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Viacoram® Tablets for High Blood Pressure
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Perindopril/amlodipine is a prescription combination tablet used to treat high blood pressure. It pairs an ACE inhibitor with a calcium channel blocker to help relax blood vessels. This page explains how it works, who it may suit, and how to handle your order and storage.
What Viacoram Is and How It Works
Order perindopril amlodipine without insurance through YouDrugstore with US delivery from Canada. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing. Perindopril reduces angiotensin II formation, which helps relax arteries and lowers vascular resistance. Amlodipine blocks calcium entry in vascular smooth muscle, further easing vessel tension. Together, this treatment can help control hypertension when a single agent is not enough. Learn more about the condition in our Hypertension category.
This medicine is taken by mouth once daily as directed by your clinician. It is not for immediate relief of dangerously high readings. Consistent use, routine monitoring, and lifestyle measures work together with the therapy for best results.
Who It’s For
This combination is used for adults with hypertension who may benefit from both classes in one tablet. It may be considered when blood pressure is not adequately controlled on either component alone. Some regions use the arginine salt; formulations can vary by market. Talk with your prescriber if you have questions about perindopril arginine amlodipine.
Do not use if you are pregnant, planning pregnancy, or have a history of angioedema with an ACE inhibitor. Avoid if you are allergic to any component. People with severe low blood pressure, significant kidney artery narrowing, or certain liver problems may not be candidates. Your clinician will assess individual risks.
Dosage and Usage
Take one tablet at the same time each day, with or without food. Swallow whole with water. If you are switching from the individual components, your prescriber will choose a strength that matches your current regimen. Never change your dose on your own.
Keep a simple daily routine. Record readings at home if advised. If you notice unusual dizziness, swelling in the legs, or a persistent cough, contact your clinician. The combination of perindopril amlodipine can interact with other medicines, so keep an up-to-date list for appointments.
Strengths and Forms
Film-coated tablets are commonly supplied in two combined strengths that your prescriber may choose from depending on your prior therapy: perindopril amlodipine 5/5 mg and 10/5 mg. Availability can differ by supplier and region.
Missed Dose and Timing
If you miss a dose, take it when you remember the same day. If it is close to the next dose, skip the missed dose. Do not take two doses at once. Try using reminders or a pill organizer to support consistency.
Storage and Travel Basics
Store tablets at room temperature in a dry place. Keep the bottle or blister in its original packaging with the label. Protect from excessive moisture. Keep out of reach of children and pets. When traveling, carry the prescription label and your dosing schedule in your carry-on bag. A simple, labeled pill case can help when crossing time zones. If unsure about timing on travel days, ask your clinician or pharmacist in advance.
Benefits
This combination offers once-daily convenience by pairing two proven classes in one tablet. That simplicity may support adherence compared with taking separate pills. The therapy can be used alongside lifestyle measures. Your clinician can adjust your regimen if needs change.
Side Effects and Safety
- Common effects: dizziness, headache, flushing, fatigue
- Swelling in ankles or feet
- Cough or throat irritation
- Stomach upset or nausea
Serious effects can include angioedema (face, lips, tongue swelling), very low blood pressure, high potassium, or changes in kidney function. Seek urgent care for signs of severe swelling, breathing trouble, or fainting. There is a risk of low blood sugar when combined with some diabetes medicines. Alcohol can enhance dizziness. If you notice unusual symptoms, contact a healthcare professional promptly. See our guide on managing the condition in Treat Hypertension.
Drug Interactions and Cautions
Tell your clinician about all medicines and supplements you use. Important interactions may include:
- Potassium-sparing diuretics or potassium supplements
- NSAIDs, which can affect kidney function
- Aliskiren in diabetes
- Neprilysin inhibitors; avoid within an ACE inhibitor washout window
- Strong CYP3A4 inhibitors or inducers that affect amlodipine exposure
- Lithium, where levels can be affected
Grapefruit may increase amlodipine levels. If you take multiple heart medicines, your prescriber may monitor blood pressure, kidney function, and potassium. For more background on related therapy, see How Bystolic Works.
