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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Enal 2.5 mg Tablet is used to treat high blood pressure and heart failure. It contains Enalapril, which widens and relaxes the blood vessels and, therefore, help lower high blood pressure. In some cases, you may experience side effects such as headaches, ankle swelling, slow heart rate, and nausea. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Composition :

ENALAPRIL-2.5MG

Manufacturer/Marketer :

East West Pharma India Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

Jan-27

About Enal 2.5 mg Tablet

Enal 2.5 mg Tablet is used to treat high blood pressure and heart failure. Hypertension (High blood pressure) is a condition in which the force exerted by the blood against the artery walls becomes so high that it causes health problems, such as heart disease.

Enal 2.5 mg Tablet lowers increased blood pressure by blocking a naturally occurring substance known as angiotensin II (that tightens your blood vessels). Enal 2.5 mg Tablet allows these constricted blood vessels to relax and, therefore, help lower high blood pressure. 

In some cases, you may experience headaches, ankle swelling, slow heart rate, and nausea. Enal 2.5 mg Tablet may lower your blood pressure, especially if taken with alcohol. So, avoid driving and operating heavy machinery. Most of these side effects of Enal 2.5 mg Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking this medicine of your own. Even if your blood pressure becomes normal, you should not stop using Enal 2.5 mg Tablet ; doing so may worsen your condition. Let your doctor know if you have had or currently have any liver, kidney, or heart problems. During pregnancy and lactation, Enal 2.5 mg Tablet should be only taken after consulting your doctor. You should regularly monitor your blood pressure and heart rate.

Uses of Enal 2.5 mg Tablet

Treatment of High blood pressure, Prevention of Congestive heart failure.

Directions for Use

Swallow Enal 2.5 mg Tablet as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Enal 2.5 mg Tablet is primarily used to treat hypertension or high blood pressure. In combination therapy, it is also prescribed with other drugs, like thiazide diuretics (water pills). Besides, Enal 2.5 mg Tablet prevents congestive heart failure in combination with diuretics (water pills) and cardiac glycosides like digitalis. In these patients, Enal 2.5 mg Tablet improves heart complications, increases survival, and reduces hospitalization frequency.

How Enal 2.5 mg Tablet Works

Enal 2.5 mg Tablet lowers increased blood pressure by blocking a naturally occurring substance known as angiotensin II (that tightens your blood vessels). Enal 2.5 mg Tablet allows these constricted blood vessels to relax and, therefore, help lower high blood pressure.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Enal 2.5 mg Tablet

  • Cough
  • Dizziness
  • Vision blurred
  • Weakness
  • Nausea (feeling sick)

What if I have taken an overdose of Enal 2.5 mg Tablet

Do not take more than the prescribed dose of Enal 2.5 mg Tablet as it may cause overdose. The symptoms of overdose include sleepiness, dizziness and pounding heartbeat. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

Enal 2.5 mg Tablet should not be given to the people allergic to Enal 2.5 mg Tablet , have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease, liver disease, pregnant women or planning to get pregnant and breastfeeding women. Besides this, tell your doctor if you have low blood pressure (hypotension),  heart disease, liver disease, kidney disease, or are currently on dialysis. Enal 2.5 mg Tablet is not recommended in neonates and children with worse kidney functioning (glomerular filtration rate <30 mL/min). The level of raised bilirubin has been reported in some cases, so patients with liver diseases (like cirrhosis, jaundice, yellowing of skin/eye etc.) should take the Enal 2.5 mg Tablet with caution. Do not take Enal 2.5 mg Tablet with alcohol as it may cause low blood pressure (hypotension) with symptoms of dizziness, drowsiness, weariness, or sleepiness. Tell your doctor that, you are using Enal 2.5 mg Tablet before undergoing any dental or other surgery. Your doctor might stop this medicine before the surgery.

Drug-Drug Interactions

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EnalaprilAliskiren
Critical
EnalaprilTizanidine
Severe

Drug-Drug Interactions

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EnalaprilAliskiren
Critical
How does the drug interact with Enal 2.5 mg Tablet:
Using aliskiren together with Enal 2.5 mg Tablet may increase the risk of serious side effects such as kidney problems, low blood pressure, and high potassium levels in the blood.

How to manage the interaction:
Taking Enal 2.5 mg Tablet with aliskiren is not recommended, but it can be taken together if your doctor advises. However, contact your doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, or feelings of heaviness in the legs. Do not stop taking any medications without consulting a doctor.
EnalaprilTizanidine
Severe
How does the drug interact with Enal 2.5 mg Tablet:
Enal 2.5 mg Tablet, when taken together with Tizanidine, may lead to hypotension (low blood pressure) due to the additive effect.

