"Enalapril Hexal": instructions for use, indications, composition, analogs, reviews

Enalapril Hexal, also known as Enalapril Hexal, belongs to the ACE inhibitor group. Under this abbreviation is a rather incomprehensible term for a person who does not have a medical education: angiotensin-converting enzyme. The drug is indispensable in the case of problems with pressure, which is due to the presence in its composition of the active ingredient enalapril maleate. On how it works, read below.

The human body is a complex system of

In our body, a wide variety of biochemical interactions is constantly occurring. This allows you to control vital activity at the cellular level, eliminate possible errors, failures, destroy "aliens" from outside - microbes, viruses, parasites. The renin-angiotensin-aldosterone system is also a complex interaction of biochemical processes. Here the active components are transformed by going through several stages of transformation, and each of the steps of this reaction is important for the balance of water and salt in the body, and also controls the level of blood pressure. If the natural control mechanism fails, it needs external assistance with medications that suppress the work of one of the links in the chain or, conversely, enhance the effect of the active biological substance.

Why does "Enalapril Hexal" help with arterial hypertension? The main component of the drug interacts with angiotensin, one of the most important links in the above-mentioned pressure control system. It reduces the activity of the biological compound, and this along the chain influences further processes. In particular, the adrenal glands should produce aldosterone in their bark, but this does not happen under the influence of the Enalapril Hexal composition. Such an effect leads to a decrease in pressure values.

Important, useful, irreplaceable

For quite some time now, Enalapril and Enalapril Hexal has become an indispensable element of a home medicine kit for people who suffer from pressure problems. The drug is relevant for hypertension. However, hypotensive is not the only effect of regular reception. The drug positively affects the heart and improves the quality of the vascular system.

Use according to the indications of "Enalapril Hexal" allows you to get rid of too much vascular tone. Correct reception reduces the load on the muscle of the heart. The drug has a diuretic effect, but rather mild.

Convenient in everyday life

What helps Enalapril Hexal? Doctors recommend to resort to this medication for hypertension. Use the tool should be on the recommendation of the doctor, you can not prescribe it yourself, but in the future the reception is not always required by the course, it is sufficient to use it when there are pronounced pressure problems.

Feel the effect of taking the drug will be five hours after using the pill. Sometimes the result comes a little earlier or later - deviations within an hour. The effectiveness is maintained for 24 hours. The instruction for the use of Enalapril Hexal contains references to the fact that a clearly pronounced clinical effect can be obtained if the remedy is regularly used for at least six months. This is relevant for those who suffer from heart failure.

How to use?

Choosing which tablets to pressure better to drink, it makes sense to pay special attention to the tool "Enalapril Hexal".It is not only effective, but also convenient to use. So, you do not need to adjust to the established diet or the daily routine. It is allowed to use tablets at any time, it does not depend on the intake of food.

The manufacturer offers several different medication schemes, all of which are listed in the instructions for the use of Enalapril Hexal, enclosed in a package with tablets. Before the beginning of the course it is recommended to carefully study the information on the insert to know how to use the tool, and also to check whether there are any contraindications.

The easiest way to use the drug is "solo".The mechanism is designed to combat arterial hypertension, that is, responds to the question of how to bring down the pressure at home quickly. The initial dose for this scheme is 5 mg. If the expressed effect is absent in a week or even two from the start of treatment, you can increase the daily dose by half. The maximum amount for 24 hours, as indicated by the instruction for the use of Enalapril Hexal, is 40 mg. If this amount of medication does not give a pronounced effect, it is necessary to urgently consult a doctor. Increase the dose further is unacceptable.

Features of reception

From responses about "Enalaprile Hexal" it follows that the drug affects older people more strongly. The hypotensive effect of the reception is expressed brighter, lasts longer than with the use of medication by people of young, middle age. Such a result has a scientific explanation: in the elderly, the body systems responsible for excretion of the main active component work more slowly, so the substance has a longer effect on the cardiovascular system. This imposes certain restrictions, in particular, on the daily dose. At the beginning of the course of treatment, it is worth starting with 1.25 mg, increasing the amount of medication as needed.

The instruction for the use of Enalapril Hexal contains a reference to the good compatibility of the medication with other drugs designed to lower blood pressure. You can use the drug and as a single medicine. Duration of the course is usually determined by focusing on the effectiveness of the drug. As necessary, adjust the dose. If the product shows low efficiency, it is increased. With a stable positive effect, you can gradually reduce the amount of medicines consumed per day. As a rule, they reduce to some supporting value and in this volume "Enalapril Hexal" is used constantly.

