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Introduction About ENAL 2.5MG TABLET
ENAL 2.5MG TABLET contains Enalapril, which belongs to the group of medicines called Angiotensin Converting Enzyme (ACE) Inhibitors. It is used to manage hypertension (high blood pressure) and heart failure. It also manages the onset of signs of symptoms of heart failure (such as difficulty breathing, swollen ankles and feet, or extreme tiredness even after a mild physical activity).
Before taking ENAL 2.5MG TABLET, inform your doctor if you have any liver, kidney, or heart problems (other than hypertension and heart failure). You must also inform your doctor if you are on a low-salt diet, have diabetes, or are severely dehydrated due to any recent sickness (such as vomiting or diarrhea).
ENAL 2.5MG TABLET is not recommended for use in patients with severe hypotension (low blood pressure) and in women who are pregnant or breastfeeding due to increased risk of side effects. Stop taking ENAL 2.5MG TABLET and inform your doctor immediately if you become pregnant while undergoing therapy with ENAL 2.5MG TABLET.
ENAL 2.5MG TABLET may cause dizziness while standing up suddenly or while changing positions, especially during the initial days of the therapy. Therefore, do not drive or operate any heavy tools or machines as a precaution. Also, avoid consumption of alcohol, as it could aggravate your dizziness.
ENAL 2.5MG TABLET may reduce your blood sugar levels and electrolyte levels. Therefore, your doctor will constantly monitor your blood sugar levels and electrolyte levels during the therapy to avoid the risk of unwanted side effects.
Other most common side effects of taking ENAL 2.5MG TABLET are dizziness, headache, tiredness, and weakness. Consult your doctor if any of these side effects worsen.
Uses Of ENAL 2.5MG TABLET
- Manage hypertension (high blood pressure)
- Manage heart failure
How ENAL 2.5MG TABLET Works
ENAL 2.5MG TABLET effectively reduces blood pressure and signs of heart failure. It works by blocking the actions of an enzyme called angiotensin-converting enzyme that causes narrowing of blood vessels and an increase in blood pressure. As a result, it relaxes the blood vessels and allows blood to flow more smoothly across the blood vessels with less pressure.
It also improves blood flow and oxygen supply to the heart muscles, which reduces strain on the heart, improves heart functions, and manages the risks of heart failure.
How to use ENAL 2.5MG TABLET
Take ENAL 2.5MG TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. ENAL 2.5MG TABLET can be taken with or without food.
Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight, and disease condition. Do not stop taking ENAL 2.5MG TABLET unless your doctor advises you to stop.
Side Effects Of ENAL 2.5MG TABLET
Common
- dizziness, headache
- low blood pressure causing light-headedness
- weakness, fainting, tiredness
- nausea, diarrhea, stomach pain
- cough
- changes in taste
- blurred vision
- depression
- heart rhythm changes
- increased potassium levels in blood
Uncommon
- low blood sugar levels (causing sugar craving, anxiety, and shaking)
- low sodium levels in the blood causing tiredness with confusion
- high blood urea levels
- feeling nervous
- tingling or pricking sensation in the body
- vertigo (spinning sensation)
- sore throat or hoarseness in voice
- constipation, indigestion
- dry mouth, ulcers in the stomach
- excessive sweating, skin redness with itching, flushing
- hair loss
- difficulty in getting erection
- muscle cramps
- tinnitus (ringing in the ears)
Rare
- abnormal dreams, sleep problems
- enlargement of breasts in men
- swelling of glands in neck, underarms, or groin
Stop taking ENAL 2.5MG TABLET and contact your doctor immediately if you experience any of the following side effects:
- signs of allergic reactions (such as skin rash, swelling of the face, lips, mouth, or throat, which can lead to difficulty breathing or swallowing)
- severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling, and inflammation of the mucous membrane with severe joint pain and fever)
- sever stomach pain due to obstruction of the gut or inflammation of pancreas
- dizziness, fainting or lightheadedness, excessive sweating following an exercise or after regular activities (signs of low RBC count in blood)
- chest pain, shortness of breath (signs of fluid buildup in the lungs)
- signs of liver problems (such as fever, muscle pain, rashes, itching, stomach pain, diarrhea, discoloration of eyes, skin, and urine)
- increased bleeding or bruising
How To Manage Side Effects
Constipation
Eat plenty of fiber-rich foods such as fresh fruits, vegetables, and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.
