Background pattern
Triplixam

Triplixam

About the medicine

How to use Triplixam

Leaflet accompanying the packaging: patient information

Triplixam, 5 mg + 1.25 mg + 5 mg, film-coated tablets

Triplixam, 5 mg + 1.25 mg + 10 mg, film-coated tablets

Triplixam, 10 mg + 2.5 mg + 5 mg, film-coated tablets

Triplixam, 10 mg + 2.5 mg + 10 mg, film-coated tablets

Perindopril arginine + Indapamide + Amlodipine

You should carefully read the contents of the leaflet before taking the medicine, as it contains important information for the patient.

  • You should keep this leaflet, so that you can read it again if you need to.
  • If you have any doubts, you should consult a doctor or pharmacist.
  • This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if their symptoms are the same as yours.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor or pharmacist. See section 4.

Table of contents of the leaflet:

  • 1. What is Triplixam and what is it used for
  • 2. Important information before taking Triplixam
  • 3. How to take Triplixam
  • 4. Possible side effects
  • 5. How to store Triplixam
  • 6. Contents of the packaging and other information

1. What is Triplixam and what is it used for

Triplixam is a combination preparation containing three active substances: perindopril, indapamide, and amlodipine. It is an antihypertensive medicine used to treat high blood pressure (hypertension). Patients already taking perindopril and indapamide in one medicine and amlodipine in another may use one Triplixam tablet instead, which contains these three active substances in the same doses. Each of the active substances lowers blood pressure, and together they help control blood pressure in the patient:

  • perindopril belongs to a group of medicines called angiotensin-converting enzyme inhibitors (ACE inhibitors). It works by widening the blood vessels, making it easier for the heart to pump blood through them.
  • indapamide is a diuretic (a type of medicine called sulfonamide derivatives with an indole ring). Diuretics increase the amount of urine produced by the kidneys. However, indapamide differs from other diuretics in that it only slightly increases urine production.
  • amlodipine is a calcium antagonist (a type of medicine called dihydropyridines). It causes the blood vessels to relax, making it easier for blood to flow through them.

2. Important information before taking Triplixam

When not to take Triplixam:

  • if the patient is allergic to perindopril or other ACE inhibitors, indapamide or other sulfonamides, amlodipine or other dihydropyridines, or any of the other ingredients of this medicine (listed in section 6);
  • if the patient has experienced symptoms such as wheezing, swelling of the face or tongue, intense itching, or severe rash during previous treatment with an ACE inhibitor;

or if such symptoms have occurred in the patient or someone in their family in any other circumstances (a condition called angioedema);

  • if the patient has severe liver disease or a condition called hepatic encephalopathy (a brain disorder caused by liver disease);
  • if the patient is suspected of having untreated or uncontrolled heart failure (severe water retention, breathing difficulties);
  • if the patient has a narrowing of the aortic valve in the heart (aortic stenosis) or cardiogenic shock (a condition in which the heart is unable to supply enough blood to the body);
  • if the patient has heart failure after a heart attack;
  • if the patient has very low blood pressure (hypotension);
  • if the patient has low potassium levels in the blood;
  • if the patient has severe kidney disease that reduces blood flow to the kidneys (renal artery stenosis);
  • if the patient is undergoing dialysis or blood filtration using a method other than hemodialysis. Depending on the device used, Triplixam may not be suitable for the patient;
  • if the patient has moderate kidney disease (applies to Triplixam 10 mg + 2.5 mg + 5 mg and 10 mg + 2.5 mg + 10 mg);
  • after the third month of pregnancy (it is also recommended to avoid taking Triplixam during early pregnancy;
  • see the section on pregnancy and breastfeeding);
  • if the patient has diabetes or kidney problems and is being treated with a blood pressure-lowering medicine containing aliskiren;
  • if the patient has taken or is currently taking a combination medicine containing sacubitril and valsartan, used to treat chronic heart failure, as the risk of angioedema (rapid swelling of tissues under the skin in the area of the throat) increases (see "Warnings and precautions" and "Triplixam and other medicines").

