{"id":8107,"date":"2021-03-05T10:49:00","date_gmt":"2021-03-05T10:49:00","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8107"},"modified":"2021-04-30T14:27:36","modified_gmt":"2021-04-30T14:27:36","slug":"enalapril-hydrochlorothiazide-mylan","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/enalapril-hydrochlorothiazide-mylan\/","title":{"rendered":"Enalapril \/ Hydrochlorothiazide Mylan &#8211; Hydrochlorothiazide uses, dose and side effects"},"content":{"rendered":"\n<p> 20 mg \/ 12.5 mg\u00a0tablets\u00a0<br>enalapril maleate \/ hydrochlorothiazide<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Enalapril \/ Hydrochlorothiazide Mylan is and what it is used for<\/h2>\n\n\n\n<p>Enalapril \/ Hydrochlorothiazide Mylan contains a combination of enalapril maleate and&nbsp;hydrochlorothiazide&nbsp;.<br><\/p>\n\n\n\n<p>Enalapril belongs to a group of medicines called&nbsp;angiotensin-converting enzyme inhibitors (&nbsp;ACE inhibitors&nbsp;) and lowers&nbsp;blood pressure&nbsp;by dilating blood vessels.<\/p>\n\n\n\n<p>Hydrochlorothiazide belongs to a group of medicines called&nbsp;diuretics&nbsp;(&#8221;&nbsp;diuretics&nbsp;&#8220;) and lower&nbsp;blood pressure&nbsp;by increasing the amount of urine.<br><\/p>\n\n\n\n<p>Enalapril \/ Hydrochlorothiazide Mylan is used when treatment with&nbsp;enalapril&nbsp;alone&nbsp;is insufficient.<br><\/p>\n\n\n\n<p>Your doctor may also&nbsp;prescribe&nbsp;Enalapril \/ Hydrochlorothiazide Mylan instead of separate tablets of the same&nbsp;dose&nbsp;you&nbsp;enalapril&nbsp;and&nbsp;hydrochlorothiazide.<br><\/p>\n\n\n\n<p>This fixed-dose combination is not suitable as an initial treatment.<br><\/p>\n\n\n\n<p>Enalapril maleate and&nbsp;hydrochlorothiazide&nbsp;contained in Enalapril \/ Hydrochlorothiazide Mylan may also be authorized for the treatment of other conditions not mentioned in this leaflet.&nbsp;Ask your doctor, pharmacist, or another healthcare professional if you have any further questions and always follow their instructions<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you take Enalapril \/ Hydrochlorothiazide Mylan<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Enalapril \/ Hydrochlorothiazide Mylan:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to&nbsp;enalapril,&nbsp;hydrochlorothiazide,&nbsp;or any of the other ingredients of this medicine (listed in section 6)<\/li><li>if you have severe kidney disease<\/li><li>if you can not urinate<\/li><li>if you have previously suffered from swelling of&nbsp;your&nbsp;extremities, face, lips, neck, mouth, or tongue (angioedema) when you have been treated with other&nbsp;ACE inhibitors, e.g.&nbsp;ramipril, or under any other circumstances<\/li><li>if any of your relatives have previously suffered from swelling of&nbsp;your&nbsp;extremities, face, lips, throat, mouth, or tongue (&nbsp;angioedema&nbsp;)<\/li><li>if you are allergic to a type of medicine called &#8216;sulfonamides&#8217;<\/li><li>if you are pregnant and have been pregnant for more than 3 months (It is also advisable to avoid Enalapril \/ Hydrochlorothiazide Mylan earlier in pregnancy, see section \u201cPregnancy and breast-feeding\u201d)<\/li><li>if you have severe liver disease<\/li><li>if you have&nbsp;diabetes&nbsp;or renal impairment and are being treated with a blood pressure-lowering medicine containing aliskiren<\/li><\/ul>\n\n\n\n<p>Do not take Enalapril \/ Hydrochlorothiazide Mylan if any of the above apply to you.&nbsp;Talk to your doctor if you are unsure before taking Enalapril \/ Hydrochlorothiazide Mylan.