Enalapril Teva works by dilating your blood vessels and lowering your blood pressure. Enalapril Teva usually has an effect within one hour and the effect lasts for at least 24 hours. Some individuals may need several weeks of treatment before the optimal effect on blood pressure is achieved.
<\/p>\n\n\n\n
Enalapril contained in Enalapril Teva may also be approved for the treatment of other conditions not mentioned in this product information. Ask your doctor, pharmacist, or other healthcare professional if you have any further questions, and always follow their instructions.
<\/p>\n\n\n\n
What you need to know before you take Enalapril Teva<\/h2>\n\n\n\nDo not take Enalapril Teva:<\/h2>\n\n\n\n- if you are allergic to enalapril or any of the other ingredients of this medicine (listed in section 6)<\/li>
- if you have previously experienced an allergic reaction to any other ACE inhibitor<\/li>
- if you have previously experienced swelling of the face, lips, mouth, tongue, or throat which caused difficulty swallowing and\/or breathing ( angioedema ) of unknown cause or in hereditary angioedema<\/li>
- if you have diabetes or renal impairment and are being treated with a blood pressure-lowering medicine containing aliskiren<\/li>
- if you are pregnant and your pregnancy has lasted for more than 3 months (treatment with Enalapril Teva should preferably also be avoided earlier in the pregnancy, see section \u201cPregnancy, breast-feeding and fertility\u201d).<\/li>
- If you have taken or are taking sacubitril\/valsartan, a medicine used to treat a type of long-term ( chronic ) heart failure in adults, as it increases the risk of angioedema (rapid swelling under the skin in an area such as the throat).<\/li><\/ul>\n\n\n\n
Do not take Enalapril Teva if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Enalapril Teva.<\/p>\n\n\n\n
Warnings and cautions<\/h2>\n\n\n\n
Talk to your doctor or pharmacist before taking Enalapril Teva if:<\/p>\n\n\n\n
- you have heart problems<\/li>
- you suffer from a disease that affects the blood vessels in the brain<\/li>
- you have a blood disease such as low white blood cell count (neutropenia\/agranulocytosis), low platelet count ( thrombocytopenia ), or red blood cell count ( anemia )<\/li>
- you have liver problems<\/li>
- you have any kidney disease (including kidney transplantation). This can lead to elevated levels of potassium in the blood which can be serious. Your doctor may need to adjust your dose of Enalapril Teva or check your blood potassium levels.<\/li>
- you undergo dialysis<\/li>
- you have been very ill (severe vomiting) or recently had severe diarrhea<\/li>
- you are on a low-salt diet, treated with potassium supplements, potassium-sparing agents or potassium-containing salt substitutes begin<\/li>
- you are over 70 years old<\/li>
- you have diabetes. You should monitor your blood sugar levels, especially during the first month of treatment. The levels of potassium in the blood may also increase.<\/li>
- If you have previously had an allergic reaction with swelling of the face, lips, tongue, or throat with difficulty swallowing and\/or breathing ( angioedema ), see also information under the heading \u201cDo not take Enalapril Teva\u201d. You should be aware that black patients are at increased risk for these types of reactions with ACE inhibitors.<\/li>
- you are taking an inhibitor of mTOR (eg temsirolimus<\/a>, sirolimus, everolimus: medicines used to treat certain types of cancer or to prevent the body’s immune system from rejecting a transplanted organ), racecadotril (a medicine used to treat diarrhea), or vildagliptin (a medicine used to treat diabetes ). Concomitant use may increase the risk of an allergic reaction called angioedema (for symptoms, see point above).<\/li>
- you have low blood pressure (you may experience weakness or dizziness, especially when standing up)<\/li>
- you have a collagen vascular disease (lupus erythematosus, rheumatoid arthritis, or scleroderma), are on immunosuppressive therapy, are being treated with allopurinol or procainamide, or any combination of these.<\/li>
- you are taking any of the following medicines used to treat high blood pressure:
- an angiotensin II receptor blocker (ARB) (also known as sartans – for example, valsartan, telmisartan<\/a>, irbesartan), especially if you have diabetes-related kidney problems.<\/li>
- aliskiren<\/li><\/ul><\/li><\/ul>\n\n\n\n
Your doctor may need to check your kidney function, blood pressure, and the number of electrolytes (eg potassium ) in your blood at regular intervals.
<\/p>\n\n\n\n
See also the information under the heading “Do not take Enalapril Teva”.
<\/p>\n\n\n\n
You must tell your doctor if you think you are (or might become) pregnant. EnalaprilTeva is not recommended during early pregnancy and should not be used during the last 6 months of pregnancy as it may cause birth defects (see Pregnancy, breast-feeding, and fertility ).
