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Enalapril - instructions for use, reviews, analogs and formulations (tablets 5 mg, 10 mg and 20 mg Hexal, Acry) for the treatment of hypertension and pressure reduction in adults, children and pregnancy. Composition

Enalapril - instructions for use, reviews, analogs and formulations (tablets 5 mg, 10 mg and 20 mg Hexal, Acry) for the treatment of hypertension and pressure reduction in adults, children and pregnancy. Composition

In this article, you can read the instructions for using the drug Enalapril. Comments of visitors of the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Enalapril in their practice are presented. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Enalapril in the presence of existing structural analogues. Use to treat hypertension and reduce blood pressure in adults, children, as well as during pregnancy and lactation.

 

Enalapril - antihypertensive drug, ACE inhibitor. Pharmacological activity has a metabolite of enalapril - enalaprilat. Suppresses the formation of angiotensin 2 and eliminates its vasoconstrictive effect. At the same time, the OPSS, systolic and diastolic blood pressure, post- and preload on the myocardium decrease.

 

Expands arteries more than veins, with a reflex increase in heart rate is not noted. It also reduces preload, reduces pressure in the right atrium in a small circle of blood circulation, reduces hypertrophy of the left ventricle. Reduces the tone of the arterioles of the glomerulus of the kidneys, thereby reducing intraclubic hemodynamics, inhibits the development of diabetic nephropathy.

 

Does not affect the metabolism of glucose, lipoproteins and sexual function.

 

The maximum effect develops 6-8 hours after ingestion and persists for 24 hours. The therapeutic effect is achieved after several weeks of treatment.

 

Composition

 

Enalapril maleate + excipients.

 

Pharmacokinetics

 

After ingestion, about 60% of enalapril is absorbed from the digestive tract. Eating does not affect the absorption of the drug.It is subjected to hydrolysis with the formation of enalaprilate, which has a pronounced pharmacological activity. It is mainly excreted by the kidneys - 60% (20% in the form of enalapril and 40% in the form of enalaprilat), through the intestine - 33% (6% in the form of enalapril and 27% in the form of enalaprilate).

 

Indications

  • arterial hypertension;
  • chronic heart failure (as part of combination therapy);
  • left ventricular dysfunction.

 

Forms of release

 

Tablets 5 mg, 10 mg and 20 mg (Acry, Hexal and others).

 

Instructions for use and dosage

 

Assign inside regardless of the time of ingestion.

 

With monotherapy of arterial hypertension, the initial dose is 5 mg once a day. If there is no clinical effect, after 1-2 weeks the dose is increased by 5 mg. After taking the initial dose, patients should be under medical supervision for 2 hours and an additional 1 hour until BP stabilizes. If necessary, and a fairly good tolerability dose can be increased to 40 mg per day in 2 divided doses. After 2-3 weeks pass to the maintenance dose - 10-40 mg per day, divided into 1-2 admission. With moderate arterial hypertension, the average daily dose is about 10 mg.

 

The maximum daily dose of the drug is 40 mg per day.

 

In case of appointment to patients receiving diuretics concomitantly, treatment with a diuretic should be stopped 2-3 days before the appointment of Enalapril. If this is not possible, the initial dose of the drug should be 2.5 mg per day.

 

With Renovascular hypertension, the initial dose is 2.5-5 mg per day. The maximum daily dose is 20 mg.

 

In chronic heart failure, the initial dose is 2.5 mg once, then the dose is increased by 2.5 to 5 mg every 3-4 days according to the clinical response to the maximum tolerated dose, depending on the values ​​of blood pressure, but not more than 40 mg per day once or 2 reception. In patients with low systolic blood pressure (less than 110 mm Hg), therapy should be started at a dose of 1.25 mg per day. The dose should be selected within 2-4 weeks or in shorter periods. The average maintenance dose is 5-20 mg per day for 1-2 doses.