Warnings and precautions

If any of the following conditions apply to the patient, they should consult a doctor or pharmacist before taking Triplixam:

  • if the patient has hypertrophic cardiomyopathy (a heart muscle disease) or renal artery stenosis (narrowing of the blood vessel supplying the kidney);
  • if the patient has heart failure or any other heart disease;
  • if the patient has a significant increase in blood pressure (hypertensive crisis);
  • if the patient has liver disease;
  • if the patient has collagenosis (a disease of the connective tissue), such as systemic lupus erythematosus or scleroderma;
  • if the patient has atherosclerosis (hardening of the arteries);
  • if the patient is undergoing parathyroid function tests;
  • if the patient has gout;
  • if the patient has diabetes;
  • if the patient is on a low-salt diet or uses salt substitutes containing potassium (it is essential to maintain proper potassium levels in the blood);
  • if the patient is taking lithium or potassium-sparing diuretics (spironolactone, triamterene), as they should be avoided when taking Triplixam (see "Triplixam and other medicines");
  • if the patient is elderly and the dose needs to be increased;
  • if the patient has had allergic reactions to light;
  • in black patients, angioedema (swelling of the face, lips, mouth, tongue, or throat, which can cause difficulty swallowing or breathing) may occur more frequently, and the medicine may be less effective in lowering blood pressure;
  • if the patient is undergoing dialysis using high-flux membranes;
  • if the patient has kidney disease or is on dialysis;
  • if the patient experiences vision loss or eye pain. These may be symptoms of fluid accumulation in the vascular layer of the eye (choroidal effusion) or increased pressure in the eye, which can occur within hours or weeks of taking Triplixam. Untreated symptoms

can lead to permanent vision loss. If the patient has previously been allergic to penicillin or sulfonamides, there is a higher risk of these disorders.

  • if the patient has muscle disorders, including pain, tenderness, weakness, or muscle cramps;
  • if the patient has an abnormal increase in the level of a hormone called aldosterone in the blood (primary aldosteronism);
  • if the patient has an excessive amount of acid in the blood, which can cause rapid breathing;
  • if the patient has cerebral hypoperfusion (low blood pressure in the brain);
  • if the patient experiences swelling of the face, lips, mouth, tongue, or throat, which can cause difficulty swallowing or breathing (angioedema), which can occur at any time during treatment, and the patient should stop taking the medicine and consult a doctor immediately.
  • if the patient is taking any of the following medicines, as the risk of angioedema increases:
  • racecadotril (used to treat diarrhea);
  • sirolimus, everolimus, temsirolimus, and other medicines belonging to the group of so-called mTOR inhibitors (used to prevent organ rejection and treat cancer);
  • sacubitril (available in a combination medicine containing sacubitril and valsartan), used to treat chronic heart failure;
  • linagliptin, saxagliptin, sitagliptin, wildagliptin, and other medicines belonging to the group of medicines called gliptins (used to treat diabetes);
  • if the patient is taking any of the following medicines used to treat high blood pressure:
  • angiotensin II receptor antagonist (AIIRA), also known as a sartan - for example, valsartan, telmisartan, irbesartan, especially if the patient has kidney problems related to diabetes;
  • aliskiren. The doctor may recommend regular monitoring of kidney function, blood pressure, and electrolyte levels (e.g., potassium) in the blood. See also the subsection "When not to take Triplixam".

The doctor may recommend blood tests to check if the levels of sodium or potassium have decreased or if the level of calcium has increased in the blood. The patient should tell their doctor if they are pregnant, planning to become pregnant, or suspect they are pregnant. Triplixam should not be taken during pregnancy, especially after the third month, as it may harm the fetus (see the section on pregnancy and breastfeeding). When taking Triplixam, the patient should inform their doctor or medical staff if:

  • they are to undergo anesthesia and/or surgery;
  • they have recently experienced diarrhea or vomiting, or are dehydrated;
  • they are to undergo LDL apheresis (mechanical removal of cholesterol from the blood);
  • they are to undergo desensitization treatment to reduce allergic reactions to bee or wasp stings;
  • they are to undergo a test that requires the administration of a contrast agent containing iodine (a substance that allows organs such as the kidney or stomach to be seen on an X-ray).

Athletes should be aware that Triplixam contains an active substance (indapamide) that may cause a positive result in a doping test.

Children and adolescents

Triplixam should not be given to children and adolescents.

