Coveram

Coveram tablets are used to treat high blood pressure and/or stable coronary artery disease.

Form
tabletti
Strength
5 mg / 5 mg
Active Ingredient
Perindopril arginine
Manufacturer
Les Laboratoires Servier

How to Use

Dosage

Usually one tablet per day.

Method

Swallow the tablet whole with water, preferably in the morning before a meal.

Important

One tablet per day, unless your doctor advises otherwise.

Possible Side Effects

COMMON
  • Swelling (fluid retention)
  • Headache
  • Dizziness
  • Tiredness (especially at the start of treatment)
  • Vertigo
  • Numbness or tingling sensation
  • Vision problems (including double vision)
  • Tinnitus (ringing in the ears)
  • Palpitations (awareness of heart beat)
  • Flushing
  • Confusion due to low blood pressure
  • Cough
  • Shortness of breath
  • Nausea
  • Vomiting
  • Abdominal pain
  • Taste disturbances
  • Indigestion or digestive problems
  • Changed bowel habits (diarrhea, constipation)
  • Allergic reactions (rash, itching)
  • Muscle cramps
  • Weakness
  • Ankle swelling
RARE
  • Mood changes, anxiety, depression, insomnia
  • Tremor
  • Fainting
  • Loss of pain sensation
  • Irregular heartbeat
  • Rhinitis (blocked or runny nose)
  • Hair loss
  • Red patches on skin, skin discoloration
  • Back pain, muscle or joint pain, chest pain
  • Urination problems (increased need, especially at night)
  • Pain, feeling unwell
  • Asthma attack (wheezing, shortness of breath)
  • Dry mouth
  • Swelling of face or tongue (angioedema)
  • Blisters on the skin
  • Kidney problems
  • Impotence
  • Increased sweating
  • Increased eosinophils (a type of white blood cell)
  • Breast discomfort or breast enlargement in men
  • Weight gain or loss
  • Fast heartbeat
  • Blood vessel inflammation (vasculitis)
  • Photosensitivity (skin sensitivity to sunlight)
  • Fever
  • Falls
  • Changes in lab tests (high potassium, low sodium, low blood sugar in diabetics, high urea and creatinine)
  • Acute kidney failure
  • SIADH symptoms (dark urine, nausea, vomiting, muscle cramps, confusion, seizures)
  • Worsening of psoriasis
  • Changes in lab tests (increased liver enzymes and bilirubin)
  • Heart and circulatory problems (chest pain, heart attack, stroke)
  • Eosinophilic pneumonia
  • Swelling of eyelids, face, lips, tongue or throat (severe breathing difficulties)
  • Severe skin reactions (such as blisters, peeling, Stevens-Johnson syndrome, erythema multiforme, photosensitivity)
  • Blood test changes (low white and red blood cells, hemoglobin, platelets)
  • Pancreatitis (severe stomach and back pain, nausea)
  • Liver problems (inflammation, jaundice, abnormal liver enzymes)
  • Stomach swelling (gastritis)
  • Nerve problems (weakness, tingling, numbness, muscle tension)
  • Gum swelling
  • Too much sugar in the blood (high blood sugar)
  • Stiff posture
  • Mask-like face
  • Slow movements and shuffling, unsteady gait
  • Raynaud's phenomenon (discoloration, numbness and pain in fingers or toes)

Important Warnings

  • Do not take Coveram if you are allergic to perindopril, amlodipine, or similar medicines.
  • Do not use Coveram if you are more than 3 months pregnant or planning to become pregnant, as it can harm your baby.
  • Do not use this medicine if you have had a severe allergic reaction (angioedema) with swelling of the face or tongue.
  • If you have diabetes or kidney problems and are taking a blood pressure medicine containing aliskiren, do not take Coveram.
  • Do not take Coveram if you have a narrowed heart valve (aortic stenosis) or heart failure after a heart attack.
Show 3 more warnings
  • Do not use Coveram if you have very low blood pressure or certain severe kidney problems.
  • Coveram is not recommended for children and adolescents.
  • Do not use Coveram if you are currently taking a combination medicine containing sacubitril and valsartan for heart failure, as it increases the risk of a severe allergic reaction.

Use in Elderly Patients

Category A

Suitable for older adults. Significant adverse effects include ankle oedema and orthostatic hypotension. Consider potential interactions. Avoid grapefruit. (updated 17.2.2025)