 

In elderly people, more pronounced hypotensive effect and lengthening of the action time of the drug are more frequent, which is associated with a decrease in the rate of excretion of enalapril, therefore the recommended initial dose for the elderly is 1.25 mg.

 

In chronic renal failure cumulation occurs with a decrease in filtration of less than 10 ml / min.With CC 80-30 ml / min, the dose is usually 5-10 mg per day, with QC up to 30-10 ml / min - 2.5-5 mg per day, with KK less than 10 ml / min - 1.25-2.5 mg per day only in the days of dialysis.

 

The duration of treatment depends on the effectiveness of therapy. With too pronounced decrease in blood pressure, the dose of the drug is gradually reduced.

 

The drug is used in both monotherapy and in combination with other antihypertensive agents.

 

Side effect

  • excessive decrease in blood pressure;
  • orthostatic collapse;
  • retrosternal pain;
  • angina pectoris;
  • myocardial infarction (usually associated with a pronounced decrease in blood pressure);
  • arrhythmias (atrial brady or tachycardia, atrial fibrillation);
  • dizziness;
  • headache;
  • weakness;
  • insomnia;
  • anxiety;
  • confusion of consciousness;
  • increased fatigue;
  • drowsiness (2-3%);
  • depression;
  • disturbances of the vestibular apparatus;
  • noise in ears;
  • dry mouth;
  • anorexia;
  • dyspeptic disorders (nausea, diarrhea or constipation, vomiting, abdominal pain);
  • intestinal obstruction;
  • unproductive dry cough;
  • interstitial pneumonitis;
  • bronchospasm;
  • dyspnea;
  • skin rash;
  • itching;
  • hives;
  • angioedema;
  • toxic epidermal necrolysis;
  • stomatitis;
  • glossitis;
  • impaired renal function;
  • alopecia;
  • decreased libido;
  • tides.

 

Contraindications

  • presence in the anamnesis of an angioedema, associated with the treatment with ACE inhibitors;
  • porphyria;
  • pregnancy;
  • lactation period;
  • age under 18 years (effectiveness and safety not established);
  • increased sensitivity to enalapril and other ACE inhibitors.

 

special instructions

 

Caution should be exercised when prescribing Enalapril to patients with reduced BCC (due to diuretic therapy, restriction of salt intake, hemodialysis, diarrhea and vomiting), the risk of a sudden and severe decrease in blood pressure after applying even an initial dose of an ACE inhibitor is increased. Transient arterial hypotension is not a contraindication for continuing treatment with the drug after BP stabilization. In the case of a re-expressed decrease in blood pressure should reduce the dose or cancel the drug.

 

The use of high permeability dialysis membranes increases the risk of developing an anaphylactic reaction. Correction of the dosing regimen on days free from dialysis should be performed depending on the level of blood pressure.

 

Before and during treatment with ACE inhibitors, periodic monitoring of blood pressure, blood counts (hemoglobin, potassium, creatinine, urea, hepatic enzyme activity) and protein in the urine is necessary.

 

It should be carefully monitored for patients with severe heart failure, coronary heart disease and cerebrovascular disease, in which a sharp decrease in blood pressure can lead to myocardial infarction, stroke, or renal dysfunction.

 

Sudden abolition of treatment does not lead to the syndrome of "withdrawal" (a sharp rise in blood pressure).

 

For newborns and infants who have been exposed to the intrauterine effect of ACE inhibitors, careful monitoring is recommended to timely detect a marked decrease in blood pressure, oliguria, hyperkalemia and neurological disorders, possibly due to a decrease in renal and cerebral blood flow with a decrease in BP caused by ACE inhibitors. In oliguria it is necessary to maintain BP and renal perfusion by introducing appropriate fluids and vasoconstrictors. In the presence of renal failure, it is possible to reduce the excretion of the active metabolite, leading to an increase in its concentration in the blood plasma. Such patients may require the administration of smaller doses of the drug.

