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Bisoprolol + perindopril + indapamide + amlodipine is a quadruple fixed-dose combination (FDC) antihypertensive therapy developed by Servier. It combines four active small-molecule ingredients with complementary mechanisms of action: bisoprolol (a selective beta-1 adrenergic receptor blocker), perindopril (an angiotensin-converting enzyme inhibitor), indapamide (a thiazide-like diuretic), and amlodipine (a dihydropyridine calcium channel blocker). This single-pill combination (SPC) is indicated for the treatment of essential hypertension, particularly in patients whose blood pressure remains uncontrolled on triple therapy. By consolidating four agents into a single daily pill, the therapy aims to simplify complex treatment regimens, reduce pill burden, and improve patient adherence. The combination has been evaluated in clinical trials, including the Phase 3 QUADRO study, which demonstrated its efficacy and safety in achieving blood pressure targets compared to free combinations of the individual components.
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