Enalapril Krka
Enalapril Krka helps by widening your blood vessels, which lowers high blood pressure and makes it easier for your heart to pump blood.
How to Use
Dosage
For high blood pressure, you usually start with 5-20 mg once a day. For heart failure, the usual starting dose is 2.5 mg once a day. Your doctor will adjust the dose, and a common maintenance dose is 20 mg once daily.
Method
Take the tablets by mouth with a glass of water. You can take them with or without food. Try to take your medicine at the same time each day.
Do not take more than 40 mg in a single day.
Possible Side Effects
- •Blurred vision
- •Dizziness or light-headedness
- •Cough
- •Nausea
- •Weakness
- •Headache
- •Feeling down (depression)
- •Low blood pressure, especially when standing up
- •Fainting
- •Chest pain
- •Irregular heartbeat
- •Chest pain from activity (angina pectoris)
- •Fast heartbeat
- •Shortness of breath
- •Diarrhea
- •Stomach pain
- •Changes in taste
- •Skin rash
- •Allergic reactions, like swelling (angioedema)
- •Tiredness
- •Low red blood cells (anemia)
- •Low blood sugar
- •Confusion
- •Drowsiness
- •Trouble sleeping (insomnia)
- •Nervousness
- •Tingling or numbness in hands or feet
- •Spinning sensation (vertigo)
- •Heart attack or stroke (possibly due to very low blood pressure)
- •Runny nose
- •Sore throat and hoarseness
- •Asthma
- •Blocked gut
- •Inflammation of the pancreas
- •Vomiting
- •Indigestion
- •Constipation
- •Loss of appetite
- •Stomach irritation
- •Dry mouth
- •Stomach or duodenal ulcer
- •Increased sweating
- •Itching
- •Hives (urticaria)
- •Hair loss
- •Kidney problems or failure
- •Protein in urine
- •Erectile dysfunction (impotence)
- •Muscle cramps
- •Flushed face
- •Ringing in ears
- •Feeling unwell
- •Fever
- •Changes in blood cell counts (white blood cells, red blood cells, platelets, or weakened immune system)
- •Abnormal dreams
- •Sleep disturbances
- •Cold fingers and toes (Raynaud's phenomenon)
- •Lung inflammation
- •Nasal lining inflammation (rhinitis)
- •Mouth inflammation, mouth sores
- •Tongue inflammation
- •Liver problems, liver inflammation, jaundice (yellow skin/eyes)
- •Severe skin reactions (like blistering and skin peeling)
- •Reduced urine output
- •Breast growth in men
- •Swelling in the intestines (angioedema)
Important Warnings
- If you have ever had a severe allergic reaction (like swelling of the face, lips, tongue, or throat) with another ACE inhibitor, which made it hard to swallow or breathe.
- If you are more than 3 months pregnant (it's also best to avoid this medicine in early pregnancy).
- If you have diabetes or kidney problems and are taking aliskiren for high blood pressure.
- If you are taking or have recently taken a medicine called sacubitril/valsartan for heart failure, as it increases the risk of serious swelling (angioedema).
Use in Elderly Patients
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)