Bi-Preterax® 5 mg / 1.25 mg Tablets

Perindopril Arginine 5mg, Indapamide 1.25 mg

Class: Antihypertensive (ACE inhibitor + Thiazide-like diuretic)

Manufacturer: Servier Laboratories

Dosage Form: Tablet

Similar Brands:

Uses:

  • Treatment of hypertension (high blood pressure)
  • Reduces risk of cardiovascular events such as stroke
  • May be used in patients requiring combination therapy

Dosage:

Adults:

  • One tablet once daily, preferably in the morning before meals

Dose should be individualized based on patient response and tolerability.

Side Effects:

Common:

  • Dizziness
  • Headache
  • Dry cough (ACE inhibitor effect)
  • Fatigue

Less common:

  • Hypotension
  • Electrolyte imbalance (low potassium or sodium)
  • Nausea

Serious (rare):

  • Angioedema (swelling of face, lips, throat)
  • Kidney impairment
  • Severe hypotension

Warnings & Precautions:

  • Monitor blood pressure, renal function, and electrolytes regularly
  • Use cautiously in patients with kidney disease or dehydration
  • May cause persistent dry cough
  • Risk of first-dose hypotension, especially in volume-depleted patients
  • Avoid potassium supplements unless advised

Pregnancy & Lactation:

Pregnancy:

  • Contraindicated (especially 2nd and 3rd trimester) – may cause fetal harm

Breastfeeding:

  • Not recommended; consult doctor before use

Drug Interactions:

  • Potassium-sparing diuretics / supplements – risk of hyperkalemia
  • NSAIDs – reduced antihypertensive effect and risk of kidney damage
  • Lithium – increased lithium toxicity
  • Other antihypertensives – additive blood pressure lowering
  • Diuretics – increased risk of hypotension

Contraindications:

  • Hypersensitivity to ACE inhibitors or sulfonamides
  • History of angioedema
  • Severe renal impairment
  • Pregnancy
  • Concomitant use with aliskiren in diabetic patients

Price: Ksh 3,333.9/-

Notes:

Pack Size: 30s