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enalapril
(e NAH la pril)

Vasotec

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


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


Who should not take enalapril?
• Enalapril may increase the risk of dangerous allergic reactions enalapril. 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. Seek emergency medical attention if you develop any of these symptoms whiletaking enalapril enalapril.
• 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.
• 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.
• Enalapril is in the FDA pregnancy category D enalapril. This means that enalaprilis known to harm an unborn baby enalapril. When used during the second and third trimestersof pregnancy, enalapril can cause injury and even death to the developing fetus enalapril. Do not take enalapril if you are pregnant enalapril.
• It is not known whether enalapril passes into breast milk enalapril. Do not useenalapril without first talking to your doctor if you are breast-feeding a baby enalapril.


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


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


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


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


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.
• Other, less serious side effects may be more likely to occur enalapril. 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.
• Side effects other than those listed here may also occur enalapril. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome enalapril.


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.
• 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.
• Drugs other than those listed here may also interact with enalapril oraffect your condition enalapril. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines enalapril.


Where can I get more information?
• Your pharmacist has additional information about enalapril written forhealth professionals that you may read enalapril.


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