Amlodipine vs Telmisartan – Which BP Medicine Is Better?
- Adam makis

- 19 hours ago
- 3 min read
Introduction
High blood pressure (hypertension) is one of the most common health conditions affecting millions worldwide. If not treated properly, it can lead to heart failure, stroke, kidney disease, and other serious complications. High blood pressure treatment usually includes lifestyle changes along with medicines like Amlodipine or Telmisartan.
Both medicines are highly effective—but they work differently. Many patients ask, “Amlodipine vs Telmisartan: which is better for high BP?” This detailed guide provides a BP medicine comparison, covering benefits, side effects, speed of action, and long-term protection.
At Skymeds, we offer doctor-recommended BP medicines online with verified quality and fast delivery.

What Is Amlodipine?
Amlodipine is a Calcium Channel Blocker (CCB). It relaxes blood vessels by preventing calcium from entering the muscles of the heart and arteries. This improves blood flow and helps in quick BP reduction.
Key Benefits of Amlodipine
Strong control of high BP
Works well for older adults
Helps treat chest pain (angina)
Effective in people with narrow blood vessels
Once-daily dosing
Affordable and widely available
Who Should Use Amlodipine?
Doctors usually recommend Amlodipine for:
Patients with isolated systolic hypertension (common after 50)
People with heart-related chest pain
Patients needing fast and reliable BP lowering
Common Side Effects of Amlodipine
Ankle or leg swelling
Headache
Dizziness
Flushing
Fast heartbeat (rare)
What Is Telmisartan?
Telmisartan belongs to the Angiotensin Receptor Blocker (ARB) class. It blocks angiotensin II, a hormone that tightens blood vessels. This helps relax arteries and offers long-term blood pressure control.
Key Benefits of Telmisartan
Excellent 24-hour BP control
Strong kidney protection, especially for diabetics
Reduces risk of heart attack and stroke
No cough (unlike ACE inhibitors)
Longest-acting ARB
Who Should Use Telmisartan?
Doctors usually prefer Telmisartan for:
Patients with diabetes and hypertension
People with kidney disease
Patients needing stable BP throughout the day
Individuals intolerant to ACE inhibitors
Common Side Effects of Telmisartan
Fatigue
Low blood pressure
Muscle pain
High potassium levels
Kidney function changes (rare)
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Amlodipine vs Telmisartan: Major Differences
Feature | Amlodipine | Telmisartan |
Drug Class | Calcium Channel Blocker | ARB |
Mechanism | Relaxes blood vessels | Blocks angiotensin II |
Best For | Elderly, angina, fast BP lowering | Diabetes, kidney safety |
Onset | Quick | Gradual & steady |
Kidney Protection | No | Yes |
Swelling Risk | High | Very low |
Dosage | 5–10 mg | 20–80 mg |
Which Medicine Works Faster?
Amlodipine works faster. BP reduction may begin within 2–4 hours. Telmisartan works gradually and shows full benefit in 3–6 days, making it ideal for long-term BP management.
Which Is Better for Long-Term BP Control?
Telmisartan is considered better for maintaining stable BP for 24 hours. It also protects vital organs like the heart and kidneys.
Which Has Fewer Side Effects?
In general, Telmisartan has fewer side effects. Amlodipine commonly causes leg swelling, while Telmisartan is usually well tolerated.
Best BP Medicine for Diabetes or Kidney Disease
Telmisartan is the clear winner. It reduces kidney damage, protein in urine, and the risk of diabetic nephropathy.
Best BP Medicine for Elderly Patients
For people above 50 with stiff arteries, Amlodipine often works better by lowering systolic BP effectively.
⚠ Always take Amlodipine or Telmisartan only as prescribed by your doctor. Do not change dosage or stop medication without medical advice.
Which Medicine Should You Choose?
Choose Amlodipine If:
You need quick BP reduction
You have angina
You are above 50
Choose Telmisartan If:
You have diabetes or kidney problems
You want long-term BP control
You need a kidney-safe BP medicine
Many doctors prescribe Telmisartan + Amlodipine together for balanced BP control with fewer side effects.
Buy BP Medicines Online from Skymeds
At Skymeds, you can buy Amlodipine or Telmisartan online with:
✔ Verified medicines
✈ Fast delivery
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FAQs
1. Can Amlodipine and Telmisartan be taken together?
Yes, this combination is commonly prescribed.
2. Which BP medicine has fewer side effects?
Telmisartan generally causes fewer side effects.
3. Is Amlodipine safe for long-term use?
Yes, but swelling may occur in some patients.
4. Does Telmisartan protect kidneys?
Yes, especially in diabetic patients.
5. Can I stop BP medicine once BP is normal?
No. Always consult your doctor before stopping medication.




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