Veridipin Plus
Generic Name
Lercanidipine Hydrochloride + Enalapril Maleate
Manufacturer
Incepta Pharmaceuticals Ltd.
Country
Bangladesh
Loading images...
Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| veridipin plus 5 mg tablet | ৳ 6.01 | ৳ 60.10 |
Description
Overview of the medicine
Veridipin Plus is a fixed-dose combination of Lercanidipine, a dihydropyridine calcium channel blocker, and Enalapril, an angiotensin-converting enzyme (ACE) inhibitor. It is used for the treatment of essential hypertension in patients whose blood pressure is not adequately controlled with Lercanidipine alone.
Uses & Indications
Dosage
Adults
One tablet (10 mg Lercanidipine + 10 mg Enalapril) once daily. It should be taken at least 15 minutes before meals.
Elderly
No dose adjustment is generally required for elderly patients, but caution is advised due to potential for reduced renal function.
Renal_impairment
Not recommended for patients with severe renal impairment (creatinine clearance <30 mL/min). For moderate impairment, dose adjustment may be necessary for individual components before switching to combination.
How to Take
Orally, once daily, preferably in the morning at least 15 minutes before food.
Mechanism of Action
Lercanidipine works by blocking calcium channels in vascular smooth muscle, leading to vasodilation and reduction in peripheral vascular resistance. Enalapril inhibits the angiotensin-converting enzyme (ACE), which prevents the conversion of angiotensin I to angiotensin II (a potent vasoconstrictor) and reduces aldosterone secretion, leading to vasodilation, reduced sodium and water retention, and decreased blood pressure.
Pharmacokinetics
Onset
Enalapril: ~1 hour (for enalaprilat effect); Lercanidipine: gradual, peak effect within 2-4 hours.
Excretion
Lercanidipine metabolites are primarily excreted in urine and feces. Enalaprilat is primarily excreted unchanged by the kidneys.
Half life
Lercanidipine: terminal half-life approximately 8-10 hours; Enalaprilat: effective half-life about 11 hours.
Absorption
Lercanidipine is well absorbed orally but undergoes extensive first-pass metabolism. Enalapril is rapidly absorbed and hydrolyzed to enalaprilat (the active metabolite).
Metabolism
Lercanidipine is metabolized by CYP3A4. Enalapril is a prodrug, extensively metabolized by hydrolysis to enalaprilat in the liver.
Side Effects
Contraindications
- •Hypersensitivity to Lercanidipine, Enalapril, or any other ACE inhibitor or dihydropyridine derivative.
- •Pregnancy (especially 2nd and 3rd trimesters) and lactation.
- •History of angioedema related to previous ACE inhibitor therapy.
- •Hereditary or idiopathic angioedema.
- •Severe renal impairment (creatinine clearance <30 mL/min).
- •Severe hepatic impairment.
- •Left ventricular outflow tract obstruction (e.g., severe aortic stenosis).
- •Unstable angina pectoris or recent (within 1 month) myocardial infarction.
- •Concomitant use with aliskiren-containing products in patients with diabetes mellitus or renal impairment (GFR <60 mL/min/1.73 m²).
Drug Interactions
Lithium
Increased serum lithium levels and lithium toxicity.
Simvastatin
Reduced simvastatin exposure if given together, but caution is advised.
Grapefruit juice
Increased Lercanidipine plasma levels (contraindicated).
Cyclosporine, Tacrolimus, Ritonavir
Increased Lercanidipine plasma levels.
Diuretics and other antihypertensive agents
Increased hypotensive effect.
Non-steroidal anti-inflammatory drugs (NSAIDs)
May reduce antihypertensive effect of Enalapril and impair renal function.
Potassium-sparing diuretics, potassium supplements, or potassium-containing salt substitutes
Risk of hyperkalemia due to Enalapril.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
Symptoms of overdose include marked hypotension, bradycardia, reflex tachycardia, dizziness, palpitations, renal failure, and severe peripheral vasodilation with possible prolonged systemic hypotension. Management involves symptomatic and supportive treatment, including intravenous fluid administration, vasopressors, and close monitoring of vital signs. Hemodialysis can remove enalaprilat from the circulation.
Pregnancy & Lactation
Veridipin Plus is contraindicated during pregnancy due to the risk of fetal harm from Enalapril, especially in the 2nd and 3rd trimesters. It is also not recommended during lactation, as both active substances are excreted into breast milk.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
36 months
Availability
Available in pharmacies and hospitals
Approval Status
Approved by national regulatory authorities
Patent Status
Generic components off-patent; brand formulation may have market exclusivity
Alternative Medicines in Bangladesh
Similar medicines available in the market
Global Brand Names
International brand names for this medicine
More Medicines
Explore other medicines you might be interested in
