enalapril drug interactions oxytrol

Patients should be advised to immediately report any signs or symptoms suggestive of angioedema (swelling of face, extremities, eyes, lips, or tongue, or difficulty swallowing or breathing) and to stop taking the medication until otherwise directed by their physician. It is important to know if you need to avoid any Food, Herbs, or Alcohol when taking Enalapril. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.

There are 8 disease interactions with enalapril which include: angioedema; bone marrow suppression; CHF; hemodialysis; hyperkalemia; hypotension; liver … Select one or more newsletters to continue. The frequency and mechanism of this interaction have not been established, and it is not known whether the interaction occurs with other membrane types. In patients who experience a worsening of renal function, discontinuation of ACE inhibitor therapy is usually not required provided there is symptomatic improvement of the heart failure and renal deterioration is well-tolerated. Patients with a history of angioedema unrelated to ACE inhibitors may be at increased risk of angioedema while receiving an ACE inhibitor. Applies to: Collagen Vascular Disease, Renal Dysfunction, Bone Marrow Depression/Low Blood CountsACE inhibitors may cause bone marrow suppression, rarely in uncomplicated individuals but more frequently in patients with renal impairment, especially if they also have a collagen-vascular disease such as systemic lupus erythematosus or scleroderma. Emergency therapy and/or measures to prevent airway obstruction are required for angioedema involving the tongue, glottis, or larynx. Therapy with ACE inhibitors should be administered cautiously in patients requiring hemodialysis.Major Potential Hazard, Moderate plausibility. Enalapril drug interactions. Enalapril / felodipine alcohol/food interactions. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.Things to remember when you fill your prescription.WebMD does not provide medical advice, diagnosis or treatment. Applies to: Renal Dysfunction, Hyperkalemia, Diabetes MellitusIn patients with hyperkalemia, especially those associated with impaired renal function or congestive heart failure, ACE inhibitors may further raise serum potassium levels. Drug interactions can change how your medicines work or increase your risk for serious side effects.

ACE inhibitors should also be used cautiously in patients in whom excessive hypotension may have serious consequences, such as patients with coronary or cerebrovascular insufficiency.

Therapy with ACE inhibitors should be initiated under very close medical supervision in patients with severe CHF, especially when accompanied by volume and/or sodium depletion. Patients with moderate to severe renal impairment usually require lower or less frequent doses and smaller increments in dose. Applies to: Renal DysfunctionWith the exception of fosinopril, ACE inhibitors (and/or their active metabolites in some cases) are primarily eliminated by the kidney and may accumulate in patients with renal impairment.

ACE inhibitors can also worsen renal function in some patients by blocking the effect of angiotensin II-mediated efferent arteriolar vasoconstriction, thereby decreasing glomerular filtration.

Monitoring of blood counts, particularly white blood cells, should be considered.Major Potential Hazard, Moderate plausibility.

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