Perindopril & Indapamide - Side Effects, Uses, Interactions, and Alternatives……”

Jul 23, 2024

Introduction

PERINDPRIM PLUS is a prescription medication designed to help manage high blood pressure (hypertension) and reduce the risk of associated cardiovascular complications. This product combines the benefits of perindopril and indapamide, two active pharmaceutical ingredients known for their complementary effects in controlling blood pressure and supporting cardiovascular health.

The combination of perindopril indapamide in PERINDPRIM PLUS has gained recognition among healthcare professionals for its efficacy, tolerability, and dual-action mechanism. Perindopril belongs to a class of medications called ACE inhibitors, while indapamide is a thiazide-like diuretic. Together, they offer synergistic action in reducing blood pressure and preventing heart disease and stroke.

About PERINDPRIM PLUS

PERINDPRIM PLUS is a fixed-dose combination of:

  • Perindopril – an angiotensin-converting enzyme (ACE) inhibitor

  • Indapamide – a thiazide-like diuretic with vasodilating properties

This combination works effectively to relax blood vessels, remove excess fluid, and reduce overall blood pressure. It is often prescribed when monotherapy is not sufficient to control hypertension.

Key Features:

  • Dual-action blood pressure control

  • Suitable for long-term cardiovascular protection

  • Reduces risks of stroke and heart attack

  • Once-daily dosing for convenience

  • Promotes adherence due to fewer side effects

Uses of PERINDPRIM PLUS

The primary uses of PERINDPRIM PLUS include:

1. Hypertension (High Blood Pressure):

This is the most common indication. The combination of perindopril indapamide helps lower systolic and diastolic blood pressure, minimizing the long-term damage to arteries and vital organs.

2. Heart Failure Management:

Though more common in monotherapies, perindopril is often used in managing chronic heart failure. When combined with indapamide, it supports fluid balance and reduces strain on the heart.

3. Cardiovascular Event Prevention:

In patients with existing cardiovascular risks such as diabetes, chronic kidney disease, or previous strokes, PERINDPRIM PLUS helps reduce the likelihood of recurrent events.

4. Renal Protection in Diabetics:

Perindopril indapamide combinations have shown benefits in protecting kidney function, particularly in individuals with diabetic nephropathy.

How PERINDPRIM PLUS Works

The dual mechanism of PERINDPRIM PLUS is central to its effectiveness:

  • Perindopril blocks the enzyme responsible for converting angiotensin I to angiotensin II—a powerful vasoconstrictor. By doing so, it lowers blood pressure and reduces heart strain.

  • Indapamide helps the body eliminate excess sodium and water through urine, thereby reducing fluid volume in the bloodstream and lowering pressure.

This perindopril indapamide synergy provides both vasodilation and diuretic action, which are key to effective blood pressure management.

Dosage of PERINDPRIM PLUS

Recommended Dosage:

The typical starting dose for adults is one tablet daily, preferably taken in the morning. However, dosages may vary based on:

  • Patient age

  • Severity of hypertension

  • Tolerance to medication

  • Other medical conditions or medications

Important Dosage Considerations:

  • Tablets should be swallowed whole with water

  • Consistency is key – take the medication at the same time daily

  • Do not stop taking PERINDPRIM PLUS without consulting your doctor

  • Avoid doubling the dose if you miss one

It is essential to follow your doctor’s instructions precisely to achieve optimal blood pressure control.

What Are the Possible Side Effects of PERINDPRIM PLUS?

Like all medications, PERINDPRIM PLUS may cause some side effects. However, many users tolerate it well with minimal discomfort.

Common Side Effects:

  • Dizziness or light-headedness (especially when standing quickly)

  • Fatigue or tiredness

  • Dry cough (common with ACE inhibitors like perindopril)

  • Headache

  • Muscle cramps or weakness

Less Common but Serious Side Effects:

  • Electrolyte imbalance (due to diuretic effect)

  • Allergic reactions – rash, swelling, difficulty breathing

  • Changes in kidney function

  • Low blood pressure (hypotension), especially in the elderly or dehydrated patients

Precautions:

  • Regular blood tests may be necessary to monitor potassium and sodium levels

  • Patients with kidney or liver disorders should use this medication with caution

  • It is not recommended during pregnancy

Who Should Not Take PERINDPRIM PLUS?

