste in the mouth. The side effects above typically happen in more than 1 in 100 people. Accidentally took double dose of carvedilol, The only study to look at the subject of dose closely, compared the effects of three doses of carvedilol (6.25 mg, 12.5 mg, and 25 mg each twice a day) and placebo in 345 CHF patients on mortality, exercise capacity (6-minute walk test), hospitalizations and left ventricular ejection fraction (Bristow et al 1996). There was no effect of the β ..., Jul 17, 2022 · Just a couple quick questions before I transfer you. When was this? Do you normally use Gabapentin and if so, when was your last dose? I take 12.5 carvedilol and 600 mg gabapentin twice daily. I took it this morning and then took evening dose 1.5 hours ago. I accidentally took my morning dose just now. , Extra dose of carved: Depends on dose and reason you are taking it. Prob no problem, but please contact the member of you team who prescribed it. Usually not: Many patients tolerate high doses of carvedilol. If you are not feeling dizzy or lightheaded for the next several hours, I recommend lying down and taking it easy., my mother who is 90 took her regular dose of cozaar this morning and accidentally took another 59 mg of cozaar; she is only to take. my husband accidentally took two of my 50 mg flecainide. is this dangerous for him. I take Carvedilol 12.5 mg 2 x a day; (1) @ 8:00 am after breakfast and (1) at 8:pm after dinner. , The Bottom Line. Losartan (Cozaar) is a common medication used to lower blood pressure. It is typically well-tolerated and doesn’t interact with many drugs, foods, or supplements. Losartan may cause side effects, including fatigue, dizziness, and fainting. It is not safe to use during pregnancy, and can have dangerous effects if excessive ... , See list of participating sites @NCIPrevention @NCISymptomMgmt @NCICastle The National Cancer Institute NCI Division of Cancer Prevention DCP Home Contact DCP Policies Disclaimer P..., The lowdown on sticky poop and what you can do about it. You’re probably here because you just Googled “poop.” Maybe you’ve already accidentally learned a few things about poop egg..., I think I have taken a double dose of Carvedilol 12.5mg. I. 9.28.2019. Dr.Saleem. ... My husband accidentally took a double dose (200 mg) of. 8.13.2017. Ross. Doctor. , Carvedilol Dosage. Medically reviewed by Drugs.com. Last updated on May 8, 2023. Applies to the following strengths: 3.125 mg; 6.25 mg; 12.5 mg; 25 mg; 10 mg; …, Plus: Europe now has too much gas Good morning, Quartz readers! Toyota accidentally shared the personal data of more than two million people. The sensitive information of Japanese ..., Usual Adult Dose for Hypertension. ORAL: Initial dose: 100 mg orally 2 times a day (alone or added to a diuretic regimen) Titration: Dosage may be increased in increments of 100 mg orally 2 times a day every 2 or 3 days. Maintenance dose: 200 to 400 mg orally 2 times a day. Maximum dose: Some patients may require 1200 to 2400 mg …, Call your doctor if you think you’ve taken too many carvedilol oral tablets, or if you accidentally took a double dose. You can also call 800-222-1222 to reach the American Association of..., May 6, 2011 · Answers. The most important effect of a Pradaxa overdose is bleeding. This can include obvious bleeding (such as vomiting of blood, nosebleeds, or bright-red blood in the stool) or bleeding that is less obvious (such as internal bleeding). Signs and symptoms of a Pradaxa overdose might include: Easy bruising; Cuts or scrapes that are slow to ... , The dosage that is prescribed will vary depending on the type and severity of the bacterial infection that it is intended to fight. If a dose is missed, the dose must be taken as s..., The main cause of portal hypertension is cirrhosis and therefore carvedilol is increasingly used in these patients. Due to its extensive hepatic metabolism, carvedilol is contraindicated in severe hepatic impairment. However, there are no dosage adjustments in the manufacturer’s labelling for mild to moderate hepatic impairment., I accidentally took a double dose of 12.5 mg of Carvedilol. 