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enalapril (oral/injection)

Pronunciation: e NAL a pril

Brand: Epaned, Vasotec

Enalapril Maleate

slide 1 of 58, Enalapril Maleate,

2.5 mg, oval, yellow, imprinted with 93 26

Image of Enalapril Maleate
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Enalapril Maleate

slide 2 of 58, Enalapril Maleate,

5 mg, oval, white, imprinted with 93 27

Image of Enalapril Maleate
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Enalapril Maleate

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10 mg, oval, pink, imprinted with 93 28

Image of Enalapril Maleate
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Enalapril Maleate

slide 4 of 58, Enalapril Maleate,

20 mg, oval, peach, imprinted with 93 29

Image of Enalapril Maleate
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Vasotec

slide 5 of 58, Vasotec,

5 mg, triangular, white, imprinted with VASO 5

Image of Vasotec
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Vasotec

slide 6 of 58, Vasotec,

10 mg, triangular, red, imprinted with VASO 10

Image of Vasotec
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Vasotec

slide 7 of 58, Vasotec,

20 mg, triangular, peach, imprinted with VASO 20

Image of Vasotec
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Enalapril Maleate

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2.5 mg, round, yellow, imprinted with T 2

Image of Enalapril Maleate
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Enalapril Maleate

slide 9 of 58, Enalapril Maleate,

5 mg, round, yellow, imprinted with T 5

Image of Enalapril Maleate
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Enalapril Maleate

slide 10 of 58, Enalapril Maleate,

10 mg, round, pink, imprinted with T 10

Image of Enalapril Maleate
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Enalapril Maleate

slide 11 of 58, Enalapril Maleate,

20 mg, round, orange, imprinted with T 20

Image of Enalapril Maleate
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Enalapril Maleate

slide 12 of 58, Enalapril Maleate,

2.5 mg, round, yellow, imprinted with T 2

Image of Enalapril Maleate
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Enalapril Maleate

slide 13 of 58, Enalapril Maleate,

5 mg, round, yellow, imprinted with T 5

Image of Enalapril Maleate
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Enalapril Maleate

slide 14 of 58, Enalapril Maleate,

10 mg, round, pink, imprinted with T 10

Image of Enalapril Maleate
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Enalapril Maleate

slide 15 of 58, Enalapril Maleate,

20 mg, round, orange, imprinted with T 20

Image of Enalapril Maleate
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Enalapril Maleate

slide 16 of 58, Enalapril Maleate,

2.5 mg, round, white, imprinted with W 923

Image of Enalapril Maleate
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Enalapril Maleate

slide 17 of 58, Enalapril Maleate,

5 mg, round, white, imprinted with W 924

Image of Enalapril Maleate
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Enalapril Maleate

slide 18 of 58, Enalapril Maleate,

10 mg, round, orange, imprinted with W 925

Image of Enalapril Maleate
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Enalapril Maleate

slide 19 of 58, Enalapril Maleate,

20 mg, round, beige, imprinted with W 926

Image of Enalapril Maleate
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Enalapril Maleate

slide 20 of 58, Enalapril Maleate,

10 mg, round, red, imprinted with APO 051

Image of Enalapril Maleate
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Enalapril Maleate

slide 21 of 58, Enalapril Maleate,

10 mg, round, pink, imprinted with E 147

Image of Enalapril Maleate
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Enalapril Maleate

slide 22 of 58, Enalapril Maleate,

10 mg, round, pink, imprinted with GG 483

Image of Enalapril Maleate
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Enalapril Maleate

slide 23 of 58, Enalapril Maleate,

10 mg, round, blue, imprinted with M E17

Image of Enalapril Maleate
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Enalapril Maleate

slide 24 of 58, Enalapril Maleate,

10 mg, round, pink, imprinted with ELP 10

Image of Enalapril Maleate
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Enalapril Maleate

slide 25 of 58, Enalapril Maleate,

10 mg, round, pink, imprinted with SCHN, 2727

Image of Enalapril Maleate
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Enalapril Maleate

slide 26 of 58, Enalapril Maleate,

10 mg, round, pink, imprinted with T 10

Image of Enalapril Maleate
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Enalapril Maleate

