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enalapril causing menstrual irregularities as side effect
(e NAH la pril)

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What is the most important information I should know about enalapril?
• Do not take enalapril if you are pregnant or planning a pregnancy enalapril causing menstrual irregularities as side effect. Whenused during the second and third trimesters of pregnancy, enalapril can causeinjury and even death to the developing fetus enalapril causing menstrual irregularities as side effect. Notify your doctor immediatelyif you think you might be pregnant enalapril causing menstrual irregularities as side effect.
• Enalapril may increase the risk of dangerous allergic reactions enalapril causing menstrual irregularities as side effect. Beforetaking enalapril, tell your doctor if you have ever had an allergic reactionthat involved swelling of your lips, face, tongue, or throat or difficulty breathing enalapril causing menstrual irregularities as side effect. Seek emergency medical attention if you develop any of these symptoms whiletaking enalapril enalapril causing menstrual irregularities as side effect.
• Use caution when driving, operating machinery, or performing other hazardousactivities enalapril causing menstrual irregularities as side effect. Enalapril may cause dizziness or drowsiness enalapril causing menstrual irregularities as side effect. If you experience dizzinessor drowsiness, avoid these activities and notify your doctor enalapril causing menstrual irregularities as side effect. Also use cautionwhen rising from a sitting or lying position enalapril causing menstrual irregularities as side effect.
• Heavy sweating, vomiting, diarrhea, or other causes of fluid loss maylead to very low blood pressure, dizziness, and fainting during therapy withenalapril enalapril causing menstrual irregularities as side effect. Maintain proper fluid intake to prevent dehydration and related adverseeffects enalapril causing menstrual irregularities as side effect.

What is enalapril?
• Enalapril is in a class of drugs called angiotensin-converting-enzymeinhibitors (ACE inhibitors) enalapril causing menstrual irregularities as side effect.
• Enalapril is used to lower blood pressure and to prevent and treat heartfailure enalapril causing menstrual irregularities as side effect.
• Enalapril may also be used for purposes other than those listed in thismedication guide enalapril causing menstrual irregularities as side effect.

Who should not take enalapril?
• Enalapril may increase the risk of dangerous allergic reactions enalapril causing menstrual irregularities as side effect. Beforetaking enalapril, tell your doctor if you have ever had an allergic reactionthat involved swelling of your lips, face, tongue, or throat or difficulty breathing enalapril causing menstrual irregularities as side effect. Seek emergency medical attention if you develop any of these symptoms whiletaking enalapril enalapril causing menstrual irregularities as side effect.
• Before taking enalapril, tell your doctor if you
· have kidney disease;
· have liver disease;
· are on a salt-restricted diet or have high levels of potassium in yourblood;
· are taking salt substitutes, potassium supplements (e.g., K-Dur, Klor-Con),or potassium-sparing diuretics such as amiloride (Midamor), triamterene (Dyrenium,Dyazide, Maxzide), or spironolactone (Aldactone);
· have diabetes;
· have scleroderma or lupus; or
· have any type of heart disease or have had a stroke enalapril causing menstrual irregularities as side effect.
• You may not be able to take enalapril, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove enalapril causing menstrual irregularities as side effect.
• Enalapril is in the FDA pregnancy category D enalapril causing menstrual irregularities as side effect. This means that enalaprilis known to harm an unborn baby enalapril causing menstrual irregularities as side effect. When used during the second and third trimestersof pregnancy, enalapril can cause injury and even death to the developing fetus enalapril causing menstrual irregularities as side effect. Do not take enalapril if you are pregnant enalapril causing menstrual irregularities as side effect.
• It is not known whether enalapril passes into breast milk enalapril causing menstrual irregularities as side effect. Do not useenalapril without first talking to your doctor if you are breast-feeding a baby enalapril causing menstrual irregularities as side effect.