 

In patients with hypertension and unilateral or bilateral stenosis of the renal arteries, an increase in urea and creatinine in the blood serum is possible.

 

These patients need to monitor kidney function during the first few weeks of therapy. You may need to reduce the dosage of the drug.

 

The risk-to-benefit ratio of enalapril should be considered in patients with coronary and cerebrovascular insufficiency due to the risk of increased ischemia in cases of excessive arterial hypotension.

 

The drug should be administered with caution to patients with diabetes because of the risk of developing hyperkalemia.

 

Patients with a history of anginaurotic edema may have an increased risk of developing angioedema while enalapril is being treated.

 

In patients with severe autoimmune diseases, for example, systemic lupus erythematosus or scleroderma, the risk of developing neutropenia or agranulocytosis in patients receiving Enalapril is increased.

 

Caution is advised when administering Enalapril for the therapy of chronic heart failure in patients receiving cardiac glycosides and / or diuretics.

 

Before the study of parathyroid gland functions, the drug should be discontinued.Alcohol enhances the hypotensive effect of the drug.

 

Before surgery (including dentistry), it is necessary to alert the surgeon / anesthesiologist about the use of ACE inhibitors.

 

Impact on the ability to drive vehicles and manage mechanisms

 

At the beginning of the treatment, before the completion of the dose selection period, it is necessary to refrain from driving vehicles and practicing potentially dangerous activities that require an increased concentration of attention and speed of psychomotor reactions, since dizziness is possible, especially after the initial dose of an ACE inhibitor in patients taking diuretics.

 

Drug Interactions

 

With the simultaneous administration of Enalapril with non-steroidal anti-inflammatory drugs, hypotensive effect may decrease; with potassium-sparing diuretics (spironolactone, triamterene, amiloride) can lead to hyperkalemia; with lithium salts - to slow down the excretion of lithium (shown control of the concentration of lithium in blood plasma).

 

Simultaneous administration with antipyretic and analgesic agents may decrease the effectiveness of enalapril.

 

Enalapril weakens the effect of drugs containing theophylline.

 

Hypotensive effect of enalapril increase diuretics, beta-blockers, methyldopa, nitrates, calcium channel blockers slow, hydralazine, prazosin.

 

Immunosuppressants, allopurinol, cytostatics increase hematotoxicity.

 

Drugs that cause bone marrow depression, increase the risk of developing neutropenia and / or agranulocytosis.

 

Analogues of the drug Enalapril

 

Structural analogs for the active substance:

  • Bagopril;
  • Berlipril 10;
  • Berlipril 20;
  • Berlipril 5;
  • Vazolapril;
  • Vero-Enalapril;
  • Involor;
  • The Korandil;
  • Myopril;
  • Renipril;
  • Renitek;
  • Ednit;
  • Enazil 10;
  • Enalacor;
  • Enalapril HEXAL;
  • Enalapril-Aggio;
  • Enalapril-AKOS;
  • Enalapril-Acry;
  • Enalapril-UBF;
  • Enalapril-FPO;
  • Enalapril maleate;
  • Enam;
  • Enap;
  • Enarenal;
  • Enafarm;
  • Envas;
  • Envipril.

Similar medicines:

Other medicines:

