Enalapril Tablets

Always use this medicine exactly as your doctor or pharmacist has told you. If in doubt

Like all medicines, this medicine can cause side effects, although not everybody gets them.

if you experience any of the following symptoms, stop taking enalapril tablets, and see your doctor immediately in any of the following cases:

• If your face, lips, tongue, or throat are swollen so that it is difficult for you to breathe or swallow.
• If your hands, feet, or ankles
• If you develop a red swollen rash (hives).

Keep in mind that black patients are more sensitive to this type of adverse reaction. If any of the above reactions occur to you, stop taking enalapril tablets and talk to your doctor immediately.

When you start taking this medicine, you may feel unconscious or feel dizzy. If this occurs, lying down can help you. This is due to a decrease in your blood pressure. This will improve as you continue to take the medicine. If you are concerned, please speak to your doctor.

Other adverse effects include:

Very common (may affect more than 1 in 10 people)

• feeling dizzy, weak, or vomiting
• blurry vision
• cough

Common (may affect up to 1 in 10 people)

• dizziness from low blood pressure, changes in heart rhythm, fast heartbeat, angina, or chest pain
• headache, depression, fainting (syncope), taste disorder
• difficulty breathing
• diarrhea, abdominal pain
• tiredness (fatigue)
• rash, allergic reactions with swelling of the face, lips, tongue or throat with difficulty swallowing or breathing
• high levels of potassium in your blood, high levels of creatinine in your blood (both are usually found in tests).

Uncommon (may affect up to 1 in 100 people)

• flushing
• A sudden drop in blood pressure
• fast, arrhythmic heartbeat (palpitations)
• stroke (possibly due to very low blood pressure in high-risk patients)
• anemia (including aplastic and hemolytic anemia)
• confusion, drowsiness or inability to sleep, nervousness
• itchy or numb feeling on your skin
• vertigo (feeling dizzy)
• noise in the ears (tinnitus)
• runny nose, sore throat, or hoarseness
• asthma-associated with chest tightness
• the slow movement of food through your intestine (ileus), inflammation of the pancreas
• vomiting, indigestion, constipation, anorexia
• irritated stomach (gastric irritation), dry mouth, ulcer
• muscle cramps
• reduced kidney function, kidney failure
• increased sweating
• itching or hives
• loss of hair
• indisposition (general malaise), high temperature (fever)
• impotence
• high level of protein in your urine (determined by analysis)
• low blood sugar or sodium level, high blood urea level (all determined in a blood test).

Rare (may affect up to 1 in 1,000 people)

• "Raynaud's phenomenon" in which your hands and feet may become very cold and white due to low blood flow
• changes in blood values such as fewer white or red blood cells, less hemoglobin, fewer platelets in the blood
• bone marrow depression
• swollen glands in the neck, armpit, or groin
• autoimmune diseases
• sleep disturbances or sleep problems
• accumulation of fluids or other substances in the lungs (as seen on x-ray)
• inflammation of the nose
• inflammation of the lungs causing difficulty breathing (pneumonia)
• inflammation of the cheeks, gums, tongue, lips, throat
• reduction in the amount of urine produced
• bullseye rash (erythema multiforme)
• "Stevens-Johnson syndrome" and "toxic epidermal necrolysis" (a serious skin disorder in which you have red, peeling skin, ulcers with vesicles or open sores), exfoliative dermatitis/erythroderma (severe skin rash with peeling or shedding), pemphigus (small fluid-filled blisters on the skin)
• liver or gallbladder problems such as decreased liver function, liver inflammation, jaundice (yellowing of the skin or eyes), elevated levels of liver enzymes or bilirubin (determined in a test)
• enlarged breasts in men (gynecomastia).

Very rare (may affect up to 1 in 10,000 people)

• swelling in your intestine (intestinal angioedema).