<\/p>\n\n\n\n
You should be aware that Enalapril Teva does not lower blood pressure as effectively in black patients.
<\/p>\n\n\n\n
If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking Enalapril Teva.
<\/p>\n\n\n\n
If you are going to undergo a treatment<\/strong><\/p>\n\n\n\nIf you are going to undergo any of the following, tell your doctor that you are taking Enalapril Teva:<\/p>\n\n\n\n
- a surgical procedure or if you are going to undergo anesthesia (even at the dentist)<\/li>
- a treatment to remove cholesterol in the blood called LDL apheresis<\/li>
- a hyposensitization, to reduce hypersensitivity to bee or wasp stings.<\/li><\/ul>\n\n\n\n
If any of the above apply to you, talk to your doctor or dentist before treatment.<\/p>\n\n\n\n
Other medicines and Enalapril Teva<\/h2>\n\n\n\n
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. Enalapril Teva can affect the way other medicines work in the body and some other medicines can also affect the way Enalapril Teva works in the body. Your doctor may need to change your dose and\/or take other precautions.
<\/p>\n\n\n\n
It is especially important to tell your doctor or pharmacist if you are taking any of the following medicines:<\/p>\n\n\n\n
- an angiotensin II receptor blocker (ARB) or aliskiren (see also the information under the headings \u201cDo not take Enalapril Teva\u201d and \u201cWarnings and precautions\u201d)<\/li>
- other antihypertensive drugs such as beta-blockers or diuretics (diuretics: eg potassium-sparing diuretics such as spironolactone, triamterene, and amiloride))<\/li>
- Potassium- containing medicinal products (including potassium-containing salt substitutes)<\/li>
- drugs that can increase potassium levels in the body such as heparin (blood thinner), cyclosporine (an immunosuppressive drug that prevents rejection of transplanted organs), and the combination trimethoprim\/sulfamethoxazole (against infection caused by bacteria)<\/li>
- drugs against diabetes (including diabetes agents taken orally and insulin )<\/li>
- lithium (a medicine used to treat a certain type of depression)<\/li>
- antidepressants called the tricyclic antidepressant agent<\/li>
- medicines for mental disorders, so-called antipsychotics<\/li>
- certain medicines for coughs and colds and for weight loss which contain something called sympathomimetic<\/li>
- certain medicines for pain or rheumatism including gold therapy<\/li>
- racecadotril (a medicine used to treat diarrhea)<\/li>
- an inhibitor of mTOR (eg temsirolimus, sirolimus, everolimus: medicines used to treat certain cancers or to prevent the body’s immune system from rejecting a transplanted organ). See also information under the heading “Warnings and precautions”<\/li>
- non-steroidal anti-inflammatory drugs, including COX-2 inhibitors (drugs that reduce inflammation and can be used for pain relief).<\/li>
- acetylsalicylic acid<\/a><\/li>
- drugs used to dissolve blood clots ( thrombolytics )<\/li><\/ul>\n\n\n\n
If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking Enalapril Teva.<\/p>\n\n\n\n
Enalapril Teva with food, drink, and alcohol<\/h2>\n\n\n\n
Enalapril Teva can be taken with or without food. Most people take Enalapril Teva with a glass of water. You should keep your alcohol intake to a minimum while using this medicine. Alcohol potentiates the blood pressure-lowering effect of EnalaprilTeva.<\/p>\n\n\n\n
Pregnancy and breastfeeding<\/h2>\n\n\n\n
If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine.
<\/p>\n\n\n\n
Pregnancy<\/strong><\/p>\n\n\n\nYour doctor will usually suggest that you stop taking Enalapril Teva before you become pregnant or as soon as you know you are pregnant and instead recommend another medicine for you. Enalapril Teva should not be used in early pregnancy and should not be used during the last 6 months of pregnancy as it may cause birth defects.
<\/p>\n\n\n\n
Breast-feeding<\/strong><\/p>\n\n\n\nTell your doctor if you are breast-feeding or planning to start breast-feeding. Enalapril Teva is not recommended for breastfeeding, especially if your baby is newborn (the first few weeks after birth) or is born prematurely. In the case of an older child, your doctor may advise you on the benefits and risks of taking EnalaprilTeva while breastfeeding compared to other treatments.<\/p>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
You may experience dizziness or drowsiness while taking Enalapril Teva. If you experience this, you should not drive or use any tools or machines.
<\/p>\n\n\n\n
You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention. One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or side effects. Descriptions of these effects and side effects can be found in other sections. Read all the information in this leaflet for guidance. If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n
Enalapril Teva contains lactose and sodium<\/h2>\n\n\n\n
Enalapril Teva contains lactose, which is sugar. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n
This medicine contains less than 1 mmol (23 mg) sodium per tablet, ie it is essentially ‘sodium-free’.
