PERINDOPRIL ERBUMINE

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• Minor side effects (if these symptoms persist or worsen, inform your doctor)
  • Dizziness, lightheadedness, tiredness, or dry cough

• Serious side effects (inform your doctor immediately)
  • symptoms of a high potassium blood level (such as muscle weakness, slow/irregular heartbeat), fast heartbeat, fainting, signs of kidney problems such as a change in the amount of urine
  • May rarely cause serious (possibly fatal) liver disease. Symptoms include:
    • nausea/vomiting that doesn’t stop, loss of appetite, stomach/abdominal pain, yellowing eyes/skin, dark urine.

• Severe allergic reactions are rare. Get immediate medical help if you notice the following:
  • Rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing

Precautions

• Inform your doctor
  • Allergy to the medication other ACE inhibitors such as captopril, lisinopril or any allergies
  • Medical History of an allergic reaction which included swelling of the face/lips/tongue/throat (angioedema), blood filtering procedures (such as LDL apheresis, dialysis), high level of potassium in the blood, liver disease, loss of too much body water and minerals (dehydration).
• May cause dizziness or drowsiness. Limit alcohol intake
• May increase your potassium levels. Before using potassium supplements or salt substitutes that contain potassium, consult your physician
• Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
• Older adults may be more sensitive to side effects
• Should not be used during pregnancy as it may harm an unborn baby. If you are planning to be pregnant or think you may be pregnant, discuss the risks and benefits of use with your doctor.

Interactions

Taking multiple drugs may affect how medications work and/or cause unwanted side effects. List down all the medications you are taking and inform your physician and pharmacist. Do not take, discontinue, or alter any dose of medications without prior approval of your physician.

• Products that may interact with this medication include:
  • aliskiren, certain drugs that weaken the immune system/increase the risk of infection (such as everolimus, sirolimus), gold injections, lithium, drugs that may increase the level of potassium in the blood (such as ARBs including losartan/valsartan, birth control pills containing drospirenone), cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen
  • A very serious reaction may occur if you are getting injections for bee/wasp sting allergy (desensitization) and are also taking perindopril

Overdose

If overdose is suspected, contact a poison control center or emergency room immediately.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and as soon as you remember, take a regular dose or if the time of the next dose is near, wait for it before taking another dose and resume your usual schedule. Do not increase the dose to compensate for the missed dose.

Storage

• Room temperature
• Do not expose to light and moisture
• Do not store in the bathroom
• Keep all medications away from pets and children