Reviews (54):
Guests
mitya
Why make something or try to find expensive imported analogues of our proven medicine.My grandmother always took only domestic cheap enalapril, although doctors always pinned her advertising papers with expensive medicines. She did not tell them in kindness that she was drinking domestic, and they then said that see how well the imported drug helps, in which enalapril plus supplements were contained.
Guests
Anatoly Snezan
He's not such a doctor, this enalapril. First, it does not heal, but only delays a heart attack ... Secondly, of course, it requires constant adjustment ... Third, read the rank of contraindications ... Fourthly, allies require medications-allies , accomplices, defenders of the kidneys, brains, bones ... What else? Like any medicine, enalapril should be prescribed strictly according to indications, and at least three times a month it is monitored by a doctor-therapist + experienced core. With obligatory analyzes. And where do you get this complex? Yes, and it is rash to stand in lines ... That's why I prescribed seven years ago myself ... (I miss the list of medications for reducing angina attacks, improving cerebral circulation, etc. ...) ... and enalapril, as the pressure jumped more and more often ...Has begun with 2,5 mg in the morning and in the evening, now -, 5 mg in the morning and in the evening. And asparks - periodically. 50 per month. The pass is 2 weeks. Again 50 ... The pressure is not documented, I do not control, although there are two devices - Swiss from 4 batteries and German with a rubber pear. I know when my pressure rises ... I was terribly ridiculous when on TV cardiologists (doctors of medicine) in unison persuaded the sub-audience in the hall and CIS viewers: they say, without making devices, to detect the presence of an increase in pressure. Bullshit! These are not doctors-gawks.

Enalapril in 2014 will be changed. But first I go three or four times to the clinic. Suddenly, that sensible advise, and even tens of analyzes must be submitted ... I feel that - it is necessary. The stones must have grown in ten years ... I would like to know their composition (this is important) ... The vessels would somehow be examined from the inside ... Cholesterol ... In short, there is something to analyze. The same sugar gets ... And enalapril? This is a tertiary matter. Helps for now.
Guests
Tatyana
A proven product for years, it is taken by my grandmother, but apparently for a long time of enalapril intake is getting used and already such a positive effect on pressure is not observed.In addition, headaches and dry mouth began to appear. I had to look for alternative means.
Guests
Eugene
Poison. I drank only 5 mg and already a headache and nausea.
Guests
Vladimir 66 years old, Moscow.
I took enalapril 10 mg. In the afternoon it's still so-so, but at night it puts a nasopharynx so hard that I breathe with my mouth. Language by the morning is covered with a white bitter crust, the nose does not breathe, and it does not give a normal sleep - I get up constantly to drink. In general, the muck is complete. The therapeutic effect is minimal, and there are more than enough problems, and headache, and spinning, and general weakness. As if with a bag of sand you've been hollowed all night - the body is aching. Most likely I got an underground surrogate - guest workers in garages brew all kinds of mucks and drag them to pharmacies, and the bodies responsible for this should follow, with them in collusion, have their "Bakshish". As there was no production, control and accounting in the country, it still is not. Continuous reorganization is the sweeping of traces of criminal activity of the entire health care structure. Without respect, Vladimir.
Guests
zosia
Like a dead poultice.
Guests
Irina 57let
As someone, and it helps me, I only dosage for health reasons. Our therapist worked in Afghanistan, treated our children and I trusted her. She says, there is pressure or not, drink in the morning enalapril 5 and everything will be all right. And so I drink.
Guests
Anatoly Snezan
Again I got on this site, and decided to speak out again about enalapril. I accept, as well as accepted, and only domestic (I from Belarus) and any of our factories - now here Logoyskogo. The difference is not tangible. Just from the proletarian childhood in bourgeois not gourmet, I use what is given, what I bought ... At the moment, except for enalapril (on an ongoing basis), I take tagistu or analogues, bisoprolol-FT or analogues. Well, pentoxifylline, etc. tablets from the endocrinologist, from the surgeon (brush, hand as a whole, shoulder 5 months terribly sick, - all the torments started with a computer mouse). As a result (more precisely: comparison with the pre-tabulation period), blood pressure is rough, does not bother me very much (I rarely measure it in the clinic ever), and attacks of angina ... I already do not remember the last, ugh-fie 3333 times ...With individual previous comrades and gentlemen, it is only in solidarity that you are a sick person, that means you will seek relief from your torments. Try every Mr. On a stick and without. I'm here to enalapril have tried dozens of good things, prescribed "ER" doctors (after the forced visits to the clinic) or after stenokardicheskie attacks again, even when I was 40 years old, at the bus stop (lived in the State Farm accommodation 25 km from the regional center ) lost consciousness - for a month they were taken to the hospital). In short, I did not take any of the medicines on a permanent basis, for a long time. I did not want to get used to everything. And in vain! There is a huge bouquet of diseases with which drugs are good and even salvation from premature death. These include drugs for angina pectoris, coronary heart disease, diabetes 1 and 2, and many others. Yes, ladies and gentlemen, if I were in your place, I would have in every one of the bigwigs of the nose of the CIS ovskih, domestic, pills and potions (even infusions such as hawthorn, Leonurus - a panacea for all sorts of podmes fuck up!). But we, the proletarians of the birth and life (not all are such, hehe, especially zolotorukie Rabotnicki you and (or) your ancestors), there is no money even for the domestic pharmaceutical and semi-friendly substitutes.

