دواعي استعمال رينيتك 20مجم 28 اقراص

Enalapril 20 mg tablets, pack of 28 (2 strips), MSD/Global Napi.

• HypertensionDailyMed (U.S. National Library of Medicine)
• Symptomatic heart failure (usually with diuretics and digitalis)DailyMed (U.S. National Library of Medicine)
• Asymptomatic left ventricular dysfunction (ejection fraction <=35%)DailyMed (U.S. National Library of Medicine)

• Hypertension trials (>1%): headache, dizziness, fatigue, orthostatic effects, asthenia, diarrhoea, nausea, cough and rash.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)

• Hypersensitivity; history of ACE-inhibitor-related angioedema; hereditary or idiopathic angioedema; aliskiren in diabetes; combination with a neprilysin inhibitor (sacubitril) or within 36 hours of switching to/from sacubitril/valsartan.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)

• Boxed warning - fetal toxicity: discontinue as soon as pregnancy is detected.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
• Angioedema of face, lips, tongue, glottis or larynx (may be fatal) and intestinal angioedema can occur at any time; stop promptly and treat.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
• Symptomatic hypotension, especially in volume-depleted patients or those on diuretics.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)

• Aliskiren, ARBs (dual RAS blockade)Avoid aliskiren in diabetes; dual blockade increases hypotension, hyperkalaemia and renal function changes.DailyMed (U.S. National Library of Medicine)
• Neprilysin inhibitors (sacubitril)Contraindicated; allow 36 hours between drugs (angioedema risk).DailyMed (U.S. National Library of Medicine)
• DiureticsRisk of first-dose hypotension; reduce or stop diuretic before starting where possible.DailyMed (U.S. National Library of Medicine)

• Enalapril and enalaprilat are detected in human milk; decide whether to stop nursing or the drug.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)

• Monitor blood pressure (especially after the first dose) and renal function.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)