What to Expect Over Time
You may not feel the effect directly, as blood pressure typically changes without clear symptoms. Some people notice mild dizziness, especially when standing up quickly early in treatment. Keep taking the medicine as directed. Check your readings as advised and attend follow-up visits. Over time, your clinician may adjust the strength or pair this therapy with other options. Explore heart health topics like World Heart Day for broader wellness tips.
Compare With Alternatives
Many people control blood pressure with a single agent. Others need combinations. ACE inhibitor plus diuretic is one option, as is an ARB plus diuretic. Your prescriber may suggest an alternative if this combination is not suitable. Two options we carry include Lisinopril Hctz Type Z and Irbesartan Htc. Choice depends on your history, tolerability, and goals.
Pricing and Access
See current perindopril amlodipine price and compare Canadian rates. Ships from Canada to US with transparent fees shown at checkout. Review total costs before confirming your order. If you are looking for seasonal offers, visit Promotions. We use encrypted checkout to protect your information.
Availability and Substitutions
Stock and suppliers can change. If a specific pack is unavailable, your prescriber may recommend a comparable alternative. We dispense approved generics when appropriate and clearly labeled. We offer generic perindopril amlodipine tablets where available. A valid prescription is required and verified.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults who need both classes in a single daily tablet. It is not appropriate during pregnancy. Caution is advised with severe kidney or liver issues, low baseline pressure, or a history of angioedema. Older adults and those on diuretics may be more sensitive to drops in blood pressure.
To help manage costs, ask your clinician about generic options and appropriate multi-month supplies. Sync refills for fewer shipments. Set refill reminders to avoid gaps. Keep a simple monitoring log and bring it to visits. If your regimen changes, your prescriber can adjust the strength rather than moving to new medicines, when clinically appropriate. Some patients may also benefit from pharmacy counseling on home blood pressure technique.
Questions to Ask Your Clinician
- Starting strength: which tablet is right for me?
- Monitoring: how often should I check readings?
- Side effects: what signs need urgent care?
- Interactions: which drugs or supplements should I avoid?
- Travel: how should I plan dosing across time zones?
- Follow-up: when should we review my regimen?
Authoritative Sources
Servier CanadaDailyMedHealth Canada DPD
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What is the difference between this combo and taking each component separately?
Both approaches use the same classes. A combination tablet pairs an ACE inhibitor and a calcium channel blocker in one daily pill, which may support adherence. Some people stay on separate tablets to allow flexible titration of each component. Your clinician will consider your readings, tolerance, and prior therapy when choosing. Do not switch forms without guidance from a healthcare professional.
Can I drink grapefruit juice with this medicine?
Grapefruit and grapefruit juice can raise amlodipine levels by affecting liver enzymes. This may increase side effects such as dizziness or swelling. Many clinicians advise avoiding grapefruit while using the combination. If you already consumed grapefruit, monitor how you feel and let your healthcare professional know if symptoms occur.
How quickly will my blood pressure improve?
Response varies. Some people notice steadier readings over days to weeks, while others need adjustments of the dose or additional therapy. Keep taking the medicine daily, measure readings as advised, and follow up with your clinician. Avoid making changes on your own based on single readings.
Is this suitable if I had a cough with an ACE inhibitor?
A persistent dry cough is a known effect of ACE inhibitors such as perindopril. If you previously had a troublesome cough on an ACE inhibitor, tell your clinician before starting. They may consider an ARB-based option instead. Never stop a prescribed medicine without discussing it with your prescriber.
What labs might be monitored during treatment?
Clinicians often check kidney function and potassium at baseline and after dose changes, especially if you have kidney disease, diabetes, or are taking diuretics. Blood pressure logs help guide adjustments. Report any unusual swelling, dizziness, or facial or throat swelling urgently.
Can I take it with over-the-counter pain relievers?
NSAIDs, such as ibuprofen or naproxen, can reduce the blood pressure effect and may affect kidney function when combined with ACE inhibitors. Occasional use may still be discouraged, depending on your health. Ask your clinician or pharmacist about safer options for pain control.
What if my ankles swell while using this treatment?
Ankle swelling can occur with calcium channel blockers. Elevating legs and reducing prolonged standing may help, but persistent or severe swelling needs medical review. Your clinician may adjust therapy or consider a different class if swelling is troubling. Do not change or stop treatment without guidance.
