Viacoram (Perindopril Arginine/Amlodipine Besvlate)

Name: Viacoram
Brand: Servier
SKU: 7408
Availability: InStock

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Viacoram

Manufacturer: Servier

Country: Canada

Dosage: 3.5 mg/2.5 mg

Qty-Price (USD):

Type:

Product: Viacoram

Manufacturer: Servier

Country: Canada

Dosage: 7 mg/5 mg

Qty-Price (USD):

Type:

Product: Viacoram

Manufacturer: Servier

Country: Canada

Dosage: 14 mg/10 mg

Qty-Price (USD):

Generic Equivalent of Viacoram

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Perindopril Arginine/Amlodipine Besvlate

Manufacturer: Generic

Country: Canada

Dosage: 3.5 mg/2.5 mg

Qty-Price (USD):

Type:

Product: Perindopril Arginine/Amlodipine Besvlate

Manufacturer: Generic

Country: Canada

Dosage: 7 mg/5 mg

Qty-Price (USD):

Type:

Product: Perindopril Arginine/Amlodipine Besvlate

Manufacturer: Generic

Country: Canada

Dosage: 14 mg/10 mg

Qty-Price (USD):

Viacoram Information

Viacoram and Perindopril Arginine/Amlodipine Besylate at CanadaPharmacyOnline.com

The manufacturer of brand-name Viacoram (perindopril arginine/amlodipine besylate) is Servier Canada Inc. Viacoram is the Canadian brand name for this combination; it is also marketed as Prestalia in the United States. Brand-name Viacoram is available at this pharmacy in all three strengths.

Generic perindopril arginine/amlodipine besylate is also available at this pharmacy in all three strengths, manufactured in Canada by various manufacturers that meet Health Canada's strict quality and safety standards. The specific manufacturer of your dispensed medication may vary based on pharmacy inventory.

Important Information about Generic Perindopril Arginine/Amlodipine Besylate

Generic perindopril arginine/amlodipine besylate contains the same active ingredients as brand-name Viacoram. It must meet the same effectiveness and quality standards. This means it is designed to work like Viacoram. Studies have shown that the generic is bioequivalent to brand-name Viacoram, meaning it has similar absorption and achieves comparable blood concentrations. However, individual responses to medication can vary due to factors such as metabolism, genetics, and other health conditions.

For more information on generic drug approval and bioequivalence, please visit Access to Generic Drugs in Canada | Canada.ca.

Dosage:

Viacoram (perindopril arginine/amlodipine besylate) is available in the following oral strengths at this pharmacy:
• Tablets: 3.5 mg/2.5 mg, 7 mg/5 mg, and 14 mg/10 mg.

The dose is one tablet taken once daily, with or without food, at the same time each day. Treatment is typically started at the lowest strength (3.5 mg/2.5 mg). If blood pressure remains uncontrolled after 4 weeks, the dose may be increased to 7 mg/5 mg and then, if needed, to the maximum dose of 14 mg/10 mg after a further 4 weeks. The dosage should be adjusted according to your doctor's instructions.

Usage:

Viacoram is a combination blood pressure medication indicated for the treatment of mild to moderate essential hypertension in adults aged 18 and older for whom combination therapy is appropriate. It contains two active ingredients: perindopril arginine, an ACE inhibitor, and amlodipine besylate, a calcium channel blocker. Unlike most combination blood pressure medications, the lowest strength (3.5 mg/2.5 mg) is approved for use as a first-line treatment for patients newly diagnosed with mild to moderate hypertension.

High blood pressure often causes no symptoms but can lead to serious complications such as a heart attack, stroke, and kidney disease if left untreated. Take Viacoram daily as directed by your doctor, even when you feel well. It is recommended to take your dose in the morning, preferably before a meal.

Mechanism of Action
Perindopril works by blocking an enzyme (ACE) that the body uses to produce angiotensin II, a substance that causes blood vessels to tighten. By blocking this enzyme, perindopril helps blood vessels relax and lowers blood pressure. Amlodipine works by relaxing the smooth muscle in the walls of blood vessels, allowing blood to flow more easily. Together, these two actions lower blood pressure more effectively than either drug alone. A further benefit is that amlodipine-associated ankle swelling is reduced when it is combined with an ACE inhibitor such as perindopril.

Take Viacoram exactly as your doctor prescribes, according to the product monograph. Be sure to stay well hydrated, especially during hot weather, exercise, or after vomiting or diarrhea, as dehydration can cause your blood pressure to drop too low.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before starting Viacoram, it is essential to discuss all possible side effects, risks, and interactions with your doctor or pharmacist.

Side Effects:

The information below outlines potential side effects of Viacoram (perindopril arginine/amlodipine besylate). It is not an exhaustive list, and individual reactions can vary.

