Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
ENALAPRIL MALEATE
IDAMAN PHARMA SDN. BHD.
ENALAPRIL MALEATE
30Tablet Tablets; 50Tablet Tablets; 100Tablet Tablets
Ilsan Ilac ve Hammaddeleri San. Ve Tic.A.S.,
ENAHEXAL® TABLET _CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ _Enalapril maleate _ ENAHEXAL® 5MG TABLET ENAHEXAL® 10MG TABLET ENAHEXAL® 20MG TABLET _The products Enahexal® 5mg Tablet, _ _Enahexal® 10mg Tablet and _ _Enahexal® 20mg Tablet are referred _ _to as Enahexal throughout this leaflet. _ WHAT IS IN THIS LEAFLET This leaflet answers some common questions about Enahexal. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. Please read this entire leaflet carefully before you start to take your medicine. This medicine is for you. Never give it to other people even if their condition appears to be the same as yours. If you have any questions about this medicine ask your pharmacist. Keep this leaflet; you may need to read it again. 1. What is Enahexal used for 2. How Enahexal works 3. Before you take Enahexal 4. How to take Enahexal 5. While you are using Enahexal 6. Possible side effects 7. How to store Enahexal 8. Product description 9. Marketing authorization holder and manufacturer WHAT IS ENAHEXAL USED FOR Enahexal is used to treat high blood pressure (hypertension) and heart failure. Enahexal is often used with other medicines called diuretics or fluid tablets. These medicines help the kidney get rid of excess fluid from the body. Enahexal is also commonly used with digitalis, a medication for heart failure. Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason HOW ENAHEXAL WORKS Enahexal belongs to a group of medicines known as angiotensin converting enzyme (ACE) inhibitors. These medicines work by widening your blood vessels to make it easier for the heart to pump blood through them to all parts of your body. This helps to reduce high blood pressure and increase the supply of oxygen to your heart, so that when you place extra demand on your heart, such as during exercise, your heart may cope better and you may not get short of breath Baca dokumen lengkap
Each ENAHEXAL® 5MG_ _tablet, ENAHEXAL® 10MG_ _tablet and ENAHEXAL® 20MG_ _tablet contains enalapril maleate 20mg DESCRIPTION ENAHEXAL® 20MG:_ _Oval, convex, orange snap tab tablets, one side scored with marking of EN 20. MECHANISM(S) OF ACTION Enalapril maleate is a prodrug of enalaprilat and has little pharmacologic activity until hydrolysed in vivo to enalaprilat. The mechanism(s) of action of enalaprilat and enalapril maleate have not been fully elucidated. The drugs appear to reduce blood pressure in normotensive individuals and hypertensive patients and to produce beneficial hemodynamic effects in patients with congestive heart failure mainly by suppressing the renin-angiotensin-aldosterone system. Following oral administration, enalapril is rapidly absorbed and then hydrolysed to the active metabolite enalaprilat. Enalaprilat exerts its effect on the renin angiotensin-aldosterone system by inhibiting the angiotensin-converting enzyme (ACE). It reduces peripheral arterial resistance. In heart failure, it reduces both preload and afterload and the cardiac output may be increased without significant change in heart rate. ACE catalyses the conversion of angiotensin I to the vasoconstrictor substance, angiotensin II. Angiotensin II also stimulates aldosterone secretion by the adrenal cortex. The beneficial effects of enalapril in hypertension and heart failure appear to result primarily from suppression of the renin-angiotensin-aldosterone system. Inhibition of ACE results in decreased plasma angiotensin II, which leads to decreased vasopressor activity and to decreased aldosterone secretion. Although the latter decrease is small, it results in small increases of serum potassium. ACE is identical to kininase, an enzyme that degrades bradykinin. Whether increased levels of bradykinin, a potent vasodepressor peptide, play a role in the therapeutic effects of enalapril remains to be elucidated. PHARMACOLOGY Enalapril is structurally and pharmacologically similar to captopril, but contains a disubstituted nitrog Baca dokumen lengkap