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Antiprex (Enalapril)

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Antiprex is a prodrug of an ACE inhibitor used to treat hypertension and congestive heart failure. It is indicated for the management of essential or renovascular hypertension. It is indicated as monotherapy or in combination with other antihypertensive agents, such as thiazide diuretics, for an additive effect.

Other names for this medication:
Analept, Anapril, Auspril, Bajaten, Baripril, Controlvas, Enacor, Enalagamma, Enalart, Enalind, Enapril, Enatec, Enazil, Fabotensil, Gadopril, Herten, Hipertin, Iecatec, Innovace, Innozide, Jutaxan, Lenimec, Linatil, Presuren, Prilace, Renapril, Selis, Spaciol, Tensapril, Unipril, Vasolapril

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Also known as: Enalapril


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

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

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

Antiprex 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 Antiprex dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.


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 Antiprex are:

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