Your doctor may need to adjust your dose of Enalapril or monitor your blood level of potassium. You should monitor your blood for low blood glucose levels, especially during the first month of treatment. The level of potassium in your blood can also be higher.

You should be aware that black patients are at increased risk of these types of reactions to ACE inhibitors. Enalapril is not recommended in early pregnancy, and must not be taken if you are more than 3 months pregnant, as it may cause serious harm to your baby if used at that stage see Pregnancy section.

Your doctor may check your kidney function, blood pressure, and the amount of electrolytes e. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Enalapril.

If you are about to have a procedure If you are about to have any of the following, tell your doctor that you are taking Enalapril: If any of the above apply to you, talk to your doctor or dentist before the procedure Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

In particular tell your doctor or pharmacist if you are taking any of the following medicines: Enalapril with food, drink and alcohol Enalapril can be taken with or without food. Most people take Enalapril with a drink of water. Pregnancy, breast-feeding and fertility You must tell your doctor if you think you are or might become pregnant. Other medicines and Enalapril Tablets Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

This includes herbal medicines. This is because Enalapril Tablets can affect the way some medicines work. Also some other medicines can affect the way Enalapril Tablets work. Do not take Enalapril Tablets: In particular tell you doctor or pharmacist if you are taking any of the following medicines: If you think any of the above points apply to you, do not take the tablets. Talk to your doctor first and follow the advice given. If you are not sure if any of the above applied to you, talk to your doctor or pharmacist before taking Enalapril Tablets.

Warnings and precautions Talk to your doctor or pharmacist before taking Enalapril Tablets: These may lead to higher levels of potassium in your blood which can be serious.

You should monitor your blood for low blood glucose levels, especially during the first month of treatment. Taking Enalapril Tablets with food and drink The absorption of Enalapril Tablets is not affected by food intake. They are used to treat: They are also used to prevent heart failure and heart attacks in people who have heart problems but have no symptoms.

You must tell your doctors if you think you are or might become pregnant. This medicine if not recommended in early pregnancy, and must not be taken if you are more than 3 months pregnant, as it may cause serious harm to your baby if used at that stage see Pregnancy section. You should be aware that this medicine lowers the blood pressure in Alcohol and Enalapril Tablets can have additive effects and may cause dizziness or lightheadedness. Your doctor will have told you that you should always keep your alcohol intake to a minimum.

If you are concerned about how much alcohol you can drink while you are taking Enalapril Tablets, discuss this with your doctor. If you are on a low salt diet sometimes called a low sodium diet tell your doctor before taking these tablets.

Pregnancy and breast-feeding If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. You must tell your doctor if you think you are or might become pregnant. Your doctor will normally advise you to stop taking Enalapril before you become pregnant or as soon as you know you are pregnant and will advise you to take another medicine instead of Enalapril.

This medicine is not recommended in early pregnancy, and must not be taken when more than 3 months pregnant, as it may cause serious harm to your baby if used after the third month of pregnancy. Breast-feeding Tell your doctor if you are breast-feeding or about to start breastfeeding.

Breast-feeding newborn babies first few weeks after birth , and especially premature babies, is not recommended whilst taking this medicine. In case of an older baby your doctor should advise you on the benefits and risks of taking Enalapril whilst breast-feeding, compared with other treatments. Enalapril Tablets can cause side effects such as dizziness, light headedness, headache, tiredness, confusion and blurred vision. Rarely, patients receiving ACE inhibitors during desensitisation with hymenoptera venom e.

Bee or Wasp venom have experienced life-threatening anaphylactoid reactions. These reactions were avoided by temporarily withholding ACE-inhibitor therapy prior to each desensitisation. Anaphylactoid reactions during LDL apheresis: Rarely, patients receiving ACE inhibitors during low-density lipoprotein LDL apheresis with dextran sulphate have experienced life-threatening anaphylactoid reactions.

These reactions were avoided by temporarily withholding ACE-inhibitor therapy prior to each apheresis. Anaphylactoid reactions have been reported in patients dialysed with high-flux membranes e.

AN 69 and treated concomitantly with an ACE inhibitor. In these patients, consideration should be given to using a different type of dialysis membrane or a different class of antihypertensive agent.

Hypoglycaemia Diabetic patients treated with oral antidiabetic agents or insulin starting an ACE inhibitor, should be told to closely monitor for hypoglycemia, especially during the first month of combined use. Cough has been reported with the use of ACE inhibitors.

Characteristically, the cough is non-productive, persistent and resolves after discontinuation of therapy. ACE-inhibitor-induced cough should be considered as part of the differential diagnosis of cough. In patients undergoing major surgery or during anesthesia with agents that produce hypotension, Enalapril 5 mg, tablets block angiotensin-II formation secondary to compensatory renin release. This may lead to hypotension which can be corrected by volume expansion.

