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Coversyl (Perindopril Erbumine) – Complete Product Guide for EZ Chemist Online Pharmacy
Coversyl, containing the active ingredient Perindopril, is an ACE inhibitor prescribed to treat high blood pressure (hypertension), heart failure, and to reduce the risk of cardiac events in patients with stable coronary artery disease. It works by relaxing blood vessels, making it easier for the heart to pump blood efficiently. Coversyl is typically used as a long-term therapy and may be used alone or in combination with other medications.
Coversyl (Perindopril Erbumine)
Common strengths include: 2 mg, 4 mg, 8 mg tablets
(Also available in combination with Indapamide as Coversyl Plus or Coversyl Plus HD)
Perindopril Erbumine (also known as Perindopril Tert-butylamine)
Other Common Names and Brand Equivalents:
Generic Name: Perindopril
Brand Names: Coversyl, Aceon, Prestarium, Coversum
Class: Angiotensin-Converting Enzyme (ACE) Inhibitor
Coversyl belongs to the ACE inhibitor class of medications. It acts by inhibiting the angiotensin-converting enzyme (ACE) which is responsible for converting angiotensin I to angiotensin II – a potent vasoconstrictor. By blocking this conversion:
It relaxes blood vessels, reducing blood pressure
Improves blood flow to the heart and kidneys
Reduces the cardiac workload and prevents progression of heart failure
Lowers the risk of recurrent cardiovascular events such as heart attacks or strokes
Essential Hypertension (High Blood Pressure)
Chronic Heart Failure
Stable Coronary Artery Disease (to reduce the risk of cardiac events)
Post-Myocardial Infarction Left Ventricular Dysfunction
Diabetic Nephropathy (kidney protection in diabetic patients)
Microalbuminuria in hypertension or diabetes
Vascular protection in elderly patients
Condition Typical Starting Dose Maintenance Dose Maximum Dose
Hypertension 4 mg once daily 4–8 mg once daily 8 mg once daily
Heart Failure 2 mg once daily 4 mg once daily 4 mg once daily
Stable CAD 4 mg once daily (2 weeks) Increase to 8 mg/day 8 mg once daily
Should be taken once daily, preferably in the morning before food
Dosage must be titrated based on renal function, age, and clinical response
Elderly: Initiate at 2 mg/day with caution
Renal Impairment: Adjust dosing based on creatinine clearance
Not recommended in children or during pregnancy
Prescription Required: Yes
Dosage Form: Oral tablet
Onset of Action: 4–6 hours
Half-life: Approximately 3–10 hours (active metabolite perindoprilat)
Elimination: Primarily renal
Possible Side Effects of Coversyl (Perindopril):
Common Side Effects:
Dry, persistent cough
Dizziness, fatigue
Nausea, abdominal pain
Headache
Taste disturbances
Angioedema (swelling of lips, face, throat – medical emergency)
Severe hypotension
Renal impairment
Hyperkalemia (high potassium levels)
Hepatotoxicity (rare)
Pregnancy Category D: Contraindicated in pregnancy, especially in 2nd and 3rd trimesters – may cause fetal harm
Lactation: Avoid unless benefits clearly outweigh risks
Kidney Disease: Adjust dose; monitor serum creatinine and potassium
Risk of Hyperkalemia: Especially with potassium-sparing diuretics, supplements
Surgery/Anesthesia: Risk of hypotension under general anesthesia
Discontinue immediately if angioedema occurs
Drug/Class Interaction Effect
NSAIDs (e.g., ibuprofen) Reduced antihypertensive effect; risk of kidney damage
Diuretics (esp. potassium-sparing) Increased risk of hypotension, hyperkalemia
Potassium supplements Risk of dangerously high potassium
Lithium Increased lithium toxicity
Other antihypertensives Additive hypotensive effect
The EUROPA Trial demonstrated a significant reduction in cardiovascular events in patients with stable coronary artery disease on Perindopril.
ACE inhibitors like Coversyl have been shown in meta-analyses (BMJ, 2013) to reduce overall mortality in heart failure and high-risk hypertensive patients.
Therapeutic Class: Antihypertensive
Pharmacologic Class: ACE Inhibitor
ATC Code: C09AA04
Store below 25°C
Keep in original blister pack to protect from moisture and light
Keep out of reach of children
Frequently Asked Questions (FAQ)
Q: Can Coversyl be taken at night?
A: It is typically taken in the morning, but may be used at night if advised by your doctor. Always take it at the same time each day for consistency.
Q: Why does Coversyl cause coughing?
A: Dry cough is a known class effect of ACE inhibitors due to the accumulation of bradykinin. It is usually not harmful but can be persistent.
Q: How long does Coversyl take to lower blood pressure?
A: Noticeable reductions in blood pressure usually begin within 4–6 hours, but full therapeutic effects may take 2–4 weeks of regular use.
Q: Can Coversyl be taken with food?
A: It is best taken before meals, preferably in the morning, as food may reduce its absorption slightly.
Q: Is Coversyl safe during pregnancy?
A: No. Coversyl is contraindicated during pregnancy due to risks of fetal injury or death. Women of childbearing potential should use effective contraception while on this medication.
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