Common side effects: These are common side effects of Viacoram; other side effects are possible. Contact your doctor promptly if any side effects are persistent, worsening, or concerning, or if you experience any other concerning symptoms.
• Cough (dry, persistent)
• Dizziness or headache
• Fatigue
• Flushing
• Nausea or stomach upset.
• Swelling of the ankles or feet (edema)

Serious Side Effects: Seek immediate medical attention or call emergency services if you experience any of the following symptoms:
• Angioedema (Severe Allergic Swelling): Swelling of the face, lips, tongue, or throat, or sudden difficulty breathing or swallowing. This can occur at any time during treatment and is a medical emergency. Stop Viacoram immediately and do not restart it.
• High Potassium (Hyperkalemia): Muscle weakness or an abnormal heartbeat. The perindopril component can raise potassium levels, particularly in patients with kidney problems or those taking potassium-raising medications.
• Jaundice or Liver Problems: Yellowing of the skin or eyes, dark urine, or severe stomach pain.
• Low Blood Pressure (Hypotension): Severe dizziness or fainting, particularly after the first dose or if you are dehydrated.
• Worsening Chest Pain or Heart Attack: Patients with heart disease may experience increased angina or a heart attack when starting or increasing their dose. Seek emergency care immediately if you have chest pain.
• Worsening Kidney Function: Decreased urine output or rapid weight gain with swelling. Seek medical attention promptly.

Contraindications:

The following is not an exhaustive list of contraindications. Before starting Viacoram, it is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist.

Do not take Viacoram/perindopril arginine/amlodipine besylate if:
• Allergies: You have a known hypersensitivity to perindopril, amlodipine, any other ACE inhibitor, or any tablet ingredient.
• Angioedema History: You have a history of angioedema (swelling of the face or throat) related to previous ACE inhibitor treatment, or hereditary or unexplained angioedema.
• Congestive Heart Failure: Viacoram is not recommended for this condition.
• Diabetes with Aliskiren: You are taking aliskiren (Rasilez) and have diabetes. ACE inhibitors must not be combined with aliskiren in patients with diabetes.
• Sacubitril/Valsartan (Entresto): Do not take Viacoram within 36 hours of switching to or from sacubitril/valsartan. If you are switching from Entresto to Viacoram, you must wait at least 36 hours after your last Entresto dose before starting.
• Severe aortic stenosis
• You are over 65 years old.

Tell your doctor about all of your medical conditions, past and present, before starting Viacoram. This is crucial as certain conditions affect the drug's safety.
• Diabetes
• Heart disease or a recent heart attack
• High potassium levels
• If you are on a low-salt diet
• Kidney disease (including if you are on dialysis)
• Liver disease

Drug Interactions:

Before taking Viacoram, discuss all potential risks and interactions with your doctor or pharmacist. For complete, up-to-date information, please refer to the product monograph at https://pdf.hres.ca/dpd_pm/00047994.PDF.

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, herbal supplements, recreational drugs, and any significant dietary changes, as these may interact with Viacoram. Viacoram may interact with other medicines, including but not limited to:
• Aliskiren: Increases the risk of low blood pressure, high potassium, and kidney failure. Contraindicated in patients with diabetes.
• Diuretics (water pills): May cause an excessive drop in blood pressure, particularly with the first dose of Viacoram.
• Lithium: Perindopril can raise lithium levels in the blood to potentially harmful levels. Concurrent use requires careful monitoring.
• NSAIDs (e.g., ibuprofen, naproxen): May reduce the blood pressure-lowering effect of Viacoram and can worsen kidney function.
• Other antihypertensive drugs: Additive blood pressure-lowering effects. Dose adjustments may be required.
• Potassium supplements or potassium-sparing diuretics (e.g., spironolactone): May raise potassium to dangerous levels when combined with the perindopril component.
• Salt substitutes containing potassium: Can raise potassium levels. Avoid unless your doctor advises otherwise.

Pregnancy and Breastfeeding:

Viacoram can cause serious harm or death to an unborn baby, particularly if taken during the second or third trimester of pregnancy. Stop taking Viacoram as soon as you know you are pregnant and contact your doctor immediately. Women of childbearing potential who are not using effective contraception should not take Viacoram. If you are planning to become pregnant, speak to your doctor before continuing treatment.

It is unknown if perindopril passes into breast milk. Because of the potential for serious adverse effects in nursing infants, an alternative treatment is preferred while breastfeeding. Discuss the risks and benefits with your doctor.

Use in Children:

Viacoram is not recommended for patients under 18 years of age. The safety and efficacy in this age group have not been established.

Frequently Asked Questions about Viacoram at Canada Pharmacy Online

Why is Viacoram more affordable in Canada than in the United States?

Prescription drug prices, including Viacoram, are generally lower in Canada than in the U.S. due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower prices than in the U.S., where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/

How much is the shipping?

Our shipping fee is a flat rate of $10.00 per order. Our pharmacy is dedicated to offering you the lowest prices on high-quality products.

How do I place an order with your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1.866.920.3784; for more information or to learn about the ordering process, visit our How to Order page.

Is there a limit on how many Viacoram I can order at once?

CanadaPharmacyOnline.com can dispense up to a three-month supply of Viacoram per prescription from your doctor.

Can I buy Viacoram from you over the counter?

No, Viacoram requires a valid prescription from your doctor. We do not sell this product without a valid prescription.

Do you ship to the United States?

Yes, we do. It usually takes between 7 and 18 business days to receive your order from our pharmacy.

Is there a generic for Viacoram?

Yes, generic perindopril arginine/amlodipine besylate is available.

Blog Post:

Hypertension: Don't Let the Silent Killer Lurk in Your Body

Latest News:

Effectiveness of an amlodipine and perindopril arginine-based strategy for hypertension management – Pan African Medical Journal (published December 2025)

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The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

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