- Approval Id
- 02f737909b4d6e7d
- Drug Name
- COVERSYL PLUS TABLET 10MG/2.5MG
- Product Name
- COVERSYL PLUS TABLET 10MG/2.5MG
- Approval Number
- SIN13823P
- Approval Date
- 2010-07-02
- Registrant
- SERVIER (S) PTE LTD
- Licence Holder
- SERVIER (S) PTE LTD
- Drug Type
- Therapeutic
- Forensic Classification
- PRESCRIPTION ONLY MEDICINES
- Dosage Form
- TABLET, FILM COATED
- Dosage
- <p><strong>4.2 Posology and method of administration</strong></p>
<p><u>Posology</u></p>
<p>COVERSYL PLUS 5mg/1.25mg<br>
One COVERSYL PLUS 5mg/1.25mg tablet per day as a single dose, preferably to be taken in the morning and before a meal. When clinically appropriate, direct change from monotherapy to COVERSYL PLUS 5mg/1.25mg film-coated tablet may be considered.</p>
<p>COVERSYL PLUS 10mg/2.5mg<br>
One COVERSYL PLUS 10mg/2.5mg tablet per day as a single dose, preferably to be taken in the morning, and before a meal.</p>
<p>Special populations</p>
<p><em>Elderly (see section 4.4 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>)</em><br>
Treatment should be initiated after considering blood pressure response and renal function.<br>
In elderly, the plasma creatinine must be adjusted in relation to age, weight and gender. Elderly patients can be treated with COVERSYL PLUS 5mg/1.25mg and COVERSYL PLUS 10mg/2.5mg if renal function is normal and after considering blood pressure response.</p>
<p><em>Renal impairment (see section 4.4 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>)</em><br>
In severe renal impairment (creatinine clearance below 30 ml/min), treatment with COVERSYL PLUS is contraindicated.<br>
In moderate renal impairment (creatinine clearance below 60 ml/min), treatment is contraindicated with COVERSYL PLUS 10mg/2.5mg.</p>
<p>COVERSYL PLUS 5mg/1.25mg<br>
In patients with moderate renal impairment (creatinine clearance 30–60 ml/min), it is recommended to start treatment with the adequate dosage of the free combination.<br>
In patients with creatinine clearance greater than or equal to 60 ml/min, no dose modification is required.<br>
Usual medical follow-up will include frequent monitoring of creatinine and potassium.</p>
<p><em>Hepatic impairment (see sections 4.3, 4.4 and 5.2 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>)</em><br>
In severe hepatic impairment, treatment is contraindicated.<br>
In patients with moderate hepatic impairment, no dose modification is required.</p>
<p><em>Paediatric population</em><br>
The safety and efficacy of perindopril arginine/indapamide in the paediatric population have not yet been established. No data are available.<br>
COVERSYL PLUS should not be used in children and adolescents.</p>
<p><u>Method of administration</u></p>
<p>Oral use</p>
- Route Of Administration
- ORAL
- Indication Info
- <p><strong>4.1 Therapeutic indications</strong></p>
<p>COVERSYL PLUS 5mg/1.25mg<br>
Treatment of essential hypertension in adults, COVERSYL PLUS 5mg/1.25mg film-coated tablet is indicated in patients whose blood pressure is not adequately controlled on perindopril alone.</p>
<p>COVERSYL PLUS 10mg/2.5mg<br>
COVERSYL PLUS 10mg/2.5mg tablet is indicated as substitution therapy for treatment of essential hypertension, in adult patients already controlled with perindopril and indapamide given concurrently at the same dose level.</p>
- Contraindications
- <p><strong>4.3 Contraindications</strong></p>
<p><em><u>Linked to perindopril:</u></em></p>
<ul class="dash">
<li>Hypersensitivity to the active substance or to any other ACE inhibitor</li>
<li>History of angioedema (Quincke’s oedema) associated with previous ACE inhibitor therapy (see section 4.4 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>)</li>
<li>Hereditary/idiopathic angioedema</li>
<li>Pregnancy (see section 4.6 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>)</li>
<li>Concomitant use of perindopril with aliskiren-containing products in patients with diabetes mellitus or renal impairment (GFR < 60 ml/min/1.73m<sup>2</sup>) (see sections 4.5 and 5.1 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</li>
<li>Concomitant use with sacubitril/valsartan therapy, COVERSYL PLUS must not be initiated earlier than 36 hours after the last dose of sacubitril/valsartan (see sections 4.4 and 4.5 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</li>
<li>Extracorporeal treatments leading to contact of blood with negatively charged surfaces (see section 4.5 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</li>
<li>Significant bilateral renal artery stenosis or stenosis of the artery to a single functioning kidney (see section 4.4 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</li>
</ul>
<p><em><u>Linked to indapamide:</u></em></p>
<ul class="dash">
<li>Hypersensitivity to the active substance or to any other sulphonamides</li>
<li>Severe renal impairment (creatinine clearance below 30 ml/min)</li>
<li>Hepatic encephalopathy</li>
<li>Severe hepatic impairment</li>
<li>Hypokalaemia</li>
</ul>
<p><em><u>Linked to COVERSYL PLUS:</u></em></p>
<ul class="dash">
<li>Hypersensitivity to any of the excipients listed in section 6.1 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em></li>
</ul>
<p><em><u>Linked to COVERSYL PLUS 10mg/2.5mg:</u></em></p>
<ul class="dash">
<li>Severe and moderate renal impairment (creatinine clearance below 60 ml/min)</li>
</ul>
<p>Due to the lack of sufficient therapeutic experience, COVERSYL PLUS should not be used in:</p>
<ul class="dash">
<li>Dialysis patients</li>
<li>Patients with untreated decompensated heart failure.</li>
</ul>
- Atc Code
- C09BA04
- Atc Item Name
- perindopril and diuretics
- Pharma Manufacturer Name
- SERVIER (S) PTE LTD