Triplixam and other medicines

The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take. Patients with diabetes or kidney disease should not take aliskiren (used to treat high blood pressure). The patient should avoid taking Triplixam with:

  • lithium (used to treat certain mental illnesses, such as mania, manic-depressive illness, and recurrent depression);
  • potassium-sparing medicines (triamterene, amiloride), potassium supplements, or salt substitutes containing potassium, other medicines that may increase potassium levels in the body (such as heparin, a medicine used to thin the blood and prevent clotting; trimethoprim and co-trimoxazole, also known as a combination medicine containing trimethoprim and sulfamethoxazole, used to treat bacterial infections);
  • dantrolene (given by infusion), also used to treat malignant hyperthermia (a condition characterized by very high fever and muscle stiffness) during anesthesia;
  • estramustine (used to treat cancer);
  • medicines used to treat diarrhea (racecadotril) or medicines used to prevent organ rejection (sirolimus, everolimus, temsirolimus, and other medicines belonging to the group of so-called mTOR inhibitors). See the section on "Warnings and precautions";
  • a combination medicine containing sacubitril and valsartan (used to treat chronic heart failure). See the sections "When not to take Triplixam" and "Warnings and precautions";
  • other medicines used to treat high blood pressure: ACE inhibitors and angiotensin II receptor antagonists.

Taking other medicines may affect treatment with Triplixam. The doctor may recommend changing the dose and/or taking other precautions. The patient should tell their doctor if they are taking any of the following medicines, as they may require special precautions:

  • other medicines used to treat high blood pressure, including angiotensin II receptor antagonists (AIIRAs), aliskiren (see also the subsections "When not to take Triplixam" and "Warnings and precautions"), or diuretics (medicines that increase urine production);
  • potassium-sparing medicines used to treat heart failure: eplerenone and spironolactone in doses of 12.5 mg to 50 mg per day;
  • anesthetics;
  • iodine-containing contrast agents;
  • bepridil (used to treat angina pectoris);
  • methadone (used to treat addiction);
  • medicines used to treat heart rhythm disorders (e.g., dofetilide, ibutilide, bretylium, cyzapride, difemanil, procainamide, quinidine, hydroquinidine, disopyramide, amiodarone, sotalol);
  • verapamil, diltiazem (used to treat heart conditions);
  • digoxin or other cardiac glycosides (used to treat heart conditions);
  • antibiotics used to treat bacterial infections (e.g., rifampicin, erythromycin given by injection, clarithromycin, sparfloxacin, moxifloxacin);
  • antifungal medicines (e.g., itraconazole, ketoconazole, amphotericin B given by injection);
  • allopurinol (used to treat gout);
  • antihistamines used to treat allergic reactions, such as hay fever (e.g., mizolastine, terfenadine, astemizole);
  • corticosteroids used to treat various diseases, including severe asthma and rheumatoid arthritis, as well as non-steroidal anti-inflammatory drugs (e.g., ibuprofen) or high doses of salicylates (e.g., acetylsalicylic acid, a substance found in many medicines, used as a pain reliever and antipyretic, as well as to prevent blood clotting);
  • immunosuppressive medicines (given to control the immune system's response) used to treat autoimmune diseases or after organ transplantation (e.g., cyclosporine, tacrolimus);
  • tetracosactide (used to treat Crohn's disease);
  • gold salts, especially those given intravenously (used to treat symptoms of rheumatoid arthritis);
  • halofantrine (used to treat certain types of malaria);
  • baclofen (used to treat muscle stiffness in diseases such as multiple sclerosis);
  • medicines used to treat diabetes, such as insulin or metformin;
  • calcium, including calcium supplements;
  • laxatives with a stimulating effect (e.g., senna);
  • medicines used to treat cancer;
  • vincamine (used to treat symptomatic cognitive disorders in elderly patients, including memory loss);
  • medicines used to treat mental disorders, such as depression, anxiety, schizophrenia (e.g., tricyclic antidepressants, antipsychotic medicines, antidepressant medicines of the imipramine type, neuroleptics (e.g., amisulpride, sulpiride, sultopride, tiapride, haloperidol, droperidol));
  • pentamidine (used to treat pneumonia);
  • ritonavir, indinavir, nelfinavir (so-called protease inhibitors used to treat HIV infections);
  • Hypericum perforatum(St. John's Wort);
  • trimethoprim (used to treat infections);
  • medicines used to treat low blood pressure, shock, or asthma (e.g., ephedrine, noradrenaline, or adrenaline);
  • nitroglycerin and other nitrates or other vasodilators, as they may further lower blood pressure.

Triplixam with food and drink

While taking Triplixam, the patient should not consume grapefruits or grapefruit juice, as this may increase the level of the active substance amlodipine, leading to an unexpected increase in the blood pressure-lowering effect of Triplixam.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a baby, they should consult a doctor or pharmacist before taking this medicine.

