Distribution: Widely distributed, but poor brain penetration.
Metabolism: Metabolized in to active metabolite Enalaprilat
Excretion: Excreted mainly through urine and a small amount is excreted through faeces
8. Swelling of lips, mouth, nose and larynx
9. Fetopathic in later half of pregnancy
15. Acute renal failure is precipitated in renal artery stenosis
16. Transient increase in liver enzymes.
2. Renal artery stenosis
3. Aortic stenosis
4. Coarctation of aorta
2. Patient at high risk of cardiogenic shock, severe heart failure etc
3. Anaesthesia and surgery
4. Stops diuretics 2 to 3days before Enalapril therapy
2. Congestive heart failure
3. Left ventricular dysfunction
Indomethacin: Reduces hypotensive effect.
Digoxin: Increases plasma digoxin levels.
Potassium preparations & potassium sparing diuretics: Hyperkalaemia and increased risk of renal failure.
Lithium: Toxicity due to increased serum concentration of lithium.
Immunosuppressive Drugs : Increased risk of bone marrow depression.
Antidepressants, diuretics, Beta-blockers, Nitrates, Dopaminergics, Calcium channel blockers, Phenothiazines: Enhance hypotensive effect.
Morphine: Enhanced analgesic effect and respiratory depression.
5mg once daily. Increases the dose to 10 to 20mg once daily or as two divided doses depending on patient`s response if required.
Maximum dose: 40mg/day
In patient on diuretic therapy & In CHF patients starts the dosage with 2.5mg once daily dosage and increases to usual dosage.
Left ventricular dysfunction: Starts with 2.5mg orally twice daily. Increases the dosage up to 20mg/day in two divided doses.
Children : 0.1 to 0.5mg/kg/day once daily or in divided doses as suspension of crushed tablets.
Home Delivery for Enalapril in Your City
Medicine India is just a publishing medium for medicine related information and does not provide services or sales of medicines including enalapril.
However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for enalapril and other medicines and health products. Home delivery services for enalapril may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.
Please be aware that you should take enalapril only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for enalapril before they complete the sale. You can get this information while placing the order for enalapril with the pharmacy.
Enalapril is a generic medicine name and there are several brands available for it. Some of the brands for enalapril might be better known than enalapril itself. If the pharmacy that's willing to deliver medicines to your home doesn't have enalapril in stock, you can ask for one of the branded alternatives for enalapril.