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Enalapril

Enalapril maleate oral solution is an angiotensin-converting enzyme inhibitor indicated for: treatment of hypertension in adults and children older th.

Checked against the official label · Updated

Oògùn àtọwọ́dọ́wọ́ Oral Àwọn ìkìlọ̀ ààbò tí ó wà ní àkọsílẹ̀

How to use Enalapril

What the official label says. If a doctor prescribed it, follow the prescription. Your pack's leaflet comes first if it is different.

Serious warning: FETAL TOXICITY When pregnancy is detected, discontinue enalapril maleate as soon as possible [see Warnings and Precautions (5.1) ]. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus [see Warnings and Precautions (5.1) ]. WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue enalapril maleate as soon as possible. …
Tani o jẹ fun

Enalapril maleate oral solution is an angiotensin-converting enzyme inhibitor indicated for: treatment of hypertension in adults and children older than one month, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. ( 1.1 ) treatment of symptomatic heart failure. ( 1.2 ) treatment of asymptomatic left ventricular dysfunction, to decrease the rate of development of overt heart failure and reduce hospitalization for heart failure. …

Bii o ṣe le mu u ati igba melo ni
  • Hypertension Adult: recommended initial dose is 5 mg once daily
  • Maximum dose is 40 mg daily
  • Pediatrics: recommended starting dose is 0.08 mg/kg (up to 5 mg) once daily
  • Heart Failure: Initiate at 2.5 mg twice daily
  • Titrate up to 20 mg twice daily as tolerated
  • Asymptomatic Left Ventricular Dysfunction: Initiate at 2.5 mg twice daily
  • Titrate up to 10 mg twice daily
  • Enalapril maleate oral solution is a ready-to-use solution intended for oral use only
  • Hypertension
  • Adults : The recommended initial dose
  • In adults is 5 mg taken orally once a day
  • Titrate upward to maximum of 40 mg daily as needed to help achieve blood pressure goals
  • The dose may be divided and administered twice daily if the antihypertensive effect diminishes at the end of the dosing interval
  • Use with diuretics: If additional blood pressure reduction is needed, enalapril maleate oral solution may be administered with a low dose of diuretic
Strengths it comes in

Enalapril maleate oral solution is a ready-to-use oral solution that contains 1 mg/mL of enalapril maleate. It is a clear, colorless raspberry flavored solution packaged in a 150 mL white, round, high-density polyethylene bottle with a white, polypropylene, child-resistant cap and tamper-evident seal. Each bottle contains 150 mL. …

Children
  • Neonates with a history of in utero exposure to enalapril maleate If oliguria or hypotension occurs, direct attention toward support of blood pressure and renal perfusion
  • Exchange transfusions or dialysis may be required as a means of reversing hypotension and/or substituting for disordered renal function
  • Enalapril, which crosses the placenta, has been removed from neonatal circulation by peritoneal dialysis with some clinical benefit, and theoretically may be removed by exchange transfusion, although there is no experience with the latter procedure. …
Older adults

This drug is known to be substantially excreted by the kidney, and the risk of adverse reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.

While you are taking it
  • Pregnancy Tell female patients of childbearing age about the consequences of exposure to enalapril maleate during pregnancy
  • Discuss treatment options with women planning to become pregnant
  • Patients should be asked to report pregnancies to their physicians as soon as possible
  • Angioedema Angioedema, including laryngeal edema, may occur at any time during treatment with angiotensin-converting enzyme inhibitors, including enalapril
  • Advise patients to report immediately any signs or symptoms suggesting angioedema (swelling of face, extremities, eyes, lips, or tongue, or difficulty in swallowing or breathing) and to consult with the prescribing physician before taking more drug. …
Talk to a doctor first if
  • Enalapril maleate is contraindicated in patients with: a history of angioedema or hypersensitivity related to previous treatment with an angiotensin converting enzyme (ACE) inhibitor [see Warnings and Precautions ]. hereditary or idiopathic angioedema [see Warnings and Precautions ]
  • Do not co-administer aliskiren with enalapril maleate in patients with diabetes [see Drug Interactions ] . …
Medicines it may not mix with

In patients who are elderly, volume-depleted (as on diuretic therapy), or with compromised renal function, use with NSAIDs, including selective COX-2 inhibitors, may result in deterioration of renal function, including renal failure. Monitor renal function periodically. ( 7.1 ) Dual inhibition of the renin-angiotensin system: Increased risk of renal impairment, hypotension and hyperkalemia. ( 7.2 ) Avoid potassium sparing agents in patients with heart failure. ( 7.3 ) Monitor serum lithium levels frequently. …