Avoid taking PERINDPRIM PLUS if you:

  • Are allergic to perindopril, indapamide, or any other ACE inhibitor or sulfonamide derivative

  • Have a history of angioedema

  • Are pregnant or planning pregnancy

  • Have severe kidney or liver dysfunction

  • Are taking aliskiren with diabetes

Drug Interactions

PERINDPRIM PLUS may interact with other medications, including:

  • NSAIDs (may reduce antihypertensive effect)

  • Lithium (risk of lithium toxicity)

  • Diuretics and other antihypertensives (may cause excessive BP lowering)

  • Potassium supplements or potassium-sparing diuretics

It is important to inform your healthcare provider about all medications, supplements, and herbal remedies you’re taking.

Frequently Asked Questions (FAQs)

1. What is PERINDPRIM PLUS used for?

PERINDPRIM PLUS is used to treat high blood pressure and to reduce the risk of cardiovascular events in patients with underlying heart disease or at high risk.

2. How does perindopril indapamide work?

The combination of perindopril indapamide lowers blood pressure by relaxing blood vessels and promoting fluid excretion.

3. Can I take PERINDPRIM PLUS at night?

It is usually recommended in the morning to avoid nighttime urination due to the diuretic. However, your doctor may adjust the timing based on your lifestyle and response.

4. Is this medication safe during pregnancy?

No, perindopril indapamide is contraindicated in pregnancy due to potential harm to the unborn baby.

5. Can I stop taking PERINDPRIM PLUS if my blood pressure is normal?

Never stop taking it without medical advice. Blood pressure can rise again, increasing the risk of complications.

6. Is PERINDPRIM PLUS a beta-blocker?

No, it contains an ACE inhibitor (perindopril) and a thiazide-like diuretic (indapamide)—not a beta-blocker.

7. What should I do if I miss a dose?

Take it as soon as you remember. Skip it if it's nearly time for the next dose. Never double up.

8. Are there foods or drinks to avoid while taking PERINDPRIM PLUS?

Avoid excessive salt substitutes containing potassium and limit alcohol, which may enhance blood pressure-lowering effects.

9. Can this medicine cause weight loss or gain?

Indapamide may cause mild fluid loss, but significant weight changes should be evaluated by a doctor.

10. How long will I need to take PERINDPRIM PLUS?

Most patients require long-term therapy. Regular monitoring will help your doctor decide the appropriate duration.

Final Thoughts

PERINDPRIM PLUS, with its active combination of perindopril indapamide, offers a powerful, safe, and well-tolerated solution for managing hypertension and reducing the risk of severe cardiovascular events. Its once-daily dosing and proven track record in clinical settings make it an ideal choice for patients who need both blood pressure control and protection from complications like heart attacks, strokes, and kidney damage.

Choosing the right antihypertensive medication is a crucial step toward long-term heart health. With PERINDPRIM PLUS, patients can benefit from the combined therapeutic action of two effective ingredients—perindopril and indapamide—delivered in a single tablet.

Always consult your physician before starting, changing, or stopping any medication. Regular monitoring and adherence to prescribed therapy are key to maintaining optimal blood pressure levels and ensuring overall well-being.

About The Author

STERIS HEALTHCARE PVT LTD

Steris Healthcare Pvt Ltd, known as Sterispharma, was founded in February 2018 by a team of experienced professionals in the pharmaceutical industry. Headquartered in Navi Mumbai, the company holds certifications from WHO, GMP, and ISO, reflecting its dedication to maintaining high standards of quality and safety. Sterispharma’s mission is to provide affordable, high-quality medications across India, strictly adhering to WHO guidelines. With the convenience of an online pharmacy, customers can easily order medicines with home delivery options.

For further information 

Email: info@sterispharma.com / contact@sterispharma.com

Call/WhatsApp: 8209542042 , 8824175417

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