Dizziness Or Drowsiness
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.
Headache
Rest and relax. Keep yourself hydrated by drinking plenty of fluids, such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.
Nausea And Vomiting
Take ENAL 2.5MG TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.
Warning & Precautions
Pregnancy
ContraindicatedENAL 2.5MG TABLET is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking ENAL 2.5MG TABLET if you are pregnant, think you may be pregnant, or are planning to have a baby. If you accidentally become pregnant while undergoing therapy with ENAL 2.5MG TABLET, inform your doctor immediately.
Breastfeeding
ContraindicatedENAL 2.5MG TABLET is not recommended for use in breast-feeding women. Therefore, consult your doctor before taking it.
Driving and Using Machines
ContraindicatedENAL 2.5MG TABLET may make you feel tired or dizzy. Therefore, do not drive or handle any heavy tools or machines as a precaution.
Alcohol
ContraindicatedAvoid consumption of alcohol while taking ENAL 2.5MG TABLET, as it may severely decrease your blood pressure and make you feel dizzy or faint.
Kidney
Consult your doctorENAL 2.5MG TABLET is not recommended for use in patients with severe kidney impairment (including dialysis). It should be used with caution in patients with other kidney problems (including kidney transplantation). Therefore, consult your doctor before taking it.
Liver
Use with CautionENAL 2.5MG TABLET should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.
Allergy
ContraindicatedDo not take ENAL 2.5MG TABLET if you are allergic to Enalapril or to any other ACE inhibitors (such as captopril, lisinopril, or ramipril).
Heart Disease
Use with CautionENAL 2.5MG TABLET should be used with caution in patients with other heart problems apart from hypertension and heart failure (such as irregular heartbeat). Therefore, consult your doctor before taking it.
Use In Pediatrics
ContraindicatedENAL 2.5MG TABLET is not recommended for use in children and adolescents (aged below 18 years) unless prescribed by a physician. Therefore, consult your doctor before consumption.
Use In Geriatrics
Use with CautionENAL 2.5MG TABLET should be used with caution in elderly patients. Therefore, consult your doctor before taking it.
Others
ENAL 2.5MG TABLET is not recommended for use if you:
- have diabetes with impaired kidney functions
Before taking ENAL 2.5MG TABLET, inform your doctor if you:
- have hypotension (low blood pressure)
- have problems in the blood vessels supplying the brain
- are on a salt-restricted diet
- are severely dehydrated due to any recent sickness such as vomiting or diarrhea
- have low WBC, RBC, and platelet count in the blood
- have diabetes
- have any autoimmune disease that affects the skin or collagen (Ex. lupus erythematosus, rheumatoid arthritis, or scleroderma)
- are scheduled for any upcoming surgery
- are scheduled for LDL apheresis (a procedure to remove cholesterol from the blood)
- have any desensitization management (used to reduce the effect of an allergy to bee or wasp stings)
Interactions
A. Drug-Drug interactions:
Before taking ENAL 2.5MG TABLET, inform your doctor if you are taking any of the following medicines, such as:
- racecadotril (a medicine used to manage diarrhea)
- medicines that supplement potassium to the body (Ex. spironolactone, triamterene, or amiloride)
- trimethoprim containing antibiotics (used for infections)
- medicines used to manage organ transplant rejection (Ex. ciclosporin, temsirolimus, sirolimus, and everolimus)
- heparin (used to manage blood clots)