slide 27 of 58, Enalapril Maleate,

10 mg, round, pink/white specks, imprinted with WATSON 670

Image of Enalapril Maleate
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Enalapril Maleate

slide 28 of 58, Enalapril Maleate,

2.5 mg, round, yellow, imprinted with APO 049

Image of Enalapril Maleate
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Enalapril Maleate

slide 29 of 58, Enalapril Maleate,

2.5 mg, round, yellow, imprinted with E 114

Image of Enalapril Maleate
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Enalapril Maleate

slide 30 of 58, Enalapril Maleate,

2.5 mg, round, white, imprinted with M E15

Image of Enalapril Maleate
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Enalapril Maleate

slide 31 of 58, Enalapril Maleate,

2.5 mg, round, white, imprinted with EN 25, G

Image of Enalapril Maleate
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Enalapril Maleate

slide 32 of 58, Enalapril Maleate,

2.5 mg, round, yellow, imprinted with ELP 2 1/2

Image of Enalapril Maleate
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Enalapril Maleate

slide 33 of 58, Enalapril Maleate,

2.5 mg, round, white, imprinted with SCHN, 26 98

Image of Enalapril Maleate
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Enalapril Maleate

slide 34 of 58, Enalapril Maleate,

2.5 mg, round, yellow, imprinted with T 2

Image of Enalapril Maleate
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Enalapril Maleate

slide 35 of 58, Enalapril Maleate,

2.5 mg, round, white, imprinted with WATSON 668

Image of Enalapril Maleate
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Enalapril Maleate

slide 36 of 58, Enalapril Maleate,

20 mg, rectangular, orange, imprinted with APO 052

Image of Enalapril Maleate
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Enalapril Maleate

slide 37 of 58, Enalapril Maleate,

20 mg, round, pink, imprinted with E 214

Image of Enalapril Maleate
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Enalapril Maleate

slide 38 of 58, Enalapril Maleate,

20 mg, round, blue, imprinted with M E18

Image of Enalapril Maleate
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Enalapril Maleate

slide 39 of 58, Enalapril Maleate,

20 mg, oval, peach, imprinted with G, EN 20

Image of Enalapril Maleate
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Enalapril Maleate

slide 40 of 58, Enalapril Maleate,

20 mg, round, gray, imprinted with ELP 20

Image of Enalapril Maleate
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Enalapril Maleate

slide 41 of 58, Enalapril Maleate,

20 mg, round, pink, imprinted with SCHN, 2734

Image of Enalapril Maleate
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Enalapril Maleate

slide 42 of 58, Enalapril Maleate,

20 mg, round, orange, imprinted with T 20

Image of Enalapril Maleate
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Enalapril Maleate

slide 43 of 58, Enalapril Maleate,

20 mg, round, peach/white specks, imprinted with WATSON 671

Image of Enalapril Maleate
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Enalapril Maleate

slide 44 of 58, Enalapril Maleate,

5 mg, round, white, imprinted with APO 050

Image of Enalapril Maleate
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Enalapril Maleate

slide 45 of 58, Enalapril Maleate,

5 mg, round, white, imprinted with GG 482

Image of Enalapril Maleate
slide 45 of 58
    

Enalapril Maleate

slide 46 of 58, Enalapril Maleate,

5 mg, round, white, imprinted with M E16

Image of Enalapril Maleate
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Enalapril Maleate

slide 47 of 58, Enalapril Maleate,

5 mg, round, pink, imprinted with ELP 5

Image of Enalapril Maleate
slide 47 of 58
    

Enalapril Maleate

slide 48 of 58, Enalapril Maleate,

5 mg, round, white, imprinted with SCHN, 27 01

Image of Enalapril Maleate
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Enalapril Maleate

slide 49 of 58, Enalapril Maleate,

5 mg, round, yellow, imprinted with T 5

Image of Enalapril Maleate
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Enalapril Maleate

slide 50 of 58, Enalapril Maleate,

5 mg, round, white, imprinted with WATSON 669

Image of Enalapril Maleate
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Vasotec