Pregnancy

The patient should tell their doctor about pregnancy, suspected pregnancy, or plans to become pregnant. The doctor will usually recommend stopping Triplixam before planned pregnancy or as soon as pregnancy is confirmed and prescribe a different medicine instead. Triplixam should not be taken during early pregnancy and should not be taken after the third month of pregnancy, as it may seriously harm the fetus.

Breastfeeding

The patient should tell their doctor if they are breastfeeding or plan to breastfeed. Triplixam should not be taken during breastfeeding, especially when breastfeeding a newborn or premature baby. The doctor may recommend a different medicine.

Driving and using machines

Triplixam may affect the patient's ability to drive or use machines. If taking the medicine causes nausea, dizziness, fatigue, or headache, the patient should not drive or use machines and should contact their doctor immediately.

Triplixam contains sodium

Triplixam contains less than 1 mmol of sodium (23 mg) per tablet, which means the medicine is considered "sodium-free".

3. How to take Triplixam

This medicine should always be taken exactly as prescribed by the doctor or pharmacist. If the patient has any doubts, they should consult a doctor or pharmacist. The tablet should be swallowed with a glass of water, preferably in the morning, before breakfast. The doctor will determine the appropriate dose for the patient. The recommended dose is usually one tablet per day.

Taking a higher dose of Triplixam than recommended

Taking too many tablets may cause a significant drop in blood pressure, which can be dangerous, and may be accompanied by symptoms such as nausea, vomiting, cramps, dizziness, drowsiness, disorientation, and decreased urine production or absence of urine production. The patient may feel "empty" in the head, may experience fainting or weakness. If the drop in blood pressure is significant, shock may occur, in which case the skin becomes cool and moist, and the patient may lose consciousness. Even 24-48 hours after taking the medicine, shortness of breath due to excess fluid accumulation in the lungs (pulmonary edema) may occur. If the patient takes too many Triplixam tablets, they should contact their doctor or go to the emergency department of the nearest hospital immediately.

Missing a dose of Triplixam

It is essential to take the medicine every day, as regular treatment ensures more effective action. However, if a dose is missed, the next dose should be taken at the usual time. The patient should not take a double dose to make up for the missed dose.

Stopping treatment with Triplixam

Treatment for high blood pressure is usually long-term, so the patient should consult their doctor before stopping the medicine. If the patient has any further doubts about taking this medicine, they should consult a doctor or pharmacist.

4. Possible side effects

Like all medicines, Triplixam can cause side effects, although not everyone gets them.

If the patient experiences any of the following severe side effects, they should stop taking the medicine and contact their doctor immediately:

  • sudden onset of wheezing, chest pain, shortness of breath, or difficulty breathing (uncommon - may occur in less than 1 in 100 patients);
  • swelling of the eyelids, face, or lips (uncommon - may occur in less than 1 in 100 patients);
  • swelling of the mucous membrane of the mouth, tongue, or throat, causing significant difficulty breathing (uncommon - may occur in less than 1 in 100 patients);
  • severe skin reactions, including severe rash, hives, redness of the skin all over the body, severe itching, blistering, peeling, and swelling of the skin, and inflammation of the mucous membranes (Stevens-Johnson syndrome, toxic epidermal necrolysis) or other allergic reactions (very rare - may occur in less than 1 in 10,000 patients);
  • severe dizziness or fainting (common - may occur in less than 1 in 10 patients);
  • heart attack (very rare - may occur in less than 1 in 10,000 patients), life-threatening heart rhythm disorders (frequency not known);
  • pancreatitis, which can cause severe abdominal pain, radiating to the back, and very poor general condition (very rare - may occur in less than 1 in 10,000 patients);
  • muscle weakness, cramps, tenderness, or pain, especially if the patient feels unwell or has a high fever, which may be caused by abnormal muscle breakdown (frequency not known).

Side effects, grouped by frequency of occurrence:

