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Enalapril, sold under the brand name Vasotec, is a prescription drug used to treat high blood pressure (hypertension) and congestive heart failure.
It also treats disorders of the ventricles, the lower heart chambers that pump blood out of the heart.
Enalapril blocks a chemical that tightens blood vessels, relaxing them, resulting in a decrease in blood pressure and improvement in heart function.
It’s also used to treat kidney disease related to diabetes, heart disease, and high blood pressure.
Enalapril is an ACE inhibitor (angiotensin-converting enzyme inhibitor), which prevents the constriction of blood vessels.
It also lowers the death rate in systolic heart failure, often in combination with digitalis and diuretics.
The drug was developed by Merck & Co.
Enalapril Warnings One of the side effects of enalapril is dizziness, so don’t drive if it makes you dizzy.
Enalapril can also worsen kidney problems in people who already have kidney disease.
Discuss your medical history with your doctor to determine if you are allergic to enalapril, or other ACE inhibitors.
Inactive ingredients can cause allergic reactions.
Enalapril and Pregnancy Enalapril may cause injury or death to a developing fetus, so don’t use enalapril if you are pregnant.
Tell your physician immediately if you are taking enalapril and become pregnant.
Enalapril may cause several serious problems in pregnancy, some of which may result in the death of your baby.
It’s also not recommended for use during breastfeeding.
BasicDescription Back to Top Enalapril Side Effects Less serious side effects of enalapril include: Nausea, diarrhea Dizziness, headache, drowsiness Dry mouth Coughing Loss of appetite, ability to taste Insomnia Rash, itching More serious side effects may demand immediate emergency medical attention and include: Fainting, feeling lightheaded Fever, flu symptoms, body aches Urinating more or less than usual Fast heartbeats Chest pain Rapid weight gain, swelling Angioedema, swelling of hands, face, lips, tongue (African-American patients are at higher risk) Back to Top Enalapril Interactions Drugs that can interact with enalapril include: Potassium supplements Diuretics or water pills Lithium Gold injections for arthritis Non-steroidal anti-inflammatory drugs (NSAIDs), such as naproxen (Aleve), ibuprofen (Advil, Motrin), and aspirin Avoid alcohol when taking enalapril because it can lower your blood pressure even more, causing dizziness.
Back to Top Enalapril Dosage Enalapril, under the brand name Vasotec, comes in tablet form in 2.5, 5, and 10 milligrams (mg).
For hypertension: the initial dose is usually 5 mg once a day.
The dosage range is 10 to 40 mg per day, taken in a single dose or divided into two doses.
A diuretic may be added to this as well.
For congestive heart failure: Enalapril is often taken with digitalis and diuretics, at an initial dose of 2.5 mg.
Doses increase up to a maximum of 40 mg.
For left ventricular dysfunction: the initial dose is 2.5 mg twice a day, up to a maintenance dose of 20 mg.
For pediatric hypertensive patients: the initial dose is.08 mg per kg of body weight, up to not more than 0.58 mg per kg.
Enalapril can also be taken as a liquid, with or without food.
Enalapril Overdose Call 911 or contact a poison help line at 1-800-222-1222.
Missed Dose of Enalapril Take the dose as soon as possible, but skip it if it is nearly time for your next dose.
Do not “double up” on doses.
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