Warnings

Angioedema and Anaphylactoid Reactions. ( 5.2 ) Impaired Renal Function: Assess renal function. ( 5.5 ) Hyperkalemia. ( 5.6 ) 5.1 Fetal Toxicity Use of drugs that act on the renin-angiotensin system during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and neonatal morbidity and death. Resulting oligohydramnios can be associated with fetal lung hypoplasia and skeletal deformations. Potential neonatal adverse effects include skull hypoplasia, anuria, hypotension, renal failure, and death. When pregnancy is detected, discontinue enalapril maleate as soon as possible [see Use in Specific Populations (8.1) ] . …

Àbájáde tí ó ṣeéṣe

The following adverse reactions are described elsewhere: Angioedema [see Warnings and Precautions (5.2) ] Hypotension [see Warnings and Precautions (5.3) ] Hepatic failure [see Warnings and Precautions (5.4) ] Renal impairment [see Warnings and Precautions (5.5) ] Hyperkalemia [see Warnings and Precautions (5.6) ] The most common adverse reaction for patients treated for hypertension (≥3%) was fatigue. ( 6.1 ) The most common adverse reactions for patients treated for heart failure (>6%) were hypotension and dizziness. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Amneal Pharmaceuticals at 1-877-835-5472 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. …

Pregnancy and breastfeeding

8.1 Pregnancy Risk Summary Enalapril maleate can cause fetal harm when administered to a pregnant woman. Use of drugs that act on the renin-angiotensin system during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and neonatal morbidity and death. …

If you take too much

Limited data are available in regard to overdosage in humans. Single oral doses of enalapril above 1,000 mg/kg and ≥1,775 mg/kg were associated with lethality in mice and rats, respectively. The most likely manifestation of overdosage would be hypotension, for which the usual treatment would be intravenous infusion of normal saline solution. Enalaprilat may be removed from general circulation by hemodialysis and has been removed from neonatal circulation by peritoneal dialysis.

If you miss a dose

Take it when you remember, unless it is nearly time for the next dose. Then skip the missed one. Never take two doses at once to make up for it. Check your leaflet, as some medicines are different.

From the official U.S. FDA label for this active ingredient. Your pack may have a different strength, so always read its leaflet. If a doctor prescribed it, follow the prescription. Ask a pharmacist if you are unsure. Label dated 2019-03-29.

Brands around the world

Products with Enalapril as the active ingredient. Names differ between countries.

Awọn ọja ti a forukọsilẹ

Orilẹ Amẹrika (FDA)

Enalapril MaleateENALAPRIL MALEATE 20 mg/1 · Tablet · Northwind Health Company, LLC
NDC 51655-058Label
Enalapril MaleateENALAPRIL MALEATE 20 mg/1 · Tablet · NuCare Pharmaceuticals, Inc.
NDC 68071-3820Label
VasotecENALAPRIL MALEATE 10 mg/1 · Tablet · Bausch Health US LLC
NDC 0187-0142Label
Enalapril MaleateENALAPRIL MALEATE 20 mg/1 · Tablet · St. Mary's Medical Park Pharmacy
NDC 60760-575Label
Enalapril Maleate Oral SolutionENALAPRIL MALEATE 1 mg/mL · Solution · Ascend Laboratories, LLC
NDC 67877-712Label

Nàìjíríà (NAFDAC)

NAFDACEnaretic Tablets A4-1499NAFDACEnvas 10 Tablets 04-2275NAFDACPrilsea 5 Tablet C4-1591

Other countries: check your pack's registration number and we point you to your regulator.

Safety alerts and recalls

Enalapril Maleate Tablets, USP, 20 mg, 1,000-count bottle, Rx only, Manufactured by: Unique Pharmaceutical Laboratories (A Div. of J.B. Chemicals & Pharmaceuticals Ltd.), Mumbai 40U.S. FDA Class II
23 Apr 2026 · JB Chemicals and Pharmaceuticals Ltd · OngoingFailed Impurities/Degradation Specifications:Out of specification result occurred in Organic Impurities Test
Enalapril Maleate Tablets, USP; 2.5 mg; 90 tablets, NDC 60429-183-90; manufactured by Taro Pharmaceutical Industries, Ltd.; packaged by GSMS, Incorporated, CA, USA.U.S. FDA Class II
16 Mar 2022 · Golden State Medical Supply Inc. · OngoingCGMP Deviations
Enalapril Maleate Tablets, USP; 10 mg; 90 tablets, NDC 60429-185-90; manufactured by Taro Pharmaceutical Industries, Ltd.; packaged by GSMS, Incorporated, CA.U.S. FDA Class II
16 Mar 2022 · Golden State Medical Supply Inc. · OngoingCGMP Deviations
Enalapril Maleate Tablets, USP; 5 mg; 90 tablets, NDC 60429-184-90; manufactured by Taro Pharmaceutical Industries, Ltd.; packaged by GSMS, Incorporated, CA.U.S. FDA Class II
16 Mar 2022 · Golden State Medical Supply Inc. · OngoingCGMP Deviations

