ENAM Tablet

Hypersensitivity, pregnancy, nursing women, aortic stenosis or outflow obstruction.

Angioedema, acute renal failure may require attention.

Diuretics increase hypotensive effect. Potassium-sparing diuretics or potassium supplements can cause hyperkalemia.

Food does not affect oral absorption of enalapril.

Contraindicated.

In impaired renal function, excessive volume-depleted states such as dehydration and elderly.

Potent inhibition of ACE with consequent reduction in plasma levels of angiotensinⅡleads to blood pressure reduction. No reflex tachycardia, no change in stroke volume or cardiac output. In congestive heart failure, there is a fall in peripheral resistance and pulmonary wedge pressure. Cardiac index and stroke volume index decreased Therefore severity of failure is reduced.