Details for: PRO-ENALAPRIL
Company: PRO DOC LIMITEE
| DIN | DIN name | Active Ingredient(s) | Strength | Dosage Form | Route of Administration |
|---|---|---|---|---|---|
| 02311402 | PRO-ENALAPRIL - 2.5 | ENALAPRIL MALEATE | 2.5 MG | TABLET | ORAL |
| 02311410 | PRO-ENALAPRIL - 5 | ENALAPRIL MALEATE | 5 MG | TABLET | ORAL |
| 02311429 | PRO-ENALAPRIL - 10 | ENALAPRIL MALEATE | 10 MG | TABLET | ORAL |
| 02311437 | PRO-ENALAPRIL - 20 | ENALAPRIL MALEATE | 20 MG | TABLET | ORAL |
Consumer Information
This information was provided by the drug’s manufacturer when this drug product was approved for sale in Canada. It is designed for consumers and care givers. It is a summary of information about the drug and will not tell you everything about the drug. Contact your doctor or pharmacist if you have any questions about the drug.
What the medication is used for
PRO-ENALAPRIL is used for:
- reducing high blood pressure
PRO-ENALAPRIL is used for:
- treating patients with heart failure
If your physician has recommended a particular diet, for instance - less salt - follow the diet carefully. This could help your medicine to better control your blood pressure. Your physician may also recommend weight loss. Do follow these suggestions.
What it does
PRO-ENALAPRIL is part of a class of medicines known as angiotensin converting enzyme (ACE) inhibitors. They lower blood pressure by specifically blocking a naturally occurring substance called angiotensin II. Angiotensin II normally tightens your blood vessels. PRO-ENALAPRIL allows them to relax and therefore help lower high blood pressure.
This medicine does not cure high blood pressure, but does help control it. So, it is important to continue taking the tablets regularly to keep your blood pressure down. You may have to take high blood pressure medicine for life.
Keep your regular appointments with your physician, even if you feel well. High blood pressure may not be easily recognized by you, because you may not "feel any symptoms"; but your physician can measure your blood pressure very easily, and check how the medicine is controlling it.
Read the following information carefully. If you need any explanations, or further information, ask your physician or pharmacist.
When it should not be used
Do not take PRO-ENALAPRIL if you:
- are allergic to enalapril maleate or any other component of PRO-ENALAPRIL (see What the non- medicinal ingredients are)
- have a history of swelling of the face, lips, tongue, throat, or sudden difficulty breathing or swallowing.
- have been diagnosed with swelling of the face, lips, tongue, throat, or sudden difficulty breathing or swallowing due to genetic factors or unknown reasons (please refer to Side Effects and What to do About Them).
- Are already taking a blood pressure-lowering medicine that contains aliskiren (such as RASILEZ) and you have diabetes or kidney disease.
What the medicinal ingredient is
enalapril maleate.
What the non-medicinal ingredients are
lactose and zinc stearate.
The tablets also contain:
10 mg tablets: orange ferric oxide
20 mg tablets: yellow and red ferric oxide
What dosage form it comes in
Tablets: 2.5 mg (white), 5 mg (white), 10 mg (reddish-pink) and 20 mg (peach).
Warnings and precautions
Serious Warnings and Precautions
PRO-ENALAPRIL should not be used during pregnancy. If you discover that you are pregnant while taking PRO-ENALAPRIL, stop the medication and contact your doctor, nurse, or pharmacist as soon as possible.
This medicine may not be suitable for certain people. Tell your physician or pharmacist if you think any of the following applies to you:
- You have previously taken PRO-ENALAPRIL or other medication of the same type - Angiotensin Converting Enzyme (ACE) inhibitors such as enalapril, lisinopril, captopril, and you were allergic or reacted badly to it, particularly if you experienced swelling of the face, lips, tongue, or throat, or had sudden difficulty breathing or swallowing. These are (symptoms of conditions called hereditary angioedema or idiopathic angioedema).
