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Viacoram (Amlodipine / Perindopril)

Prescription medicineOnly Available By Prescription

What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. The must be a member of CIPA (Canadian International Pharmacy Association).
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
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What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

Description

This is a combination medication that contains amlodipine and perindopril. Amlodipine belongs to the group of medications called calcium channel blockers. Perindopril belongs to the group of medications called angiotensin converting enzyme inhibitors (ACEIs). This medication is used to treat mild-to-moderate high blood pressure when a combination medication is considered appropriate. Both medications relax the walls of blood vessels, but they work in different ways. This helps to reduce the workload for the heart and decrease the pressure needed to pump blood through the body.

Directions

The recommended starting dose of amlodipine - perindopril is one tablet containing 3.5 mg of perindopril and 2.5 mg of amlodipine, once daily. After 4 weeks, your doctor may increase your dose if your blood pressure has not been lowered enough. An additional increase in dose may be necessary 8 weeks after starting this medication if your blood pressure is still high. The maximum daily dose is 14 mg perindopril and 10 mg amlodipine. Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor. Amlodipine - perindopril should be taken at the same time each day, preferably in the morning before breakfast. It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice. Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children. Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Ingredients

The active ingredient in Viacoram is amlodipine – perindopril.

Cautions

Angioedema: Although not common, angioedema (a serious allergic reaction that causes the area around the throat and tongue to swell) may occur with ACE inhibitors, including perindopril. If you experience swelling of the face, tongue, or glottis, or experience abdominal pain that may be accompanied by nausea or vomiting, stop taking amlodipine - perindopril at once and seek immediate medical attention. People who have had angioedema caused by other substances may be at increased risk of angioedema while taking an ACE inhibitor such as perindopril. Blood counts: This medication can decrease the number of neutrophils (a type of white blood cell that helps fight infection), red blood cells (which carry oxygen), and platelets (which help your blood to clot). Your doctor will do blood tests to monitor this. If you notice more frequent signs of infection (e.g., fever, chills, or sore throat) or unusual bleeding or bruising, contact your doctor. Cough: People taking perindopril may develop a dry, persistent cough that usually disappears only after stopping or lowering the perindopril dose. Be sure to tell your doctor of any cough that does not seem to be related to a usual cause. Diabetes: Perindopril may affect blood sugar control. If you have diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. You may need to test your blood sugar more often when you first start taking this medication. Drowsiness/dizziness: Amlodipine - perindopril may cause drowsiness or dizziness, affecting the mental or physical abilities needed to drive or operate machinery. Avoid driving, operating machinery, or performing other hazardous tasks until you have determined how this medication affects you. Fluid and electrolyte balance: Increases in levels of potassium in the blood may occur as a result of taking amlodipine - perindopril. This is more likely to occur if you are using certain other medications, have kidney problems or diabetes, or are taking potassium supplements or salt substitutes that contain potassium. Although this doesn’t usually cause problems, your doctor will probably want to monitor your potassium levels regularly with blood tests. Grapefruit juice: Grapefruit juice may increase the effects of amlodipine. Avoid grapefruit juice while taking this medication. Heart problems: Heart attack and worsening symptoms of angina may occur when starting or increasing the dose of this medication. If you experience any new or increasing chest pain, contact your doctor. If you develop symptoms of a heart attack (e.g., chest pain, pressure, or heaviness; nausea; shortness of breath; anxiety; cool, clammy skin), get immediate medical attention . Kidney function: Changes in kidney function have been seen in certain people who take this medication. Certain people may be more likely to experience changes in kidney function (e.g., people with narrowed blood vessels in their kidneys, or those with severe congestive heart failure). The use of diuretics (water pills) or aliskiren may further increase the risk of kidney problems for those already at risk for this problem. If you have kidney disease or renal artery stenosis (narrowing of blood vessels in the kidneys), discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Liver function: Rarely, people taking this medication experience decreases in liver function, possibly leading to liver failure. Your doctor will do blood tests to monitor this. If you notice any signs of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately. Amlodipine is removed from the body by the liver. Reduced liver function or liver disease may cause this medication to build up in the body, causing side effects. If you have liver problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Your doctor may want to test your liver function regularly with blood tests while you are taking this medication. Low blood pressure: Occasionally, blood pressure drops too low after amlodipine - perindopril is taken. This usually happens after the first or second dose or when the dose is increased. It is more likely to occur if you take aliskiren, water pills, have a salt-restricted diet, are on dialysis, are suffering from diarrhea or vomiting, or have been sweating excessively and not taking in enough fluids. To reduce the risk of dizziness, get up slowly from a lying or sitting position. If low blood pressure causes you to faint or feel lightheaded, contact your doctor. Surgery: Certain anaesthetics (medications to put you to sleep) used during surgery cause decreased blood pressure. Perindopril blocks the body’s natural response to these sudden reductions in blood pressure, which may be dangerous during surgery. If you are scheduled to have surgery and are taking perindopril - amlodipine, talk to your doctors about stopping the medications for surgery. Pregnancy: ACE inhibitors such as perindopril may cause severe harm or death to a developing baby if taken by the mother during pregnancy. This medication should not be used during pregnancy. If you become pregnant while taking this medication, contact your doctor immediately. Breast-feeding: Medications in the ACEI family have been reported to pass into breast milk. If you are a breast-feeding mother and are taking amlodipine - perindopril, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding. Children: The safety and effectiveness of using this medication have not been established for children. Seniors: Amlodipine - perindopril has not been studied for use by seniors and should not be prescribed for seniors.

