Enalapril with a diuretic effect: usage instructions

What constitutes drug «enalapril» with a diuretic effect? This medication has proven itself as an excellent tool in the fight against hypertension. He belongs to a group that is responsible for levels in the body water and salt, and also vascular tone. When correctly prescribed dosage the visible effect is observed already after 2 hours after taking a diuretic. Therefore, in order not to be mistaken with the dose, and as quickly as possible to alleviate their condition, it is necessary to seek help to the doctor.

General information

Many known drug «enalapril» is able to provide a diuretic effect, it can relax tense vascular wall, reduce fluid volume in the blood vessels, without affecting the heart rate, and improve the renal microcirculation, increasing the amount of urination. After drinking a diuretic effect begins to appear within an hour and reaches its maximum effectiveness over 2-4 hours. High pressure returns to normal after an average of 4.5 hours and lasts for days. Assigned to «enalapril» in primary and secondary arterial hypertension, chronic heart disease and left ventricular dysfunction.

Method of production of Enalapril with a diuretic effect

Produced medication «enalapril» in tablet form in 5, 10 and 20 mg. medication Packaged in blister plate of 10 pieces and placed in cartons 2-3 blisters in each. In drugstores it is possible to meet a drug «enalapril», produced in other countries in which the package contains 14 tables., as well as tablets at a dosage of 2.5 mg.

Usage instructions

In the treatment described diuretic it is important to observe the dosage prescribed by the attending physician. The drug is assigned 1-2 times per day and it is not depend on eating. «Enalapril» with a diuretic effect, it is recommended to take in the morning. Dosing diuretic medication depends on diagnosis, so, with hypertension mainly prescribed to 5 mg per day and if necessary increase up to 10-20 mg, dividing the reception for 2 times. The maximum daily dose should not exceed 40 mg. If the patient was identified heart failure chronic forms, he treatment with this diuretic is recommended to start with 2.5 mg.

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Contraindications

Doctors will not prescribe a diuretic «enalapril» women during carrying a child, as there is a risk of congenital defects in the fetus, and nursing mothers because of the ability of medicinal ingredients to penetrate into breast milk. In addition, it is not recommended to drink diuretic medication «enalapril» in the following cases:

  • allergic reactions to the medication;
  • individual intolerance to components of the medication;
  • children up to 18 years.

Side effects diuretic

In the process of applying a diuretic «enalapril» you may experience the following side effects:

  • depression, increased nervousness;
  • cough;
  • excessive urination;
  • fall AD;
  • mood swings;
  • allergic manifestations.

Some analogues

If you can’t use «Enalapril» experts propose to replace it following the same composition of medicines:

  • «Vasolapril»;
  • «Fosinopril»;
  • «Indoril»;
  • «Lisinopril»;
  • «EdNet»;
  • «Fosinopril»;
  • «Berlipril»;
  • «Enam»;
  • «Zofenopril»;
  • «Bhopal»;
  • «Mipel»;
  • «Hinapril»;
  • «Enarenal»;
  • «Ramipril»;
  • «Berlipril»;
  • «Enap»;
  • «Perindopril»;
  • «Renitek»;
  • «ANAS»;
  • «Korendil»;
  • «Trandolapril»;
  • «Enlacer»;
  • «Captopril».

Drug interactions

Before taking a diuretic «enalapril», it is necessary to study its combination with other drugs, which was prescribed earlier. It is worth considering that when co-administered with diuretic drugs, nitrates, and anesthetics significantly enhanced the action of «Enalapril», which is threatened by the emergence of side effects. When integrated with the use of nonsteroidal anti-inflammatory drugs significantly weakens the diuretic action aimed at lowering blood pressure.

When using medicines, including lithium salt, slowing their elimination and increase toxic effects. It was observed that the combined use of the diuretic described with hypoglycemic medications can trigger hypokalemia. This is especially dangerous tandem of pharmaceutical agents to patients with kidney conditions. In addition, the «enalapril» makes less effective the drug «Theophylline».

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