How Is It Used?
Take enalapril tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking enalapril except on your prescriber's advice.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What should my health care professional know before I take Enalapril?
They need to know if you have any of these conditions:

• Autoimmune disease (such as lupus), or suppressed immune function
• Previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat (angioedema)
• Bone marrow disease
• Heart or blood vessel disease
• Liver disease
• Low blood pressure
• Kidney disease
• If you are on a special diet, such as a low-salt diet
• An unusual or allergic reaction to enalapril, other ACE inhibitors, foods, dyes, or preservatives
• Pregnant or trying to get pregnant
• Breast-Feeding

Are There Possible Side Effects?
Side effects that you should report to your prescriber or health care professional as soon as possible:

• Decreased amount of urine passed
• Difficulty breathing, or difficulty swallowing
• Dizziness, lightheadedness or fainting spells
• Fast or uneven heart beat, palpitations, or chest pain
• Fever or chills
• Numbness or tingling in your fingers or toes
• Skin Rash, Itching
• Swelling of your face, lips, or tongue
• Swelling of your legs or ankles

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• Cough
• Tiredness

What About Interactions With Other Drugs?

• Antiinflammatory drugs (NSAIDs, such as ibuprofen)
• Hawthorn
• Heparin
• Lithium
• Medicines for Diabetes
• Medicines for High Blood Pressure
• Potassium salts
• Water Pills

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking Enalapril?
Visit your prescriber or health care professional for regular checks on your progress. Check your blood pressure regularly while you are taking enalapril. Ask your prescriber or health care professional what your blood pressure should be and when you should contact him or her. Call your prescriber or health care professional if you notice an uneven or fast heart beat. Do not treat yourself for a fever or sore throat; check with your prescriber or health care professional as these may be the result of an enalapril side effect.

Check with your prescriber or health care professional if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of body fluid can make it dangerous to take enalapril.

You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how enalapril affects you. To avoid dizzy or fainting spells, do not stand or sit up quickly, especially if you are an older person. Alcohol can make you more dizzy. Avoid alcoholic drinks.

If you are going to have surgery, tell your prescriber or health care professional that you are taking enalapril.

Avoid salt substitutes or other foods or substances high in potassium salts.

Do not treat yourself for coughs, colds, or pain while you are taking enalapril without asking your prescriber or health care professional for advice.

What If I Miss A Dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. If you take only one dose a day and forget to take it that day, do not take a double dose the next day.

How Should It Be Stored?
Keep out of the reach of children in a container that small children cannot open.

Store at room temperature below 30 degrees C (86 degrees F). Protect from moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.

NOTE: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. It should not be construed to indicate that the use of the product is safe, appropriate, or effective for you. Consult your healthcare professional before taking the product.