<\/p>\n\n\n\n
How to take Enalapril Teva<\/h2>\n\n\n\n
Always take this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n
- if you are allergic to enalapril or any of the other ingredients of this medicine (listed in section 6)<\/li>
- if you have previously experienced an allergic reaction to any other ACE inhibitor<\/li>
- if you have previously experienced swelling of the face, lips, mouth, tongue, or throat which caused difficulty swallowing and\/or breathing ( angioedema ) of unknown cause or in hereditary angioedema<\/li>
- if you have diabetes or renal impairment and are being treated with a blood pressure-lowering medicine containing aliskiren<\/li>
- if you are pregnant and your pregnancy has lasted for more than 3 months (treatment with Enalapril Teva should preferably also be avoided earlier in the pregnancy, see section \u201cPregnancy, breast-feeding and fertility\u201d).<\/li>
- If you have taken or are taking sacubitril\/valsartan, a medicine used to treat a type of long-term ( chronic ) heart failure in adults, as it increases the risk of angioedema (rapid swelling under the skin in an area such as the throat).<\/li><\/ul>\n\n\n\n
Do not take Enalapril Teva if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Enalapril Teva.<\/p>\n\n\n\n
Warnings and cautions<\/h2>\n\n\n\n
Talk to your doctor or pharmacist before taking Enalapril Teva if:<\/p>\n\n\n\n
- you have heart problems<\/li>
- you suffer from a disease that affects the blood vessels in the brain<\/li>
- you have a blood disease such as low white blood cell count (neutropenia\/agranulocytosis), low platelet count ( thrombocytopenia ), or red blood cell count ( anemia )<\/li>
- you have liver problems<\/li>
- you have any kidney disease (including kidney transplantation). This can lead to elevated levels of potassium in the blood which can be serious. Your doctor may need to adjust your dose of Enalapril Teva or check your blood potassium levels.<\/li>
- you undergo dialysis<\/li>
- you have been very ill (severe vomiting) or recently had severe diarrhea<\/li>
- you are on a low-salt diet, treated with potassium supplements, potassium-sparing agents or potassium-containing salt substitutes begin<\/li>
- you are over 70 years old<\/li>
- you have diabetes. You should monitor your blood sugar levels, especially during the first month of treatment. The levels of potassium in the blood may also increase.<\/li>
- If you have previously had an allergic reaction with swelling of the face, lips, tongue, or throat with difficulty swallowing and\/or breathing ( angioedema ), see also information under the heading \u201cDo not take Enalapril Teva\u201d. You should be aware that black patients are at increased risk for these types of reactions with ACE inhibitors.<\/li>
- you are taking an inhibitor of mTOR (eg temsirolimus<\/a>, sirolimus, everolimus: medicines used to treat certain types of cancer or to prevent the body’s immune system from rejecting a transplanted organ), racecadotril (a medicine used to treat diarrhea), or vildagliptin (a medicine used to treat diabetes ). Concomitant use may increase the risk of an allergic reaction called angioedema (for symptoms, see point above).<\/li>
- you have low blood pressure (you may experience weakness or dizziness, especially when standing up)<\/li>
- you have a collagen vascular disease (lupus erythematosus, rheumatoid arthritis, or scleroderma), are on immunosuppressive therapy, are being treated with allopurinol or procainamide, or any combination of these.<\/li>
- you are taking any of the following medicines used to treat high blood pressure:
- an angiotensin II receptor blocker (ARB) (also known as sartans – for example, valsartan, telmisartan<\/a>, irbesartan), especially if you have diabetes-related kidney problems.<\/li>
- aliskiren<\/li><\/ul><\/li><\/ul>\n\n\n\n
Your doctor may need to check your kidney function, blood pressure, and the number of electrolytes (eg potassium ) in your blood at regular intervals.
<\/p>\n\n\n\nSee also the information under the heading “Do not take Enalapril Teva”.
<\/p>\n\n\n\nYou must tell your doctor if you think you are (or might become) pregnant. EnalaprilTeva is not recommended during early pregnancy and should not be used during the last 6 months of pregnancy as it may cause birth defects (see Pregnancy, breast-feeding, and fertility ).
<\/p>\n\n\n\nYou should be aware that Enalapril Teva does not lower blood pressure as effectively in black patients.
<\/p>\n\n\n\nIf you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking Enalapril Teva.
