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Enalapril stella 5mg is a drug belonging to the group of ACE inhibitors, alone, acting by mechanism of action on the Renin - Angiotensin system. The drug has the main active ingredient Enalapril maleate 5mg and other excipients to form just enough 1 tablet. So what disease does Enalapril stelle 5mg treat?1. What is Enalapril stella 5mg?
Enalapril stella 5mg is a medicine manufactured in the form of round white tablets, one side engraved with the number "5" and the other smooth side.
The drug is packaged in a box of 3 blisters, each blister of 10 tablets.
The drug is prescribed by doctors to use in the following cases:
Treatment of hypertension for patients: Enalapril stella 5mg is used to treat mild to severe hypertension. The drug is used by doctors alone or in combination with other antihypertensive drugs to treat patients. Treatment of Congestive Heart Failure: Enalapril is commonly used in conjunction with cardiac glycosides, diuretics, and beta-adrenergic blockers to treat symptomatic congestive heart failure. It is also used for prophylaxis in patients with asymptomatic left ventricular dysfunction. Thereby slowing the development of symptomatic heart failure and in patients with left ventricular dysfunction to reduce the incidence of coronary ischemic disease, including myocardial infarction. Blood pressure medicine Enalapril stella 5mg has the effect of reducing blood pressure in people with normal blood pressure, people with hypertension. In addition, the drug also has a good effect on hemodynamics in patients with congestive heart failure, mainly due to the mechanism of inhibition of the Renin - Angiotensin - Aldosterone system.
2. How to use Enalapril stella 5mg Blood pressure medicine Enalapril stella 5mg is produced in tablet form that should be taken orally.
Depending on the purpose of treatment, the drug is used in different doses:
Treatment of hypertension:
Initial dose: The patient takes a dose of 5mg/day. At the start of treatment with an ACE inhibitor, a drop in blood pressure may occur in some patients. Therefore, patients should take their first dose at bedtime. When treating patients with renal failure or taking diuretics: The starting dose is 2.5mg/day. Patients should stop taking diuretics 2 to 3 days before treatment with Enalapril and continue as needed. The usual maintenance dose is 10-20mg per day. However, if the patient has severe hypertension, the dose can be increased to 40 mg/day. The dose may be divided into 2 doses in cases where a single dose is not sufficient to control blood pressure. Treatment of heart failure:
For patients with heart failure or asymptomatic left ventricular dysfunction: The starting dose is 2.5 mg/day. The usual maintenance dose for this subject is usually 20mg/day, which can be taken once or divided into 2 times. However, in severe cases, the dose can be increased to 40 mg/day in 2 divided doses. Drugs effective in the treatment of asymptomatic left ventricular dysfunction:
For this case, the patient takes a dose of 2.5 mg x 2 times/day and gradually increases until a daily dose of 20 mg is reached in divided doses. time. In heart failure patients with hyponatremia or serum creatinine, an initial dose of 2.5 mg/day should be used under close medical supervision. Thereafter, the patient may increase the dose to 5 mg/day or higher if necessary. Usually, dose adjustments are made at 4-day intervals or possibly longer if excessive hypotension or severe impairment of renal function does not occur. The maximum dose is 40mg/day. Currently, research information on the use of Enalapril in children is limited. Therefore, the dose for this subject depends on the patient's medical condition and blood pressure response.
Enalapril stella 5mg is not recommended for use in neonates and patients with glomerular filtration rate < 30 ml/min/1.73 m2.
The above drug dosage information is for reference only. Before using the drug, the patient should carefully read the instructions for use of the drug and follow the correct dosage of the specialist.
3. Cases where you should not use Enalapril stella 5mg
Patients with a history of allergy to the drug or any of its ingredients. Patients with signs of angioedema or signs of angioedema due to treatment with ACE inhibitors, patients with hereditary angioedema or secondary angioedema. Patients with bilateral renal artery stenosis or renal artery stenosis in a person with only one kidney. The patient has aortic stenosis and slow obstructive cardiomyopathy. Patients with a history of pre-existing hypotension. Pregnant women in the last and second trimesters of pregnancy. 4. What side effects does Enalapril stella 5mg cause? In addition to good blood pressure treatment, the drug also causes side effects that patients need to be aware of, so that they can be handled safely and effectively.
Common side effects:
Drugs acting on the nervous system: Causes headaches, fatigue, dizziness, insomnia, paresthesias, dysesthesias; Effects on digestion: The drug causes taste disturbance, diarrhea, nausea, vomiting, abdominal pain. Cardiovascular drugs: May cause angioedema, severe hypotension, orthostatic hypotension, syncope, palpitations, chest pain. Drugs that cause skin reactions: Causes skin rashes. Effects on the respiratory system: The drug causes the patient to have a dry cough, possibly due to increased kinin in tissues or prostaglandins in the lungs. Rare side effects:
Hematology: Using drugs to reduce hemoglobin and hematocrit, reduce the number of neutrophils. Urinary: Presence of protein in the urine. Effects on the nervous system: Causes panic, agitation, severe depression. Rare side effects:
Effects on the digestive system: The drug causes intestinal obstruction, pancreatitis, cholestatic toxic hepatitis, increased sensitivity of the oral mucosa. Some other rare side effects such as: Hypersensitivity, stuffy nose, bronchospasm, asthma, muscle pain, blurred vision,... The unwanted effects caused by the drug are different in each subject. , each patient. When symptoms or unusual signs appear, the patient should stop taking the drug and notify the doctor for advice.
5. What should patients pay attention to when using Enalapril stella 5mg?
The drug causes dizziness and fatigue. Therefore, patients who drive or do work related to machines need to be careful when using them to ensure safety. The drug, which can cause death in the developing fetus when administered to a pregnant woman in the second and third trimesters of pregnancy, is an ACE inhibitor. Therefore, the drug should be discontinued as soon as pregnancy is detected. The drug can be excreted in breast milk, so it is necessary to consider stopping the drug or stopping breastfeeding to ensure the health of both mother and baby. Concomitant use of Enalapril with diuretics, other antihypertensive agents and agents causing hypotension may result in excessive hypotension. Patients receiving ACE inhibitors with potassium-sparing diuretics, potassium supplements, and drugs that cause hyperkalemia may experience cumulative hyperkalemia. In this case, regular monitoring of serum potassium levels is required. When Enalapril is used concurrently with sympathomimetic bronchodilators, non-steroidal anti-inflammatory drugs may reduce the antihypertensive effect of the drug. Concomitant use of Enalapril with oral contraceptives may increase the risk of vascular damage and make it difficult to control blood pressure. Enalapril contains lactose as an excipient. Therefore, this medicine should not be used in patients with rare hereditary problems of galactose intolerance, total lactase deficiency or glucose-galactose malabsorption. Enalapril stella 5mg is an antihypertensive drug. Because there are interactions with some other drugs while using, it will cause many unwanted effects. Therefore, patients need to be consulted by specialists to use it properly and limit the occurrence of side effects.
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