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)