- medicines used for heart conditions such as hypertension, chest pain, irregular heartbeats, or heart failure (Ex. atenolol, propranolol, furosemide, bumetanide, nitroglycerin, valsartan, aliskiren, procainamide, sacubitril/valsartan)
- lithium (a medicine used in some types of mental illness)
- tricyclic antidepressants (used to manage depression) Ex. amitriptyline
- antipsychotics (used to manage serious mental illnesses) Ex. clozapine, risperidone
- anesthetics (used to manage pain during surgery) Ex. propofol, thiopental
- medicines used to relieve pain (Ex. morphine, aspirin, ibuprofen, celecoxib)
- thrombolytics (used to dissolve blood clots) Ex. reteplase, tenecteplase
- gold therapy (to manage rheumatic conditions)
- medicines used to suppress cough (such as dextromethorphan, guaiphenesin, and pseudoephedrine)
- anti-diabetic medicines and insulin (used to lower the blood glucose level) Ex. vildagliptin, metformin
- allopurinol (a medicine used to reduce blood uric acid levels)
- celecoxib and valdecoxib (used to relieve pain and swelling)
Overdosage:
If you or anyone else accidentally took more ENAL 2.5MG TABLET, contact your doctor immediately or visit the nearby hospital. Symptoms of overdosage might include severe dizziness or lightheadedness with fainting, a fast heartbeat, anxiety, coughing, and fast breathing.
Synopsis
| Drug | : | Enalapril |
| Pharmacological Category | : | ACE (Angiotensin Converting Enzyme) inhibitors |
| Therapeutic Indication | : | Hypertension, heart failure |
| Dosage Forms | : | Tablet |
More Information
Storage
- Keep ENAL 2.5MG TABLET out of the sight and reach of children
- Store ENAL 2.5MG TABLET at room temperature
FAQs About ENAL 2.5MG TABLET
Q: Is ENAL 2.5MG TABLET safe to use in diabetic patients?
A: ENAL 2.5MG TABLET may alter the blood sugar levels in your body. It can also hide the symptoms of low blood sugar. Therefore, it is necessary to inform your doctor if you have diabetes before taking ENAL 2.5MG TABLET as a precaution. Your doctor will closely monitor your blood sugar levels to avoid the risk of side effects. Also, inform your doctor if you experience any unusual tiredness, hunger, or thirst while undergoing therapy with ENAL 2.5MG TABLET.
Q: What precautions should be taken while taking ENAL 2.5MG TABLET?
A: Before taking ENAL 2.5MG TABLET, inform your doctor if you have any liver, kidney, or heart problems (other than hypertension and heart failure). You must also inform your doctor if you have diabetes, are severely dehydrated, or are on a low-sodium diet. Regularly visit your doctor and take all the necessary tests that your doctor recommends to you without fail. If you are pregnant or become pregnant while taking ENAL 2.5MG TABLET, stop taking the medicine and inform your doctor immediately.
Q: Can I consume alcohol while taking ENAL 2.5MG TABLET?
A: Avoid consumption of alcohol while taking ENAL 2.5MG TABLET, as it might severely decrease your blood pressure and make you feel dizzier and drowsier.
Q: What happens if I accidentally take more ENAL 2.5MG TABLET?
A: If you or anyone else accidentally took more ENAL 2.5MG TABLET, contact your doctor immediately or visit the nearby hospital. Symptoms of overdosage might include severe dizziness or lightheadedness with fainting, a fast heartbeat, anxiety, coughing, and fast breathing.
Q: Can I take ENAL 2.5MG TABLET daily?
A: Your doctor will evaluate your health condition and suggest whether you can take ENAL 2.5MG TABLET every day or not.
Q: Can I stop taking ENAL 2.5MG TABLET if my blood pressure reduces?
A: Do not stop therapy with ENAL 2.5MG TABLET without consulting your doctor, as your blood pressure may rise once again. Make sure to take ENAL 2.5MG TABLET for the stipulated duration recommended by your doctor to achieve maximum results.