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Enalapril \/ Hydrochlorothiazide Mylan:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have kidney problems such as &#8216;kidney artery stenosis&#8217; (decreased blood flow to the kidney), if you have recently had a kidney transplant, are undergoing&nbsp;dialysis, or if you are taking&nbsp;diuretics&nbsp;(&nbsp;diuretics&nbsp;)<\/li><li>if you have any blood or liver disease<\/li><li>if you have low&nbsp;blood pressure, are on a salt-reduced diet, or if you have recently had severe vomiting or diarrhea<\/li><li>if you have a heart condition called &#8220;ischemic heart disease&#8221;, which causes the blood supply to the heart muscle to deteriorate<\/li><li>if you suffer from a condition called &#8220;aortic stenosis&#8221;, &#8221;&nbsp;hypertrophic cardiomyopathy&#8221;, or &#8220;outflow obstruction&#8221;<\/li><li>if you have a disease that affects the blood supply to the brain (&nbsp;cerebrovascular disease)<\/li><li>if you have&nbsp;heart failure<\/li><li>have a&nbsp;collagen&nbsp;vascular disease, e.g.&nbsp;systemic lupus erythematosus (&nbsp;SLE&nbsp;) or&nbsp;scleroderma, which may be associated with skin rash, joint pain, and fever<\/li><li>if you are being treated with immunosuppressive drugs (used to treat autoimmune diseases such as&nbsp;rheumatoid arthritis&nbsp;or after transplants)<\/li><li>If you are taking any of the following medicines, the risk of&nbsp;angioedema&nbsp;(rapid swelling under the skin in areas such as the throat) is higher:<ul><li>sirolimus, everolimus, and other medicines belonging to the group mTOR inhibitors (used to prevent the rejection of transplanted organs).<\/li><\/ul><\/li><li>if you suffer from&nbsp;gout&nbsp;or if you are being treated with allopurinol (used to treat&nbsp;gout&nbsp;), or&nbsp;procainamide&nbsp;(used to treat abnormal heart rhythms)<\/li><li>if you have previously had \u201cangioedema\u201d during treatment with other medicines.&nbsp;Symptoms may include&nbsp;itching,&nbsp;hives, wheezing, or swelling of the hands, throat, mouth, or eyelids (see section 4)<\/li><li>If you have&nbsp;diabetes&nbsp;and are taking medicines for&nbsp;diabetes, including&nbsp;insulin, to control your&nbsp;diabetes&nbsp;(you should be alert to low blood glucose levels by taking blood samples, especially during the first month of treatment)<\/li><li>if you are taking potassium supplements or salt substitutes that contain&nbsp;potassium<\/li><li>if you are taking other medicines that may affect your blood potassium level, such as&nbsp;heparin&nbsp;(a blood thinner)<\/li><li>if you have high potassium levels in your blood<\/li><li>if you take lithium, is used to treat certain mental illnesses<\/li><li>if you have abnormal levels of water and minerals in your body (fluid\/electrolyte imbalance)<\/li><li>if you are going to be examined to check your parathyroid function<\/li><li>if you are allergic or have&nbsp;asthma<\/li><li>if you are taking any of the following medicines used to treat high blood pressure:<ul><li>an&nbsp;angiotensin&nbsp;II receptor blocker (ARB) (also known as sartans &#8211; for example, valsartan, <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tolura\/\">telmisartan<\/a>, irbesartan), especially if you have diabetes-related kidney problems.<\/li><li>aliskiren.<\/li><\/ul><\/li><li>If you have had skin cancer or if you develop an unexpected skin lesion during treatment.&nbsp;<br>Treatment with&nbsp;hydrochlorothiazide, especially for long-term use with high&nbsp;doses, may increase the risk of certain types of skin and lip cancer (non-melanoma&nbsp;skin cancer).&nbsp;Protect your skin from sunlight and UV radiation while taking Enalapril \/ Hydrochlorothiazide Mylan.<\/li><\/ul>\n\n\n\n<p>Your doctor may need to check your kidney function,&nbsp;blood pressure,&nbsp;and the number of&nbsp;electrolytes&nbsp;(eg&nbsp;potassium&nbsp;) in&nbsp;your&nbsp;blood at regular intervals.<br><\/p>\n\n\n\n<p>See also the information under the heading &#8220;Do not take Enalapril \/ Hydrochlorothiazide Mylan&#8221;.