As in the morning, empty-voiced, near-okolovezny question of life, my ever-poor and hungry neighbor used to say (widow, raised and almost raised seven children, lived in a post-war dwelling hut): "And do not deprive, Lord, this grace! "
Guests
Lyudmila
Does not reduce pressure niskolechki. I drink 20 mg - zero. I'm starting hypertension.
Guests
chamonix artem
Do not take this medicine. Enalapril is a bad drug.
Guests
Tatyana
I'm hypertensive, I drink together Enap and Aegiloc (when the pressure jumps sharply). Helps at once and effectively. I wanted to try enalapril instead of enap (cheaper), but read the side effects and hair stood on end - so you can die by drinking such a tablet.
Administrators
admin
Tatyana, Tablets from pressure must be taken constantly, and not occasionally. Such uncontrolled pressure surges are a common cause of strokes and heart attacks.
Prompt, please, as the reception of enalapril on a constant basis and already available stenocardia can be combined, whether there is a risk of its deterioration? The question is that in the list of possible side effects of enalapril there is also she, angina. The patient is a man, over 70, current diagnoses are angina pectoris of the 4th functional class, arterial hypertension of the third stage. Thanks in advance for the answer.
Administrators
admin
Natalia 08042015In side effects, drug manufacturers write all the possible statistically recorded changes that occur against the background of taking medications. Therefore, sometimes you can see absurd lines like allergic reactions in the side effects of drugs to treat allergies. By experience, I can say that the use of Enalapril in their patients has not yet led to significant consequences in the form of worsening of the course of angina pectoris. It used to be that angina began to progress and there was a simultaneous replacement of Enalapril with other medicines to reduce blood pressure,but this did not lead to significant results (improvements) in the development of angina pectoris.
Visitors
Avel
I take enalapril 5mg and bisoprolol 5mg in the morning, AD - 160/90, but pulse 65. In order not to increase the dosage, it can replace something else. Very good amlodipine 10 mg helps, but notice the numbness of the limbs, the pressure becomes 125/85 but the legs or hands are numb. What do you advise?
Administrators
admin
Avel, I shall advise to address to the local doctor, and it is better to the cardiologist for purpose or appointment of competent therapy. Because of the concomitant diseases the patient does not say anything, but if they are not, I would start with an increase in the dosage of Enalapril, and if that does not help, I would pick up another drug from similar or other pharmacological groups. There are a lot of drugs for reducing blood pressure, there are plenty to choose from. They are all selected by trial method, as well as their dosages.
Visitors
Avel
Thank you for your reply. To the district did not apply;with the heart all right, and I do not want to apply because. I called to my mother and I got the impression that I know more. To my questions that it is better to drink from pressure, answered in the affirmative to everything that I did not offer. Here today in a drugstore advised Concor AM (amlodipine + bisoprolol) 2 in 1. What do you say?
Administrators
admin
Avel, I've said everything before. Look for an adequate specialist and decide which drug suits you for your health. I do not let go of sins, but I do not take strangers, including those caused by improper intake of drugs and self-medication.
Guests
river valery
I took enalapril for 5 and 10 mg. Now the pressure has sharply increased to 200x107. Caused an ambulance! did two injections in a vein + a bunch of drugs under the tongue. After 22 hours, the pressure rose again, still took enalapril, although the doctors warned after the injections did not take anything. I called a policeman. Has come, speaks you do not accept the appointed indapamide, I have canceled it or him, when some times have "filled in" a bed the "lemonade", now began to do or make all as the precinct has told.Here I read that I still need to consult a good cardiologist, precinct police only fill out and do not want to delve.
Visitors
dbyj5uhfl
7 months ago my mother had a heart attack and ischemic stroke. Saw from the pressure of the vazar (vals, valsartan). Already weeks 2 at night, the pressure rises to 160-170 at 85-95 (in different ways), there was even 190/100, although in the evening she drank Vasar 160. The whole day the pressure keeps in normal, and at night - in no way. The doctor decided to change the medication and appointed my mother enalapril 20 mg - 2 times a day and in the evening even amlodipine 5 mg. The instructions say that enalapril should not be taken with diuretics, and we were assigned a tri-phase. 10. I asked the doctor-she says, do not take anything, and this. How do you think you can drink and enalapril, and triface?
