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Ireland· IE-PA-PA0865/022/002

Twilev 5 mg/5 mg film-coated tablets

A ace inhibitors, other combinations product containing ramipril + nebivolol hydrochloride, registered in Ireland by Menarini International Operations Luxembourg S.A.. The same ATC class is registered in 4 of our 19 countries.

ATC C09BX

Checked against HPRA (Ireland) on

Informational only — not a medical device.

SOURCE REGISTER · IEHPRA (Ireland)normalisedTwilev 5 mg/5 mg film-coated tabletsATCC09BXREGISTER NO.IE-PA-PA0865/022/002PACKS LISTED1CHECKEDSeptember 28, 2026

Where it is registered

Ramipril + nebivolol hydrochloride is registered in 4 of 19 countries.

Countries holding a registration under ATC C09BX (ace inhibitors, other combinations), each read from that country’s own register.

  • This record: Ireland, from HPRA (Ireland)
  • 3 of them publish a price we can compare per daily dose

Ramipril + nebivolol hydrochloride · ATC C09BX

4 / 19 countries

  • Belgiumprice
  • Czechiaprice
  • Ireland
  • Polandprice
Blue: a registration under this ATC code. The ringed marker is this record’s country. Markets marked price publish a price we can compare per daily dose.

The record

At a glance

HPRA (Ireland)
Active substance
Ramipril + Nebivolol hydrochloride
Manufacturer
Menarini International Operations Luxembourg S.A.
Country
Ireland (IE)
ATC code
C09BX
ATC class
ACE inhibitors, other combinations
Reimbursed
Not published by this register
Source register
HPRA (Ireland)
Last checked
September 28, 2026

Packs & prices · 1

  • ie_pa_number
    PA0865/022/002

Regulatory notes

No shortage, Orange Book or US label notes for this record.

Same medicine, other countries

Ramipril + nebivolol hydrochloride in 3 other countries

What each register calls a product with the same active substance — salts and hydrates count as the same.

All ramipril + nebivolol hydrochloride products

Authorised across Europe · EMA

The same active substance is authorised in 16 EEA countries. Names it is sold under:

  • Austria · Twilev
  • Bulgaria · Полпрен, Туилев
  • Czechia · Nebotruv
  • Estonia · Twilev
  • Spain · Twilev
  • France · Nebopek
  • Greece · Twilev
  • Croatia · Twilev
  • Italy · Ezerdence
  • Lithuania · Twilev
  • Latvia · Twilev
  • Poland · Polpril Nebi, Twilev
  • Portugal · Twilev
  • Romania · Twilev
  • Slovenia · Ezerdence
  • Slovakia · Twilev

Source: European Medicines Agency, Article 57 product data.

Sourced from a public register and reproduced with attribution. Drug Database is not affiliated with, endorsed by, or a partner of HPRA (Ireland). This is an informational data service and not a medical device — verify against the official source of record before any clinical decision.

For developers

The same record over the API, and the raw payload
GET /v1/drugs/f686725e-aeee-4223-9ed1-72a142f1d941
GET /v1/drugs/f686725e-aeee-4223-9ed1-72a142f1d941?format=fhir

Every response carries last_synced_at, so freshness is a field rather than a promise. Below is exactly what the ingestion wrote, before any presentation — the same JSON the API returns under payload.

{
  "form": "Film-coated tablet",
  "routes": [
    "Oral use"
  ],
  "source": "hpra",
  "atc_all": [
    "C09BX"
  ],
  "strength": null,
  "pa_number": "PA0865/022/002",
  "substances": [
    "Ramipril",
    "Nebivolol hydrochloride"
  ],
  "legal_basis": "Fixed combination application (Article 10b of Directive No 2001/83/EC)",
  "market_info": "Not marketed",
  "authorised_at": "09/04/2026",
  "dispensing_status": "Product subject to prescription which may be renewed (B)",
  "registration_status": "AU",
  "supply_legal_status": "Supply through pharmacies only",
  "interchangeable_code": null
}

See everything about ramipril + nebivolol hydrochloride.

This page is the registration. A free account adds the label text as the regulator wrote it, what it costs per daily dose across the markets that publish a price, a feed of what changes in the registers, and an assistant that answers with its sources. Interaction severity is free; mechanism and management are on the Growth plan. No card, nothing to install.