Do not let the problem run its course

If a cardiovascular system is diagnosed, a person should be aware that this is really dangerous and can be not only a source of daily troubles, but also a threat to life. If problems with the pressure are pursued for a long time, you can cope with them with the help of qualified medical care and properly selected therapy. Doctors prescribe drugs, conducting a number of laboratory tests. This is important: it is strictly forbidden to prescribe medications on your own, at your discretion. All known means of pressure, including "Enalapril Hexal", have contraindications, cases of individual intolerance are known. In order not to make yourself worse, you must first consult a doctor and only after that start treatment, following his instructions.

When patients ask the doctor how to bring down the pressure at home quickly, doctors often refer to the drug "Enalapril Hexal".Its composition is effective, the tool is easy to use. Relatively safe medication comes to the rescue, eliminating pressure problems and compensating for heart failure.

Effect on the body

With a weak effect on the veins, regular use of the medication has an effect on the arteries, expanding them - this is mentioned by the manufacturer in the instructions for the application of Enalapril Hexal. At what pressure it is necessary to drink the drug, it is also indicated in the descriptions of the pharmacological firm that produced the drug.

Reasonable use of medication allows you to correct the pressure in the atrium to the right. If the ventricle on the left is hypertrophically deformed, the regular use of Enalapril Hexal makes it possible to reduce these distortions. Vessels at the periphery become stronger, resistance decreases, which generally has a positive effect on blood pressure, and the indicators stabilize.

Important points

If Enalapril Hexal was discharged, the price of the medication becomes important information for the patient. Often, the need for the drug occurs in the elderly, forced to save and spend money exclusively for the benefit.

On average, in pharmacies in prices for the current year, packaging costs about 200 rubles. It contains 20 tablets, in each - 20 mg of active substance( that is, the initial dose - a quarter of a tablet per day).

Analogues: "Enap", "Enam", "Renitek", "Berlipril".

Indications for admission

The need for "Enalapril Hexal" arises if a person is diagnosed with:

• inoperable ventricle on the left;
• arterial hypertension.

Know which tablets should be used for pressure, it is necessary for those who have chronic heart failure. The choice of dose remains with the attending physician, this is additionally drawn to the instructions and the manufacturer of the medication.

Features of

reception It has already been mentioned above that the use of Enalapril Hexal does not depend on meals. Finding out how to reduce pressure at home, you need to remember that doctors recommend this is the means to drink in the morning, although the condition is not mandatory for execution. Usually the daily dose is drunk at a time, but in some cases divided into two doses. As a rule, to do so recommends the attending physician, focusing on the characteristics of the patient's body.

With heart failure diagnosed in chronic form, the starting dose of the drug is 2.5 g. Based on the body's reaction, the dose is increased, but this happens gradually. Finding out how to reduce pressure at home, it is necessary to remember that the chronic form of heart failure imposes serious restrictions on drug therapy, and more than 10 mg of the drug per day can usually not be used. If the pressure remains high and the effectiveness of the tablets is low, you need to urgently consult your doctor and describe the problem. On the day the maximum possible dose is 20 g.

Other limitations

If ventricular dysfunction is diagnosed on the left, the initial dose of the drug is 2.5 mg. With time, this amount is increased. It is believed that supporting therapy "Enalapril Hexal" has, if twice a day to take 10 mg of the substance. The doctor will say exactly how much to use at what pressure. The instruction for the use of Enalapril Hexal also mentions a combined effect with the simultaneous administration of diuretics: the hypotensive effect becomes more pronounced.

What is on sale?

Three variants of Enalapril Hexal are available for sale, differing in the amount of active ingredient in one tablet. These are the following forms: 5, 10, 20 mg. The product is packed in cardboard packages containing several blisters. Each of the blisters is a dozen tablets.

If the amount of the active ingredient is minimal, such a tablet is white. The average level is colored in a brownish red hue, and the strongest medicines are light orange. In addition to enalapril maleate, "Enalapril Hexal" contains auxiliary substances that simplify the assimilation and improve the effectiveness of the agent.

The pharmacological company that produces Enalapril Hexal is located in Germany, its name is Salutas Farma GmbH.Is

combined or not?

It is known that "Enalapril Hexal" can change the effectiveness of a number of medications, if you take these funds at the same time. If the doctor prescribes this particular drug, it is necessary to notify him about the full list of means by which the patient is treated for other health problems. For example, if you simultaneously use Enalapril Hexal and non-steroidal preparations that fight inflammation, as well as any analgesics, you can face a weakening of the effectiveness of high pressure. This is observed when taking aspirin, "Indomethacin."If the doctor knows about the complete list of medications used by the patient, he can adjust the dose of a medication or even replace something with a more suitable one in this situation.

A number of medications in combination with tablets "Enalapril Hexal" can lead to the development of leukopenia. This pathology is expressed by a reduced number of leukocytes in the blood. A similar negative effect is provoked by the combination of Enalapril Hexal with:

• immunosuppressant drugs;
• with corticosteroids systemic effects on the body;
• by cytostatics;
• "Novokainamidom";
• Allopurinol.

