i have more creatinin in the blood
Renal effects of Enalapril
Renal side effects of new or worsened renal insufficiency, presenting as an increased serum creatinine, uric acid, and potassium has occurred in approximately 4% of patients, particularly in patients with "high angiotensin states" (congestive heart failure, edema, renal artery stenosis, or chronic renal failure).
Enalapril, like other angiotensin converting enzyme inhibitors, may decrease serum aldosterone levels, resulting in mild to moderate hyperkalemia. Diuretic use and advanced age increase the risk of renal impairment. Enalapril reduced the risk of renal impairment compared to placebo in diabetic patients. The concomitant use of beta blockers with enalapril has been shown to be renoprotective.
Enalapril may worsen renal insufficiency, especially if the patient is hypovolemic or hypotensive.
Patients with underlying congestive heart failure are predisposed to renal side effects associated with enalapril.
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