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Each tablet contains Enalapril maleate 2.5 mg
Each tablet contains Enalapril maleate 5 mg
Each tablet contains Enalapril maleate 10 mg
Enalapril No Prescription
Enalapril is prescribed for the treatment of:
All grades of essential hypertension, renovascular hypertension, as an adjunct in the treatment of CCF.
Essential and renovascular hypertension: Initially 5 mg o.d. (with diuretic 2.5 mg o.d.).
Maintenance dose: 10-20 mg o.d. or in divided doses.
CHF: Start with 2.5 mg o.d. and build up to 5-20 mg/day in one or two doses.
Enalapril is contraindicated if you have any of the following conditions:
- Aortic stenosis;
- Hepatic cirrhosis;
- Outflow obstruction;
- Strip of 10 Tablets;
Other names used:
Enalapril Therapeutic actions: Enalapril is part of a class of drugs called ACE inhibitors .ACE stands for angiotensin-converting enzyme. Enalapril helps to block the angiotensin-converting enzyme, which is normally part of a reaction in the body that causes the blood vessels to narrow (constrict). By blocking this enzyme, enalapril causes blood vessels to relax, which can lower blood pressure.
Enalapril prescription: Enalapril is prescribed to treat a number of conditions. For adults, these enalapril indications include:
- Controlling high blood pressure (hypertension)
- Congestive heart failure treatment
- Treatment of left ventricular dysfunction.
Enalapril Contraindications and cautions: You should talk with your healthcare provider prior to taking enalapril if you have:
- Heart disease, including congestive heart failure, aortic stenosis, or hypertrophic cardiomyopathy
- Liver disease, including cirrhosis
- Kidney disease or kidney failure
- Systemic lupus erythematosus (lupus or SLE)
- A personal or family history of angioedema, which is swelling under the skin
- Any allergies, including allergies to angiotensin-converting enzyme (ACE) inhibitors, foods, dyes, or preservatives.
Also, let your healthcare provider know if you:
- Are pregnant or trying to become pregnant
- Are breastfeeding
- Are on dialysis
- Will be undergoing surgery or anesthesia.
- ACE inhibitors, including enalapril, are more likely than other drugs to cause allergic reactions. For example, there have been reports of severe allergic reactions occurring in people on enalapril during dialysis. There have also been reports of severe reactions in people getting bee or wasp venom to protect against stings. Make sure to discuss these risks with your healthcare provider. Also, seek emergency medical attention immediately if you notice things such as hives, an unexplained rash, difficulty breathing, or swelling of the face or throat.
- ACE inhibitors may cause swelling (angioedema) of the head and neck, including the tongue, lips, eyes, or throat. This occurs more frequently in African Americans. Seek emergency medical care immediately if you notice swelling in the head or neck area, or if you experience wheezing or difficulty breathing or swallowing.
- In addition to head and neck angioedema, ACE inhibitors have been known to cause swelling in the intestines. This is known as intestinal angioedema. Symptoms may include (but are not limited to) stomach pain with or without vomiting. Seek medical attention immediately if you develop any of these symptoms.
- Enalapril may cause extreme low blood pressure in some people. Extreme low blood pressure is more likely to occur in people who are taking a diuretic, who are on dialysis, who have diarrhea or vomiting, or who sweat a lot. This is why it is important to drink fluids regularly while taking enalapril. If you have any possible symptoms of low blood pressure -- such as dizziness, lightheadedness, or fainting -- contact your healthcare provider and stop taking the medicine. Also, make sure not to drive, operate any heavy machinery, or perform any other tasks that require alertness before you know how enalapril affects you.
- People on enalapril can be at increased risk of infections. Talk to your healthcare provider if you develop any infections, such as a sore throat or fever.
- Enalapril is a Pregnancy Category C drug for the first trimester and a Pregnancy Category D medicine for the second and third trimester, meaning that enalapril has clear health risks to your unborn child. Let your healthcare provider know if you are pregnant or thinking of becoming pregnant. If you become pregnant while taking enalapril, contact your healthcare provider immediately
- ACE inhibitors, including enalapril, are known to cause a cough. If a cough becomes bothersome, talk to your healthcare provider about alternate options for your condition..
- While taking enalapril, do not use potassium supplements or salt substitutes with potassium unless you have discussed this with your doctor. In some people taking enalapril, potassium in the blood can increase to dangerous levels.
- ACE inhibitors, including enalapril, have been known to cause a decrease in kidney function, especially in certain groups, such as those people with severe congestive heart failure. Let your healthcare provider know if you have symptoms such as a decrease in urine output, drowsiness, headache, or back pain. Your healthcare provider will also regularly check your kidney function with a blood test.
- If you have kidney disease or kidney failure, your body may metabolize the enalapril differently than intended. Therefore, your healthcare provider will monitor your situation more closely.
- In clinical studies, ACE inhibitors, including enalapril, have rarely been known to cause liver failure. Contact your healthcare provider immediately if you experience things such as nausea, tiredness, lethargy, itchy or yellowing skin, abdominal pain, or flu-like symptoms.
- It is not known whether or not enalapril passes through the milk of nursing mothers. Therefore, if you are nursing, talk with your healthcare provider about whether you should stop enalapril or stop breastfeeding.
Enalapril Adverse effects: Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.
Enalapril may cause side effects.
Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
- swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
- difficulty breathing or swallowing
- yellowing of the skin or eyes
- fever, sore throat, chills, and other signs of infection
The side effects listed above may not include all of the side effects reported by the drug's manufacturer. For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.
Enalapril Interactions: It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to ensure that the combination is safe.
Especially pay attention to the following drugs:
- Diuretics, such as torsemide (Demadex®), furosemide (Lasix®), hydrochlorothiazide, and others
- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Motrin®, Advil®), naproxen (Naprosyn®), naproxen sodium (Aleve®, Anaprox®, Naprelan®), diclofenac (Cataflam®, Voltaren®), indomethacin (Indocin®), nabumetone (Relafen®), oxaprozin (Daypro®), celecoxib (Celebrex®), meloxicam (Mobic®), etodolac (Lodine®), ketoprofen, ketorolac (Toradol®), and others
- Potassium supplements
- Potassium-sparing diuretic medicine, such as spironolactone (Aldactone®), triamterene (Dyrenium®), or amiloride (Midamor®)
- Lithium (Eskalith®, Lithane®, Lithonate®, Lithotabs®).
Enalapril Additional Information: DO NOT SHARE THIS MEDICINE with others. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS PRODUCT, as well as syringes and needles, if needed during treatment, out of the reach of children. Do not reuse needles, syringes, or other materials.