  • very common (occurring in at least 1 in 10 patients): edema (fluid retention).
  • common (occurring in less than 1 in 10 patients): low potassium levels in the blood, headache, dizziness of central origin, palpitations (feeling of heartbeat), sudden reddening of the face and neck, dizziness of labyrinthine origin, feeling of tingling or numbness, vision disturbances, double vision, tinnitus (feeling of hearing sounds), feeling of "emptiness" in the head due to low blood pressure, cough, shortness of breath, gastrointestinal disorders (nausea, vomiting, abdominal pain, taste disturbances, indigestion or digestive disorders, diarrhea, constipation, changes in bowel movements), allergic reactions (such as rash, itching), muscle cramps, feeling of fatigue, weakness, drowsiness, swelling of the ankles.
  • uncommon (occurring in less than 1 in 100 patients): mood changes, anxiety, depression, sleep disturbances, tremors, hives, fainting, numbness, irregular and/or rapid heart rate, inflammation of the nasal mucosa (swelling or discharge from the nose), hair loss, purpura (red spots on the skin), skin discoloration, itching, sweating, chest pain, muscle or joint pain, back pain, pain, poor general condition, kidney disorders, urinary disorders, need to urinate at night, increased frequency of urination, impotence (inability to achieve or maintain an erection), fever or elevated body temperature, discomfort or enlargement of the breasts in men, weight gain or loss, increased white blood cell count, high potassium levels in the blood, hypoglycemia (very low blood sugar levels), low sodium levels in the blood, which can cause dehydration and low blood pressure, vasculitis (inflammation of blood vessels), photosensitivity reaction (changes in skin appearance) after exposure to sunlight or artificial UVA radiation, blistering skin, swelling of the hands or feet, increased levels of creatinine and urea in the blood, falls, dryness of the mucous membrane of the mouth.
  • rare (occurring in less than 1 in 1,000 patients):
  • disorientation, abnormal laboratory test results: low chloride levels in the blood, low magnesium levels in the blood, increased liver enzyme activity, high bilirubin levels in the blood; exacerbation of lupus erythematosus (a type of collagenosis). Short-sightedness, blurred vision, worsening vision, or eye pain due to high pressure (possible symptoms of fluid accumulation in the vascular layer of the eye (choroidal effusion) or acute glaucoma). Tremors, stiffness, mask-like face, slow movements, and shuffling gait. Cyanosis, numbness, and pain in the fingers of the hands or feet (Raynaud's phenomenon).
  • very rare (occurring in less than 1 in 10,000 patients): decreased white blood cell count, decreased platelet count (which can cause easy bruising and bleeding from the nose), anemia (decreased red blood cell count), angina pectoris (chest pain, jaw pain, and back pain caused by exertion and related to heart disease), eosinophilic pneumonia (a rare type of pneumonia), gingival hyperplasia (gum overgrowth), severe skin reactions, including severe rash, redness of the skin all over the body, severe itching, blistering, peeling, and swelling of the skin, and inflammation of the mucous membranes, erythema multiforme (rash, often starting with the appearance of red, itching spots on the face, arms, or legs), bleeding, sensitive, or swollen gums, liver dysfunction, hepatitis, severe kidney dysfunction, jaundice (yellowing of the skin), abdominal distension (gastritis), nerve disorders, which can cause weakness, tingling, or numbness, increased muscle tone, hyperglycemia (very high blood sugar levels), high calcium levels in the blood, stroke, possibly secondary to significant lowering of blood pressure.
  • frequency not known (cannot be estimated from available data): hepatic encephalopathy (a brain disease caused by liver disease); abnormal electrocardiogram (ECG) readings; in patients with systemic lupus erythematosus (a type of collagenosis), symptoms may worsen. Myopia, blurred vision, worsening vision, or eye pain due to high pressure (possible symptoms of fluid accumulation in the vascular layer of the eye (choroidal effusion) or acute glaucoma). Tremors, stiffness, mask-like face, slow movements, and shuffling gait. Cyanosis, numbness, and pain in the fingers of the hands or feet (Raynaud's phenomenon).

Changes in laboratory test results (blood tests) may occur. The doctor may recommend blood tests to monitor the patient's health. If any of these symptoms occur, the patient should contact their doctor as soon as possible.

Reporting side effects

If the patient experiences any side effects, including any side effects not listed in the leaflet, they should tell their doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety Monitoring of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl. Side effects can also be reported to the marketing authorization holder. By reporting side effects, more information can be collected on the safety of the medicine.

5. How to store Triplixam

The medicine should be stored out of sight and reach of children. The medicine should not be taken after the expiry date stated on the packaging after the words "EXP" (abbreviation used to describe the expiry date). The expiry date refers to the last day of the month stated. The "Lot" number on the packaging is the batch number of the medicine. There are no special storage instructions for the medicinal product. The shelf life after opening the container with 30 film-coated tablets is 30 days. Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What Triplixam contains

  • The active substances of Triplixam are: perindopril arginine, indapamide, and amlodipine. One film-coated tablet of Triplixam, 5 mg + 1.25 mg + 5 mg, contains 3.395 mg of perindopril (which corresponds to 5 mg of perindopril arginine), 1.25 mg of indapamide, and 6.935 mg of amlodipine besylate (which corresponds to 5 mg of amlodipine). One film-coated tablet of Triplixam, 5 mg + 1.25 mg + 10 mg, contains 3.395 mg of perindopril (which corresponds to 5 mg of perindopril arginine), 1.25 mg of indapamide, and 13.870 mg of amlodipine besylate (which corresponds to 10 mg of amlodipine).

