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Anapril (Enalapril)

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Anapril is a prescription medicine used to treat symptoms of high blood pressure (hypertension), left ventricular dysfunction and congestive heart failure. Anapril may be used alone or with other medications. Anapril belongs to a class of drugs called ACE Inhibitors.

Other names for this medication:
Alapren, Anapril, Angiotec, Antiprex, Auspril, Bitensil, Converten, Ecaprinil, Ednyt, Enadura, Enaldun, Enalich, Glenamate, Glioten, Hipertan, Hipoartel, Hipopril, Hypace, Ileveran, Insup, Kalpiren, Lenimec, Lotrial, Maxen, Myoace, Pharmapress, Pharpril, Presuren, Priltenk, Pulsol, Renacardon, Renil, Renistad, Renivace, Selis, Silverit, Sulocten, Tencas, Tensazol, Tesoren, Vitobel

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Also known as: Enalapril


Anapril (enalapril) is an ACE inhibitor. ACE stands for angiotensin converting enzyme.

Anapril is used to treat high blood pressure (hypertension) in adults and children who are at least 1 month old.

Anapril is also used to treat congestive heart failure in adults.

Anapril is also used to treat a disorder of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart). This disorder can decrease the heart's ability to pump blood to the body.


Usual Adult Dose for Hypertension:

Initial dose: 5 mg orally once a day Maintenance dose: 10 to 40 mg orally per day as a single dose or in 2 divided doses Maximum dose: 40 mg orally daily as a single dose or in 2 divided doses In combination with diuretics: Initial dose: 2.5 mg orally once a day If feasible, the diuretic should be discontinued 2 to 3 days prior to initiation of therapy with enalapril. If required, diuretic therapy may be gradually resumed.

Usual Adult Dose for Congestive Heart Failure:

Initial dose: 2.5 mg orally once a day Maintenance dose: 2.5 to 20 mg daily in 2 divided doses Maximum dose: 40 mg orally per day in 2 divided doses Comments: -Treatment is usually combined with diuretics and digitalis. -Doses should be titrated upward, as tolerated, over a period of a few days or weeks.

Usual Adult Dose for Left Ventricular Dysfunction:

Initial dose: 2.5 mg orally twice a day Maintenance dose: 20 mg orally per day in 2 divided doses Comments: -After the initial dose, the patient should be observed for at least 2 hours and until blood pressure has stabilized for at least an additional hour. -If possible, the dose of any concomitant diuretic should be reduced which may diminish the likelihood of hypotension.

Usual Pediatric Dose for Hypertension:

Children 1 month to 17 years: Initial dose: 0.08 mg/kg/day (up to 5 mg) in 1 to 2 divided doses. Adjust dosage based on patient response. Maximum dose: Doses greater than 0.58 mg/kg (40 mg) have not been evaluated in pediatric patients. Comment: -Not recommended in neonates and in pediatric patients with glomerular filtration rate less than 30 mL/min, as no data are available.

Detailed Anapril dosage information


If you overdose Anapril and you don't feel good you should visit your doctor or health care provider immediately. Symptoms of Anapril overdosage: fainting, dizziness.


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

Side effects

The most common side effects associated with Anapril are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Do not take Anapril if you are allergic to Anapril components. Be very careful with Anapril if you're pregnant or you plan to have a baby, or you are a nursing mother. Be careful with Anapril usage in case of having angioedema, throat, heart disease, diabetes, hands, kidney disease, lower legs, lupus, scleroderma. Be careful with Anapril usage in case of taking diuretics; aspirin and other nonsteroidal anti-inflammatory medications (NSAIDs) as indomethacin (Indocin); potassium supplements; lithium (such as Eskalith, Lithobid). Nimotop can be not safety for elderly people. Avoid dehydration. Be careful with great care in case you want to undergo an operation (dental or any other). Do not use potassium supplements or salt substitutes. If you want to achieve most effective results without any side effects it is better to avoid alcohol. Do not stop taking Anapril suddenly.

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