Conversion from intravenous (IV) to oral dosage form
If not concurrently receiving diuretics, initiate Enap 5 mg orally once/day; if concurrently receiving diuretics and responding to 0.625 mg IV every 6 hours, initiate at 2.5 mg orally once/day; titrate upwards as necessary
Dosage for high blood pressure
Adult dosage (ages 18 years and older)
The starting dose is 5 mg taken by mouth once per day. Your doctor may increase your dose depending on your blood pressure goals. The usual dosage range is 10 to 40 mg per day. Your doctor will decide if you take the drug once or twice per day. The maximum dose is 40 mg per day. If you’re using Enap with a diuretic, your starting dose should be 2.5 mg taken by mouth once per day.
Child dosage (ages 1 month–17 years)
The starting dose is 0.08 mg/kg of body weight taken by mouth once per day (up to 5 mg once per day). Your doctor may increase your dose depending on your blood pressure goals. The maximum dose is 0.58 mg/kg taken by mouth once per day (40 mg once per day).
Senior dosage (ages 65 years and older)
There are no specific recommendations for senior dosing. Older adults may process drugs more slowly. A normal adult dose may cause levels of this drug to be higher than normal in your body. If you’re a senior, you may need a lower dose or a different schedule.
Special dosage considerations
For people with kidney problems:
- Normal or mild kidney problems: 5 mg taken once per day
- Moderate to severe kidney problems: 2.5 mg taken once per day. Children with moderate to severe kidney problems should not take Enap.
- People on dialysis: 2.5 mg taken once per day on dialysis days. On the days that you don’t have dialysis, your doctor will change your dose based on your blood pressure.
Dosages of Enap:
Powder for oral solution (Epaned)
- 150 mg bottle (1mg/mL after reconstitution)
Can Enap cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with Enap. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.
ВїCГіmo se debe usar este medicamento?
El Enap viene envasado en forma de tabletas regulares y tabletas de liberaciГіn prolongada (acciГіn prolongada) para administrarse por vГa oral. Generalmente, se toma una o dos veces al dГa, con o sin alimentos. Para que no olvide tomar el Enap, tГіmelo aproximadamente a la misma hora todos los dГas. Siga atentamente las instrucciones de la receta y pГdales a su mГ©dico o a su farmacГ©utico que le expliquen cualquier cosa que no entienda. Tome el Enap exactamente segГєn lo indicado. No aumente ni disminuya la dosis, ni la tome con mГЎs frecuencia que la indicada por su mГ©dico.
Es probable que el mГ©dico le recete al principio una dosis baja de Enap y la aumente de manera gradual.
El Enap controla la presiГіn arterial alta y la insuficiencia cardГaca, pero no las cura. Siga tomando el Enap aunque se sienta bien. No deje de tomar Enap sin consultar a su mГ©dico.
What is Enap?
Enap is an ACE inhibitor. ACE stands for angiotensin converting enzyme.
Enap is used to treat high blood pressure (hypertension) in adults and children who are at least 1 month old.
Enap is also used to treat congestive heart failure (CHF). CHF is a disorder of the ventricles (the lower chambers of the heart) which decreases the heart’s ability to pump blood to the body.
Q: What are the long-term effects of Enap?
A: Enap is in a group of drugs called ACE inhibitors (angiotensin-converting enzyme inhibitors). Enap is used to treat high blood pressure (hypertension), congestive heart failure, kidney problems caused by diabetes, and to improve survival rate after heart attack. Long-term use of ACE inhibitors can improve heart and kidney function, though there can be side effects. Common side effects include dry cough, mild skin rashes, nausea, vomiting, and diarrhea. More-serious side effects can occur, including angioedema, which has symptoms including rapid swelling of the lips, eyes, face or throat, raised welts, and difficulty breathing. You may also find helpful information at //www.everydayhealth.com/drugs/Enap Sarah Lewis, PharmD
How to take Enap
- Before you start the treatment, read the manufacturer's printed information leaflet from ins >
How it works
Enap belongs to a class of drugs called angiotensin-converting enzyme (ACE) inhibitors. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.
Enap helps your blood vessels relax and widen. This lowers your blood pressure.
Enap oral tablet does not cause drowsiness. However, it can cause other side effects.
Serious allergic reaction
It is possible to have a serious allergic reaction (anaphylaxis) to Enap.
What if I forget to take it?
If you miss a dose of Enap, leave out that dose and take your next dose at the usual time. Do not take a double dose to make up for the forgotten dose.
If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to remember your medicine.
Urgent advice: Call your doctor or go to A&E straight away if you take too much Enap
If you need to go to hospital, do not drive yourself - get someone else to drive you or call for an ambulance.
Take the Enap packet, or the leaflet inside it, plus any remaining medicine with you.
Like all medicines, Enap can cause side effects in some people, but many people have no side effects or only minor ones.
Side effects often get better as your body gets used to the medicine.
ВїPara cuГЎles condiciones o enfermedades se prescribe este medicamento?
El Enap se usa solo o en combinaciГіn con otros medicamentos para tratar la presiГіn arterial alta. TambiГ©n se usa en combinaciГіn con otros medicamentos para tratar la insuficiencia cardГaca. El Enap pertenece a una clase de medicamentos llamados inhibidores de la enzima convertidora de la angiotensina (ACE, por sus siglas en inglГ©s). ActГєa disminuyendo determinadas sustancias quГmicas que contraen los vasos sanguГneos, de modo que la sangre fluye mejor y el corazГіn puede bombearla con mayor eficiencia.
La hipertensiГіn arterial es una condiciГіn comГєn y cuando no se trata, puede causar daГ±os en el cerebro, el corazГіn, los vasos sanguГneos, los riГ±ones y otras partes del cuerpo. El daГ±o a estos Гіrganos puede causar enfermedades del corazГіn, un infarto, insuficiencia cardГaca, apoplejГa, insuficiencia renal, pГ©rdida de la visiГіn y otros problemas. AdemГЎs de tomar medicamentos, hacer cambios de estilo de vida tambiГ©n le ayudarГЎ a controlar su presiГіn arterial. Estos cambios incluyen comer una dieta que sea baja en grasa y sal, mantener un peso saludable, hacer ejercicio al menos 30 minutos casi todos los dГas, no fumar y consumir alcohol con moderaciГіn.
Discontinue as soon as possible when pregnancy is detected; affects renin-angiotensin system, causing oligohydramnios, which may result in fetal injury and/or death.
This medication contains Enap. Do not take Enapat, Epaned, Vasotec, or Vasotec IV if you are allergic to Enap or any ingredients contained in this drug.
Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.
Michael Stewart, Reviewed by Sid Dajani | Last edited 29 Oct 2019 | Certified by The Information Standard
The first dose of Enap can make you feel dizzy. It is best taken at bedtime.
Enap is generally well tolerated but if you develop a troublesome cough, you must let your doctor know.
Some painkillers and indigestion remedies can interfere with Enap. Ask your pharmacist for advice before you buy any medicines 'over the counter'.
Clinical author's note: Michael Stewart 15/11/2018: Following an MHRA update, new advice has been added to this leaflet for people also taking the blood pressure medicine hydrochlorothiazide. Hydrochlorothiazide is only available in the UK in combination with other blood pressure medicines such as Enap. It may be available on its own in other countries. For more information see 'Getting the most from your treatment' below or view the MHRA Alert.