Covapril 4mg Tablet

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Prescription Required

Complete your checkout to get your prescription approved. A doctor will contact you within 30 minute(s) after payment.

Overview

Covapril 4mg Tablet is a prescription-only medicine (POM) presented as a tablet, with Perindopril erbumine 4mg as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Take Covapril exactly as prescribed by your doctor, usually once daily in the morning, with a full glass of water, and preferably at the same time each day. It is often recommended to take the first dose before bedtime under medical supervision, as some patients experience a pronounced drop in blood pressure after the initial dose.

Dosage

The dosage is individualised by the prescribing doctor, typically starting at a low dose and increased gradually based on blood pressure response and tolerability, with periodic monitoring of kidney function and blood potassium levels. Do not adjust your dose without consulting your doctor, particularly if you are also taking diuretics or other blood pressure medicines.

Shelf Life

Covapril tablets are typically stable for up to 24 to 36 months from the date of manufacture when stored unopened in original packaging; always check the expiry date printed on the blister or carton before use.

Storage Instructions

Store below 30°C in a dry place away from direct sunlight and moisture, and keep the tablets in their original packaging until ready for use. Keep out of reach of children.

Side Effects

  • Dizziness or lightheadedness
  • Cough
  • Headache
  • Tiredness or fatigue
  • Nausea
  • Low blood pressure
  • Rash or skin irritation
  • Elevated potassium levels
  • Changes in kidney function

Contraindications

  • Known hypersensitivity to perindopril or any other ACE inhibitor
  • History of angioedema related to previous ACE inhibitor use, or hereditary/idiopathic angioedema
  • Pregnancy — ACE inhibitors can cause serious harm to the unborn baby and must be stopped as soon as pregnancy is confirmed
  • Bilateral renal artery stenosis or significant kidney artery narrowing
  • Severe, uncontrolled high blood potassium levels

Drug / Food Interactions

  • Potassium-sparing diuretics, potassium supplements, or salt substitutes containing potassium may raise blood potassium to unsafe levels when combined with perindopril
  • NSAIDs (such as ibuprofen or diclofenac) taken regularly may reduce the blood-pressure-lowering effect and increase the risk of kidney impairment
  • Lithium levels may rise when taken together with ACE inhibitors, requiring closer monitoring
  • Other blood pressure medicines or diuretics may increase the risk of excessive blood pressure drops, particularly with the first dose
  • Diabetes medicines, including insulin, may have an enhanced blood-sugar-lowering effect when combined with perindopril

Quick Tips

  • Attend all scheduled follow-up appointments so your doctor can monitor blood pressure, kidney function, and potassium levels
  • Rise slowly from sitting or lying positions, particularly during the first few days of treatment, to reduce dizziness
  • Report a persistent dry cough to your doctor, as an alternative medicine class may be considered if it becomes bothersome
  • Seek emergency medical attention immediately if you notice swelling of the face, lips, tongue, or difficulty breathing
  • Inform your doctor immediately if you become pregnant or are planning pregnancy while on this medicine

Frequently Asked Questions

Is Covapril 4mg Tablet a prescription medicine?

Yes. Covapril 4mg Tablet is a prescription-only medicine (POM). It can only be supplied against a valid prescription written by a registered doctor, and it should be used only by the person named on the prescription label.

What does Covapril 4mg Tablet contain?

Covapril 4mg Tablet is supplied as a tablet and contains Perindopril erbumine 4mg. The full composition is listed in the Composition section on this page and on the product packaging.

Why is there no information here about what Covapril 4mg Tablet is for?

Malaysian rules for prescription medicines limit public product pages to product, safety and handling information. Your doctor decides whether this medicine is appropriate for you and will explain it during your consultation, and your pharmacist can answer further questions when the medicine is dispensed.

How should I take Covapril 4mg Tablet?

Follow your doctor’s instructions and the directions on the dispensing label without changing them. If anything on the label is unclear, check with your pharmacist before taking the first dose, and read the Directions for Use section on this page.

What should I do if I miss a dose?

Take it as soon as you remember, unless your next dose is nearly due. In that case skip the missed dose and carry on with your usual schedule. Never take two doses together to make up for a missed one. If you miss doses often, tell your doctor or pharmacist.

How should I store Covapril 4mg Tablet?

Store below 30°C in a dry place away from direct sunlight and moisture, and keep the tablets in their original packaging until ready for use. Keep out of reach of children. Keep it in the original pack until use, and do not use it after the expiry date printed on the packaging.

What should I do if I notice side effects?

Tell your doctor or pharmacist about any reaction that concerns you, and seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.

Can I stop taking Covapril 4mg Tablet on my own?

No. Speak to your doctor before stopping, pausing or changing the dose, even if you feel well or think you no longer need the medicine.

How do I get a prescription for Covapril 4mg Tablet?

Customers in Malaysia can complete an online consultation with a DoctorOnCall doctor, who decides whether a prescription is appropriate, or upload a valid prescription already issued by their own doctor.

Orders going to Singapore are dispatched from Malaysia as an international delivery, so you need to hold a valid prescription or doctor’s letter for the medicine. Check the consultation and prescription upload options shown at checkout for your delivery address before placing the order.

How long will delivery take?

Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.

Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.

What payment methods can I use?

Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.

FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.

Can Covapril 4mg Tablet be delivered to Singapore?

Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.

Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.

Is Covapril 4mg Tablet registered with the authorities?

Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.

An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.

Who do I contact if there is a problem with my order?

DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.

For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.

Ingredients / Active Ingredients

  • Perindopril erbumine 4mg — angiotensin-converting enzyme (ACE) inhibitor
  • Standard tablet excipients
  • Perindopril erbumine 4mg

Safety Advice

Pregnancy

Not Advisable

Use during pregnancy is generally not recommended unless absolutely necessary.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Relevant Information

Covapril is an established first-line option for treating high blood pressure and select cardiovascular conditions, but because it requires individualised dosing and ongoing monitoring of kidney function and electrolytes, it is only supplied under a doctor’s prescription and review. Patients should never obtain or continue this medicine without proper medical oversight, particularly given the risk of first-dose hypotension and the rare but serious risk of angioedema.

Medical Review

Written by:

Dr. Chong Zhan Pong

Doctor of Medicine (MD), International Medical University (IMU)

Reviewed by:

Dr. Mohd Izzat Amir Bin Awang

Doctor of Medicine (MD), University of Mansoura - Manchester

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