Perindopril Arginine + Amlodipine

Generic Details

Generic Name

Perindopril-arginine-amlodipine

Other Names

  • Prestalia

Drug Class

  • Antihypertensive Combination

Chemical Formula

C33H54N10O11

Molecular Weight

758.84 g/mol

Mechanism of Action

  • Perindopril: ACE inhibitor
  • Amlodipine: Calcium channel blocker

Indications

  • Hypertension

Common Dosage Forms

  • Tablet

Typical Dosage

  • 2.5/3.5/5 mg/5 mg/10 mg once daily

Pediatric Dosage

  • Not established

Geriatric Dosage

  • Dosage adjustment may be needed

Side Effects

  • Dizziness
  • Peripheral edema
  • Cough
  • Headache

Contraindications

  • History of angioedema related to previous ACE inhibitor therapy

Pregnancy Category

  • Category D (2nd and 3rd trimesters)

Lactation Safety

  • Unknown if excreted in breast milk

Drug Interactions

  • Potassium-sparing diuretics
  • NSAIDs

Overdose Symptoms

  • Hypotension
  • Bradycardia

Antidote for Overdose

  • Supportive measures

Storage Conditions

  • Store at room temperature away from moisture and heat

Pharmacokinetics

  • Absorption: Rapidly absorbed
  • Distribution: Extensively distributed
  • Metabolism: Perindopril: Hepatic; Amlodipine: Hepatic
  • Excretion: Perindopril: Renal; Amlodipine: Renal

Precautions

  • Renal impairment
  • Hepatic impairment
  • Hypotension

Warnings

  • Angioedema
  • Hypotension
  • Hyperkalemia

Others

  • May cause fetal harm when administered to a pregnant woman