10.3.2018. Dr. C. Rollins. Pharm. D. ... I accidentally took a double dose of 12.5 mg of Carvedilol. , Key points. Accidentally taking an extra dose of metformin may cause mild side effects like stomach cramping and diarrhea, but the risk of serious side effects is very low. Generally, the concern with taking too much diabetes medication is the risk of hypoglycemia (blood sugar that drops too low). Fortunately, even at high doses, the risk …, Poison control centers across the country fielded over 440,000 calls in 2013 related to children accidentally taking ... include high-dose IV glucagon and IV calcium. ... Tenormin), carvedilol ..., Dose: 20-80 mg ER PO qam; Max: 80 mg/day ER; Info: 6.25 mg/day IR = 10 mg/day ER; may incr. dose q1-2wk; in pts 65 yo and older or at risk of hypotension, dizziness, or syncope on 25 mg/day IR or 50 mg/day IR, switch to 20 mg/day ER or 40 mg/day ER, respectively, then may incr. dose q2wk; give w/ food; may open cap, but do not crush/chew ..., I accidentally bought regular strength acetaminophen (325mg) instead of extra strength (500mg). since the dosage of extra strength is 1000mg (2x500mg), can i just take 3 regular strength totaling 975mg? this would still be less that 3 extra strength. A doctor has provided 1 answer. A member asked:, Potential side effects from taking too much Wellbutrin include nausea, dizziness, heart rate changes, palpitations, loss of consciousness, muscle rigidity, and breathing problems. The major side effects of Wellbutrin overdose are associated with very high doses (> 10 grams). Accidentally taking one extra dose will likely only result in …, A 19-year-old woman took a double dose of her Wellbutrin ® XL (bupropion, used as an antidepressant and for smoking cessation). The amount she took, 600 mg, has caused seizures in some people. Also, because she took extended-release Wellbutrin ®, she was at risk of seizures for many hours to come., Your lifestyle may change when you retire, but it’s still important to take care of your financial security. Here are nine common money mistakes to avoid. We may receive compensati..., Taking two 10-20 mg Atorvastatin is not associated with disturbing side effects as it would still fall under the maximum daily dosage recommendation – which is 80 mg. Even for someone who takes 40 mg, taking a double dose would not exceed the maximum daily dose. This is why it is not considered a health hazard – an extra dose of …, CARVEDILOL (KAR ve dil ol) treats high blood pressure and heart failure. It may also be used to prevent further damage after a heart attack. It works by lowering your blood pressure and heart rate, making it easier for your heart to pump blood to the rest of your body. It belongs to a group of medications called beta blockers., Am I better taking nadadol than carvedilol after 30 plus years on nadadol. Dr just changed me from 40 mg of nadadol to 12.5 mg of carvedilol twice a day. ... I accidentally took a double dose of 12.5 mg of Carvedilol along with 50 mg of Losartan this am. ..., Jun 2, 2022 · If you’ve taken more than the recommended amount of atorvastatin, talk to your pharmacist or doctor if you’re worried or take more than 1 extra dose atorvastatin even if you have no symptoms. To avoid accidental overdose, always keep drugs stored in their original containers. Many pills look alike, so keeping them in their original ... , Doctor: Dr.Saleem. You will have to observe for any development of symptoms such as dizziness, light headedness, nausea and severe lethargy if you can't monitor the BP. Keep yourself hydrated. Doctor: Dr.Saleem. A single overdose usually doesn't cause much problems but it's better to be a bit cautious., Customer: I think I took a double dose of flecainide, accidentally 100 mgs. at 5 AM and 100 at 10 AM. Been taking it for 5 years.fo A Fib Doctor's Assistant: What medications do you take daily?, I think i took an extra dose of 6.25 carvedilol. woke up thinking i hadn't taken it so i took 1. but that didn't feel right so i counted my pills, i was one short of what i expected. so apparently i did take an extra dose. should i go to the er? A doctor has provided 1 answer. ... Took extra double dose of carvedilol by mistake should there be ..., Take with food. ≥18yrs: CHF: initially 3.125mg twice daily for 2 weeks, may double dose every 2 weeks if tolerated; mild to moderate HF (>85kg): usual max 50mg twice daily. Reduce dose if pulse <55., Potential side effects from taking too much Wellbutrin include nausea, dizziness, heart rate changes, palpitations, loss of consciousness, muscle rigidity, and breathing problems. The major side effects of Wellbutrin overdose are associated with very high doses (> 10 grams). Accidentally taking one extra dose will likely only result in …, Online Primary Care Doctors Accepting New Patients. $44 video appointments available today with a membership as low as $15/month. Book a Video Appointment. Ask your question. i accidentally took a double dose of 5mg norvasc (amlodipine). should i be concerned?: Unlikely a problem: Taking an extra dose of an anti-hypertension medic.