<br><\/p>\n\n\n\n<p>You must tell your doctor if you think you are (or might become) pregnant.&nbsp;Enalapril \/ Hydrochlorothiazide Mylan is not recommended during pregnancy and should not be used during the last 6 months of pregnancy as it may cause birth defects (see section \u201cPregnancy and breast-feeding\u201d).<br><\/p>\n\n\n\n<p>You should be aware that this medicine may lower&nbsp;your blood pressure&nbsp;less effectively in colored patients than in non-colored ones.<br><\/p>\n\n\n\n<p><strong>Tell your treating physician that you are taking Enalapril \/ Hydrochlorothiazide Mylan if you are going to undergo any of the following treatments:<\/strong><\/p>\n\n\n\n<p>\u2022 if you are going to have an operation or have anesthesia (also at the dentist)<\/p>\n\n\n\n<p>\u2022 if you are going to receive a treatment called&nbsp;LDL-&nbsp;apheresis, removing&nbsp;cholesterol from your blood using a machine<\/p>\n\n\n\n<p>\u2022 sensitization to certain insecticides, e.g.&nbsp;bee or wasp sting.<br><\/p>\n\n\n\n<p><strong>Routine tests<\/strong><\/p>\n\n\n\n<p>When you start taking Enalapril \/ Hydrochlorothiazide Mylan, your doctor will routinely check your&nbsp;blood pressure regularly&nbsp;to make sure you have received the correct&nbsp;dose.&nbsp;Also, your doctor may want to do some tests to measure the levels of&nbsp;potassium,&nbsp;sodium,&nbsp;magnesium,&nbsp;creatinine,&nbsp;and liver enzyme&nbsp;levels.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children<\/h2>\n\n\n\n<p>Enalapril \/ Hydrochlorothiazide Mylan is not recommended for use in children.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Enalapril \/ Hydrochlorothiazide Mylan<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription, as some medicines may affect each other.&nbsp;Some other medicines may also affect the effect of Enalapril \/ Hydrochlorothiazide Mylan.&nbsp;This is especially true if you also take:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drugs most commonly used to prevent rejection of transplanted organs (sirolimus, everolimus, and other drugs belonging to the mTOR inhibitor group).&nbsp;See section \u201cWarnings and Precautions\u201d.<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>potassium-sparing&nbsp;diuretic&#8217;&nbsp;tablets (&nbsp;diuretics&nbsp;), such as&nbsp;spironolactone, eplerenone, triamterene, amiloride, potassium supplements, or potassium-containing salt substitutes.&nbsp;Enalapril \/ Hydrochlorothiazide Mylan may increase potassium levels in the blood which may lead to high potassium levels.&nbsp;This causes few symptoms and is most often seen through sampling.<\/li><li>diuretics&nbsp;(&nbsp;diuretics&nbsp;such as&nbsp;thiazides,&nbsp;furosemide, bumetanide), especially so-called potassium-sparing&nbsp;diuretics, other medicines that can increase the potassium content of the body (eg&nbsp;heparin&nbsp;and the combination trimethoprim\/sulfamethoxazole).<\/li><li>other antihypertensive drugs, such as&nbsp;nitroglycerine&nbsp;, nitrates, vasodilators, methyldopa and&nbsp;the angiotensin&nbsp;II&nbsp;receptor&nbsp;&#8211;&nbsp;antagonistic&nbsp;s (eg, candesartan, irbesartan and&nbsp;losartan&nbsp;)<\/li><li>lithium is used to treat certain psychiatric illnesses.&nbsp;Enalapril \/ Hydrochlorothiazide Mylan should not be taken with this medicine<\/li><li>barbiturates&nbsp;(sedatives used for insomnia or&nbsp;epilepsy&nbsp;)<\/li><li>tricyclic antidepressants&nbsp;such as amitryptiline, used for depression, and antipsychotics such as phenothiazines, used for severe anxiety.