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Perindopril/amlodipine is a prescription tablet used for high blood pressure. It combines an ACE inhibitor with a calcium channel blocker to control readings when one medicine is not enough. This page explains how it works, who it suits, and how to access US delivery from Canada without insurance.
Qué es el perindopril/mlodipino y cómo actúa
Perindopril/amlodipine combines two blood pressure medicines with complementary actions. Perindopril is an ACE inhibitor that is converted to perindoprilat, which lowers angiotensin II and reduces vasoconstriction and aldosterone effects. Amlodipine is a dihydropyridine calcium channel blocker that relaxes vascular smooth muscle and decreases peripheral resistance. Using both may help when a single agent does not provide adequate control.
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This combination is typically prescribed for adults who need two agents, or to replace separate perindopril and amlodipine tablets at equivalent doses. Decisions on starting or adjusting therapy are made by your clinician based on clinical response and tolerability.
Who It’s For
This treatment is intended for adults with hypertension who would benefit from an ACE inhibitor plus a calcium channel blocker. It may be used when blood pressure remains above target on one agent, or when switching from the individual components for convenience.
Do not use during pregnancy. Stop the ACE inhibitor component and contact a clinician if pregnancy is suspected. Avoid if you have a history of angioedema related to ACE inhibitors. Use caution with kidney impairment, liver disease, aortic stenosis, low baseline blood pressure, dehydration, or in combination with other medications that affect potassium. People with diabetes should not take ACE inhibitors together with aliskiren.
For condition-specific options and education, see Hipertensión arterial.
Posología y utilización
Perindopril/amlodipine is generally taken once daily, at the same time each day. It may be taken with or without food. Swallow tablets whole with water. Consistency supports stable blood pressure control. If you are switching from separate perindopril and amlodipine tablets, your prescriber will match the fixed-dose strength to your current regimen.
Grapefruit or grapefruit juice can affect amlodipine metabolism; follow clinician advice about dietary restrictions. Alcohol can increase the risk of dizziness or lightheadedness. Always follow the Patient Information and your clinician’s directions on how to take this medicine.
Fortalezas y formas
Film‑coated tablets are available in multiple fixed-dose strengths. Common presentations include perindopril arginine with amlodipine in combinations such as 3.5 mg/2.5 mg, 7 mg/5 mg, and 14 mg/10 mg. Availability, color, and packaging may vary by manufacturer and country.
Dosis omitida y momento oportuno
If you miss a dose, take it when you remember the same day. If it is almost time for the next dose, skip the missed dose and take the next dose at the regular time. Do not double up to make up for a missed tablet. If vomiting or severe diarrhea occurs after a dose, contact your clinician for guidance on monitoring and when to resume.
Almacenamiento y viaje
Store tablets at room temperature in a dry place away from excess heat and light. Keep the medicine in the original, child‑resistant container with the prescription label. Do not store in a bathroom due to humidity. For travel, keep your medication in carry‑on luggage with a copy of your prescription and your clinician’s contact information. Maintain your usual dosing time when crossing time zones if possible, and set reminders to avoid missed doses.
Beneficios
- Two mechanisms in one: complementary effects on the renin‑angiotensin system and vascular tone.
- Once‑daily schedule designed for steady blood pressure control.
- Single tablet can reduce pill burden compared with separate components.
- Option to replace two prescriptions with one fixed‑dose product when appropriate.
- May limit dose‑limiting effects of one class by pairing with another, as advised by a clinician.
Efectos secundarios y seguridad
- Mareos o aturdimiento, especialmente al iniciar o aumentar la dosis.
- Dolor de cabeza
- Tos
- Rubor o calor
- Swelling of ankles or feet
- Fatiga
- Náuseas o malestar estomacal
- Palpitaciones
Serious reactions can occur but are less common. Angioedema (swelling of the face, lips, tongue, or throat) requires urgent care and permanent discontinuation of ACE inhibitors. Severe hypotension, fainting, high potassium, or changes in kidney function can occur, particularly in people with kidney disease or those on diuretics, potassium supplements, or salt substitutes containing potassium. Rarely, liver problems or worsening chest pain may occur. Report concerning symptoms to a healthcare professional immediately.
Interacciones medicamentosas y precauciones
Tell your clinician and pharmacist about all medicines, vitamins, and herbal products you use. Important interactions include:
- Potassium‑sparing diuretics, potassium supplements, or salt substitutes: risk of hyperkalemia
- Lithium: increased lithium levels and toxicity risk
- NSAIDs, including COX‑2 inhibitors: reduced antihypertensive effect and kidney risk
- Diuretics or other antihypertensives: additive blood pressure lowering
- Strong or moderate CYP3A4 inhibitors/inducers (e.g., certain macrolides, azoles, rifampin): altered amlodipine exposure
- Simvastatin: amlodipine requires limiting simvastatin to approved maximum daily doses
- Aliskiren in diabetes: avoid with ACE inhibitors
- Sacubitril/valsartan: washout is required to reduce angioedema risk
To learn more about ACE inhibitor use and related cautions, see Usos del benazepril. For beta‑blocker considerations sometimes paired with other regimens, review Usos del acebutolol. Your pharmacist can help screen for interactions alongside your prescriber.
Qué esperar con el tiempo
Blood pressure typically improves as the combination reaches steady levels with regular daily use. Your clinician may monitor home and office readings and adjust therapy if needed. Some effects, such as ankle swelling or cough, may appear after initiation or changes; many are mild and transient. Lifestyle measures, such as sodium reduction, physical activity, and weight management, can further support control. Keep a log of blood pressure and symptoms to share at follow‑up visits.