One film-coated tablet of Triplixam, 10 mg + 2.5 mg + 5 mg, contains 6.790 mg of perindopril (which corresponds to 10 mg of perindopril arginine), 2.5 mg of indapamide, and 6.935 mg of amlodipine besylate (which corresponds to 5 mg of amlodipine). One film-coated tablet of Triplixam, 10 mg + 2.5 mg + 10 mg, contains 6.790 mg of perindopril (which corresponds to 10 mg of perindopril arginine), 2.5 mg of indapamide, and 13.870 mg of amlodipine besylate (which corresponds to 10 mg of amlodipine).

  • Other ingredients of the tablet are:
  • tablet core: calcium carbonate with cornstarch composition: calcium carbonate (90%), cornstarch (10%), microcrystalline cellulose, sodium croscarmellose, magnesium stearate, silicon dioxide, cornstarch.
  • tablet coating: glycerol, hypromellose 6 mPas, macrogol 6000, magnesium stearate, titanium dioxide (E 171).

What Triplixam looks like and contents of the packaging

Triplixam, 5 mg + 1.25 mg + 5 mg: white, oblong, film-coated tablet, 9.75 mm long and 5.16 mm wide, with a marking

Triplixam tablet with marking '2' on a white background

on the other side. Triplixam, 5 mg + 1.25 mg + 10 mg: white, oblong, film-coated tablet, 10.7 mm long and 5.66 mm wide, with a marking on one side and a marking on the other side. Triplixam, 10 mg + 2.5 mg + 5 mg: white, oblong, film-coated tablet, 11.5 mm long and 6.09 mm wide, with a marking on one side and a marking

Triplixam tablet with marking '3' on a white background

on the other side. Triplixam, 10 mg + 2.5 mg + 10 mg: white, oblong, film-coated tablet, 12.2 mm long and 6.46 mm wide, with a marking on one side and a marking

Triplixam tablet with marking '4' on a white backgroundTriplixam tablet with marking '5' on a white background

on the other side. The tablets are available in cardboard boxes containing 30, 60 (2 containers of 30 tablets each), or 90 (3 containers of 30 tablets each) film-coated tablets. The cap of the container with tablets contains a desiccant. Not all pack sizes may be marketed.

Marketing authorization holder

Servier Laboratories 50, rue Carnot 92284 Suresnes cedex France

Manufacturer

Servier Industrie 905 route de Saran 45520 Gidy France Servier (Ireland) Industries Ltd Gorey Road - Arklow – Co. Wicklow Ireland Anpharm Pharmaceutical Company S.A. ul. Annopol 6B 03-236 Warsaw EGIS Pharmaceuticals Private Limited Company Mátyás király u.65 H-9900 Körmend Hungary

To obtain detailed information, the patient should contact the representative of the marketing authorization holder: Servier Polska Sp. z o.o. Phone: (22) 594 90 00

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

Belgium TRIPLIXAM, film-coated tablet Bulgaria TRIPLIXAM, филмирани таблетки Croatia TRIPLIXAM, filmom obložene tablete Cyprus TRIPLIXAM, επικαλυμμένα με λεπτό υμένιο δισκία Czech Republic TRIPLIXAM Estonia TRIPLIXAM Finland TRIPLIXAM, kalvopäällysteinen tabletti France TRIPLIXAM, comprimé pelliculé Greece TRIPLIXAM, επικαλυμμένα με λεπτό υμένιο δισκία Ireland COVERDINE film-coated tablets Italy TRIPLIAM, compresse rivestite con film Latvia TRIPLIXAM Lithuania TRIPLIXAM Luxembourg TRIPLIXAM, comprimé pelliculé Malta TRIPLIXAM film-coated tablets Netherlands TRIPLIXAM, filmomhulde tabletten Poland TRIPLIXAM Portugal TRIPLIXAM Romania TRIPLIXAM comprimate filmate Slovakia TRIPLIXAM, filmom obalené tablety Slovenia TRIPLIXAM filmsko obložene tablete

Date of last revision of the leaflet: 07/2022

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Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Doctor

Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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5.0(4)
Doctor

Salome Akhvlediani

Pediatrics11 years of experience

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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