<\/li><li>painkillers such as morphine and anesthetics, as it can make your&nbsp;blood pressure too low<\/li><li>cholestyramine or colestipol (used to control cholesterol levels)<\/li><li>medicines used to treat stiffness and&nbsp;inflammation&nbsp;associated with painful conditions, especially those that affect your muscles, bones, and joints, including:<ul><li>gold therapy (sodium aurothiomalate), which may lead to&nbsp;redness&nbsp;of the face, nausea, vomiting, and low&nbsp;blood pressure&nbsp;associated with treatment with Enalapril \/ Hydrochlorothiazide Mylan, and<\/li><li>Non-steroidal anti-inflammatory drugs (NSAIDs), such as diflunisal or&nbsp;diclofenac, can prevent your&nbsp;blood pressure&nbsp;from being well controlled, and can increase the level of&nbsp;potassium&nbsp;in your blood.<\/li><\/ul><\/li><li>medicines such as&nbsp;ephedrine&nbsp;used in certain cough and cold cures, or&nbsp;norepinephrine&nbsp;and&nbsp;adrenaline&nbsp;used in the treatment of low&nbsp;blood pressure,&nbsp;shock,&nbsp;heart failure,&nbsp;asthma,&nbsp;or&nbsp;allergies.&nbsp;When used concomitantly with Enalapril \/ Hydrochlorothiazide Mylan, these medicines may cause your&nbsp;blood pressure&nbsp;to become too high.<\/li><li>corticotropin&nbsp;(ACTH) used to test the adrenal glands for proper function<\/li><li>corticosteroids&nbsp;(used to treat certain conditions such as rheumatism,&nbsp;arthritis,&nbsp;allergies,&nbsp;asthma,&nbsp;or certain blood disorders)<\/li><li>probenecid, sulfinpyrazone, and allopurinol (used to&nbsp;treat gout&nbsp;)<\/li><li>ciclosporin (an immunosuppressive drug used to treat autoimmune diseases)<\/li><li>anticancer drugs, such as cyclophosphamide or methotrexate<\/li><li>antacids (used for digestive problems)<\/li><li>procainamide<\/li><li>,&nbsp;amiodarone, sotalol,&nbsp;quinidine, hydroquinone,&nbsp;disopyramide, dofetilide, or ibutilide (used to treat abnormal heart rhythms.)<\/li><li>digitalis&nbsp;(used to treat heart rhythm problems)<\/li><li>carbenoxolone (used to treat&nbsp;stomach ulcers&nbsp;)<\/li><li>excessive use of laxatives<\/li><li>drugs for&nbsp;diabetes, such as&nbsp;insulin&nbsp;and&nbsp;metformin.&nbsp;Enalapril \/ Hydrochlorothiazide Mylan can get your blood sugar levels to drop even more if you take it with drugs for&nbsp;diabetes.<\/li><li>analgesics and anti-inflammatory drugs, such as&nbsp;acetylsalicylic acid&nbsp;(above 300 mg\/day)<\/li><li>muscle relaxants, such as tubocurarine chloride used as muscle relaxants during surgeries<\/li><li>calcium and&nbsp;vitamin D&nbsp;in salt form<\/li><li>carbamazepine is used to treat&nbsp;epilepsy&nbsp;or bipolar disorder<\/li><li>amphotericin B, used against fungal infections<\/li><li>contrast agent containing iodine used in X-rays<\/li><li>drugs such as atropine or biperiden<\/li><\/ul>\n\n\n\n<p>Your doctor may need to change your&nbsp;dose&nbsp;and\/or take other precautions:<\/p>\n\n\n\n<p>If you are taking an&nbsp;angiotensin&nbsp;II receptor blocker (ARB) or aliskiren (see also the information under the headings &#8220;Do not take Enalapril \/ Hydrochlorothiazide Mylan&#8221; and &#8220;Warnings and precautions&#8221;).<br><\/p>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Enalapril \/ Hydrochlorothiazide Mylan if you are not sure if any of the above applies to you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Enalapril \/ Hydrochlorothiazide Mylan with alcohol<\/h2>\n\n\n\n<p>Drinking alcohol during treatment with Enalapril \/ Hydrochlorothiazide Mylan may cause a drop in blood pressure and you may feel dizzy, faint, or dizzy.&nbsp;You should keep your alcohol intake to a minimum.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p>If you are pregnant, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p>Your doctor will usually ask you to stop your treatment with Enalapril \/ Hydrochlorothiazide Mylan before you become pregnant or as soon as you know you are pregnant and to&nbsp;prescribe&nbsp;another treatment instead of Enalapril \/ Hydrochlorothiazide Mylan.&nbsp;Enalapril \/ Hydrochlorothiazide Mylan is not recommended during early pregnancy and must not be used during the last 6 months of pregnancy as this medicine may cause serious birth defects.