For a broader view of related treatments, explore Medicamentos para la salud del corazón.
Comparar con alternativas
Several approved options may be considered depending on clinical goals and tolerability:
- Norvasc (amlodipine) offers calcium channel blocker monotherapy when a single agent is appropriate or as part of a multi‑drug plan.
- Diovan (valsartan) is an angiotensin receptor blocker used when an ACE inhibitor is not suitable or when a different class is preferred.
Alternatives are chosen by a prescriber based on blood pressure targets, comorbidities, and prior response. Switching or combining therapies should be supervised by a clinician.
Precios y acceso
Canadian pricing can offer meaningful cash‑pay value compared with many local options. Check current availability and see perindopril amlodipine Canadian pricing on this product page. Orders are processed with prescription verification, and packages Ships from Canada to US. Checkout is encrypted to protect your information. If you are looking for seasonal or limited offers, see Promociones.
Disponibilidad y sustituciones
Supply can vary. If a particular strength is unavailable, a prescriber may recommend an equivalent dose using separate components or an alternative class. Do not switch products or doses without professional guidance. To compare classes that treat the same condition, view Hipertensión Cardiovascular.
Adecuación al paciente y consejos para ahorrar costes
This therapy may fit adults who need two agents to reach blood pressure goals or who prefer the convenience of a single daily tablet replacing separate components. It is not appropriate during pregnancy and should be used carefully with kidney or liver issues, or in people at risk of high potassium. Regular monitoring is advised after initiation or changes.
- Ask about a 60‑ to 90‑day supply to reduce pharmacy visits.
- Utilice recordatorios de reposición para no saltarse ninguna dosis.
- Bring a current medication list to every appointment.
- Discuss generic options and dose combinations that match your plan.
- Keep a home blood pressure log to aid clinical decisions.
Preguntas para su médico
- Is this combination appropriate for my stage of hypertension?
- How should I monitor at home and how often should I record readings?
- ¿A qué signos de tensión arterial baja o de potasio alto debo estar atento?
- Do I need blood tests to monitor kidney function or electrolytes?
- Are there any foods or medicines I should avoid while taking it?
- If ankle swelling occurs, what adjustments might be considered?
- Would a multi‑month fill be suitable for my treatment plan?
Fuentes autorizadas
- Manufacturer: Coveram (Perindopril/Amlodipine)
- Base de datos de medicamentos de Health Canada
- DailyMed: Amlodipine
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How does this combination lower blood pressure?
Perindopril/amlodipine targets blood pressure through two complementary pathways. Perindopril inhibits angiotensin‑converting enzyme, which reduces angiotensin II and lowers vasoconstriction and aldosterone effects. Amlodipine relaxes vascular smooth muscle by blocking calcium entry into arterial cells, reducing peripheral resistance. Together, the agents can produce additive blood pressure lowering compared with either alone when monotherapy is not enough. Your clinician will decide if this combination aligns with your goals and medical history.
Can I take it with other blood pressure medicines?
Sometimes. Clinicians may pair this therapy with a diuretic or other classes when stronger control is needed. Additive effects can increase the chance of dizziness or low blood pressure, especially at the start. Some combinations require extra monitoring, such as potassium levels with certain diuretics or kidney function with NSAIDs. Always provide a complete medication list to your prescriber and pharmacist so interactions can be checked before starting or changing doses.
What if I have kidney problems?
ACE inhibitors can affect kidney function, especially with dehydration, diuretics, or preexisting kidney disease. Your clinician may order baseline and follow‑up blood tests to check creatinine and potassium after starting or adjusting perindopril/amlodipine. Report reduced urine output, swelling, or unusual fatigue. Do not change your dose on your own. If significant changes appear on labs, the prescriber may adjust therapy or consider an alternative regimen.
Is cough common with this therapy?
A dry, persistent cough can occur with ACE inhibitors such as perindopril. It may appear days to weeks after starting and can resolve after stopping the ACE inhibitor. Not everyone experiences cough, and other causes such as seasonal illness or reflux should be considered. If cough is troublesome, speak with your clinician. An alternative class, such as an angiotensin receptor blocker, may be considered if the ACE inhibitor is not tolerated.
Can I drink grapefruit juice while taking it?
Grapefruit juice can increase amlodipine exposure by affecting intestinal CYP3A4. This may raise the risk of side effects like swelling or dizziness in some people. It is best to avoid grapefruit products unless your clinician advises otherwise. If you accidentally consume grapefruit, monitor for symptoms and report issues that persist or worsen. Other citrus fruits such as oranges do not share this interaction.
What should I do if I feel dizzy after a dose?
Dizziness can occur when blood pressure drops, particularly after the first few doses or when rising quickly from sitting or lying positions. Sit or lie down until the feeling passes. Stay hydrated, avoid alcohol, and stand slowly. If you faint, experience chest pain, or have severe symptoms, seek medical attention. If milder dizziness continues, contact your clinician; an adjustment to your regimen may be considered.
How is this different from taking two separate pills?
A fixed‑dose combination places two agents in one tablet, which can simplify routines and support adherence. If you were already taking perindopril and amlodipine separately, a prescriber may select a matching strength in a single tablet. Not every dose pairing exists, and adjustments require professional oversight. Some patients remain on separate pills to allow more flexible titration. Your clinician will choose the approach that best fits your treatment plan.
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