Enalapril Krka
Enalapril Krka is an ACE inhibitor that widens blood vessels, reducing the heart's workload and lowering high blood pressure.
Form
tabletti
Strength
10 mg
Active Ingredient
Enalapril maleate
Manufacturer
KRKA d.d. Novo mesto
How to Use
Dosage
For adults, the usual starting dose is 5-20 mg once a day. For heart failure, it starts at 2.5 mg once a day and is slowly increased.
Method
Take the tablet by mouth with a glass of water. You can take it with or without food. Try to take it at the same time each day.
Important
The maximum daily dose for adults is 40 mg. For children weighing 20-50 kg, the maximum is 20 mg; for those over 50 kg, it's 40 mg.
Possible Side Effects
COMMON
- •Blurred vision
- •Dizziness, lightheadedness
- •Cough
- •Nausea
- •Weakness
- •Headache
- •Depression
- •Low blood pressure (including when standing up)
- •Fainting
- •Chest pain
- •Irregular heartbeat
- •Angina (chest pain on exertion)
- •Fast heartbeat
- •Shortness of breath
- •Diarrhea
- •Stomach pain
- •Changes in taste
- •Skin rash
- •Allergic reactions (swelling of face, lips, tongue, throat)
- •Tiredness
RARE
- •Anemia
- •Low blood sugar
- •Confusion
- •Drowsiness
- •Trouble sleeping
- •Nervousness
- •Tingling or numbness in hands/feet
- •Vertigo (spinning sensation)
- •Heart attack or stroke (in high-risk patients due to very low blood pressure)
- •Runny nose
- •Sore throat, hoarseness
- •Asthma
- •Bowel blockage
- •Pancreas inflammation
- •Indigestion
- •Constipation
- •Loss of appetite
- •Upset stomach
- •Dry mouth
- •Stomach or duodenal ulcer
- •Increased sweating
- •Itching
- •Hives (urticaria)
- •Hair loss
- •Kidney problems or failure
- •Protein in urine (found in tests)
- •Impotence
- •Muscle cramps
- •Facial flushing
- •Ringing in ears
- •General feeling of illness
- •Fever
- •Changes in blood cells (low white/red blood cells, platelets)
- •Weakened immune system or lung problems
- •Abnormal dreams
- •Cold fingers and toes (Raynaud's phenomenon)
- •Lung inflammation
- •Inflammation of the nose/mouth lining
- •Mouth sores
- •Inflamed tongue
- •Liver problems (failure, inflammation, jaundice)
- •Severe skin reactions (blisters, peeling)
- •Less urine
- •Breast growth in men
- •Swelling in the intestines (angioedema)
Important Warnings
- Do not use if you are allergic to enalapril, any other ingredient in this medicine, or other ACE inhibitors.
- Do not use if you have had severe allergic reactions (angioedema), such as swelling of your face, lips, tongue, or throat, which makes it hard to swallow or breathe, related to taking ACE inhibitors before, or if this runs in your family.
- Do not use if you are more than 3 months pregnant. It is also best to avoid this medicine in early pregnancy.
- Do not use if you have diabetes or kidney problems and are taking aliskiren (a medicine for high blood pressure).
- Do not use if you are taking or have recently taken sacubitril/valsartan for heart failure, as this increases the risk of swelling (angioedema).
Show 8 more warnings
- Tell your doctor if you are dehydrated due to diuretics, dialysis, a low-salt diet, vomiting, or diarrhea, as your blood pressure may drop too low, causing dizziness.
- Tell your doctor if you have other heart problems, brain blood vessel disease, kidney disease, a recent kidney transplant, or liver disease.
- Tell your doctor if you have a collagen vascular disease (affecting blood vessels), or if you are taking medicines that weaken the immune system, allopurinol (for gout), or procainamide (for irregular heartbeats).
- Tell your doctor if you have diabetes and are taking diabetes medicines or insulin, as your blood sugar may drop too low, especially when you first start Enalapril Krka.
- Tell your doctor if you are taking potassium supplements, salt substitutes with potassium, or lithium (for mental health conditions).
- Tell your doctor if you have black skin, as Enalapril Krka may be less effective.
- Tell your doctor if you are taking racecadotril (for diarrhea), mTOR inhibitors like sirolimus (for transplants or cancer), or vildagliptin (for diabetes), as these can increase the risk of swelling (angioedema).
- Tell your doctor if you are taking other blood pressure medicines like ARBs (e.g., valsartan) or aliskiren, especially if you have diabetes and kidney problems.
Use in Elderly Patients
Category C
Suitable for older adults, with specific precautions. Reduce the dose already in mild renal impairment. Monitor renal function and potassium concentrations during the pharmacotherapy. Avoid concurrent use of NSAIDs. (updated 14.4.2025)