<br><\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>If you are breast-feeding or about to start breastfeeding, talk to your doctor or pharmacist before taking this medicine.&nbsp;Enalapril \/ Hydrochlorothiazide Mylan is not recommended for breast-feeding.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Certain&nbsp;side effects, such as dizziness and fatigue, have been reported with Enalapril \/ Hydrochlorothiazide Mylan, which may affect some patients&#8217; ability to drive or use machines (see also section 4).<br><\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Enalapril \/ Hydrochlorothiazide Mylan contains lactose<\/h2>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Enalapril \/ Hydrochlorothiazide Mylan&nbsp;<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;is one tablet once a day.<br><\/p>\n\n\n\n<p><em>Elderly<\/em><\/p>\n\n\n\n<p>Your doctor will carefully adjust the&nbsp;dose&nbsp;of&nbsp;enalapril&nbsp;and&nbsp;hydrochlorothiazide&nbsp;<br><\/p>\n\n\n\n<p><em>Patients with kidney problems<\/em><\/p>\n\n\n\n<p>Your doctor will carefully adjust the&nbsp;dose&nbsp;of&nbsp;enalapril&nbsp;and&nbsp;hydrochlorothiazide.<br><\/p>\n\n\n\n<p><strong>Use for children<\/strong><\/p>\n\n\n\n<p>Enalapril \/ Hydrochlorothiazide Mylan is not recommended for use in children<br><\/p>\n\n\n\n<p><strong>How to take Enalapril \/&nbsp;<\/strong><strong>Hydrochlorothiazide&nbsp;<\/strong><strong>Mylan<\/strong><\/p>\n\n\n\n<p>Enalapril \/ Hydrochlorothiazide Mylan can be taken with or without food.&nbsp;The tablets should be swallowed with a glass of water.<\/p>\n\n\n\n<p>The tablets can be divided into two equal&nbsp;doses.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Enalapril \/ Hydrochlorothiazide Mylan then you should<\/h2>\n\n\n\n<p>Always consult a doctor or nearest hospital if you (or anyone else) have taken too many tablets at the same time, or if you think a child has swallowed a tablet.&nbsp;An overdose is likely to cause low&nbsp;blood pressure, excessive or slow heart rate, palpitations (a feeling of excessively fast or irregular heartbeat),&nbsp;shock, rapid breathing, cough, nausea and vomiting, cramps, dizziness, feeling sleepy and confused or anxious, urination or inability to urinate.<br><\/p>\n\n\n\n<p>If you have ingested too much medicine or if e.g.&nbsp;If a child has inadvertently ingested the medicine, contact a doctor, hospital, or the Poison Information Center for risk assessment and advice.<br><\/p>\n\n\n\n<p>Bring this leaflet, any remaining tablets, and the package to the hospital or doctor so that they know which tablets it is.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Enalapril \/ Hydrochlorothiazide Mylan<\/h2>\n\n\n\n<p>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten tablet, take the next&nbsp;dose&nbsp;at the normal time.&nbsp;If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Enalapril \/ Hydrochlorothiazide Mylan&nbsp;<\/h2>\n\n\n\n<p>Treatment of high&nbsp;blood pressure&nbsp;is a long-term treatment and interruptions in treatment must be discussed with a doctor.&nbsp;Interrupting or completely interrupting your treatment can cause your&nbsp;blood pressure&nbsp;to increase.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<br><\/p>\n\n\n\n<p><strong>It is of the utmost importance that you stop taking Enalapril \/ Hydrochlorothiazide Mylan and that you consult a doctor or hospital immediately if you start having the following symptoms:<\/strong><br><\/p>\n\n\n\n<p><strong>Common: may affect up to 1 in 10 users<\/strong><\/p>\n\n\n\n<p>\u2022 a severe&nbsp;allergic reaction&nbsp;with symptoms such as rash,&nbsp;itching, shortness of breath or wheezing, swelling of the hands, face, eyes, lips, tongue, mouth, or throat, which may cause swallowing problems.