Administrators
admin
dbyj5uhflWhere did you read about the incompatibility of Enalapril and diuretics? Perfectly combined. Yes, there are indications of caution, because there can be a sharp decrease in pressure on the background of a joint intake of diuretics and ACE inhibitors, so the selection begins with small dosages.Your mother had problems with both the heart and the brain, which is probably caused by pressure jumps (and nightly, which is especially dangerous), so the treatment scheme required replacement, which was done. Take appointments and monitor the pressure, if within 2 weeks the indicators will be stable, then the treatment is chosen correctly, if not - you will have to change the dose or composition of medications taken.
Guests
Gel
I take enalapril for more than 10 years and I can say one thing, it helps me, although there are jumps of pressure. But I tried to myself to cancel it and immediately felt bad. The only thing that increased the dose to 20 mg. for two visits.
Guests
lads
I drink enalapril almost a year. I think this drug supports, that is, I personally did not get to high figures during this time, although sometimes it will drop to 170, very often a pulse of 60. While I drink 10 mg every day, others do not try, maybe better.
Guests
Tatyana
I accept enalapril on 10 mg. The whole day the pressure is up to 140, by the evening it can rise, but insignificantly.It's only a cough that has completely tortured, it looks like whooping cough. Has canceled tablets, in 5 days the cough has ceased, but pressure jumps up to 190. Earlier the doctor appointed Noliprel is in general a nightmare, cough such, that guard. Attacks 4 times per hour, severe perspiration in the throat. Now, after a week of abolition of enalapril, I drink it again, I'm waiting for the cough to start ...
Administrators
admin
TatyanaYou do not need to wait for a cough, it will come anyway, because it is allergic in nature. He happens to such patients as you to any drug from the group of ACE inhibitors and this moment needs to be discussed with the attending physician, it is better for the cardiologist to choose another group of drugs (and many of them) to reduce the pressure. You can recommend drugs from groups of calcium channel blockers (Amlodipine, Nifedipine, Verapamil, Lercamen and others) or angiotensin 2 receptor antagonists (Lozartan, Wales, Lorista and other drugs). Such jumps, when taken, do not take medication to normalize the pressure, are harmful to the body and can eventually lead to strokes or heart attacks.
Guests
vladimir
Whether prompt, please, it is possible to accept enalapril together with coronalum?
Administrators
admin
vladimir, Can. This is a good combination and the effects of medication are enhanced when used together. According to the instructions and from the experience of using in patients negative side effects when using this combination should not be.
Guests
Volkova Lyudmila
I accept enalapril of 10 constantly. When the pressure began to leap, the therapist assigned me a 5-to-5 relief. Two years later, another therapist canceled the substance, saying that enalapril and prestanz contain the same active substance. Is it so? Thank you!
Administrators
admin
Volkova Lyudmila, Prestans and Enalapril are absolutely non-identical drugs. True, both reduce high blood pressure. Replacement is not directly possible, only through the attending physician.
Guests
Tatyana Tolmacheva
I was advised by a doctor-therapist, to take Enalapril tablets the pressure was, but I did not feel it. I accepted him in 2009, three months, then I quit and he helped me, but I forgot about the pressure for exactly two years.But again, again exerting pressure, began to take Prestarium and he did not really help me. And now I'll sit down again on Enalapril, I took one pill and forgot about the headache and pressure for 24 hours. Many thanks to the therapist who advised me.
Administrators
admin
Tatyana Tolmacheva, Tablets from the pressure must be taken constantly, because not to feel high blood pressure and not to have elevated blood pressure are different concepts. Untreated hypertension increases the risk of vascular complications, such as a stroke.
Guests
valentine
Dyspnoea is often from enalapril?
Administrators
admin
valentine, Rarely. More often there is a dry cough.
Visitors
GALIHA
Has appointed or nominated the therapist enalapril 5 mg a day. The pressure jumps - in the morning it can be 90/50, and by the evening 140/70. My life was hypotonic, my normal pressure is 100/110 at 50/60, and 140/90 is very noticeable for me. Tell me, please, how to take enalapril and when? I'm afraid that 5 mg is a lot for me.
Administrators
admin
GALIHA, Minimal divided dosage of Enalapril is 2.5 mg, that is, you can buy 5 mg and divide in half. There are a lot of manufacturers of this medication, you can find a suitable tablet for dividing with a facet (risk) for convenience. Take the drug in the morning, before eating.

