ENALAPRILAT

Avoid receiving ENALAPRILAT and inform your doctor if an allergic reaction occurs. ENALAPRILAT is contraindicated in patients with angioedema related to previous treatment with an angiotensin-converting enzyme inhibitor and hereditary or idiopathic angioedema. ENALAPRILAT is not recommended for use in children as the safety and efficacy are not established. On rare occasions, ACE inhibitors have been linked to a syndrome that begins with cholestatic jaundice, advances to fulminant hepatic necrosis, and occasionally results in death. When jaundice or significant elevations in hepatic enzymes occur in patients taking ACE inhibitors, the medication should be stopped, and appropriate medical attention should be given. Before receiving ENALAPRILAT, caution should be exercised in patients with congestive heart failure, liver disease, kidney disease, hyperkalaemia, angioedema, cough, and peripheral oedema (swelling of hands/legs). In some patients, this medicine may cause head and neck angioedema, severe anaphylactic reactions, hypotension, hepatic failure, and neutropenia. Hence, inform your doctor about your complete medication and medical history. Avoid consumption of alcohol during the treatment. If you are pregnant or breastfeeding, inform your doctor beforehand.

Drug-Drug Interactions: ENALAPRILAT may have interaction with heart failure medicines (sacubitril, valsartan), NSAIDs (aspirin, naproxen, indomethacin, ibuprofen), anti-gout medicines (allopurinol), anti-diabetic medicines (sitagliptin, metformin, insulin glargine), diuretics (furosemide), anti-hypertensive medication (aliskiren), potassium supplements.

Drug-Drug Interactions: Avoid consuming potassium-rich foods such as potassium-containing salt substitutes or over-the-counter potassium supplements. Avoid smoking and alcohol consumption.

Drug-Drug Interactions: ENALAPRILAT may have interactions with angioedema (swelling), congestive heart failure (heart problems), angioedema, low blood pressure, liver disease and kidney dysfunction.

• Try to maintain your weight under control with a BMI of 19.5-24.9.
• Doing regular physical activity or exercise for at least 30 minutes most days of the week can help you lower your raised blood pressure.
• Opt for a diet rich in whole grains, fruits, veggies and low-fat dairy products. 
• Reduce the intake of table salt in your daily diet to 2300 mg per day for better results.
• Quitting smoking and alcohol consumption is the best strategy to lower the risk of heart disease. 
• Avoid chronic stress, as it can raise your blood pressure.
• Monitor your blood pressure daily, and if there is too much fluctuation, then immediately contact your doctor. 

• Sudden withdrawal may worsen angina (chest pain). However, if you experience chest pain, consult your doctor immediately.
• Frequent monitoring of blood pressure is important while receiving this medicine.
• Abnormal liver and kidney tests must be reported to the doctor.
• Your doctor may suggest a blood test for serum electrolytes (sodium, potassium), and a CBC to check for the occurrence of hyponatremia and hypokalaemia.