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Enalapril (Generic)

Treating high blood pressure, heart failure, and other heart problems. It may be used alone or with other medicines. It may also be used for other conditions as determined by your doctor.

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Uses

Enalapril is an angiotensin-converting enzyme (ACE) inhibitor. It works by helping to relax blood vessels. This helps to lower blood pressure.
Do NOT use Enalapril if:
· you are allergic to any ingredient in Enalapril or similar medicines (eg, captopril, lisinopril)
· you are pregnant
· you are taking dextran sulfate or a potassium-sparing diuretic (eg, amiloride)
Contact your doctor or health care provider right away if any of these apply to you.

How to take

Use Enalapril as directed by your doctor. Check the label on the medicine for exact dosing instructions.
· Take Enalapril by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
· If you miss a dose of Enalapril , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Enalapril .

Side effects

All medicines may cause side effects, but many people have no, or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Diarrhea; dizziness or lightheadedness when sitting up or standing; headache; nausea; persistent, dry cough; tiredness; vomiting.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; hoarseness; infection (eg, fever, sore throat); irregular or slow heartbeat; unusual stomach pain; yellowing of the skin or eyes.

Precaution

Some medical conditions may interact with Enalapril . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
· if you are pregnant, planning to become pregnant, or are breast-feeding
· if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
· if you have allergies to medicines, foods, or other substances
· if you have or have ever had liver or kidney problems or kidney transplantation
· if you are receiving dialysis
· if you have bone marrow suppression, low blood counts, low blood sodium, high blood potassium, the blood disease porphyria, giant hives, systemic lupus erythematosus (SLE or lupus), scleroderma, or a collagen vascular disease
· if you have narrowing or hardening of the arteries of the brain or heart, chest pain, or discomfort known as angina

Drug interactions

Some MEDICINES MAY INTERACT with Enalapril . Tell your health care provider if you are taking any other medicines, especially any of the following:
· Diuretics (eg, furosemide, hydrochlorothiazide) because excessive decreases in blood pressure may occur, which may cause dizziness, especially upon standing, or fainting
· Dextran sulfate because it may increase the risk of allergic reaction (eg, rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue) and lightheadedness upon standing
· Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, aspirin, indomethacin) because they may decrease Enalapril 's effectiveness and the risk of kidney damage may be increased
· Lithium or thiopurines (eg, azathioprine) because the risk of serious side effects may be increased by Enalapril
· Oral diabetes medicine (eg, glyburide) because side effects, including a low blood sugar level (eg, dizziness, headache, hunger, shakiness or weakness, sweating), may be increased by Enalapril
· Potassium-sparing diuretics (eg, amiloride) or potassium supplements may cause high blood potassium levels (eg, abnormal skin sensations of the arms and legs, confusion, heaviness of the limbs, listlessness, slow or irregular heartbeat, stopping of the heart) when used with Enalapril
This may not be a complete list of all interactions that may occur. Ask your health care provider if Enalapril may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

Missed dose

If you miss a dose, take as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

Storage

Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom. Keep away from children and pets.