slide 51 of 58, Vasotec,

10 mg, shield, pink, imprinted with VASOTEC, MSD 713

Image of Vasotec
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Vasotec

slide 52 of 58, Vasotec,

10 mg, triangular, orange, imprinted with VASO 10

Image of Vasotec
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Vasotec

slide 53 of 58, Vasotec,

2.5 mg, shield, yellow, imprinted with VASOTEC, MSD 14

Image of Vasotec
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Vasotec

slide 54 of 58, Vasotec,

2.5 mg, oval, white, imprinted with VASO 2.5

Image of Vasotec
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Vasotec

slide 55 of 58, Vasotec,

20 mg, shield, beige, imprinted with VASOTEC, MSD 714

Image of Vasotec
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Vasotec

slide 56 of 58, Vasotec,

20 mg, triangular, yellow, imprinted with VASO 20

Image of Vasotec
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Vasotec

slide 57 of 58, Vasotec,

5 mg, shield, white, imprinted with VASOTEC, MSD 712

Image of Vasotec
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Vasotec

slide 58 of 58, Vasotec,

5 mg, triangular, white, imprinted with VASO 5

Image of Vasotec
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What is the most important information I should know about enalapril?

Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away.

You should not use enalapril if you have ever had angioedema. Do not take enalapril within 36 hours before or after taking medicine that contains sacubitril (such as Entresto).

If you have diabetes, do not use enalapril together with any medication that contains aliskiren (a blood pressure medicine).

What is enalapril?

Enalapril is an ACE inhibitor that is used to treat high blood pressure (hypertension). Lowering blood pressure may lower your risk of a stroke or heart attack.

Enalapril is also used to treat congestive heart failure.

Enalapril is also used to treat a disorder of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart). This disorder can decrease the heart's ability to pump blood to the body.

Enalapril may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking enalapril?

You should not use enalapril if you are allergic to it, or if:

  • you have hereditary angioedema;
  • you recently took a heart medicine called sacubitril; or
  • you have ever had a severe allergic reaction to any ACE inhibitor (benazepril, captopril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril).

Do not take enalapril within 36 hours before or after taking medicine that contains sacubitril (such as Entresto).

If you have diabetes, do not use enalapril together with any medication that contains aliskiren (a blood pressure medicine).

You may also need to avoid taking enalapril with aliskiren if you have kidney disease.

Tell your doctor if you have ever had:

  • kidney disease (or if you are on dialysis);
  • liver disease; or
  • an electrolyte imbalance (such as high levels of potassium in your blood).

Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Enalapril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.

You should not breast-feed while you are using enalapril.

Enalapril is not approved for use by anyone younger than 1 month old.

How should I take enalapril?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

Enalapril is usually given by injection only if you are unable to take the medicine by mouth. A healthcare provider will give you this injection as an infusion into a vein.

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 need surgery, tell the surgeon ahead of time that you are using enalapril.

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.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

Store the liquid medicine in the refrigerator, do not freeze. Throw away any enalapril liquid not used within 60 days.

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking enalapril?

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy.

Avoid becoming overheated or dehydrated during exercise, in hot weather, or by not drinking enough fluids. Enalapril can decrease sweating and you may be more prone to heat stroke.

Drinking alcohol can further lower your blood pressure and may increase certain side effects of enalapril.

Do not use potassium supplements or salt substitutes, unless your doctor has told you to.

What are the possible side effects of enalapril?

Get emergency medical help if you have signs of an allergic reaction: hives; severe stomach pain; difficulty breathing; swelling of your face, lips, tongue, or throat. You may be more likely to have an allergic reaction if you are African-American.

Call your doctor at once if you have:

  • a light-headed feeling, like you might pass out;
  • chest pain;
  • jaundice (yellowing of the skin or eyes);
  • little or no urination;
  • fever, chills, sore throat; or
  • high potassium --nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement.

Common side effects may include:

  • dizziness;
  • tiredness; or
  • feeling light-headed.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect enalapril?

Tell your doctor about all your current medicines. Many drugs can affect enalapril, especially:

  • a diuretic ("water pill"), or any other blood pressure medications;
  • lithium;
  • gold injections to treat arthritis;
  • insulin or oral diabetes medicine; or
  • NSAIDs (nonsteroidal anti-inflammatory drugs) --aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

This list is not complete and many other drugs may affect enalapril. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Where can I get more information?

Your pharmacist can provide more information about enalapril.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2019 Cerner Multum, Inc. Version: 12.02. Revision date: 5/22/2019.

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