<\/p>\n\n\n\nIf you are going to undergo a treatment<\/strong><\/p>\n\n\n\n
If you are going to undergo any of the following, tell your doctor that you are taking Enalapril Teva:<\/p>\n\n\n\n
- a surgical procedure or if you are going to undergo anesthesia (even at the dentist)<\/li>
- a treatment to remove cholesterol in the blood called LDL apheresis<\/li>
- a hyposensitization, to reduce hypersensitivity to bee or wasp stings.<\/li><\/ul>\n\n\n\n
If any of the above apply to you, talk to your doctor or dentist before treatment.<\/p>\n\n\n\n
Other medicines and Enalapril Teva<\/h2>\n\n\n\n
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. Enalapril Teva can affect the way other medicines work in the body and some other medicines can also affect the way Enalapril Teva works in the body. Your doctor may need to change your dose and\/or take other precautions.
<\/p>\n\n\n\nIt is especially important to tell your doctor or pharmacist if you are taking any of the following medicines:<\/p>\n\n\n\n
- an angiotensin II receptor blocker (ARB) or aliskiren (see also the information under the headings \u201cDo not take Enalapril Teva\u201d and \u201cWarnings and precautions\u201d)<\/li>
- other antihypertensive drugs such as beta-blockers or diuretics (diuretics: eg potassium-sparing diuretics such as spironolactone, triamterene, and amiloride))<\/li>
- Potassium- containing medicinal products (including potassium-containing salt substitutes)<\/li>
- drugs that can increase potassium levels in the body such as heparin (blood thinner), cyclosporine (an immunosuppressive drug that prevents rejection of transplanted organs), and the combination trimethoprim\/sulfamethoxazole (against infection caused by bacteria)<\/li>
- drugs against diabetes (including diabetes agents taken orally and insulin )<\/li>
- lithium (a medicine used to treat a certain type of depression)<\/li>
- antidepressants called the tricyclic antidepressant agent<\/li>
- medicines for mental disorders, so-called antipsychotics<\/li>
- certain medicines for coughs and colds and for weight loss which contain something called sympathomimetic<\/li>
- certain medicines for pain or rheumatism including gold therapy<\/li>
- racecadotril (a medicine used to treat diarrhea)<\/li>
- an inhibitor of mTOR (eg temsirolimus, sirolimus, everolimus: medicines used to treat certain cancers or to prevent the body’s immune system from rejecting a transplanted organ). See also information under the heading “Warnings and precautions”<\/li>
- non-steroidal anti-inflammatory drugs, including COX-2 inhibitors (drugs that reduce inflammation and can be used for pain relief).<\/li>
- acetylsalicylic acid<\/a><\/li>
- drugs used to dissolve blood clots ( thrombolytics )<\/li><\/ul>\n\n\n\n
If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking Enalapril Teva.<\/p>\n\n\n\n
Enalapril Teva with food, drink, and alcohol<\/h2>\n\n\n\n
Enalapril Teva can be taken with or without food. Most people take Enalapril Teva with a glass of water. You should keep your alcohol intake to a minimum while using this medicine. Alcohol potentiates the blood pressure-lowering effect of EnalaprilTeva.<\/p>\n\n\n\n
Pregnancy and breastfeeding<\/h2>\n\n\n\n
If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine.
<\/p>\n\n\n\nPregnancy<\/strong><\/p>\n\n\n\n
Your doctor will usually suggest that you stop taking Enalapril Teva before you become pregnant or as soon as you know you are pregnant and instead recommend another medicine for you. Enalapril Teva should not be used in early pregnancy and should not be used during the last 6 months of pregnancy as it may cause birth defects.
<\/p>\n\n\n\nBreast-feeding<\/strong><\/p>\n\n\n\n
Tell your doctor if you are breast-feeding or planning to start breast-feeding. Enalapril Teva is not recommended for breastfeeding, especially if your baby is newborn (the first few weeks after birth) or is born prematurely. In the case of an older child, your doctor may advise you on the benefits and risks of taking EnalaprilTeva while breastfeeding compared to other treatments.<\/p>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
You may experience dizziness or drowsiness while taking Enalapril Teva. If you experience this, you should not drive or use any tools or machines.
<\/p>\n\n\n\nYou are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention. One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or side effects. Descriptions of these effects and side effects can be found in other sections. Read all the information in this leaflet for guidance. If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n
Enalapril Teva contains lactose and sodium<\/h2>\n\n\n\n
Enalapril Teva contains lactose, which is sugar. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n
This medicine contains less than 1 mmol (23 mg) sodium per tablet, ie it is essentially ‘sodium-free’.
<\/p>\n\n\n\nHow to take Enalapril Teva<\/h2>\n\n\n\n
Always take this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n
- drugs used to dissolve blood clots ( thrombolytics )<\/li><\/ul>\n\n\n\n
- aliskiren<\/li><\/ul><\/li><\/ul>\n\n\n\n