How should I take enalapril?
• Take enalapril exactly as directed by your doctor enalapril causing menstrual irregularities as side effect. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you enalapril causing menstrual irregularities as side effect.
• Take each dose with a full glass of water enalapril causing menstrual irregularities as side effect.
• Do not stop taking enalapril without first talking to your doctor enalapril causing menstrual irregularities as side effect. Ifyou stop taking this medication suddenly, your condition could become worse enalapril causing menstrual irregularities as side effect.
• Store enalapril at room temperature away from moisture and heat enalapril causing menstrual irregularities as side effect.

What happens if I miss a dose?
• Take the missed dose as soon as you remember enalapril causing menstrual irregularities as side effect. However, if it is almosttime for your next dose, skip the missed dose and take only your next regularlyscheduled dose enalapril causing menstrual irregularities as side effect. Do not take a double dose of this medication enalapril causing menstrual irregularities as side effect.

What happens if I overdose?
• Seek emergency medical attention enalapril causing menstrual irregularities as side effect.
• Symptoms of an enalapril overdose include extreme dizziness, weakness,fainting, and fatigue enalapril causing menstrual irregularities as side effect.

What should I avoid while taking enalapril?
• Use caution when driving, operating machinery, or performing other hazardousactivities enalapril causing menstrual irregularities as side effect. Enalapril may cause dizziness or drowsiness enalapril causing menstrual irregularities as side effect. If you experience dizzinessor drowsiness, avoid these activities and notify your doctor enalapril causing menstrual irregularities as side effect. Also use cautionwhen rising from a sitting or lying position enalapril causing menstrual irregularities as side effect.
• Use alcohol cautiously enalapril causing menstrual irregularities as side effect. Alcohol may further lower blood pressure andincrease drowsiness and dizziness while you are taking enalapril enalapril causing menstrual irregularities as side effect.
• Do not use salt substitutes or potassium supplements while taking enalaprilexcept under the supervision of your doctor enalapril causing menstrual irregularities as side effect.
• Heavy sweating, vomiting, diarrhea, or other causes of fluid loss maylead to very low blood pressure, dizziness, and fainting during therapy withenalapril enalapril causing menstrual irregularities as side effect. Maintain proper fluid intake to prevent dehydration and related sideeffects enalapril causing menstrual irregularities as side effect.

What are the possible side effects of enalapril?
• If you experience any of the following serious side effects, stop takingenalapril and call your doctor immediately or seek emergency medical treatment:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· difficulty breathing;
· little or no urine;
· chest pain;
· severe dizziness or fainting; or
· signs of an infection including a sore throat or a fever enalapril causing menstrual irregularities as side effect.
• Other, less serious side effects may be more likely to occur enalapril causing menstrual irregularities as side effect. Continueto take enalapril and talk to your doctor if you experience
· mild dizziness or lightheadedness;
· headache;
· dry, tickling cough;
· numbness or tingling in the hands, feet, arms, or legs;
· nausea or diarrhea;
· weakness or fatigue; or
· a rash enalapril causing menstrual irregularities as side effect.
• Side effects other than those listed here may also occur enalapril causing menstrual irregularities as side effect. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome enalapril causing menstrual irregularities as side effect.

What other drugs will affect enalapril?
• Before taking enalapril, tell your doctor if you are taking any of thefollowing drugs:
· a potassium supplement such as K-Dur, Klor-Con, and others;
· salt substitutes that contain potassium;
· any of the diuretics (water pills) triamterene (Dyrenium, Maxzide,Dyazide), spironolactone (Aldactone), or amiloride (Midamor);
· any other diuretic (water pill) such as hydrochlorothiazide (HCTZ,HydroDiuril, others), furosemide (Lasix), bumetanide (Bumex), indapamide (Lozol),and others; or
· lithium (Lithobid, Eskalith, others) enalapril causing menstrual irregularities as side effect.
• You may not be able to take enalapril, or you may require a dosage adjustmentor special monitoring during your treatment if you are taking any of the medicineslisted above enalapril causing menstrual irregularities as side effect.
• Drugs other than those listed here may also interact with enalapril oraffect your condition enalapril causing menstrual irregularities as side effect. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines enalapril causing menstrual irregularities as side effect.

Where can I get more information?
• Your pharmacist has additional information about enalapril written forhealth professionals that you may read enalapril causing menstrual irregularities as side effect.

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