&nbsp;ACE inhibitors&nbsp;may increase the risk of this reaction in colored patients.<\/p>\n\n\n\n<p>\u2022 pain with a feeling of tightness, pressure, or heaviness in the chest (angina)<\/p>\n\n\n\n<p>\u2022 severe dizziness, feeling intoxicated, especially at the beginning of treatment or when you get up.<br><\/p>\n\n\n\n<p><strong>Uncommon: may affect up to 1 in 100 people<\/strong><\/p>\n\n\n\n<p>\u2022 inflammation of the pancreas that causes intense pain in the abdomen and back (&nbsp;pancreatitis&nbsp;)<\/p>\n\n\n\n<p>\u2022 heart attack or&nbsp;stroke&nbsp;(in high-risk patients)<\/p>\n\n\n\n<p>Persistent constipation with discomfort or bloating, possibly with nausea or vomiting.&nbsp;These can be signs of a blockage in the intestine<\/p>\n\n\n\n<p>\u2022 burning, aching pain in the stomach with an empty feeling and hunger, especially when the stomach is empty.&nbsp;These can be signs of a wound<\/p>\n\n\n\n<p>\u2022 difficulty or pain when urinating, with blood in the urine, or changes in color or amount of urine.&nbsp;Lower back pain, nausea or vomiting, general malaise.&nbsp;These can be signs of serious kidney problems<\/p>\n\n\n\n<p>\u2022 changes in the number of certain cells in the blood that can lead to you feeling more tired than usual, weak, short of breath or have pale skin (fewer&nbsp;red blood cells), have more frequent&nbsp;infections&nbsp;with fever, chills, sore throat due to cold sores (fewer&nbsp;white blood cells&nbsp;), or that you bleed or get bruises more easily or for a longer time than usual (fewer&nbsp;platelets&nbsp;).<br><\/p>\n\n\n\n<p><strong>Rare: may affect up to 1 in 1,000 people<\/strong><\/p>\n\n\n\n<p>\u2022 rash that can form blisters and look like small targets &#8211; dark spots in the middle surrounded by a paler area, with a dark ring around the edge (erythema multiforme)<\/p>\n\n\n\n<p>\u2022 blisters on the skin, mouth, eyes, and genitals (&nbsp;Stevens-Johnson&nbsp;syndrome)<\/p>\n\n\n\n<p>\u2022 skin that looks burnt and flaking (&nbsp;toxic epidermal necrolysis&nbsp;)<\/p>\n\n\n\n<p>\u2022 a condition that causes blisters and sores that normally begin in the mouth (&nbsp;pemphigus&nbsp;),&nbsp;hives, hair loss, and&nbsp;itching&nbsp;).&nbsp;Sometimes skin problems can be accompanied by fever, severe&nbsp;inflammation,&nbsp;inflammation&nbsp;of the blood vessels, muscle pain and\/or joint pain, changes in the composition of the blood, and increased lowering (a blood test to detect&nbsp;inflammation&nbsp;)<\/p>\n\n\n\n<p>\u2022 Severe difficulty breathing, even at rest, general malaise with increased chills, fever, sweating, coughing or wheezing, nausea, vomiting, loss of appetite, general malaise, fever,&nbsp;itching, yellowing of the skin and whites of the eyes (jaundice), light-colored stools and dark-colored urine can be symptoms of severe liver problems or hepatitis.<br><\/p>\n\n\n\n<p><strong>Has been reported (occurs in an unknown number of users)<\/strong><\/p>\n\n\n\n<p>\u2022 swollen and tender salivary glands<\/p>\n\n\n\n<p>\u2022 lower sodium levels in the blood than normal, which can make you feel weak and confused with aching muscles.&nbsp;This may be due to inaccurate&nbsp;ADH&nbsp;&#8211;&nbsp;secretion, a&nbsp;hormone&nbsp;that causes the body to retain water and dilutes the blood, which reduces the amount of&nbsp;sodium.<\/p>\n\n\n\n<p>\u2022 Skin and lip cancer (nonmelanoma&nbsp;skin cancer)<br><\/p>\n\n\n\n<p><strong>Other possible&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>Dry cough, which can be long-lasting, has been reported as a very common side effect (may affect more than 1 in 10 people) when using Enalapril \/ Hydrochlorothiazide Mylan and other&nbsp;ACE inhibitors, but this may also be a symptom of another upper respiratory tract infection.