- Are taking a medicine that contains aliskiren, such as RASILEZ, used to lower high blood pressure. The combination with PRO-ENALAPRIL is not recommended.
- Are taking an angiotensin receptor blocker (ARB). You can recognize an ARB because its medicinal ingredient ends in “-SARTAN”.
- You should also not take this medicine if you have been diagnosed with hereditary angioedema or idiopathic angioedema (angioedema of unknown cause).
- Dizziness or drowsiness may occasionally occur when taking medication to lower blood pressure. Therefore, before you perform tasks which may require special attention (driving a car or operating dangerous machinery), wait until you know how you respond to your medicine.
- You should be aware that black patients are at increased risk of these types of reactions to ACE inhibitors.
- You are pregnant, breast-feeding or thinking of becoming pregnant. Taking PRO-ENALAPRIL during pregnancy can cause injury and even death to your developing baby. This medicine should not be used during pregnancy. If you become pregnant while taking PRO-ENALAPRIL, stop the medication and report to your physician as soon as possible. It is possible that PRO-ENALAPRIL passes into breast milk. You should not breast-feed while taking PRO-ENALAPRIL.
- You suffer from low blood pressure (you may notice this as faintness or dizziness, especially when standing).
- You are undergoing dialysis.
- You have any of these conditions:
- diabetes
- heart or blood vessel disease
- liver disease
- kidney disease
- You are receiving gold (sodium aurothiomalate) injections.
- You are taking "water pills" or potassium supplements.
- You use potassium containing salt substitutes with your food.
You should also inform your physician or pharmacist if you have recently suffered from excessive vomiting or have severe diarrhea.
If you have diabetes and are taking oral medicines to treat diabetes or insulin, you should closely monitor for low blood glucose levels, especially during the first month of treatment with PRO-ENALAPRIL.
If you have to undergo any dental or other surgery, inform the dentist or the physician in charge that you are taking this medicine.
Remember - This medicine is prescribed for the particular condition that you have. Do not give this medicine to other people, nor use it for any other condition.
Do not use outdated medicine.
Interactions with this medication
Do not take any other medicines unless you have discussed the matter with your physician or pharmacist. Certain medications tend to increase your blood pressure, for example, non-prescription preparations for appetite control, asthma, colds, coughs, hay fever and sinus problems, or may also react badly with PRO-ENALAPRIL.
Your physician or pharmacist also needs to know if you are taking any other medication, whether on prescription or otherwise. It is particularly important to inform your physician or pharmacist if you are taking:
- Diuretics or "water pills"; any other medicines to reduce blood pressure.
- Diabetes medicine and/or insulin.
- Blood pressure-lowering drugs, including diuretics (“water pills”), aliskiren-containing products (e.g. RASILEZ), or angiotensin receptor blockers (ARBs).
- Potassium-containing medicines, potassium supplements.
- Salt substitutes that contain potassium, as these may lead to increased levels of potassium in the blood which can be serious. In these cases, your physician may need to adjust the dosage of PRO-ENALAPRIL or monitor your blood level of potassium.
- Lithium (a drug used to treat a certain kind of depression).
- Certain pain and arthritis medicines, including gold therapy and non-steroidal anti-inflammatory drugs.
Proper use of this medication
Usual Dose
- Take this medicine exactly as your physician ordered.
- The absorption of this medicine is not affected by food; so it can be taken with or without a meal.
- Try to take your medicine every day at the same time. This way it becomes easy to remember your doses.
- The splitting of PRO-ENALAPRIL tablets is not advised.
For patients with high blood pressure:
Adults:
Your physician may adjust the dose according to your blood pressure response. The usual dose range is 10 mg to 40 mg per day given in a single dose or two divided doses. The maximum daily dose for PRO-ENALAPRIL oral administration is 40 mg.
