Means "Noliprel A Forte" - an ACE inhibitor drug, which is available in the form of elongated tablets in a film white shell. In addition to inhibitory ACE, it also performs hypotensive and diuretic effects. This is a combined drug that contains indapamide and arginine perindopril. Pharmacological features of the drug combine certain properties of each component in the composition of the drug.
The drug "Noliprel forte": instructions (indications and contraindications)
The drug is prescribed by doctors with essential arterial hypertension. In addition, it is prescribed for patients with diabetes mellitus (only the second type) in order to reduce the risk of various micro- and macrovascular complications resulting from diseases of the cardiovascular system.
The drug "Noliprel A Forte" is contraindicated in case of hypersensitivity to one or more components and other ACE inhibitors. Among other contraindications: angioedema (idiopathic or hereditary), hypokalemia, renal and hepatic insufficiency, renal artery stenosis, bilateral stenosis of the arteries of the kidneys, the simultaneous use of drugs that extend the QT interval, pregnancy, and lactation. In the last two cases, taking the drug can adversely affect the development of the fetus and its organs.
Experts do not recommend taking the drug simultaneously with potassium-sparing diuterics, as well as lithium and potassium preparations . Due to the lack of clinical experience, this tool is not recommended for patients who are on hemodialysis, as well as for people with advanced heart failure.
The medicine Noliprel A Forte is used with caution for various systemic diseases of the connective tissues, immunosuppressive therapy, inhibition of bone marrow hematopoiesis, angina pectoris, decreased BCC, cerebrovascular diseases, diabetes, chronic heart failure and other diseases. In no case do not start treatment without consulting your doctor!
Noliprel: instructions (method of use, side effects, overdose)
The drug is used orally, preferably in the morning on an empty stomach. With essential hypertension, the medicine is taken one tablet once a day. It is advisable to start taking the drug "Noliprel A forte" selection of doses of single-component drugs. If necessary, you can prescribe a combination treatment immediately after single-component therapy.
Taking the drug can cause a number of side effects, such as: disorders of the lymphatic system (thrombocytopenia, neutropenia, leukopenia, anemia); CNS (paresthesia, dizziness and headache, asthenia, less commonly sleep disturbance, confusion) and other systems. Very often there is a visual impairment, tinnitus; lowering blood pressure; dry cough, dry mouth; abdominal pain; decreased appetite.
In cases of overdose, blood pressure immediately decreases, which is accompanied by nausea, cramps, vomiting, drowsiness, dizziness, confusion. In such cases, the tool "Noliprel A Fort" should be immediately removed from the body by washing the stomach and the appointment of activated charcoal. With a decrease in pressure, the patient is transferred to a supine position with raised legs.
There are no special conditions for the storage of the drug. Shelf life is three years from the date of issue.
Attention! This instruction is provided for educational purposes and should not affect the decision to take the drug. Before starting treatment with it, consult your doctor, listen to all the recommendations and read the annotation provided by the manufacturer.