Europe — EMA
Noliprel (Indapamide, Perindopril Arginine)
GNH USA supplies Noliprel (Indapamide/Perindopril arginine), a combination antihypertensive for the treatment of hypertension in adults.
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What is Indapamide, Perindopril Arginine?
Indapamide and Perindopril arginine, the active ingredients in Noliprel, are a combination antihypertensive (ACE inhibitor + thiazide‑like diuretic) presented as an oral tablet for adult use. The product is indicated for the management of hypertension, helping to lower elevated blood pressure in patients diagnosed with primary hypertension.
GNH USA supplies Noliprel as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product is sourced from EU manufacturers and meets European pharmacopoeial standards, ensuring consistent potency and safety for global distribution.
What is Indapamide, Perindopril Arginine used for?
Noliprel is a combination antihypertensive used to treat conditions related to high blood pressure.
- Hypertension: Reduces systolic and diastolic blood pressure, helping patients achieve target blood‑pressure goals.
What are the side effects of Indapamide, Perindopril Arginine?
Common Side Effects: - Dizziness: Light‑headed sensation, especially after standing. - Headache: Mild to moderate pressure sensation. - Cough: Dry, non‑productive cough. - Fatigue: Generalised tiredness. - Increased urination: Due to diuretic effect. - Electrolyte imbalance: Mild changes in potassium or sodium levels.
Serious or Rare Side Effects: - Angioedema: Swelling of face, lips, tongue, or airway. - Severe hypotension: Marked drop in blood pressure causing faintness. - Acute renal impairment: Sudden decrease in kidney function. - Hyperkalemia: Elevated potassium levels. - Pancreatitis: Inflammation of the pancreas. - Hepatic dysfunction: Abnormal liver enzyme elevations.
What precautions apply to Indapamide, Perindopril Arginine?
Before starting Noliprel, consider the following precautions.
- Monitor renal function: Check serum creatinine and eGFR at baseline and periodically. - Assess electrolytes: Evaluate potassium and sodium levels, especially in patients on other diuretics. - Watch for hypotension: Caution in volume‑depleted or elderly patients. - Avoid in pregnancy: Use only if benefits outweigh risks, as safety data are limited. - Contraindicated with aliskiren in diabetes: Do not combine with aliskiren in diabetic patients. - Store at ambient temperature: Keep below 25 °C, retain in original packaging, protect from moisture.
What does Indapamide, Perindopril Arginine interact with?
Noliprel may interact with several medicines; monitor accordingly.
Major Interactions (Avoid): - Potassium‑sparing diuretics or supplements: Risk of hyperkalemia. - Lithium: Increased lithium levels and toxicity. - NSAIDs: May blunt antihypertensive effect and impair renal function.
Moderate Interactions (Monitor Closely): - Other antihypertensives: Additive blood‑pressure lowering, risk of hypotension. - Antacids containing aluminum or magnesium: May reduce perindopril absorption. - CYP450 inhibitors (e.g., ritonavir): May increase perindopril concentrations.