Children (less than 16 years):
The usual starting dose is up to 5 mg once daily. Doses above 40 mg have not been studied.
For patients with congestive heart failure:
The initial dose is 2.5 mg taken once a day. Your physician will closely monitor you to determine the initial effect on your blood pressure. The usual daily dose is 5 mg to 20 mg given in a single dose or two divided doses. The maximum daily dose is 40 mg.
Overdose
Missed Dose
- If you miss a dose of this medicine, take it as soon as possible. However, if no more than six hours have elapsed since the missed dose, you may take that day's dose of medication and then go back to your regular dosing schedule.
Do not take a double dose.
Side effects and what to do about them
Along with its intended action, any medication, including PRO-ENALAPRIL, may cause side effects. Most people do not experience any problem when taking this medicines; but if you notice any of the following, have other side effects or if the condition persists or worsens, seek medical attention.
- Dry cough, sore throat.
- The initial dose may cause a greater fall in blood pressure than will occur following continued treatment. You may notice this as faintness or dizziness and it may help to lie down. If concerned, please consult your physician or pharmacist.
| Symptom / effect | Talk with your doctor, nurse, or pharmacist only if severe | Talk with your doctor, nurse, or pharmacist in all cases | Stop taking drug and seek immediate medical help |
|---|---|---|---|
| Common | |||
| Fatigue | ✔ | ||
| Dizziness/ Fainting/Light-headedness, especially following exercise, and/or when it is hot and you have lost a lot of water by sweating | ✔ | ||
| Low blood pressure | ✔ | ||
| Headache | ✔ | ||
| Rash/Itching | ✔ | ||
| Nausea/ Vomiting/ Diarrhea | ✔ | ||
| Lasting cough | ✔ | ||
| Chest pain | ✔ | ||
| Shortness of breath | ✔ | ||
| Uncommon | |||
| Allergic reactions/Angiodema (sudden difficulty in breathing or swallowing, swelling of face, eyes, lips, tongue and/or throat, hands or feet) | ✔ | ||
| Flu-like symptoms (fever, malaise, muscle pain, rash, itching, abdominal pain, nausea, vomiting, diarrhea, jaundice, loss of appetite) | ✔ | ||
| Liver impairment such as jaundice, dark/brown urine | ✔ | ||
| Abdominal pain | ✔ | ||
| Low blood sugars in diabetic patients | ✔ | ||
| Loss of appetite | ✔ | ||
This is not a complete list of side effects. For any unexpected effects while taking PRO-ENALAPRIL, contact your doctor, nurse or pharmacist.
How to store
Store your tablets at 15°C - 30°C, in a tightly closed container, away from heat and direct light, and out of damp places, such as the bathroom or kitchen.
Keep all medicines out of the reach and sight of children.
Reporting side effects
You can report any suspected adverse reactions associated with the use of health products to the Canada Vigilance Program by one of the following three ways:
- Report online at www.healthcanada.gc.ca/medeffect
- Call toll-free at 1-866-234-2345
- Complete a Canada Vigilance Reporting Form and:
- Fax toll-free to 1-866-678-6789, or
- Mail to:
Canada Vigilance Program
Health Canada
Postal Locator 0701E
Ottawa ON K1A 0K9
Postage paid labels, Canada Vigilance Reporting Form and the adverse reaction reporting guidelines are available on the MedEffectTM Canada Web site at www.healthcanada.gc.ca/medeffect.
NOTE: Should you require information related to the management of side effects, contact your health professional. The Canada Vigilance Program does not provide medical advice.
More information
PRO-ENALAPRIL is available only on prescription from your physician.
This leaflet plus the full product monograph, prepared for health professionals, can be obtained by contacting Pro Doc Ltée at 1-800-361-8559, www.prodoc.qc.ca or info@prodoc.qc.ca.
This leaflet was prepared by Pro Doc Ltée, Laval, Québec, H7L 3W9
Last revised: November 20, 2015