How to manage the interaction:
Although taking Enal 2.5 mg Tablet together with Tizanidine may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hypotension, such as headache, dizziness, drowsiness, fainting, or irregular heartbeat. It is advised not to drive or operate any machinery that requires alertness and to be cautious when getting up from a sitting or lying position. Do not discontinue any medication without consulting your doctor.
EnalaprilTeriflunomide
Severe
How does the drug interact with Enal 2.5 mg Tablet:
Teriflunomide can cause liver damage, and taking it with medications like Enal 2.5 mg Tablet, which have a similar effect, increases the risk.

How to manage the interaction:
Although taking Enal 2.5 mg Tablet and Teriflunomide together can cause an interaction, it can be taken if your doctor has suggested it. However, contact your doctor if you experience fever, chills, joint discomfort, swelling, skin irritation, itching, tiredness, stomach ache, dark urine, or bleeding. Do not stop using any medications without a doctor's advice.
EnalaprilOlmesartan medoxomil
Severe
How does the drug interact with Enal 2.5 mg Tablet:
Coadministration of Olmesartan medoxomil with Enal 2.5 mg Tablet can elevate the risk of adverse effects such as low blood pressure, kidney impairment, and hyperkalemia (high blood potassium). Hyperkalemia can cause kidney failure, strong paralysis, abnormal heart rhythm, and cardiac arrest in extreme instances. If you are elderly, dehydrated, or have renal disease, diabetes, or severe heart failure, you are more prone to develop hyperkalemia while taking these medications.

How to manage the interaction:
Although taking olmesartan medoxomil together with Enal 2.5 mg Tablet may result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
EnalaprilLeflunomide
Severe
How does the drug interact with Enal 2.5 mg Tablet:
Combining Enal 2.5 mg Tablet with Leflunomide can increase the risk of liver problems.

How to manage the interaction:
Although there is an interaction between Enal 2.5 mg Tablet and leflunomide, it can be taken if prescribed by a doctor. However, contact your doctor immediately if you experience joint pain or swelling, itching, fatigue, abdominal pain, dark-coloured urine, light-coloured stools, and/or yellowing of the skin or eyes. Do not stop using any medications without talking to your doctor.
EnalaprilPotassium iodide
Severe
How does the drug interact with Enal 2.5 mg Tablet:
Taking Enal 2.5 mg Tablet with Potassium iodide increases the potassium levels in the blood, which may lead to hyperkalemia. In severe cases, hyperkalemia may lead to muscular paralysis, kidney damage, and cardiac problems. The risk is increased if you are elderly, dehydrated, or have a history of kidney or heart disease.

How to manage the interaction:
Although taking Enal 2.5 mg Tablet together with Potassium iodide may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, mangoes, beans, coconut and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
EnalaprilLeflunomide
Severe
How does the drug interact with Enal 2.5 mg Tablet:
Enal 2.5 mg Tablet has the potential to cause liver damage; this effect can be increased by the coadministration of medications that affect the liver, such as Leflunomide. This effect can be seen even long after discontinuing leflunomide as it stays in your blood longer.

How to manage the interaction:
Although taking Enal 2.5 mg Tablet together with Leflunomide may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of liver damage like fever, chills, unusual bleeding, dark-coloured urine, light colour stools, yellowish discolouration of skin and eyes, and abdominal pain. It is advised not to consume alcohol while using these medications as it may increase the damage o the liver. Do not discontinue any medications without consulting your doctor.
EnalaprilFERRIC CARBOXYMALTOSE
Severe
How does the drug interact with Enal 2.5 mg Tablet:
Taking Enal 2.5 mg Tablet and Ferric Carboxymaltoside increases the side effects of Enal 2.5 mg Tablet.

How to manage the interaction:
Although taking Enal 2.5 mg Tablet with Ferric Carboxymaltose may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience dizziness, lightheadedness, headache, blurred vision, or chest pain, consult your doctor immediately. Do not discontinue any medications without consulting your doctor.
EnalaprilAmiloride
Severe
How does the drug interact with Enal 2.5 mg Tablet:
Due to the additive effect, the coadministration of Enal 2.5 mg Tablet and Amiloride (potassium-sparing diuretic) may increase blood potassium levels. The risk is increased if you are elderly, dehydrated, or have a history of kidney or heart disease.

