Enalapril is one of the first line medications that is used for primary hypertension or high blood pressure. I am assuming that you have used it for 3 years and it is no longer helping reduce your blood pressure. If that is the case, your physician may use several other types of medication in order to help reduce your blood pressure, or he or she may increase the dosage of the enalapril. The combination is very effective together in helping to lower the blood pressure.
However, depending on your other conditions and medical history he or she may decide on a different medication entirely. Please contact your provider and have this discussion with him or her to find out what would be best for your specific needs. Matt Curley, PharmD Q: About two weeks ago, while undergoing tests for allergies, I had an allergic reaction - swelling in my lips. I usually take enalapril and I took 20 mg doing that time.
Anyhow, since then I've been careful to avoid anything with any type of nuts since the reaction was caused by almonds. However, I noticed yesterday under my lower lip a funny feeling and I eventually looked in the mirror. I saw redness and one small spot of swelling on the skin. I was baffled as to what could have caused it. I later remember it hadn't been long since I'd taken a dose of enalapril. Could this now be causing the angioedema? I never had problems like this with the enalapril and I've been taking it at least five years.
I do feel I have "plateaued" on it. I've been taking the maximum dose for more than a year and it doesn't seem to have the same effects as before. You may also need to avoid taking enalapril with aliskiren if you have kidney disease. To make sure enalapril is safe for you, tell your doctor if you have: Do not use if you are pregnant.
Enalapril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Enalapril can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using this medicine. How should I take enalapril? Take enalapril exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose.
In clinical trials, less than 0. Hemolytic anemia , including cases of hemolysis in patients with G6PD deficiency , has been reported; a causal relationship to enalapril cannot be excluded. Most patients receiving the combination of two RAS inhibitors do not obtain any additional benefit compared to monotherapy.
In general, avoid combined use of RAS inhibitors. Hypotension - Patients On Diuretic Therapy Patients on diuretics and especially those in whom diuretic therapy was recently instituted, may occasionally experience an excessive reduction of blood pressure after initiation of therapy with enalapril.
The possibility of hypotensive effects with enalapril can be minimized by either discontinuing the diuretic or increasing the salt intake prior to initiation of treatment with enalapril.
Non-Steroidal Anti-Inflammatory Agents including Selective Cyclooxygenase-2 Inhibitors COX-2 Inhibitors In patients who are elderly, volume-depleted including those on diuretic therapy , or with compromised renal function, coadministration of NSAIDs , including selective COX-2 inhibitors, with ACE inhibitors, including enalapril, may result in deterioration of renal function, including possible acute renal failure.
These effects are usually reversible. Other Cardiovascular Agents VASOTEC has been used concomitantly with beta adrenergic-blocking agents, methyldopa, nitrates, calcium-blocking agents, hydralazine, prazosin and digoxin without evidence of clinically significant adverse interactions.
Therefore, if concomitant use of these agents is indicated because of demonstrated hypokalemia , they should be used with caution and with frequent monitoring of serum potassium. Lithium Lithium toxicity has been reported in patients receiving lithium concomitantly with drugs which cause elimination of sodium, including ACE inhibitors. A few cases of lithium toxicity have been reported in patients receiving concomitant VASOTEC and lithium and were reversible upon discontinuation of both drugs.
It is recommended that serum lithium levels be monitored frequently if enalapril is administered concomitantly with lithium. Gold Nitritoid reactions symptoms include facial flushing, nausea, vomiting and hypotension have been reported rarely in patients on therapy with injectable gold sodium aurothiomalate and concomitant ACE inhibitor therapy including VASOTEC.
This may occur at any time during treatment. In such cases VASOTEC should be promptly discontinued and appropriate therapy and monitoring should be provided until complete and sustained resolution of signs and symptoms has occurred. In instances where swelling has been confined to the face and lips the condition has generally resolved without treatment, although antihistamines have been useful in relieving symptoms.
Where there is involvement of the tongue, glottis or larynx, likely to cause airway obstruction, appropriate therapy, e. Intestinal Angioedema Intestinal angioedema has been reported in patients treated with ACE inhibitors.
These patients presented with abdominal pain with or without nausea or vomiting ; in some cases there was no prior history of facial angioedema and C-1 esterase levels were normal. Dan is te meten hoeveel uw bloeddruk is gedaald. Bij hartfalen merkt u dat u minder last heeft van benauwdheid en dikke enkels.
Door het medicijn elke dag te gebruiken heeft u minder kans op hart- en vaatziekten. Krijgt u last van kriebelhoest? Overleg met uw arts als dit niet overgaat.
De eerste paar weken kunt u duizelig worden als u gaat staan. Neem het medicijn daarom de eerste dagen 's avonds in, als u op uw bed zit. Dan kunt u gaan liggen als u duizelig wordt. Er zijn een paar belangrijke wisselwerkingen met andere middelen. Vraag uw apotheker of u enalapril veilig kunt gebruiken met uw andere medicijnen, ook medicijnen die u zonder recept heeft gekocht. Niet gebruiken als u zwanger bent. Enalapril behoort tot de ACE-remmers.
Het verlaagt de bloeddruk en verbetert de pompkracht van het hart. Artsen schrijven het voor bij hoge bloeddruk, hartfalen en na een hartinfarct.
