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Side effects of Preterax and Codeine

I had mild strokes in 1.14 and 7.15.
Medication:
Metformin 1g
Simvastatin 40mg
Aspirin 100mg
Preterax ?
Omeprazole
Tamsulosin 0.4mg
Since taking Preterax, I have constant clearing of the throat with dry cough.
My doctor prescribed codeine! (counterproductive for stroke ??)
Can I stop or replace Preterax, since I only have slightly high blood pressure? With what? I can get it here in Spain without a prescription!

Dr. med. Frauke Gehring

Hello,

It is really incomprehensible why your doctor acted this way. Perindopril is an ACE inhibitor and if it causes coughing (which it does in 7% of cases), it will do so permanently. Taking codeine briefly is not particularly sensible, but taking it permanently is definitely not a good idea!

The solution is so simple: a sartan, for example Candesartan in combination with HCT (Candesartan comp). This works similarly to Preterax, but does not cause this irritating cough.

You won't get this without a prescription, which also makes sense because your blood pressure should be monitored. I would clearly tell your doctor that you have "read" that Perindopril could be responsible for the cough, and ask him to switch to Candesartan comp, for example.

I hope he will see reason!

Best regards, Dr. Höllering

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Experte für Internal medicine

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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