Side Effects

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time. Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. • cough (dry, persistent) • diarrhea • dizziness • headache • itchiness • nausea • swelling of the hands, feet, or ankles • unusual tiredness Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention. Check with your doctor as soon as possible if any of the following side effects occur: • abnormal heartbeat (e.g., pounding heartbeat, slow heartbeat, fast heartbeat) • increased frequency of infections • signs of clotting problems (e.g., unusual nosebleeds, bruising, blood in urine, coughing blood, bleeding gums, cuts that don’t stop bleeding) • signs of kidney problems (e.g., increased need to urinate, nausea, vomiting, fatigue, swelling of the feet, legs and hands) • signs of low blood pressure (e.g., dizziness, lightheadedness, fainting) • signs of liver problems (e.g., nausea, vomiting, diarrhea, loss of appetite, weight loss, yellowing of the skin or whites of the eyes, dark urine, pale stools) • signs of too much potassium in the body (e.g., confusion; irregular heartbeat; nervousness; numbness or tingling in hands, feet, or lips; shortness of breath or difficulty breathing; weakness or heaviness of legs) • symptoms of low sodium levels in the blood (e.g., achy, stiff or uncoordinated muscles, confusion, tiredness, weakness) Stop taking the medication and seek immediate medical attention if any of the following occur: • signs of angioedema (e.g., swollen mouth, lips, tongue, difficulty swallowing or breathing) • signs of a serious allergic reaction (i.e., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat) • signs of heart attack (e.g., sudden chest pain or pain radiating to back, down arm, jaw; sensation of fullness of the chest; nausea; vomiting; sweating; anxiety) • signs of pancreatitis (e.g., abdominal pain on the upper left side, back pain, nausea, fever, chills, rapid heartbeat, swollen abdomen) • signs of a severe skin reaction such as blistering, peeling, a rash covering a large area of the body, a rash that spreads quickly, or a rash combined with fever or discomfort • signs of stroke (e.g., sudden or severe headache; sudden loss of coordination; vision changes; sudden slurring of speech; or unexplained weakness, numbness, or pain in arm or leg) • skin blisters • symptoms of angina (e.g., chest pain, sudden wheeziness, difficulty breathing or shortness of breath)

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