ENALAPRIL

(e NAL a pril) Brand: Vasotec

What is the most significant information I must know about enalapril?

• Do not use if you are pregnant. Stop using and speak your doctor right away if you become pregnant.

• You must not use enalapril if you have ever had angioedema.

• If you have diabetes or kidney disease, you may not be able to take enalapril if you are taking medicine that contains aliskiren. Speak your doctor about all medicines you use.

• Enalapril can reason kidney problems. Call your doctor at once if you have swelling, rapid weight gain, few or no urinating, or if you feel short of breath.

• Enalapril can affect your heart or your electrolyte levels. Call your doctor if you have chest pain, pounding heartbeats or fluttering in your chest, a slow heart course or weak pulse, a tingly feeling, muscle weakness, or muscle tightness or contraction.

What is enalapril?

• Enalapril is an ACE inhibitor. ACE stands for angiotensin converting enzyme.

• Enalapril is used to treat tall blood pressure (hypertension) and congestive heart failure.

• Enalapril is also used to treat a mess of the ventricles (the lower chambers of the heart that let blood to flow out of the heart). This mess can decrease the heart's capacity to exhaust blood to the body.

• Enalapril may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking enalapril?

• You must not use enalapril if you have ever had angioedema, or if you are allergic to enalapril or to any another ACE inhibitor (benazepril, captopril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, trandolapril).

• To create certain enalapril is safety for you, speak your doctor if you have:

· kidney malady (or if you are on dialysis);

· liver disease;

· heart malady or congestive heart failure (unless you are taking enalapril for this condition);

· diabetes; or

· a history of blood clot or stroke (including "mini-stroke").

• FDA pregnancy category D. Do not use enalapril if you are pregnant. Stop using this medicine and speak your doctor right away if you become pregnant. Enalapril can reason injury or death to the unborn child if you take the medication during your second or third trimester. Use effective birth control while taking this medication.

• Enalapril can pass into breast milk and may harm a nursing child. You must not breast-feed while you are using enalapril.

How must I take enalapril?

• Follow all directions on your prescription label. Do not take this medication in larger or less amounts or for longer than recommended.

• Your doctor may occasionally change your doze to create certain you get the excellent results.

• Enalapril can be taken with or without food.

• Shake the oral suspension (liquid) well just till you measure a doze. Measure the liquid with a particular dose-measuring spoon or medication cup. If you do not have a dose-measuring device, ask your pharmacist for one.

• You may have very low blood pressure while taking this medicine. Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than normal.

• Your blood pressure will need to be checked often. Your kidney or liver function may also need to be tested.

• If you need surgery, speak the surgeon onward of time that you are using enalapril. You may need to stop using the medication for a short time.

• If you are being treated for tall blood pressure, keep using this medicine even if you feel well. Tall blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

• Store at room temperature away from moisture and heat. Hold the bottle tightly closed when not in use.

• Store the liquid medication in the refrigerator, do not freeze. Throw away any unused liquid after 30 days.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

What must I avoid while taking enalapril?

• Avoid drinking alcohol. It can further lower your blood pressure and may magnify some of the side effects of enalapril.

• Do not use salt substitutes or potassium supplements while taking enalapril, unless your doctor has told you to.

What are the possible side effects of enalapril?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; severe stomach pain; difficult breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have:

· a light-headed feeling, like you might pass out;

· few or no urinating;

· confusion, loss of appetite, vomiting, pain in your side or lower back;

· swelling, rapid weight gain;

· weakness, confusion, heighten thirst, loss of appetite, vomiting, pounding heartbeats or fluttering in your chest;

· fever, chills, body aches, flu symptoms;

· pale skin, light bruising or bleeding;

· quick or uneven heartbeats;

· tall potassium (slow heart course, weak pulse, muscle weakness, tingly feeling);

· chest pain; or

· jaundice (yellowing of the skin or eyes).

• General side effects may include:

· cough;

· dry mouth, loss of taste sensation, loss of appetite;

· dizziness, drowsiness, headache;

· sleep problems (insomnia);

· nausea, vomiting, diarrhea; or

· mild skin itching or rash.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect enalapril?

• Speak your doctor about all medicines you use, and those you start or stop using during your treatment with enalapril, especially:

· lithium;

· a diuretic or "water pill";

· gold injections to treat arthritis;

· a potassium supplement such as Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, or Polycitra; or

· aspirin or NSAIDs (non-steroidal anti-inflammatory drugs)--ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

• This list is not complete. Another drugs may interact with enalapril, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Not all possible interactions are listed in this medicine manual.

Where can I get more information?

• Your pharmacist can provide more information about enalapril.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.