Enalapril (Epaned)
What is Enalapril?
Enalapril (pronunciation: uh·na·luh·pril) is a medication that is used to treat high blood pressure and reduce the risk of strokes and heart failure. Enalapril is also known by the brand names Epaned and Vasotec. It is part of a drug class called ACE inhibitors. These medications work by blocking a substance in the body that causes blood vessels to constrict and allow blood to flow more freely. Enalapril is also used with other medications to treat congestive heart failure.
Dose
The starting dose of enalapril for blood pressure regulation in adults is 5 mg per day. This might vary depending on your responsiveness to the medication. The maximum dose of enalapril is 40 mg per day.
Enalapril is approved for pediatric care for children over the age of 1 month. Doses for children will be determined by the healthcare provider based on the child’s weight.
This medication is available in tablet and liquid form.
How to Take Enalapril
Enalapril can be taken at any time of day with or without food. It is typically prescribed as an oral tablet however it can also be prescribed as a liquid. If you are prescribed the liquid version, your prescription will come with a plastic syringe to help you measure the correct dose.
Side Effects
Common Side Effects
These side effects occur in more than 1 in 100 people (>1% of people) and usually occur as a result of the body adjusting to the medication. If you experience these symptoms for more than a few days or they begin to interfere with your daily life, speak to your pharmacist or healthcare provider on how to manage them:
- A dry cough
- Dizziness
- Headaches
- Diarrhea
- A mild rash
- Blurry vision
Serious Side Effects
These side effects are rare but they could indicate a serious health complication. If you experience any of the following, notify your healthcare provider as soon as possible:
- Yellowing of the skin or eyes
- Pale skin, feeling tired or dizzy, easy bruising, sore throat, and a fever
- Severe stomach pain that could stretch to your back as well
- Swollen ankles with blood in urine or no urine
Interactions
The following medications may affect the efficacy of enalapril:
- Anti-inflammatories (NSAIDs)
- Other medications used to treat blood pressure (e.g., aliskeren, diuretics)
- Medications with a side effect of lowering blood pressure
- Medications that suppress immune system
- Medications that increase your potassium
- Prednisolone and other steroids
- Medications that treat diabetes
- Allopurinol
- Lithium
- Procainamide
- Racecadotril
Speak to your doctor or pharmacist about any possible interactions with current medications.
Enalapril and Alcohol
Drinking alcohol with enalapril can increase its effects and cause dizziness. If you experience dizziness while on enalapril, it may be best to stop drinking. In addition, excessive drinking also contributes to high blood pressure. It is important to limit your alcohol consumption to the recommended one drink per day for women and two drinks per day for men.
Cost
The average retail price for enalapril is $20.29 for a 1-month supply of 20 mg tablets.
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