Aceon
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Aceon
PerindoprilSystematic (IUPAC) name(2S,3aS,7aS)-1-amino}propanoyl]-octahydro-1H-indole-2-carboxylic acidIdentifiersCAS number107133-36-8ATC codeC09AA04C09BA04 (with diuretics)C09BB04 (with amlodipine)PubChem107807DrugBankAPRD01178Chemical dataFormulaC19H32N2O5 Mol. mass368.468 g/molPharmacokinetic dataBioavailability ?Metabolism ?Half life ?Excretion ?Therapeutic considerationsPregnancy cat.?Legal statusRoutes ?Perindopril (trade names Coversyl, Aceon) is a long-acting ACE inhibitor.// IndicationsEssential hypertension.Stable coronary artery disease: reduction of risk of cardiac events in patients with a history of myocardial infarction and/or revascularization.Treatment of symptomatic heart disease or failure. Dosage and administrationPerindopril should be taken in the morning before food. For Hypertension4 mg once daily, then the dose may be increased to 8 mg after 1 month of treatment to improve blood pressure control or in case of concomitant stable coronary artery disease.In Australia perindopril arginine is available as Coversyl, the generic form perindopril erbumine is also available. The two formulations are equivalent and may be freely substituted for each other. In hypertension, the initiation dose is 5 mg perindopril arginine (or 4mg perindopril erbumine) once daily, then the dose may be increased to 10 mg perindopril arginine (or 8mg perindopril erbumine) after 1 month of treatment to improve blood pressure control or in case of concomitant stable coronary artery disease.The Anglo-Scandinavian Cardiac Outcomes Trial showed the benefits of taking the two drugs Coversyl and amlodipine together. The 9000 British patients aged 40 to 79 were involved in the five-year trial. Half were given the new drug combination, the rest were given traditional drugs. Coversyl and amlodipine were found to be so effective that the trial was stopped early so that all patients could receive the combination. For Stable coronary artery diseaseA starting dose of 4 mg for 2 weeks is recommended, then uptitration to 8 mg once daily, depending on acceptability.In Australia and the UK, Coversyl is only available as perindopril arginine. A starting dose of 5 mg for 2 weeks is recommended, then uptitration to 10 mg once daily, depending on acceptability. Congestive heart diseaseCoversyl (perindopril) should be started under close medical supervision at a starting dose of 2 mg. This may be increased to 4 mg once blood pressure acceptability has been demonstrated.In Australia, Coversyl (perindopril arginine) should be started under close medical supervision at a starting dose of 2.5 mg. This may be increased to 5 mg once blood pressure acceptability has been demonstrated.Elderly patients should start treatment at 2 mg daily (2.5 mg daily (perindopril arginine) in Australia).Contraindications include; children, pregnancy, lactation and situations where a patient has a history of hypersensitivity to Coversyl (perindopril). PrecautionsAssess renal function before and during treatment where appropriate.Renovascular hypertension.Surgery/anesthesia.Renal failure: the dose should be cautiously adjusted in accordance with the creatinine clearance (refer to complete data sheet). *Symptomatic hypotension is rarely seen, but is more likely in volume-depleted patients, those receiving diuretics, or with the first two doses. In diuretic-treated patients, stop the diuretic 3 days before starting Coversyl (perindopril). A diuretic may later be given in combination if necessary; potassium-sparing diuretics are not recommended. Combination with neuroleptics or imipramine-type drugs may increase the hypotensive effect. Serum lithium concentrations may rise during lithium therapy. Side effectsRare and mild, usually at the start of treatment. Cough, fatigue, asthenia, headache, disturbances of mood and/or sleep have been reported. Less often, taste impairment, epigastric discomfort, nausea, abdominal pain, and rash. Reversible increases in blood urea and creatinine may be observed. Proteinuria has occurred in some patients. Rarely, angioneurotic edema and decreases in hemoglobin, red cells, and platelets have been reported. CompositionEach tablet contains 2 mg, 4 mg or 8 mg of the tert-butylamine salt of perindopril. Perindopril is also available under the trade name Coversyl Plus, containing 4mg of perindopril combined with 1.25mg indapamide.In Australia, each tablet contains 2.5 mg, 5 mg or 10 mg of arginine. Perindopril is also available under the trade name Coversyl Plus and Coversyl Plus LD, containing 5mg of perindopril combined with 1.25mg indapamide and 2.5mg of perindopril combined with 0.625mg indapamide respectively. PresentationPacks of 30 tablets of Coversyl (perindopril) 2 mg. Packs of 30 tablets of Coversyl (perindopril) 4 mg (scored). Packs of 30 tablets of Coversyl (perindopril) 8 mg.Also available under the brand names:AceonAcertilArmixCovereneCoverexCoversumPrestariumPrexanilPrexumProcaptan
. ACE stands for angiotensin converting enzyme.What is Aceon and for what Aceon is used?Aceon is in a group of drugs called ACE inhibitors
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Aceon
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