What else is possible?

It has already been pointed out that strengthening the effectiveness of Enalapril Hexal tablets can be achieved by the simultaneous use of diuretics. Anesthetic medications also activate the drug against high pressure. A similar effect can be achieved if you combine "Enalapril Hexal" and other drugs against hypertension.

If you eat too much common food salt, the effectiveness of the tablets "Enalapril Hexal"( reviews of this also say) is falling.

Combinations and effects of

When combining Enalapril Hexal and diuretics that help preserve potassium, as well as potassium-based drugs, while using the drug and the drug under the name "Heparin", the concentration of potassium in the blood increases. If you combine the reception of "Enalapril Hexal" and medicines on the basis of lithium, the human body increases the concentration of lithium. This can be diagnosed by taking a blood test.

It is known that Enalapril Hexal can influence if it is used simultaneously with hypoglycemic medications. The effect of their reception becomes more pronounced. This applies only to the drugs taken orally. This additional effect was revealed in the observation of patients who used Enalapril Hexal and insulin, as well as those who had to undergo treatment with sulfonylurea products. Doctors pay attention that there is no need to cancel "Enalapril Hexal", it is enough only to reduce the dose of ingesting drugs against hypoglycemia.

Side effects

Medical statistics show that the complications when using Enalapril Hexal tablets are fixed quite seldom, but there is still a probability of a negative development of events. It is caused by the action of the active substance in the Enalapril Hexal on the heart and the vascular system. If the side effects are negative, then it will be something from the list below:

• general weakness;
• headache;
• vision weakens;
• hypotension;
• angina;
• frequent heartbeat;
• thromboembolism( the first is the artery of the lungs).

In rare cases, in addition to taking Enalapril Hexal tablets, the respiratory system suffers. It is expressed by the following manifestations:

• rhinorrhea;
• pharyngitis;
• pneumonia;
• shortness of breath;
• bronchial spasms;
• dry cough.

And I'm allergic!

Such cases are recorded really rarely, but none of them is immune, allergy is really possible. A similar reaction to the tablets "Enalapril Hexal" is manifested as follows:

• skin itches, becomes covered with a rash;
• face, legs, arms swelling;
• swelling of the tongue, lips, larynx;
• eczema;
• urticaria;
• stomatitis;
• photosensitization.

Side effects: what else is possible?

In some cases, the regular use of Enalapril Hexal can trigger a negative reaction from the nervous system. Usually this is expressed as follows:

• whirls, headache;
• weakness;
• consciousness, as if stunned;
• increases fatigue;
• sleep quality drops;
• convulsions.

Depressive disorders and nervousness are possible.

It is known that in a vanishingly small percentage of cases, the intake of "Enalapril Hexal" affects the work of the genitourinary system. The drug can adversely affect the kidneys, which leads to proteinuria. If you regularly drink tablets "Enalapril Hexal" in a large dose, it can increase the risk of impotence. Doctors recommend passing the course of treatment with the drug "Enalapril Hexal", regularly take tests, controlling the amount of platelets, hemoglobin in the blood.

To eliminate the emerging negative side effects, it is enough to stop taking the medication. Almost all negative phenomena disappear right away.

And when not?

A list of contraindications for Enalapril Hexal can be found in the instructions for use. They are also familiar with the doctor who prescribes medicines for high blood pressure, so the medication is prescribed only after preliminary careful familiarization with the patient's anamnesis. Please note: if the patient is included in the group of people who have contraindications, use the tool or is strictly prohibited, or perhaps under the careful supervision of the treating specialist. In no case is it unacceptable to experiment at home, hoping for "maybe".This can lead to serious complications of the situation and even greater health problems.

List of contraindications:

• underage age;
• dysfunction of the liver, kidney;
• stenosis of the artery in the kidney( any form);
• increased sensitivity to the constituent components of the drug;
• intolerance to this type of medication( ACE inhibitors).

If in the past the patient already used ACE inhibitors, and this practice led to the development of angioedema, the treatment with the help of tablets "Enalapril Hexal" is strictly prohibited.

Pregnancy and lactation

It is not recommended to use Enalapril Hexal during this period. If a woman during pregnancy has used the drug or any other ACE inhibitor, you should carefully monitor the child. Possible pressure disorders, most often diagnosed by low blood pressure, oliguria, hyperkalemia. In some cases, neurological disorders develop. This is due to the influence on the supply of blood to the kidneys, the brain - problems occur when the pressure is below normal.

If the child has an oliguria, it is necessary to develop maintenance therapy to control blood pressure. In addition, there is a need for renal perfusion. For this use means that can narrow the vessels, as well as special fluids.