•Muscle damage, including muscle breakdown, reduced or no urine production, acute kidney failure.
•Decreased white blood cells, anemia (decreased red blood cells), decreased hemoglobin, decreased platelets, high calcium in the blood.
•Nerve damage in arms and legs (like numbness), memory loss, heart and circulation problems (irregular heartbeat, chest pain, heart attack).
•Eosinophilic lung inflammation (a rare type of lung inflammation), runny or blocked nose, abnormal liver function, liver inflammation (hepatitis), yellowing of skin and eyes (jaundice).
•Severe skin reactions, including red itchy patches, blisters, and sores in the mouth, throat, nose, genitals, and eyes (Stevens-Johnson syndrome), breast enlargement in men.
•Muscle weakness, including in breathing muscles (myasthenia gravis) or eye muscles (ocular myasthenia), nearsightedness, blurred vision, worsening vision or eye pain due to high pressure in the eye (glaucoma).
•Persistent muscle weakness, tendon damage, abnormal EKG, life-threatening irregular heartbeat, color changes, numbness, and pain in fingers or toes (Raynaud's phenomenon).
Important Warnings
Do not take Roxiper if you are allergic to rosuvastatin, perindopril, indapamide, other ACE inhibitors, sulfonamides, or any other ingredient in this medicine.
Stop taking Roxiper and see a doctor right away if you develop severe skin reactions like widespread rash, fever, or swelling of lymph nodes (Stevens-Johnson syndrome or DRESS).
If you or a family member have had severe swelling of the face, lips, tongue, or throat (angioedema) with difficulty breathing or swallowing, especially if related to previous ACE inhibitor treatment, do not take Roxiper.
Do not take Roxiper if you are pregnant, planning to become pregnant, or breastfeeding. If you become pregnant, stop taking the medicine immediately and tell your doctor.
Do not take Roxiper if you have severe kidney disease, reduced blood flow to your kidneys, liver disease, or brain problems caused by liver disease.
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Do not take Roxiper if you have low potassium levels in your blood.
Do not take Roxiper if you are taking medicines containing sacubitril/valsartan (for heart failure) or aliskiren (for high blood pressure, if you have diabetes or kidney problems), or sofosbuvir/velpatasvir/voxilaprevir (for hepatitis C).
If you have repeated or unexplained muscle pain, especially if accompanied by fever or feeling unwell, stop taking Roxiper and contact your doctor immediately.