Q: What are the uses of ENAL 2.5MG TABLET?
A: Do not stop therapy with ENAL 2.5MG TABLET without consulting your doctor, as your blood pressure may rise once again. Make sure to take ENAL 2.5MG TABLET for the stipulated duration recommended by your doctor to achieve maximum results.
Q: What type of medicine is ENAL 2.5MG TABLET?
A: ENAL 2.5MG TABLET is an antihypertensive medicine. It is used to manage hypertension and heart failure.
Q: How ENAL 2.5MG TABLET works?
A: ENAL 2.5MG TABLET effectively reduces blood pressure and signs of heart failure. It works by blocking the actions of an enzyme called angiotensin-converting enzyme that causes narrowing of blood vessels and an increase in blood pressure. As a result, it relaxes the blood vessels, which allows blood to flow more smoothly across the blood vessels with less pressure, reduces the strain on the heart, and improves heart functions.
Q: What are the side effects of ENAL 2.5MG TABLET?
A: The most common side effects of taking ENAL 2.5MG TABLET are dizziness, headache, tiredness, weakness, and low blood sugar levels. Consult your doctor if any of these side effects worsen.
Q: Can ENAL 2.5MG TABLET be used during pregnancy?
A: ENAL 2.5MG TABLET is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking ENAL 2.5MG TABLET if you are pregnant, think you may be pregnant, or are planning to have a baby.
Q: What is the best time to take ENAL 2.5MG TABLET?
A: ENAL 2.5MG TABLET can be taken with or without meals. Your doctor will decide the best time for you to take ENAL 2.5MG TABLET based on your age, body weight, and disease condition.
Q: What to do if I forgot to take a dose of ENAL 2.5MG TABLET?
A: If you have missed a dose of ENAL 2.5MG TABLET, take it as soon as you remember. However, if it is time for the next dose of ENAL 2.5MG TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of ENAL 2.5MG TABLET to compensate for the missed ones.
Q: Can ENAL 2.5MG TABLET cause erectile dysfunction?
A: ENAL 2.5MG TABLET may cause difficulty in getting erected in few individuals. If you experience any such symptom, contact your doctor for advice.
Q: How fast will ENAL 2.5MG TABLET work?
A: ENAL 2.5MG TABLET usually starts to act within an hour, and its effect may last up to 24 hours. However, some people may require several weeks of management until the optimum effect on their blood pressure is observed.
Q: What kind of foods should be avoided while taking ENAL 2.5MG TABLET?
A: ENAL 2.5MG TABLET has the capacity to increase blood potassium level, which can lead to an irregular heartbeat. To manage any such occurrence, it is advisable to avoid potassium-rich foods such as bananas, oranges, green leafy vegetables, and potassium-containing foods while taking ENAL 2.5MG TABLET.
References
1. KD. Tripathi. Cardiovascular drugs. Drugs affecting the renin-angiotensin system. Essentials of medical pharmacology. 7th Edition. 2019. Page 502.
2. H. Gavras. A multicenter trial of enalapril in the treatment of essential hypertension. NIH National Library of Medicine, National Center for Biotechnology Information. Pubmed.gov. 1986. [Accessed on 22nd August 2024] https://pubmed.ncbi.nlm.nih.gov/3028633/
3. Dexcel Pharma. Electronic Medicines Compendium (EMC). [Revised in October 2021]. [Accessed on 22nd August 2024] https://www.medicines.org.uk/emc/files/pil.2671.pdf
Useful Diagnostic Tests
- Complete Blood Count (CBC)/ Hemogram
- Kidney Function Test (KFT)
- C Reactive Protein (CRP)
- Basic Heart Care
- Extended Heart Care
- Advance Heart Care
- Lipid Profile Test/Cholesterol-Total, Serum
- Cardiac Risk Markers
- Jaanch Healthy Heart Advanced
- Cardiac Risk Markers - Advanced
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