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Information about Vasotec

Enalapril is an angiotensin-converting enzyme (ACE) inhibitor used to treat high blood pressure, heart failure, and other heart problems. It helps relax blood vessels and lowers blood pressure. It may be used alone or in combination with other medicines.

It may also be administered for other conditions as determined by your physician.

You should not use Enalapril in the following cases: you are allergic to any ingredient in it or similar medicines (eg, captopril, lisinopril); you are pregnant; you are taking dextran sulfate or potassium-sparing diuretics (eg, amiloride).

Contact your doctor or health care provider right away if any of these apply to you.

Before using Enalapril

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

Be aware that Enalapril may interact with some medicines. Consult with your health care provider in case you are taking any other drugs, 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 (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 the effectiveness of Enalapril may be decreased 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, hunger, shakiness or weakness, dizziness, headache, sweating), may be increased by Enalapril; potassium supplements or potassium-sparing diuretics (eg, amiloride) may cause high blood potassium levels (eg, listlessness, confusion, abnormal skin sensations of the arms and legs, heaviness of the limbs, slow or irregular heartbeat, or stopping of the heart) when used with Enalapril.

It may not be a complete list of all interactions with other drugs. To prevent any complications you should check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Enalapril

Use this medicine as recommended by your physician. Enalapril should be taken with or without food. Take it with food to reduce stomach irritation.

In case you miss a dose of Enalapril, take it as soon as possible. If it is almost time for your next intake, skip the missed dose and take it according to your regular dosing schedule. Do not take double doses to catch up.

Important safety information

Be careful when driving, operating machinery, or performing other hazardous activities as Enalapril usage may lead to dizziness or lightheadedness. Try to avoid such activities. Alcohol and certain other medicines may increase the risk of unfavorable reactions while taking Enalapril.

Consult with your physician before you use a salt substitute or a product that has potassium in it.

In case vomiting or diarrhea occurs, consult with your doctor. You may need to take care to prevent dehydration.

You may feel tired or run down for a few weeks after the treatment is started if you take medicine for high blood pressure. Continue taking your medicine even if no symptoms bother you. Consult with your doctor if you suffer any symptom.

Black patients may be at greater risk of side effects. Consult with your doctor if there is no improvement of the symptoms become worse.

You may become sunburned more easily while taking this medicine. Try to avoid the sun, sunlamps, or tanning booths. It is recommended to use a sunscreen or wear protective clothing in case you are not able to avoid such exposure.

Notify your doctor or dentist that you take Enalapril before you undergo any medical or dental care, emergency care, or surgery.

LAB TESTS, including liver function, kidney function, and complete blood counts, may be performed while you use Enalapril. It is important to control your progress or to check for side effects. Follow all doctor and lab appointments strictly.

PREGNANCY and BREAST-FEEDING

You should not take Enalapril after the third month of pregnancy, as it may cause injury or death to the fetus. In case you become pregnant, consult with your doctor immediately. Enalapril passes into breast milk. In case you are or will be breast-feeding a baby while you use Enalapril, consult with your doctor and discuss any possible risks to your baby.

Possible side effects of Enalapril

You should consult with your doctor in case you have any of side effects especially bothersome listed below: diarrhea; dizziness or lightheadedness when sitting up or standing; headache; nausea; persistent, dry cough; tiredness; vomiting.

Seek emergency immediately in case you have any of these severe side effects: 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 (fever, sore throat); irregular or slow heartbeat; unusual stomach pain; yellowing of the skin or eyes.

What is the expiration date of the pills?

This information is mentioned on each blister. The expiration date is 2 years from the date of manufacture.