A recall usually affects certain batches only. Compare the lot number on your pack.

Check your pack of Enalapril

Type the registration number on the pack, or scan it with your camera.

Or take photos of the pack
3 free checks left today Official sources: U.S. FDA · EMA (EU) · Health Canada · WHO alerts

Questions about Enalapril

What is Enalapril used for?

Enalapril maleate oral solution is an angiotensin-converting enzyme inhibitor indicated for: treatment of hypertension in adults and children older than one month, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. ( 1.1 ) treatment of symptomatic heart failure. ( 1.2 ) treatment of asymptomatic left ventricular (From the official U.S. FDA label.)

How do I take Enalapril?

Follow your prescription or the leaflet in your pack. The official label says: Hypertension Adult: recommended initial dose is 5 mg once daily. Maximum dose is 40 mg daily. ( 2.1 ) Pediatrics: recommended starting dose is 0.08 mg/kg (up to 5 mg) once daily. ( 2.1 ) Heart Failure: Initiate at 2.5 mg twice daily. Titrate up to 20 mg twice daily as tolerated. ( 2.2 ) Asymptomatic Left Ventricular Dysfunction: Initiate at 2.5 mg twice daily. Titrate up to 10 …

Do I need a prescription for Enalapril?

Usually yes. Enalapril is a prescription medicine in most countries. Rules differ by country.

What brands contain Enalapril?

Enalapril is sold under names such as Epaned, Vaseretic, Vasotec, Enalapril Maleate. Brand names differ between countries.

What are the side effects of Enalapril?

The official label lists: The following adverse reactions are described elsewhere: Angioedema [see Warnings and Precautions (5.2) ] Hypotension [see Warnings and Precautions (5.3) ] Hepatic failure [see Warnings and Precautions (5.4) ] Renal impairment [see Warnings and Precautions (5.5) ] Hyperkalemia [see Warnings and Precautions (5.6) ] The most common adverse reaction for patients treated for hypert… Tell your doctor about any side effect that bothers you or does not go away.

Can children take Enalapril?

Neonates with a history of in utero exposure to enalapril maleate If oliguria or hypotension occurs, direct attention toward support of blood pressure and renal perfusion. Exchange transfusions or dialysis may be required as a means of reversing hypotension and/or substituting for disordered renal function. Enalapril, which crosses the placenta, has been removed from neonatal c… Always use the dose for the child's age or weight on the pack or prescription.

Can I take Enalapril when pregnant or breastfeeding?

8.1 Pregnancy Risk Summary Enalapril maleate can cause fetal harm when administered to a pregnant woman. Use of drugs that act on the renin-angiotensin system during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and neonatal morbidity and death. … Ask your doctor or midwife first.

What medicines interact with Enalapril?

In patients who are elderly, volume-depleted (as on diuretic therapy), or with compromised renal function, use with NSAIDs, including selective COX-2 inhibitors, may result in deterioration of renal function, including renal failure. Monitor renal function periodically. ( 7.1 ) Dual inhibition of the renin-angiotensin system: Increased risk of renal impairment, hypotension and… Use the free interaction checker before combining medicines.

What happens if I take too much Enalapril?

Limited data are available in regard to overdosage in humans. Single oral doses of enalapril above 1,000 mg/kg and ≥1,775 mg/kg were associated with lethality in mice and rats, respectively. The most likely manifestation of overdosage would be hypotension, for which the usual treatment would be intr… Get medical help right away.

How can I check that my Enalapril is genuine?

Scan the registration number on your pack with PillVera (NAFDAC number in Nigeria, NDC in the United States, DIN in Canada), check the expiry date and buy only from licensed pharmacies.

Sources

This page shows what official sources say, in plain words. It is not medical advice: your prescription and your doctor or pharmacist come first. Brand names, strengths and rules differ between countries.