Otherwise, the question of choosing means for reducing blood pressure should be kept in close contact with your doctor, it is better if it is a cardiologist, especially if the base pressure is low. I here remotely evaluate your 140 to 70 mmHg. whether they are targeted or not and whether your internal organs and blood vessels suffer from such a magnitude of AD can not.
Guests
Tatiana Nikolaevna
Many years of pressure. Did or made monitors, many competent doctors, but at me night pressure. Here yesterday 24.03 before a dream suddenly 200-220. Although no nerves, everything is calm. As usual, when the pressure of 150-160 I take a pill of physiotherosis and corvalol. And yesterday 2 tablets and Corvalolum. And in the morning at 9 -170/80. Took 2 tablets of physiotenses. Pressure 130/70. Yesterday Malysheva in the program heard about the pills that end in PRIL enalapril.Grandson bought, but terrible side. Advise how to be? Thank you.
Visitors
Linda
Linda, Moved your question to the drug Valsartan, where it is more appropriate.
admin
Administrators
admin
Tatiana Nikolaevna, At-the end of many different drugs ends, not only Enalapril. I advise you to see a doctor for examination, diagnosis and appointment of competent treatment. Enalapril may well be prescribed. I designate it myself as the first line for patients who have not been treated before, or who have been treated with drugs from other groups.
Visitors
Gapon Marina
Gapon Marina, Moved your question to the drug Enap, where it is more appropriate.
admin
Guests
valerii mikhailovich gores
Year drank enalapril. Enough for a year. Already strong side effects - perspiration in the throat, strangling coughing attacks, in the morning, clogged nose, incredibly loud sneezing in a series of 5-6. The pressure rises from 140 to 130, but the pulse went from 80 to 100. The doctor reassigned Parnavele.
Guests
Vladi
Have appointed or nominated enalapril from a headache, and pressure lowered. And drink only when the head hurts. What does it mean?
Administrators
admin
Vladi, No idea. I do not comment on non-medical recommendations, but if a doctor has given you a recommendation regarding Enalapril, find an adequate specialist, it's better if it's a cardiologist.
Guests
Nina5253
I take enalapril for 20 years, constantly. No cough and other side effects have ever been. I was assigned to him in a hospital, lying there in cardiology with an extensive heart attack. Started with 0.25, now I drink 1.0 in the morning. If the pressure rises, then twice a day.
Guests
Polina
I take enalapril 2.5 mg 2 times a day. Blood pressure is normal, but 2-3 times a month, attacks with frequent urination and increased blood pressure to 160/110. Urine up to 3 liters per night. In this case, a frequent pulse to 90 strokes, unpleasant sensations in the heart.
Guests
Tatyana
I drink enalapril for 3 years. The effect, of course, is. For how many years can you take this remedy? Can replace the time already?
Administrators
admin
Tatyana, Enalapril as any antihypertensive agent is taken for a long time, mostly for life. If it suits you and the desired figures keep your blood pressure continue to take it further.
Guests
Valentina Alexandrovna