Hyperkalaemia Elevations in serum potassium have been observed in some patients treated with ACE inhibitors, including Enalapril. The use of potassium supplements, potassium-sparing diuretics, or potassium-containing salt substitutes particularly in patients with impaired renal function may lead to a significant increase in serum potassium.

Hyperkalaemia can cause serious, sometimes fatal arrhythmias. If concomitant use of Enalapril and any of the above-mentioned agents is deemed appropriate, they should be used with caution and with frequent monitoring of serum potassium. Lithium The combination of lithium and Enalapril is generally not recommended see section 4.

Dual blockade of the renin-angiotensin-aldosterone system RAAS There is evidence that the concomitant use of ACE-inhibitors, angiotensin II receptor blockers or aliskiren increases the risk of hypotension, hyperkalaemia and decreased renal function including acute renal failure. If dual blockade therapy is considered absolutely necessary, this should only occur under specialist supervision and subject to frequent close monitoring of renal function, electrolytes and blood pressure.

ACE-inhibitors and angiotensin II receptor blockers should not be used concomitantly in patients with diabetic nephropathy. Enalapril Tablets contains less than mg of lactose per tablet. Limited pharmacokinetic data are available in children above 2 months of age. Also see section 4. Enalapril tablets is not recommended in children in other indications than hypertension. Pregnancy ACE inhibitors should not be initiated during pregnancy.

Unless continued ACE inhibitor therapy is considered essential, patients planning pregnancy should be changed to alternative antihypertensive treatments which have an established safety profile for use in pregnancy.

When pregnancy is diagnosed, treatment with ACE inhibitors should be stopped immediately, and, if appropriate, alternative therapy should be started see sections 4. Use of Enalapril is not recommended during breast-feeding. Ethnic differences As with other angiotensin-converting enzyme inhibitors, Enalapril is apparently less effective in lowering blood pressure in black people than in non-blacks, possibly because of a higher prevalence of low-renin states in the black hypertensive population.

Potassium sparing diuretics or potassium supplements ACE inhibitors attenuate diuretic induced potassium loss. Potassium sparing diuretics e. If concomitant use is indicated because of demonstrated hypokalaemia they should be used with caution and with frequent monitoring of serum potassium see section 4.

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Do not take Enalapril if any of the above apply to you. What you need to know before you take Enalapril Do not take Enalapril if: Preisvergleich doctor will normally advise you to stop taking Enalapril before you become pregnant or as soon as you know you are pregnant and will advise you to take another medicine instead of Enalapril. Hyperkalaemia Preisvergleich in serum potassium have been observed in some patients treated with ACE inhibitors, enalapril 20 preisvergleich, including Enalapril. Potassium sparing diuretics e. Rarely, patients receiving ACE inhibitors during enalapril with hymenoptera venom e. Antidiabetics Epidemiological studies have suggested that concomitant administration preisvergleich ACE inhibitors and antidiabetic medicines insulins, oral hypoglycaemic agents may cause an increased blood-glucose-lowering effect with risk of hypoglycaemia. The level of potassium in your blood can also be higher. If you miss a dose just carry on with the next one as normal, but make sure you tell your doctor. Some patients enalapril the elderly over 65 years of age may start on a enalapril dose of 2. On days you are not having dialysis, your dose may be changed depending on how low your blood pressure is. In the enalapril of an older baby your doctor should advice you on the benefits and risks of taking Enalapril while breast-feeding, luvox 100mg preco preisvergleich other treatments. You should be aware that black patients are at increased risk of these types of reactions. You preisvergleich tell your doctor if you think you are or might become pregnant, enalapril 20 preisvergleich. Check with your doctor or pharmacist if enalapril are not sure, enalapril 20 preisvergleich. Enalapril Tablets can cause side effects such as dizziness, light headedness, headache, tiredness, confusion and blurred vision, enalapril 20 preisvergleich. Warnings and precautions Talk to your doctor or pharmacist before taking Enalapril if:

Enalapril

ENALAPRIL 20MG TABLETS

Limited pharmacokinetic data are available in children above 2 months of age. If recognised promptly and treated appropriately, renal failure when associated with therapy with enalapril tablets is usually reversible. Blood and the lymphatic system disorders: The use of potassium supplements, potassium-sparing diuretics, or enalapril salt substitutes particularly in patients with colcrys 6mg renal function may lead to a significant increase in serum potassium. Anaphylactoid reactions during LDL apheresis: If any of the above applies preisvergleich you, talk to your doctor or dentist before the procedure. Your doctor will tell you when you should stop taking Enalapril Tablets. Also see section 4. If hypotension occurs, the patient should be placed in a supine position, enalapril 20 preisvergleich.

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