Generic Name : ENALAPRIL and HYDROCHLOROTHIAZIDE
Pronunciation : (e nal' a pril) (hye droe klor oh thye'
a zide)
Trade Name(s) : Enam, Envas, Enapril
Why it is prescribed: The combination of enalapril and
hydrochlorothiazide is used to treat moderate to severe high blood
pressure and congestive heart failure. This medication decreases
certain chemicals that constrict the blood vessels so that blood
flows more smoothly. It also helps lower blood pressure by eliminating
unneeded water and salt from the body.
When it is to be taken:
1. This medication is usually taken once daily.
2. Follow the instructions on your prescription label carefully.
3. You may take this medication before, during, or after meals.
4. This medication controls high blood pressure and heart failure
but does not cure them. Therefore, enalapril and hydrochlorothiazide
must be taken regularly to be effective.
5. It may take several weeks before you feel the full effect of
this medication.
How it should be taken: This medication comes in the form
of tablets. Your prescription label tells you how much to take
at each dose.
Special Instruction :
1. Keep all appointments with your doctor and the laboratory.
Your blood pressure should be checked regularly to determine your
response to this medication.
2. Do not stop taking enalapril and hydrochlorothiazide without
consulting your doctor.
3. If your doctor prescribes a low-salt or low-sodium diet, follow
these instructions carefully. Consult Your doctor before using
salt substitutes containing potassium.
4. If you forget to take & dose, take the missed dose as soon
as you remember it. However, it you remember a missed dose at
the time you are scheduled to take the next one, take only the
scheduled dose. Do not take a double dose.
Side Effects :
1. Although side effects from enalapril and hydrochlorothiazide
are not common, they can occur. Headache, fatigue, muscle cramps,
weakness, cough, decreased sexual ability, diarrhea. lf these
effects persist or become severe, contact your doctor.
2. Nausea. Take the medication with food or milk.
3. Dizziness, lightheadedness, or faintness, especially when you
get out of bed or rise from a chair. Get up slowly. If you faint,
stop taking the medication and contact your doctor.
4. Red and itchy skin rash. Contact your doctor and do not treat
the rash yourself.
5. Difficulty breathing; swelling of face, eyes, lips, tongue,
throat, arms, or legs. Stop taking this drug and contact your
doctor immediately.
6. Sore throat and fever. Contact your doctor.
Other Precautions :
1. Before you take this medication, tell your doctor if you have
kidney or liver disease or diabetes.
2. Tell your doctor what prescription and nonprescription drugs
you are taking, especially diuretics potassium supplements, and
lithium.
3. Alcohol may add to the dizziness and lightheadedness caused
by this medication. Ask your doctor for advice about the safe
use of alcohol.
4. Women who are pregnant or breast-feeding should inform their
doctors. 5. Before having surgery with a general anesthetic, including
dental surgery, tell the doctor that you are taking enalapril
and hydrochlorothiazide.
Storage Conditions : Keep this medication in the container
it came in, tightly closed, and out of the reach of children.
Store it at room temperature and protect it from moisture.