Took enalapril 10 in the morning + enalapril 5 in the evening + amlodipine 5 + aspirin cardia, several years. Everything was fine. This year the doctor decided to change the drugs. I appointed a lorist n + lorist + lercamen + betalk. I take already six months, and the pressure is up to 200. The lowest 140. Recently I was at a reception with another therapist. He says that the treatment is correct and must continue. I want to return to the old drugs myself.
Guests
Елена, 47 years old
Good afternoon. Somehow the pressure began to jump 150/104, 158/108, 148/99, etc. Prior to that, the pressure was normal from 110/70 to 120/80. The doctor advised to take enalapril 5 mg in the morning and in the evening. Before that, I did not take anything from the pressure and do not understand medicine (there were no serious illnesses ... pah-tfu-pah ... ARD, rarely the flu, in September, however, treated the tracheitis).I read the reviews and recommendations and the question arose: did not I get a dosage of 5 mg 2 times a day? Can 2.5 mg 2 times a day or once in the morning 5 mg? What do you advise?
Administrators
admin
Valentina AlexandrovnaIf the rates on the previous course of treatment were good and the pressure was normal, then it is possible to remain on the previous therapy schedule. I do not understand the new fashion for changing adequate schemes. Another thing, if there were any deviations in the cardiogram and other studies or analyzes, but it is necessary for the attending physician to find out.
Administrators
admin
Елена, 47 years old, Start with 5 mg of Enalapril once a day in the morning, so it will be more correct. 2.5 mg seems to me a little for such figures of blood pressure. Under the control of pressure (measure regularly at first - in the morning and in the evening). Then it will be possible to correct the dosage.
Guests
Svetlana Yurievna
Have appointed enalapril 2p. a day of 5 mg, the pressure dropped to 80. She began to drink on quartet 2p. in a day. The pressure above 100 does not rise. Prompt, continue or cancel the drug? For me, this is low pressure.
Administrators
admin
Svetlana Yurievna, I would cancel, but after that (1-2 weeks) I regularly monitored blood pressure figures. If the pressure starts to rise again, he seeks a doctor for a replacement with another medicine, which will not reduce pressure in your case much.
Guests
Елена 45 years old
Died mother. At the time of the funeral, the pressure increased, but apart from the pain in my head, I did not feel any other sensations of increased pressure. My usual 110/80. And two weeks later, when the pressure increased to 150/100, there was a suffocating and pressing pain in the entire sternum. They took us to the ambulance. At discharge the diagnosis is "hypertensive crisis complicated by encephalopathy", enalapril and therapist control are appointed, for life, but could this happen in view of the stressful situation? Which period of time should I show that I am healthy and do not need medication? Can such a stress develop hypertensive disease for life?
Administrators
admin
Елена 45 years old, Take Enalapril for at least 2 weeks.If the pressure stabilize gradually phased out by poltabletki and during this period, and after the complete abolition regularly measure your blood pressure, if the performance is stabilized can be attributed to an increase in pressure on the stress, if not, then we need to make life or until the doctor does not cancel / replace the drug for additional parameters.

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