Europe — EMA
Noliprel Arg (Indapamide, Perindopril Arginine)
GNH USA supplies Noliprel Arg (Indapamide/Perindopril), a ACE‑inhibitor/thiazide‑like diuretic for hypertension in adult patients.
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What is Indapamide, Perindopril Arginine?
Indapamide and Perindopril arginine, the active ingredients in Noliprel Arg, are an ACE‑inhibitor/thiazide‑like diuretic combination presented as an oral tablet for oral use. The combination is indicated for the management of hypertension in adult patients.
GNH USA supplies Noliprel Arg as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with distribution channels aligned to EU regulatory standards. The company ensures product quality, traceability and compliance with Good Distribution Practice throughout the supply chain for reliable patient care.
What is Indapamide, Perindopril Arginine used for?
Noliprel Arg is used in the management of hypertension, a cardiovascular condition characterized by elevated arterial pressure.
- Essential hypertension: reduces systolic and diastolic blood pressure. - Secondary hypertension: assists in controlling blood pressure when caused by underlying disorders. - High cardiovascular‑risk patients: contributes to blood pressure control to lower the risk of stroke and myocardial infarction.
What are the side effects of Indapamide, Perindopril Arginine?
Common Side Effects: - Cough: dry, persistent throat irritation. - Dizziness or light‑headedness, especially after standing. - Increased urinary frequency due to diuretic action. - Headache: mild to moderate intensity. - Electrolyte disturbances: mild reductions in potassium or sodium.
Serious or Rare Side Effects: - Angioedema: swelling of lips, tongue or airway requiring immediate medical attention. - Severe hypotension: marked drop in blood pressure leading to fainting. - Acute renal impairment: sudden decrease in kidney function. - Hyperkalemia: elevated potassium levels that may cause cardiac arrhythmia. - Blood dyscrasias: rare blood cell abnormalities such as neutropenia.
What precautions apply to Indapamide, Perindopril Arginine?
Before initiating therapy, clinicians should consider several safety aspects.
- Monitor blood pressure: check regularly to ensure therapeutic response. - Assess renal function: obtain baseline creatinine and repeat periodically. - Check electrolytes: especially potassium and sodium levels during treatment. - Avoid in patients with a history of angioedema related to ACE‑inhibitors. - Use during pregnancy only if clearly needed: discuss risks with the prescriber. - Store at ambient temperature: keep in the original container, protect from moisture and light.
What does Indapamide, Perindopril Arginine interact with?
Noliprel Arg may interact with other medicines; some require avoidance while others need monitoring.
Major Interactions (Avoid): - Aliskiren in diabetic patients: combined use can cause renal dysfunction. - Potassium‑sparing diuretics or supplements: risk of dangerous hyperkalemia. - Lithium: increased lithium levels leading to toxicity.
Moderate Interactions (Monitor Closely): - NSAIDs: may blunt antihypertensive effect and affect renal function. - Other antihypertensives (beta‑blockers, calcium channel blockers): additive hypotensive effect. - Non‑potassium‑sparing diuretics: may exacerbate electrolyte imbalances.



