Reminal tablets


  • Active Ingredient: Enalapril
  • 10 mg, 5 mg
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What is Reminal?

The active ingredient of Reminal brand is enalapril. Enalapril is an ACE inhibitor. ACE stands for angiotensin converting enzyme. C20H28N2O5в€™C4H4O4 M.W. 492.53 Enalapril maleate, USP is an off-white, crystalline powder. It is sparingly soluble in water, soluble in ethanol, and freely soluble in methanol. Enalapril is a pro-drug; following oral administration, it is bioactivated by hydrolysis of the ethyl ester to enalaprilat, which is the active angiotensin converting enzyme inhibitor. Enalapril maleate tablets USP are supplied as 2.5 mg, 5 mg, 10 mg, and 20 mg tablets for oral administration. In addition, each tablet contains the following inactive ingredients: corn starch, lactose monohydrate, magnesium stearate, pregelatinized starch, and sodium bicarbonate. Each 2.5 mg tablet contains D&C red #27 aluminum lake, D&C yellow #10 aluminum lake, FD&C blue #1 aluminum lake, FD&C red #40 aluminum lake, and FD&C yellow #6 aluminum lake. Each 10 mg tablet contains FD&C blue #2 aluminum lake, FD&C red #40 aluminum lake and FD&C yellow #6 aluminum lake. Each 20 mg tablet contains FD&C Yellow #6.

Used for

Reminal is used to treat diseases such as: Alport Syndrome, Diabetic Kidney Disease, Heart Failure, High Blood Pressure, Hypertensive Emergency, Left Ventricular Dysfunction.

Side Effect

Possible side effects of Reminal include: Chest pain; fever or chills; sneezing; sweating; fainting; confusion.

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Common side effects

These common side effects happen in more than 1 in 100 people. They are usually mild and short-lived.

Talk to your doctor or pharmacist if these side effects bother you or don't go away:

  • dry, tickly cough that does not go away
  • feeling dizzy or lightheaded, especially when you stand up or sit up quickly. This is more likely to happen when you start taking Reminal or move on to a higher dose
  • headache
  • diarrhoea
  • mild skin rash
  • blurred vision

Potassium-sparing diuretics, potassium supplements, and potassium-containing salt substitutes

These medications increase your risk of high potassium levels in your blood when taken with Reminal. Examples of these drugs include:

  • spironolactone
  • triamterene
  • amiloride
  • eplerenone

On this page

  1. About Reminal
  2. Key facts
  3. Who can and can't take Reminal
  4. How and when to take it
  5. Side effects
  6. How to cope with side effects
  7. Pregnancy and breastfeeding
  8. Cautions with other medicines
  9. Common questions

Dosages of Reminal:

Powder for oral solution (Epaned)

  • 150 mg bottle (1mg/mL after reconstitution)

7. Pregnancy and breastfeeding

Reminal is not normally recommended in pregnancy. However, your doctor may prescribe it if they think the benefits of the medicine outweigh the risks.

If you're trying to get pregnant or you're already pregnant, talk to your doctor about the benefits and possible harms of taking Reminal. These will depend on how many weeks pregnant you are and the reason you need to take it. There may be other treatments that are safer for you.

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VASOTEC® (Reminal maleate) Tablets

  • When pregnancy is detected, discontinue VASOTEC® as soon as possible.
  • Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. See WARNINGS: Fetal Toxicity

Reminal may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • cough
  • dizziness
  • rash
  • weakness

Algunos efectos secundarios pueden ser graves. Si experimenta algunos de los siguientes sГ­ntomas, llame a su mГ©dico de inmediato:

  • inflamaciГіn de la cara, la garganta, la lengua, los labios, los ojos, las manos, los pies, los tobillos o las pantorrillas
  • ronquera
  • dificultad para respirar o tragar
  • coloraciГіn amarillenta en la piel o los ojos
  • fiebre, dolor de garganta, escalofrГ­os y otros signos de infecciГіn
  • aturdimiento
  • desvanecimiento

El Reminal puede provocar otros efectos secundarios. Llame a su mГ©dico si tiene algГєn problema inusual mientras toma este medicamento.

Si desarrolla un efecto secundario grave, usted o su doctor puede enviar un informe al programa de divulgaciГіn de efectos adversos 'MedWatch' de la AdministraciГіn de Alimentos y Medicamentos (FDA, por su sigla en inglГ©s) en la pГЎgina de Internet ( o por telГ©fono al 1-800-332-1088.


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¿Dónde puedo obtener más información?

Su farmacéutico le puede dar más información acerca Reminal.

Reminal and breastfeeding

Small amounts of Reminal may get into breast milk. This can cause low blood pressure in the baby.

  • If your baby was born full term and healthy, it's generally safe to take Reminal while you're breastfeeding.
  • If your baby was premature, has a low birthweight or other health problems, talk to your doctor.