&nbsp;Contact your doctor if you get this symptom.<br><\/p>\n\n\n\n<p><strong>Very common: may affect more than 1 user in 10<\/strong><\/p>\n\n\n\n<p>\u2022 dimsyn<\/p>\n\n\n\n<p>\u2022dizziness<\/p>\n\n\n\n<p>\u2022nausea<\/p>\n\n\n\n<p>\u2022weakness.<br><\/p>\n\n\n\n<p><strong>Common: may affect up to 1 in 10 users<\/strong><\/p>\n\n\n\n<p>\u2022 headache, depression, fainting<\/p>\n\n\n\n<p>\u2022 low&nbsp;blood pressure&nbsp;(which can make you feel dizzy when you stand up)<\/p>\n\n\n\n<p>\u2022 chest pain<\/p>\n\n\n\n<p>\u2022 altered heartbeat, fast heartbeat<\/p>\n\n\n\n<p>\u2022respiratory distress<\/p>\n\n\n\n<p>\u2022 diarrhea, abdominal pain, taste changes, feeling tired<\/p>\n\n\n\n<p>\u2022rash<\/p>\n\n\n\n<p>\u2022 increased potassium levels in the blood, increase in&nbsp;serum creatinine&nbsp;(both increases are usually detected by sampling)<\/p>\n\n\n\n<p>\u2022 low potassium levels in the blood, which can cause muscle weakness, irregular or abnormal heart rhythm, increased cholesterol levels, increased levels of&nbsp;triglycerides, increased levels of&nbsp;uric acid&nbsp;in the blood<\/p>\n\n\n\n<p>\u2022 muscle cramps.<br><\/p>\n\n\n\n<p><strong>Uncommon: may affect up to 1 in 100 people<\/strong><\/p>\n\n\n\n<p>\u2022 a feeling of increased alertness or a feeling of instability (caused by low blood sugar)<\/p>\n\n\n\n<p>\u2022 confusion, drowsiness, insomnia, nervousness, feeling of tingling, tingling or numbness, dizziness<\/p>\n\n\n\n<p>\u2022 flushing, fast or uneven heartbeat<\/p>\n\n\n\n<p>Runny nose, sore throat, and hoarseness, difficulty breathing or wheezing<\/p>\n\n\n\n<p>\u2022 vomiting, indigestion, constipation, loss of appetite, stomach irritation,&nbsp;dry mouth,&nbsp;flatulence&nbsp;(&nbsp;flatulence&nbsp;)<\/p>\n\n\n\n<p>\u2022 excessive sweating,&nbsp;itching,&nbsp;hives, hair loss<\/p>\n\n\n\n<p>\u2022 kidney problems,&nbsp;protein&nbsp;in the urine (usually detected by sampling)<\/p>\n\n\n\n<p>\u2022 impotence decreased sexual desire<\/p>\n\n\n\n<p>\u2022 fever, weakness<\/p>\n\n\n\n<p>\u2022 ringing in the ears<\/p>\n\n\n\n<p>\u2022 increased level of&nbsp;urea&nbsp;and decreased level of&nbsp;sodium&nbsp;in the blood (detected with a test)<\/p>\n\n\n\n<p>\u2022 low magnesium level in the blood (hypomagnesemia)<\/p>\n\n\n\n<p>\u2022 joint pain, a disease with painful swollen joints caused by uric acid crystals (&nbsp;gout&nbsp;)<br><\/p>\n\n\n\n<p><strong>Rare: may affect up to 1 in 1,000 people<\/strong><\/p>\n\n\n\n<p>\u2022 abnormal dreams, sleep disturbances, weakness due to reduced mobility<\/p>\n\n\n\n<p>\u2022 swollen&nbsp;lymph nodes&nbsp;in the throat, armpits, and groin<\/p>\n\n\n\n<p>\u2022 low blood circulation to fingers and toes causing&nbsp;redness&nbsp;and pain (Raynaud&#8217;s syndrome)<\/p>\n\n\n\n<p>\u2022 runny or sore nose, pain, swelling of the mouth or cold sores,&nbsp;infection&nbsp;or pain, and swelling of the tongue<\/p>\n\n\n\n<p>\u2022 decreased urine production<\/p>\n\n\n\n<p>\u2022 swollen nasal mucosa<\/p>\n\n\n\n<p>\u2022 difficulty breathing, shortness of breath<\/p>\n\n\n\n<p>\u2022 flaky skin,&nbsp;reddened&nbsp;skin, blisters, purple or reddish-brown spots visible through the skin<\/p>\n\n\n\n<p>\u2022 breast augmentation in men<\/p>\n\n\n\n<p>\u2022 increase in liver enzymes or degradation products produced by the liver (usually detected by blood tests)<\/p>\n\n\n\n<p>\u2022 elevated blood sugar or decreased amount of&nbsp;hemoglobin&nbsp;in the blood (usually detected by a blood test)<\/p>\n\n\n\n<p>\u2022 inflammation of the gallbladder<br><\/p>\n\n\n\n<p><strong>Very rare (may affect up to 1 in 10,000 people<\/strong>&nbsp;)<\/p>\n\n\n\n<p>\u2022 swelling of the intestines.