Hoge bloeddruk is ook geen ziekte, maar geeft meer kans op hart- en vaatziekten. Als de bloeddruk isverhoogd, stroomt het bloed te krachtig door de vaten.
Dit is schadelijk voor de bloedvaten. Beschadigde bloedvaten verhogen de kans op een beroerte herseninfarct of hersenbloeding en ernstige hartziekten, zoals hartkramp en hartfalen. Werking ACE is de afkorting van een enzym dat een rol speelt bij de spanning van de spiertjes rond de bloedvaten. Door het ACE te remmen vermindert de spanning in deze spiertjes. Hierdoor worden de bloedvaten ontspannen en wijder. Het bloed kan daardoor beter doorstromen en de bloeddruk gaat omlaag. Door ACE-remmers scheiden de nieren ook meer zout natrium uit met de urine.
Dit helpt ook de bloeddruk omlaag te brengen. Door de lagere bloeddruk is er minder kans op een hart- en vaatziekte, zoals een beroerte. Behandeling Bij de behandeling van een hoge bloeddruk kunnen artsen verschillende medicijnen voorschrijven.
Als deze onvoldoende helpen of als deze niet kunnen worden gebruikt , kan de arts een ACE-remmer voorschrijven. Soms schrijft de arts direct een ACE-remmer voor, bijvoorbeeld als ook hartfalen of een nierziekte bestaat.
Effect Na 3 tot 6 weken is het volledige effect op de bloeddruk bereikt. Zelf merkt u hier niet veel van. U weet pas of het werkt bij een meting van uw bloeddruk. Toch is het belangrijk om enalapril elke dag in te nemen. Alleen dan kan dit medicijn u optimaal beschermen tegen hart- en vaatziekten. Lees meer over hoge bloeddruk Verschijnselen Bij hartfalen hartzwakte is de pompkracht van het hart verzwakt. Het bloed wordt niet meer goed rondgepompt. U bent daardoor sneller moe en u kunt last krijgen van vocht in de benen of achter de longen.
U bent dan ook sneller benauwd. A Treatment to remove cholesterol from your blood called 'LDL apheresis'. A desensitization treatment, to lower the effect of an allergy to bee or wasp stings. If any of the above apply to you, talk to your doctor or dentist before the procedure. This includes herbal medicines. In particular tell your doctor or pharmacist if you are taking any of the following medicines: Water tablets potassium sparing diuretics such as spironolactone,eplerenone, triamterene or amiloride.
Other medicines to lower blood pressure, such as beta-blockers, angiotensin-receptor-blockers, water tablets diuretics such as thiazides, furosemide, bumetanide, a medicine called aliskiren or medicines for chest pain angina such as nitroglycerine. If you are taking an angiotensin II receptor blocker ARB or aliskiren see also information under the headings "Do not take ENALAPRIL if" and "Warnings and precautions" Lithium for some types of mental illness Medicines for depression called 'Tricyclic antidepressants,'medicines for serious mental illness called 'anti psychotics'; anaesthetics or narcotics such as morphine for severe pain.
Medicines used for stiffness and inflammation associated with painful conditions, particularly those affecting your muscles, bones and joints: An mTOR inhibitor e. Medicines used to dissolve blood clots thrombolytics. Certain cough and cold medicines and weight reducing medicines which contain something called a 'sympathomimetic agent'.
Medicines for diabetes, including oral antidiabetic medicines and insulin. Take care with the amount of alcohol you drink. Pregnancy and Breast-feeding Pregnancy You must tell your doctor if you think you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby.
Breast-feeding Tell your doctor if you are breast-feeding or about to start breast-feeding. If this happens do not drive or use any tools or machines. Enalapril is not recommended in early pregnancy, and must not be taken if you are more than 3 months pregnant, as it may cause serious harm to your baby if used at that stage see Pregnancy section. Your doctor may check your kidney function, blood pressure, and the amount of electrolytes e. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Enalapril.
If you are about to have a procedure If you are about to have any of the following, tell your doctor that you are taking Enalapril: If any of the above apply to you, talk to your doctor or dentist before the procedure Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. In particular tell your doctor or pharmacist if you are taking any of the following medicines:
Raadpleeg dan uw arts. Het bloed kan daardoor beter doorstromen en de bloeddruk gaat omlaag. More-serious side effects can occur, including angioedema, enalapril mal 20mg, which has symptoms including rapid swelling of the mal, eyes, face or throat, raised 20mg, and difficulty breathing, enalapril mal 20mg. How to take Enalapril Always take this medicine exactly mal your doctor enalapril pharmacist has told you. Wilt u helpen om de kennis over medicijngebruik tijdens zwangerschap mal borstvoeding te vergroten? Enalapril is in a group of drugs called ACE inhibitors angiotensin-converting enzyme inhibitors. In clinical trials in heart failure, hyperkalemia was observed 20mg 3. Mogelijk kunt u overstappen op een ander medicijn, enalapril mal 20mg. If you enalapril further questions, please ask enalapril doctor or your pharmacist. Deze tekst is gebaseerd op de bijsluiter van het beschreven medicijn en op andere, wetenschappelijke bronnen. In hemodynamic studies in patients with essential hypertension, blood pressure reduction was accompanied by a reduction in peripheral arterial resistance with an increase in cardiac output and little acne treatment after tetracycline 20mg change in heart rate.
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