Your baby's blood pressure may be monitored, especially if your baby was premature or is newborn.

Talk to your doctor, as another medicine might be better while you're breastfeeding.

Q: I started taking Reminal 10 mg for my blood pressure. But I am feeling kind of dizzy and I have blurry eyes. Is this normal? What can I do?

A: Reminal (Vasotec) is an ACE inhibitor used to treat high blood pressure and other heart conditions. Whenever starting a new blood pressure medication you may notice some dizziness especially upon standing. Be sure to stand slowly. If lying down first sit and then slowly stand when getting up. This should improve as your body gets used to having a lower blood pressure. If the dizziness is severe or does not get better, be sure to talk to your healthcare provider. Blood pressure could drop too low and a lower dose of Reminal (Vasotec) may be necessary. Blurry eyes may be related to the dizziness, if not be sure to tell your healthcare provider. Please see the following Everyday Health link for more information on Reminal (Vasotec). // Laura Cable, PharmD

How to store Reminal

  • Keep all medicines out of the reach and sight of children.
  • Store in a cool, dry place, away from direct heat and light.

Q: Would medications such as Reminal, Zetia, and Nexium cause side effects with prolonged use? I have esophageal ulcers.

A: Nexium (esomeprazole) is indicated for the treatment of GERD or gastroesophageal reflux disease. Nexium relieves heartburn that is caused by the backflow of stomach acid from the stomach to the esophagus. Nexium is also used for the treatment of ulcers. (// Common side effects associated with Nexium include dizziness, headache, diarrhea, constipation and dry mouth. Other less common side effects associated with Nexium include muscle pain, rash, back pain and chest pain. (// Zetia (ezetimibe) (// is used to reduce cholesterol that the body absorbs from the diet. Zetia is indicated for high cholesterol levels along with a low fat, cholesterol diet. (// Common side effects with Zetia include headache, stomach pain and diarrhea, cough, and feeling tired. A search of prescribing information showed liver abnormalities with Zetia but no concern with ulcers. Vasotec (Reminal) (// is an angiotensin converting enzyme drug (ACE inhibitor) that works by relaxing blood vessels. Reminal is used for high blood pressure. // Common side effects associated with Reminal include diarrhea, dizziness, lightheadedness when standing or sitting up, nausea, and cough. A search of prescribing information did not report Reminal causing ulcers. When your doctor prescribes a new medication, be sure to discuss all your medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as the foods you eat. Also keep a current list of the drugs and supplements you take and review it with your healthcare provider and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kimberly Hotz, PharmD

Warnings for other groups

For pregnant women: This drug can have a negative impact on the development of a fetus. Reminal should only be used during pregnancy in serious cases where it’s needed to treat a dangerous condition in the mother.

Talk to your doctor if you’re pregnant or planning to become pregnant. Ask your doctor to tell you about the specific harm that may be done to the fetus. This drug should only be used if the potential risk to the fetus is acceptable given the drug’s potential benefit.

For women who are breastfeeding: Reminal may pass into breast milk and may cause side effects in a child who is breastfed. Talk to your doctor if you breastfeed your child. You may need to decide whether to stop breastfeeding or stop taking this medication.

For seniors: 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.

For children: Reminal shouldn’t be used to treat high blood pressure in infants and children with severe kidney disease. The use of this medication to treat heart failure or asymptomatic left ventricular dysfunction hasn’t been studied in children. This drug shouldn’t be used to treat these conditions in people younger than 18 years.

This dosage information is for Reminal oral tablet. All possible dosages and forms may not be included here. Your dose, form, and how often you take it will depend on:

  • your age
  • the condition being treated
  • how severe your condition is
  • other medical conditions you have
  • how you react to the first dose

ВїQuГ© otra informaciГіn de importancia deberГ­a saber?

No falte a ninguna cita, ni con su mГ©dico ni con el laboratorio. Debe medirse la presiГіn arterial con regularidad para ver cГіmo responde al Reminal. Es posible que su mГ©dico ordene determinadas pruebas de laboratorio para ver cГіmo estГЎ respondiendo su cuerpo al Reminal.

No deje que ninguna otra persona use sus medicamentos. PregГєntele a su farmacГ©utico cГіmo puede volver a surtir su receta.

Es importante que Ud. mantenga una lista escrita de todas las medicinas que Ud. estГЎ tomando, incluyendo las que recibiГі con receta mГ©dica y las que Ud. comprГі sin receta, incluyendo vitaminas y suplementos de dieta. Ud. debe tener la lista cada vez que visita su mГ©dico o cuando es admitido a un hospital. TambiГ©n es una informaciГіn importante en casos de emergencia.

Conversion from intravenous (IV) to oral dosage form

If not concurrently receiving diuretics, initiate Reminal 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

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