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Perindopril

Medication ACE inhibitor heart & blood pressure
Aka: Coversyl
Brands seen in Singapore: Coversyl, Hiten, Perinace, Provinace
Not medical advice. Check with your doctor or pharmacist before you start, stop or change the timing of anything you take.
How to use
What it’s for
SG label: hypertension and stable coronary artery disease
When to take
SG label: once daily in the morning, before a meal
Take with
HealthHub: half to one hour before food
Pros & cons
Pros
  • SG label: once-daily dosing, 5 mg or 10 mg
  • SG label: no dose change needed in hepatic impairment
  • SG label: renal dosing follows a clearance table
Cons
  • HealthHub: a dry cough that does not go away is listed
  • SG label: contraindicated in 2nd and 3rd trimester
  • HealthHub: dizziness on getting up is listed
Sources
  1. HSA — Listing of Registered Therapeutic Products (data.gov.sg dataset d_767279312753558cbf19d48344577084), Forensicclassification column; all 5,511 rows cached at /tmp/hsa_all.json and filtered locally (not re-fetched), 27 Aug 2026 · read 2026-08-27
    what it says
    “COVERSYL 5mg SIN13494P and 10mg SIN13495P (perindopril arginine eqv perindopril 3.395/6.790 mg); HITEN 4 SIN14563P; PERINACE 4MG SIN13602P; PROVINACE 4mg SIN14866P | ATC C09AA04 — all 23 perindopril-containing rows Prescription Only”
  2. MOH National Drug Formulary (Singapore) — COVERSYL 5MG TABLET [SIN13494P], product information · read 2026-08-27
    what it says
    “PERINDOPRIL ARGININE 5 MG EQV TO PERINDOPRIL - 3.395 MG … Registration Number SIN13494P … Licence Holder SERVIER (S) PTE LTD … Forensic Classification PRESCRIPTION ONLY MEDICINES … ATC code C09AA04 … Exemptions for Supply without Prescription NA”
  3. MOH National Drug Formulary (Singapore) — COVERSYL [SIN13494P], 4.1 Therapeutic indications · read 2026-08-27
    what it says
    “Coversyl 5 mg and 10 mg — Hypertension: Treatment of hypertension. Stable coronary artery disease: Reduction of risk of cardiac events in patients with a history of myocardial infarction and/or revascularisation”
  4. MOH National Drug Formulary (Singapore) — COVERSYL [SIN13494P], 4.2 Method of administration · read 2026-08-27
    what it says
    “For oral use. COVERSYL is recommended to be taken once daily in the morning before a meal”
  5. MOH National Drug Formulary (Singapore) — COVERSYL [SIN13494P], 4.2 Posology: hypertension · read 2026-08-27
    what it says
    “The recommended starting dose is 5 mg given once daily in the morning … The dose may be increased to 10 mg once daily after one month of treatment”
  6. MOH National Drug Formulary (Singapore) — COVERSYL [SIN13494P], 4.2 Posology: symptomatic hypotension with diuretics · read 2026-08-27
    what it says
    “Symptomatic hypotension may occur following initiation of therapy with COVERSYL; this is more likely in patients who are being treated concurrently with diuretics”
  7. MOH National Drug Formulary (Singapore) — COVERSYL [SIN13494P], 4.2 Posology: stable coronary artery disease · read 2026-08-27
    what it says
    “COVERSYL should be introduced at a dose of 5 mg once daily for two weeks, then increased to 10 mg once daily, depending on renal function and provided that the 5 mg dose is well tolerated”
  8. MOH National Drug Formulary (Singapore) — COVERSYL [SIN13494P], 4.2 Posology: symptomatic heart failure · read 2026-08-27
    what it says
    “a recommended starting dose of 2.5 mg taken in the morning. This dose may be increased after 2 weeks to 5 mg once daily if tolerated. The dose adjustment should be based on the clinical response of the individual patient”
  9. MOH National Drug Formulary (Singapore) — COVERSYL [SIN13494P], 4.2 Special population: renal and hepatic impairment · read 2026-08-27
    what it says
    “Dosage in patients with renal impairment should be based on creatinine clearance as outlined in Table 1 below … No dosage adjustment is necessary in patients with hepatic impairment”
  10. MOH National Drug Formulary (Singapore) — COVERSYL [SIN13494P], 4.3 Contraindications · read 2026-08-27
    what it says
    “History of angioedema associated with previous ACE inhibitor therapy; Hereditary or idiopathic angioedema; Second and third trimesters of pregnancy; Concomitant use of COVERSYL with aliskiren-containing products in patients with diabetes mellitus or renal impairment”
  11. HealthHub (MOH Singapore) — Perindopril, medication information leaflet · read 2026-08-27
    what it says
    “Perindopril lowers blood pressure by reducing the production of a substance called Angiotensin II which causes the blood vessels to narrow … Take this medicine half to one hour before food”
  12. HealthHub (MOH Singapore) — Perindopril, precautions · read 2026-08-27
    what it says
    “Inform your doctor if you are pregnant or planning to get pregnant … Taking this medication can cause injury and death to your developing fetus. Your doctor may need to monitor your potassium levels and kidney function”
  13. HealthHub (MOH Singapore) — Perindopril, common side effects · read 2026-08-27
    what it says
    “The side effects include a dry, annoying cough that does not go away, dizziness and lightheadedness on getting up from a sitting or sleeping position. Very rarely, some patients might experience a loss of taste”
  14. NHS medicines A–Z — Perindopril, cautions with other medicines · read 2026-08-27
    what it says
    “anti-inflammatory medicines such as ibuprofen, indomethacin or aspirin for pain relief (low-dose aspirin – 75mg a day, is safe to take with perindopril)”
  15. NHS medicines A–Z — Perindopril, further cautions with other medicines · read 2026-08-27
    what it says
    “medicines that make you pee more (diuretics), such as furosemide … medicines that can increase the amount of potassium in your blood, such as spironolactone, triamterene, amiloride, potassium supplements, trimethoprim … or heparin … lithium”

Updated 2026-08-29. Every line above traces to a numbered source. Kozen-X is not a medical device and does not give medical advice. It lists what published sources have written down — nothing more. A pair not listed is unrecorded, not cleared. Before you start, stop or re-time anything, talk to your doctor or pharmacist.