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Erilcar 5mg is a prescription medicine used in the treatment of a number of cardiovascular conditions. So what is Erilcar 5 and how is it used?
1. What is Erilcar 5?
What is Erilcar 5 drug? Erilcar 5 is a cardiovascular drug, made in the form of tablets with the main ingredient in each tablet is Enalapril maleate 5mg. Enalapril maleate, after entering the body, will be converted into active Enalapril, which inhibits angiotensin converting enzyme causing hypotension, especially in people with congestive heart failure.
In hypertensive patients without heart failure: Erilcar 5 has the effect of reducing total peripheral resistance, which may or may not increase heart rate, cardiac output, and systolic flow. At the same time, has the effect of causing dilation of arteries and veins.
In patients with congestive heart failure: Erilcar 5 has the effect of reducing total peripheral resistance, pulmonary artery pressure, mean arterial pressure, right atrial pressure and heart size.
Erilcar 5mg drug is indicated in the following cases:
Mild to severe hypertension Symptomatic congestive heart failure Progressive renal failure. Diabetic nephropathy with or without hypertension. Prophylaxis of coronary ischemic attacks and symptomatic prevention of heart failure in patients with left ventricular dysfunction. Erilcar 5mg is contraindicated in the following cases:
People with hypersensitivity to any ingredient of the drug. Angioedema with use of ACE inhibitors in general. Renal artery stenosis bilaterally or in a person with only one kidney. Severe obstructive cardiomyopathy Aortic valve stenosis. Pre-existing hypotension.
2. Dosage and how to use Erilcar 5mg
How to use Erilcar 5mg drug as follows:
Erilcar 5mg drug is used orally. Patients can take the drug at any time, because the extent of drug absorption does not depend on food. Dosage of Erilcar 5mg should be according to the doctor's prescription, the reference dose for specific cases is as follows:
If you are using diuretics to treat high blood pressure, it is best to stop diuretics. 2-3 days before taking Erilcar 5mg. If your blood pressure is not well controlled with Erilcar alone, your doctor may prescribe it in combination with a diuretic with caution. If the diuretic cannot be discontinued, the physician should determine the antihypertensive effect with a single dose of Enalapril 2.5 mg in adults for at least 2 hours and until blood pressure is stabilized for at least another 1 hour.
Hypertension without diuretics:
Adults: Use a starting dose of 2.5 mg/day. Children 1 month - 16 years old: Use dose 0.08mg/kg/day, maximum 5mg. If blood pressure is not well controlled by the end of the interval between once-daily dosing, efficacy can be improved by increasing the dose or dividing the dose into two doses. Time to adjust the dose of Erilcar 5 between doses 2 - 4 weeks apart if necessary. The maintenance dose of Erilcar 5 in adults is 10-40 mg/day, divided 1-2 times/day. Congestive heart failure: Because the use of Erilcar 5 in this patient has a high risk of hypotension, it should be treated in the hospital.
Adults: Use the starting dose is 2.5 mg/time x 1-2 times/day. At the same time, monitor the status of hypotension. Maintenance dose is 5 - 20mg/day divided into 2 times. The maximum dose is 40 mg/day in 2 divided doses. Asymptomatic left ventricular dysfunction:
Adults use a starting dose of 2.5 mg/time x 2 times/day. Adjust dose until effective, maximum dose is 20 mg/day, divided into 2 times. Patients with renal impairment: The dose of Erilcar 5mg is calculated based on the creatinine clearance as follows.
From 30 - 80 m/min: Use a starting dose of 5mg/day, titrate up to a maximum dose of 40mg. Less than 30 ml/min: Start with 2.5 mg/day, adjust dose until blood pressure is controlled. Heart failure with serum creatinine > 1.6 mg/dl or Na < 130 mEq/l: Use starting dose 2.5 mg/day, double dose if, maximum dose 40 mg/day.
If you forget a dose of Erilcar 5mg, take it as soon as you remember. You should skip the missed dose if it is almost time for your next dose, take your next dose as scheduled and do not take a double dose of the medicine prescribed for you.
An overdose of Erilcar 5mg can cause severe hypotension. In this case, you need to be taken immediately to a medical center for timely treatment.
3. Erilcar 5mg . side effects
Side effects of Erilcar 5 are usually mild and transient. In the early stages, Erilcar 5mg often causes hypotension, increases blood potassium levels and worsens kidney function.
Common side effects of Erilcar 5 include:
Headache Dizziness Dyslexia Fatigue Insomnia Paresthesias. Taste disturbance Abdominal pain Diarrhea Nausea, vomiting. Angioedema Palpitations Chest pain Severe hypotension Orthostatic hypotension Syncope Rash Renal failure. Dry cough Uncommon side effects of Erilcar 5mg include:
Decrease in hemoglobin and hematocrit Agranulocytosis Decrease in neutrophils. Proteinuria. Panic Agitation Severe depression. Rare side effects of Erilcar 5mg include:
Intestinal obstruction Pancreatitis Pancreatitis Oral mucosal inflammation Toxic cholestatic hepatitis. Hypersensitivity Bronchospasm and asthma Depression Blurred vision Nasal congestion Muscle pain. If you experience any side effects of Erilcar 5mg, you need to immediately inform your doctor or go to the nearest medical facility for timely treatment.
4. Erilcar 5mg drug interactions with other drugs
Concomitant use of Erilcar 5mg with diuretics and antihypertensives, anesthetics can cause a serious drop in blood pressure. Where these drugs are used in combination, the patient should be closely monitored and the dose adjusted as necessary. The use of Erilcar 5mg with drugs that increase blood potassium will cause an increase in serum potassium, especially in patients with renal failure. Using Erilcar 5mg with Lithium will increase blood levels of lithium causing lithium toxicity. Concomitant administration of Erilcar 5mg with non-steroidal anti-inflammatory drugs reduces the antihypertensive effect of Enalapril, sometimes causing acute decrease in renal function. In addition, the combined use of these drugs reduces the hemodynamic effects against heart failure. Using Erilcar 5mg with oral contraceptives increases the risk of vascular damage, making it difficult to control blood pressure. Using Erilcar 5mg together with antidiabetic drugs will cause hypoglycemia. Erilcar 5mg is a prescription medicine used in the treatment of a number of cardiovascular conditions. To ensure the effectiveness of treatment and avoid unwanted side effects, patients need to take drugs according to prescription or consult a doctor, professional pharmacist.
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