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perindopril

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Brand names: Aceon

ACE Inhibitor Rx

Perindopril (Aceon) is a drug that lowers blood pressure. It can also help reduce the risk of heart problems in people with stable coronary artery disease.

Drug Pricing (NADAC)

Generic Price

$0.50/unit

Generic Available

Yes (1 manufacturer)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Perindopril treats high blood pressure (hypertension).

Common side effects

Cough, Dizziness, Back pain

Key warnings

If you become pregnant, stop taking perindopril right away.

How It Works

Perindopril belongs to a class of drugs called ACE inhibitors. It works by relaxing your blood vessels, which lowers blood pressure. This makes it easier for your heart to pump blood.

How to Take It

If you have high blood pressure, the usual starting dose is 4 mg once a day. Your doctor may increase the dose up to 16 mg per day to control your blood pressure. If you have coronary artery disease, you'll usually start with 4 mg once a day for 2 weeks, then increase to 8 mg once a day if you can handle it. If you are over 70, your doctor may start you on a lower dose.

Pregnancy & Breastfeeding

Do not take perindopril if you are pregnant. It can cause harm to your unborn baby, especially during the second and third trimesters. It is not known if perindopril passes into breast milk, so talk to your doctor before breastfeeding.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is close to your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store perindopril tablets at room temperature (68° to 77°F) in a dry place, away from moisture and out of reach of children.

Serious Warnings

If you become pregnant, stop taking perindopril right away. This medicine can cause serious harm or death to an unborn baby.

Known Drug Interactions

7.8 Dual Blockade of the Renin-Angiotensin System (RAS) Dual blockade of the RAS with angiotensin receptor blockers, ACE inhibitors, or aliskiren is associated with increased risks of hypotension, hyperkalemia, and changes in renal function (including acute renal failure) compared to monotherapy. Do not co-administer aliskiren with perindopril erbumine in patients with diabetes. Avoid use of aliskiren with perindopril erbumine in patients with renal impairment (GFR <60 mL/min).

Mechanism: Using these two drugs together puts too much stress on the system that controls blood pressure and kidney function. This can cause your blood pressure to drop too low and may lead to sudden kidney failure.

What to do: Avoid taking these drugs together, especially if you have diabetes or existing kidney problems. Your doctor will need to check your blood work and blood pressure frequently if they are used.

Use of potassium-sparing diuretics (spironolactone, amiloride, triamterene and others), potassium supplements or other drugs capable of increasing serum potassium (indomethacin, heparin, cyclosporine and others) can increase the risk of hyperkalemia.

Mechanism: Both of these medicines can cause your body to hold onto extra potassium instead of getting rid of it.

What to do: Your doctor should check your blood potassium levels often to make sure they stay in a safe range.

Use of potassium-sparing diuretics (spironolactone, amiloride, triamterene and others), potassium supplements or other drugs capable of increasing serum potassium (indomethacin, heparin, cyclosporine and others) can increase the risk of hyperkalemia.

Mechanism: These drugs can both increase the amount of potassium in your blood to unsafe levels.

What to do: Monitor your blood work closely as directed by your doctor. Report any muscle weakness or heart rhythm changes immediately.

moderate amiloride

Use of potassium-sparing diuretics (spironolactone, amiloride, triamterene and others), potassium supplements or other drugs capable of increasing serum potassium (indomethacin, heparin, cyclosporine and others) can increase the risk of hyperkalemia.

Mechanism: Both drugs prevent your kidneys from removing potassium, which can lead to a buildup in your system.

What to do: Your healthcare provider should monitor your potassium levels regularly. Avoid using potassium-based salt substitutes.

Use of potassium-sparing diuretics (spironolactone, amiloride, triamterene and others), potassium supplements or other drugs capable of increasing serum potassium (indomethacin, heparin, cyclosporine and others) can increase the risk of hyperkalemia.

Mechanism: Using these medicines at the same time can cause your blood potassium levels to rise too high.

What to do: Your doctor may need to adjust your doses and will likely order regular blood tests to check your potassium.

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Common Questions

Can I take perindopril if I have diabetes?
You should not take perindopril with aliskiren if you have diabetes.
What should I do if I experience swelling of my face, lips, or tongue?
Stop taking perindopril and get medical help right away. This could be a sign of a serious allergic reaction called angioedema.
Can I take perindopril with other medications?
Tell your doctor about all the medicines you take, including prescription and over-the-counter drugs, vitamins, and herbal supplements. Some medicines can interact with perindopril.
Will perindopril cure my high blood pressure?
Perindopril helps control high blood pressure, but it may not cure it. You may need to take it long-term.
Can I drink alcohol while taking perindopril?
Talk to your doctor about drinking alcohol while taking perindopril. Alcohol can lower your blood pressure and may increase the risk of side effects.
What if I am over 70 years old?
If you are over 70, your doctor may start you on a lower dose.
Can I take perindopril with a neprilysin inhibitor?
No, do not take perindopril with a neprilysin inhibitor. Also, do not take perindopril within 36 hours of switching to or from sacubitril/valsartan.
What are the signs of low blood pressure?
Signs of low blood pressure include dizziness, lightheadedness, and fainting.
What should I do if I think I have taken too much perindopril?
Call your doctor or go to the nearest emergency room right away.
Does perindopril interact with gold injections?
Yes, injectable gold can cause nitritoid reactions (facial flushing, nausea, vomiting, and hypotension) when taken with perindopril.
What are the common side effects of perindopril?
The most commonly reported side effects of perindopril include Cough, Dizziness, Back pain. Always consult your healthcare provider about potential side effects.
Does perindopril interact with other medications?
Yes, perindopril has 9 known drug interactions. Notable interactions include aliskiren, spironolactone, cyclosporine. Always inform your doctor about all medications you are taking.
What drug class is perindopril?
perindopril belongs to the ACE Inhibitor drug class. It requires a prescription (Rx). Perindopril treats high blood pressure (hypertension).
Is perindopril safe during pregnancy?
Do not take perindopril if you are pregnant. It can cause harm to your unborn baby, especially during the second and third trimesters. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for perindopril

The FDA label for perindopril (sold under brand names such as Aceon) classifies it as a prescription-only medication in the ACE Inhibitor class. Perindopril treats high blood pressure (hypertension). Official labeling lists 3 commonly reported side effects, including Cough, Dizziness, Back pain.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. Voluntary reports accumulate over the lifetime of a drug and reflect wide-ranging clinical use. The database also lists 9 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated major severity. NADAC pricing from CMS shows a generic unit cost of $0.50.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: March 13, 2024

All federal data sources used on this page