Symptomatic hypotension in uncomplicated hypertensive patients, symptomatic hypotension occasionall

Medications "a" Medication "b" ischemic heart disease Medications "c" Medications "d" Drugs "e" Grindeks" Medications "g" ischemic heart disease Medications "h" Medications "i" Medications "j" Medications "k" Medications "l" Medications " m 'Drugs' n 'Drugs' o 'Drugs' p 'Medications' r 'Medicine' s "Medicine" z "Drugs" t "Medications" u "Medications" v "Medications" w "Drugs" q "Medications" x " Medications "y"
Tablet. Vitabalans Enalapril 5mg Tablets are white, round and flat on one side of the score line. Diameter of 8 mm. Vitabalans Enalapril 10mg Tablets are reddish-brown, oval and flat on one side of the score line. Diameter of 8 mm. Enalapril Vitabalans, 20 mg tablets are light orange, round and flat on one side of the score line. Diameter of 8 mm. The tablet can be divided into equal halves. 4. CLINICAL PARTICULARS 4.1 Therapeutic ischemic heart disease indications
Arterial hypertension. Heart failure. Prevention ischemic heart disease of symptomatic heart failure in patients with asymptomatic left ventricular dysfunction (ejection fraction <35%), see section ischemic heart disease 5.1. 4.2 Posology and method of administration
Route of administration: Oral use. Food does not affect the absorption of enalapril. Dosage should be individualized according to patient profile and blood pressure response (see section 4.4). Depending on the severity of hypertension, hypertension, and the patient's condition (see below), the starting dose is 5 mg to 20 mg ... (max). Enalapril is taken once a day. Mild hypertension, the recommended starting dose of 5 mg to 10 mg per day .... Strongly activated renin-angiotensin-aldosterone system in patients (eg, renovascular hypertension, salt and / or volume depletion, cardiac decompensation or severe ischemic heart disease hypertension), the initial dose may induce severe drop in blood pressure. In such cases, the recommended starting dose of 5 mg or less, and treatment should be initiated under close medical supervision. If you have previously received treatment ischemic heart disease with high doses of diuretics, treatment with enalapril can cause dehydration and increase ischemic heart disease the risk of hypotension. For such patients, it is recommended to start treatment with a lower dose of 5 mg or more. If possible, diuretic therapy should be discontinued 2 ... 3 days prior to the start of enalapril. Renal function should be monitored and potassium levels in the blood serum. The usual dose is 20 mg daily. The maximum maintenance dose is 40 mg daily. Heart failure / left ventricular dysfunction in asymptomatic patients with symptomatic ischemic heart disease heart failure, enalapril therapy is used in addition to diuretics and, where appropriate, digitalis or beta-blockers. Symptomatic heart failure or asymptomatic left ventricular dysfunction, in a starting dose of 2.5 mg Enalapril Vitabalans'i. Treatment should be initiated under close medical supervision to determine the initial effect on blood pressure medicine. If symptomatic hypotension does occur early in treatment (or after its effective treatment), Enalapril Vitabalans'i dose should be increased gradually to the usual maintenance dose of 20 mg administered once or in two divided doses, as tolerated by the patient. Dose titration is recommended to be carried ischemic heart disease out 2 ... 4 weeks. The maximum dose is 40 mg per day, administered in two divided doses. Use in Elderly The dose should be based on renal function in elderly patients (see section 4.4 - Renal impairment). Use in pediatric clinical experience with enalapril ischemic heart disease in hypertensive pediatric patients is limited (see sections 4.4, 5.1 and 5.2). Can swallow tablets, the dose should be individualized according to the patient's condition ischemic heart disease and blood pressure response. The recommended starting dose is 20 ... 50 kg and 2.5 mg in patients> 50 kg body weight of 5 mg in patients. Enalapril is given once a day. Dosage ischemic heart disease should ischemic heart disease be adjusted according to the patient's needs. The maximum daily dose is: 20 ... 50 kg to 20 mg for patients weighing> 50 kg body weight of patients ischemic heart disease is 40 mg (see section 4.4). Due to lack of data is not recommended for use in neonates ischemic heart disease and children with enalapril ischemic heart disease with glomerular filtration rate <30 mL / min / 1.73m2. 4.3 Contraindications
Hypersensitivity to enalapril, to any of the excipients or other ACE inhibitors. The previous ACE inhibitor therapy angioedema. Hereditary or idiopathic angioedema. The second and third trimesters of pregnancy (see sections 4.4 and 4.6). 4.4 Special warnings and precautions for use
Symptomatic hypotension in uncomplicated hypertensive patients, symptomatic hypotension occasionally. In hypertensive patients who are treated with enalapril, symptomatic hypotension is likely to occur against the background of a reduction in the number of circulating plasma, ie,