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The Medicines and Health products Regulatory Agency (MHRA) has issued a class four medicines defect information notice for Mylan’s Perindopril Erbumine 2mg, 4mg, and 8mg tablets.

Mylan have informed the MHRA that the patient information leaflet within the packs for the products listed below are missing relevant important safety information.

The manufacturers of the drug have stopped the distribution of all affected batches, therefore stock received from January 2021 from wholesalers will be compliant with the new leaflet.

Perindopril Erbumine 2mg Tablets with PL 04569/1348

Batch Number Expiry Date Pack Size First Distributed
3109619 11/2021 30 06 May 2020
3116084 04/2022 30 24 August 2020


Perindopril Erbumine 4 mg Tablets with PL 04569/1349

Batch Number Expiry Date Pack Size First Distributed
3112399 01/2022 30 28 July 2020
8104332 01/2022 30 16 August 2020


Perindopril Erbumine 8 mg Tablets with PL 04569/1350

Batch Number Expiry Date Pack Size First Distributed
8104319 01/2022 30 28 July 2020


The active pharmaceutical ingredient used in the drug is Perindopril Erbumine.

The corrected sections of the PIL include the addition of the information listed below…

Section in PIL Missing information
Section 2 Do not take Perindopril Erbumine: • if you are having dialysis or any other type of blood filtration. Depending on the machine that is used, Perindopril Erbumine may not be suitable for you.
• if you have kidney problems where the blood supply to your kidneys is reduced (renal artery stenosis).
Section 2 Warnings and precautions. Talk to your doctor or pharmacist before taking Perindopril
Erbumine if you:
• have abnormally increased levels of a hormone called aldosterone in your blood (primary aldosteronism)
Section 4 Other possible side effects: Concentrated urine (dark in colour), feel or are sick, have muscle cramps, confusion and fits which may be due to inappropriate ADH (anti-diuretic hormone) secretion. If you have these symptoms contact your doctor as soon as possible
Section 4 Reporting of side effects: or search for MHRA Yellow Card in the Google Play or Apple App Store.


It is important that any patients who have been prescribed the products are provided with information on warnings and precautions whilst taking Perindopril Erbumine.

MHRA has also suggested the patients who notice the symptoms or side effects should seek immediate medical advice.

While dispensing the tablets, community pharmacists have been advised to check the marketing authorisation holder, if any of the batches of the product above are being dispensed, and ensure that patients are aware of any missing information.

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