Precautions Hypertension Management of mild to severe hypertension. The drug has been used as monotherapy or in combination with other classes of antihypertensive agents. An initial dose of 5 mg of enalapril maleate daily may be given. Since there may be a precipitous fall in blood pressure in some patients when starting therapy with an ACE inhibitor, the first dose should preferably be given at bedtime.
An initial dose of 2. If you are having dialysis, your dosage will vary daily. Your doctor will let you know what your dose should be. Older patients Your dose will be decided by your doctor, and will be based on how well your kidneys are functioning.
Use in children and adolescents Experience in the use of enalapril maleate in children with high blood pressure is limited. The recommended starting dose is 2. Enalapril Maleate is given once daily. The dosage should be adjusted according to the needs of the child to a maximum of 20 mg daily in children 20 kg to less than 50 kg and 40 mg in children 50 kg and over. Babies and children with kidney problems Enalapril Maleate should not be used in babies or children with kidney problems.
If you take more Enalapril Maleate than you should Contact your doctor immediately if you think you have taken more of your tablets than you should.
The most common signs and symptoms of an overdose are a fall in blood pressure and stupor a state of almost complete lack of consciousness. Do not take this medicine in larger or smaller amounts or for longer than recommended. You may take enalapril with or without food. Shake the oral suspension liquid well just before you measure a dose. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup.
If you do not have a dose-measuring device, ask your pharmacist for one. Your blood pressure will need to be checked often. Your kidney or liver function may also need to be tested. Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking enalapril. This can lead to very low blood pressure, electrolyte disorders, or kidney failure.
If you are being treated for high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life. If you need surgery, tell the surgeon ahead of time that you are using enalapril. Bei Patienten mit Herzinsuffizienz - mit oder ohne einhergehender Niereninsuffizienz - wurden symptomatische Hypotonien beobachtet.
Bei manchen Herzinsuffizienz-Patienten mit normalem oder niedrigem Blutdruck kann der systemische Blutdruck durch die Anwendung von Enapril Stada noch weiter absinken. Diese nicht unerwartete Wirkung ist normalerweise kein Grund, das Arzneimittel abzusetzen. Bei rechtzeitiger Diagnose und entsprechender Therapie ist ein Nierenversagen unter Enalapril-Therapie normalerweise reversibel. Bei manchen Hypertonikern ohne vorbestehende Nierenerkrankung kann es unter der Kombination von Enalapril mit einem Diuretikum zum Anstieg von Serum-Harnstoff und -Kreatinin kommen.
Nierentransplantation Hinsichtlich der Behandlung mit Enapril Stada von Patienten mit frischer Nierentransplantation bestehen keine Erfahrungen. Leberversagen Selten wurde unter ACE-Hemmer-Behandlung ein Syndrom beoabachtet, das mit cholestatischem Ikterus beginnt und bis zur fulminanten hepatischen Nekrose manchmal mit letalem Ausgang fortschreitet.
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