How to manage the interaction:
Although taking Enal 2.5 mg Tablet together with Allopurinol may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any signs and symptoms of hyperkalemia like, weakness, confusion, numbness or tingling, and uneven heartbeats, consult your doctor immediately. Do not discontinue any medication without consulting your doctor.
EnalaprilSpironolactone
Severe
How does the drug interact with Enal 2.5 mg Tablet:
Coadministration of Enal 2.5 mg Tablet with Spironolactone may increase the risk of hyperkalemia (high potassium levels in the blood), hypotension, syncope (fainting), and renal failure due to additive or synergistic effects. If you are elderly, dehydrated, or have a history of renal or heart illness, your risk is enhanced.

How to manage the interaction:
Although taking Enal 2.5 mg Tablet together with Spironolactone may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, coconut water, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.

Drug-Food Interactions

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ENALAPRIL-2.5MGPotassium rich foods
Moderate

Drug-Food Interactions

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ENALAPRIL-2.5MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
Consuming a high-potassium diet while taking Enal 2.5 mg Tablet can cause hyperkalemia (elevated blood potassium levels). Hyperkalemia may lead to dizziness, lightheadedness, fainting, or a rapid heartbeat. Avoid the consumption of potassium-rich foods.

Diet & Lifestyle Advise

  • Keep your weight under control with a body mass index (BMI) of 19.5-24.9.
  • Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help lower your raised blood pressure by about 5 mm of Hg.
  • Opt for a diet rich in whole grains, fruits, veggies and low-fat dairy products.
  • Limit sodium chloride (table salt) intake in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
  • If you are taking alcohol, then only one serving for women and two serving for men is advisable.
  • Quitting smoking is the best strategy to lower the risk of heart disease.
  • Avoid chronic stress, as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
  • Monitor your blood pressure daily, and if there is too much fluctuation, immediately contact your doctor.
  • Including heart-healthy omega-3 fatty acid-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to help lower your elevated blood pressure.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

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Alcohol

Unsafe

Enal 2.5 mg Tablet may enhance the hypotensive (low blood pressure) effect of this drug. For better advise, you should consult your doctor whether you can take Enal 2.5 mg Tablet with alcohol.

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Pregnancy

Unsafe

The use of Enal 2.5 mg Tablet or any ACE inhibitors is usually contraindicated during the second and third trimester of pregnancy. It may cause harm to the developing fetus. Hence, you should always consult your doctor before using Enal 2.5 mg Tablet .

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Breast Feeding

Caution

Use of Enal 2.5 mg Tablet is not recommended during breastfeeding stage.

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Driving

Unsafe

Drive with caution, Enal 2.5 mg Tablet may cause blurry vision, and dizziness or weariness may occur.

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Liver

Caution

Rare elevation in the liver enzymes (like bilirubin) have been observed while taking Enal 2.5 mg Tablet , so it has to be taken with caution. Especially if you have a history of liver diseases/conditions. Dose may have to be adjusted by your doctor.

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Kidney

Caution

Enal 2.5 mg Tablet to be taken with caution, especially in case of severe kidney disease. Dose may have to be adjusted by your doctor. Enal 2.5 mg Tablet should be given with precaution in hemodialysis condtion.

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Children

Caution

Enal 2.5 mg Tablet is not recommended for children. The safety and effectivenss of Enal 2.5 mg Tablet has not been established in children due to limited testing of this drug on children by competent authorities across the world. If necessary, your doctor will decide whether to give Enal 2.5 mg Tablet or not.

FAQs

Enal 2.5 mg Tablet is used to treat high blood pressure and heart failure.

Enal 2.5 mg Tablet is an angiotensin-converting enzyme (ACE) inhibitor. It works by inhibiting a chemical in the body that causes blood vessels to constrict. As a result, enalapril relaxes the blood vessels. This decreases blood pressure while increasing the delivery of blood and oxygen to the heart.

No, it is a prescribed drug, given by a physician for preventing specific medical conditions. Taking it on your own can cause unwanted side-effects.

It is advised to continue your medicine even after your blood pressure is under control or becomes normal as blood pressure can shot up any time. If you have any discomfort, please consult your doctor immediately.

Before surgery, you should inform your doctor that you are taking Enal 2.5 mg Tablet as it can reduce your blood pressure when used along with anaesthesia which is given before a major operation.

Country of origin

INDIA

Manufacturer/Marketer address

No. 10, 2nd Cross, Maravaneri, Salem - 636007, Tamil Nadu.
Other Info - ENA0019

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