&nbsp;Symptoms may include abdominal pain, nausea, and vomiting<\/p>\n\n\n\n<p>\u2022 elevated calcium levels in the blood, which can cause abdominal pain, nausea, and vomiting, constipation, loss of appetite, excessive thirst, excessive need to throw water, fatigue, weakness, and weight loss.<br><\/p>\n\n\n\n<p><strong>Has been reported<\/strong>&nbsp;(occurs in an unknown number of users)<\/p>\n\n\n\n<p>\u2022 sugar (&nbsp;glucose&nbsp;) in the urine<\/p>\n\n\n\n<p>\u2022dizziness<\/p>\n\n\n\n<p>In some patients, a group of&nbsp;side effects&nbsp;may be seen at the same time.&nbsp;These may include fever, problems caused by&nbsp;inflammation&nbsp;or changes in&nbsp;blood cells&nbsp;(some of which may require&nbsp;urgent&nbsp;medical attention &#8211; see the beginning of this section), aching or swollen joints, and skin problems, which may include unusual sensitivity to sunlight.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Enalapril \/ Hydrochlorothiazide Mylan&nbsp;<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton, jar, and blister after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>This medicine does not require any special storage instructions.&nbsp;Store in the original package.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>&#8211; The active substances are enalapril maleate and&nbsp;hydrochlorothiazide&nbsp;.&nbsp;Each tablet contains 20 mg enalapril maleate and 12.5 mg&nbsp;hydrochlorothiazide&nbsp;.<\/p>\n\n\n\n<p>The other ingredients are microcrystalline cellulose, pregelatinized&nbsp;starch,&nbsp;lactose,&nbsp;colloidal&nbsp;anhydrous silicon, magnesium stearate, sodium lauryl sulfate, malathion, yellow iron oxide (E172)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Enalapril \/ Hydrochlorothiazide Mylan 20 mg \/ 12.5 mg tablet is a yellow, capsule-shaped, biconvex tablet, marked with E on one side of the trench and H on the other side on one side of the tablet, and M on the other side.<br><\/p>\n\n\n\n<p>Enalapril \/ Hydrochlorothiazide Mylan 20 mg \/ 12.5 tablets are available in blister packs of 10, 14, 20, 28, 30, 60, 90, and 100 tablets,&nbsp;calendar&nbsp;packs of 28 tablets, and in packs of perforated unit dose blisters of 30&#215;1 tablets.<br><\/p>\n\n\n\n<p>Enalapril \/ Hydrochlorothiazide Mylan 20 mg \/ 12.5 tablets are available in bottles of 500 tablets.&nbsp;The jar also contains a desiccant box.<br><\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder&nbsp;<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Mylan AB<\/p>\n\n\n\n<p>Box 23033<\/p>\n\n\n\n<p>104 35 Stockholm<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Mylan Hungary Kft., H-2900 Komarom, Mylan utca 1, Hungary.<br><\/p>\n\n\n\n<p>Generics Ltd, Station Close, Potters Bar, Hertfordshire EN6 1TL, UK<br><\/p>\n\n\n\n<p>McDermott Laboratories Limited to Gerard Laboratories, 35\/36 Baldoyle Industrial Estate, Grange Road, Dublin 13, Ireland<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enalapril \/ Hydrochlorothiazide Mylan contains a combination of enalapril maleate and hydrochlorothiazide .<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2205,2200],"tags":[4302,4304,4305,2213,4303],"class_list":["post-8107","post","type-post","status-publish","format-standard","hentry","category-e","category-medicines","tag-enalapril-mylan","tag-enalapril-mylan-side-effects","tag-enalapril-mylan-tablet","tag-medicines","tag-what-is-enalapril-mylan"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8107","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=8107"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8107\/revisions"}],"predecessor-version":[{"id":10548,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8107\/revisions\/10548"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8107"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8107"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8107"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}