PERINDOPRIL + AMLODIPINE

Perindopril, a prodrug of perindoprilat, is an ACE inhibitor. It stops angiotensin I from being changed into angiotensin II. This increases the activity of renin in the plasma and decreases the production of aldosterone and substances that narrow blood vessels.

Amlodipine, a dihydropyridine Ca channel blocker, prevents Ca ion transmembrane input into cardiac muscle and vascular smooth muscle, resulting in vasodilation and relaxation. It also works directly on vascular smooth muscle, lowering blood pressure and peripheral vascular resistance.

Use this medication precisely as recommended by your physician. Follow the prescription of your doctor carefully.

The medication dose your physician has given is based on your condition, other medications or food supplements you may take, and your reaction to treatment. To diminish your risks for adverse effects, don’t increase your dosage, take it regularly, or take it as instructed by your physician. Adverse events may still happen even at usual prescription dosages.

If your physician requests you to use this drug consistently, use it regularly to get the most benefits from it. To make you remember it better, take it at a fixed time every day.

Your doctor may need to modify your dosages to ease your symptoms or if you develop adverse reactions.

If you have any inquiries with regards to information, ask your physician or pharmacist.

Perindopril + Amlodipine is used in the following conditions:

  • Stable coronary artery disease
  • Essential hypertension
  • Hypertension

This medicine may be recommended for different uses. Approach your physician or pharmacist for more information.  

Do not use Perindopril + Amlodipine in people with the following conditions:

  • People with renal impairment or DM (GFR <30 mL/min/1.73 m2)
  • Lactation
  • Pregnancy
  • Heart failure after acute MI
  • High-grade aortic stenosis
  • Shock 
  • Extreme hypotension
  • Record of idiopathic angioedema. 

Perindopril + Amlodipine may have the following side effects:

  • Tinnitus
  • Rash
  • Visual disturbances
  • Muscle cramps
  • Anemia
  • Thrombocytopenia
  • Agranulocytosis
  • Dyspnea
  • Constipation
  • Diarrhea
  • Dysgeusia
  • Dyspepsia
  • Vomiting
  • Nausea
  • Abdominal pain
  • Vasculitis
  • Tachycardia
  • Syncope
  • Chest pain
  • Bradycardia
  • Palpitations
  • Flushing
  • Peripheral edema
  • Asthenia
  • Fatigue
  • Vertigo
  • Paraesthesia
  • Somnolence
  • Dizziness
  • Headache
  • Cholestatic jaundice
  • Hyperkalemia
  • Acute renal failure
  • Persistent nonproductive cough
  • Hypotension
  • Angina/MI

Potentially Fatal:

  • Fulminant hepatic necrosis
  • Shock
  • Prolonged systemic hypotension
  • Angioedema of the larynx, glottis, and tongue

Keep in mind that your physician has recommended this drug since he or she has known that the advantage to you is more noteworthy than the risk of adverse reactions. Many individuals utilizing this medicine don’t have serious side effects. 

A serious allergy to this medication is uncommon. In any case, seek emergency medical help if you see any manifestations of a serious allergic response, including a rash, tingling, or swelling particularly of the face or tongue or throat, dizziness, or difficulty in breathing.

This is not a complete list of side effects. If you see other effects not recorded above, contact your physician or pharmacist.

Take extra caution in patients with the following medical conditions:

  • Desensitization therapy (e.g. hymenoptera venom)
  • Elderly
  • When a patient is having a significant operation or is sedated
  • Renal and hepatic impairment
  • Vascular collagen disease
  • Heart failure
  • Hypertrophic cardiomyopathy with blockage of the outflow tract
  • Cerebrovascular illness or ischemia of the heart
  • Aortic stenosis, mitral artery, and renal artery
  • Coronary artery disease with extreme occlusion
  • Patients suffering from a lack of volume or salt

Prior to taking this medicine, tell your physician or pharmacist if you are allergic to it, or if you have some other hypersensitivities. This drug may contain inert ingredients, which can cause unfavorable side effects or different issues. Talk with your pharmacist for more information.

Interactions

Perindopril + Amlodipine may interact with the following medicines:

  • Indomethacin
  • Heparin
  • Ciclosporin
  • Triamterene
  • Spironolactone
  • Eplerenone
  • Amiloride
  • Rifampicin
  • Anticonvulsant agents
  • Diltiazem
  • Baclofen
  • Amifostine
  • Simvastatin
  • Sympathomimetics
  • NSAIDs
  • Temsirolimus
  • Everolimus
  • Sirolimus
  • Α-blockers
  • Anesthetics
  • Antipsychotics
  • TCAs
  • Sulfonamides
  • Insulin
  • Estramustine
  • Na aurothiomalate
  • Vasodilators
  • Diuretics
  • Antihypertensive agents

Potentially Fatal:

  • Aliskiren
  • Dextran sulfate in LDL apheresis

Inform your physician about the drugs you take, including over-the-counter medications, prescribed drugs, supplements, and vitamins.

This is not a complete list of drug interactions. Approach your physician or pharmacist for more details.

The effects of certain medications can change if you consume different medications or herbal products simultaneously. This can build your risk for side effects or may cause your drugs not to work effectively. These interactions are conceivable, yet don’t generally happen. Your physician or pharmacist can prevent or oversee interactions by changing how you utilize your prescriptions or by close checking.

While utilizing this drug, don’t start, stop, or change the dose of other medicines you are using without your physician’s advice.

If you suspect an overdose, contact your doctor right away.

Available Brands:

  • Viacoram
  • Coveram

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