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Friday, February 10, 2017

Enalapril Maleate 5mg tab

Enalapril is used in the treatment of increased blood pressure , heart failure, heart attack and diabetic kidney disease

Enalapril relaxes blood vessels which lowers blood pressure and also reduces the workload of the heart.
Adult: PO HTN Initial: 5 mg at bedtime. Maintenance: 10-20 mg once daily up to 40 mg in 2 divided doses. Heart failure Initial: 2.5 mg/day. Maintenance: 20 mg/day as single dose or in 2 divided doses, up to 40 mg/day in 2 divided doses. IV HTN 1.25 mg via slow inj or infusion over at least 5 min, repeat 6 hrly if needed. 
Administration - May be taken with or without food.
Contra indication- History of angioedema due to previous treatment w/ ACE inhibitors. Hereditary or idiopathic angioedema. Pregnancy.
Special Precautions - Patients w/ bilateral renal artery stenosis or a single kidney w/ unilateral renal artery stenosis, and w/ collagen vascular disease; aortic or mitral valve stenosis. Pre-existing renal insufficiency. Lactation.Monitoring Parameters Monitor BP, and K levels. Correct volume depletion prior to treatment.
side effects

Breathlessness, Headache, Dizziness, Fainting, Blurred vision, Increased heart rate, Orthostatic hypotension (sudden lowering of blood pressure on standing), Weakness, Allergic reaction, Nausea, Abdominal pain, Irregular heart rate, Fatigue, Angina pectoris, Diarrhoea, Depression, Cough, Altered taste, Chest pain

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