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ENALAPRIL MALEATE 10 MG TABLETS

Active substance(s): ENALAPRIL MALEATE / ENALAPRIL MALEATE / ENALAPRIL MALEATE

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TEVA UK Ref:

ENALAPRIL MALEATE
2.5 mg, 5 mg, 10 mg AND 20 mg
TABLETS
0!#+!'% ,%!&,%4 ).&/2-!4)/. &/2 4(% 53%2
Read all of this leaflet carefully before you start
taking this medicine because it contains important
information for you.
s +EEP THIS LEAFLET9OU MAY NEED TO READ IT AGAIN
s )F YOU HAVE ANY FURTHER QUESTIONS ASK YOUR DOCTOR
OR PHARMACIST
s 4HIS MEDICINE HAS BEEN PRESCRIBED FOR YOU ONLY
$O NOT PASS IT ON TO OTHERS )T MAY HARM THEM
EVEN IF THEIR SIGNS OF ILLNESS ARE THE SAME AS YOURS
s )F YOU GET ANY SIDE EFFECTS TALK TO YOUR DOCTOR OR
PHARMACIST OR NURSE4HIS INCLUDES ANY POSSIBLE
SIDE EFFECTS NOT LISTED IN THIS LEAFLET 3EE SECTION 

7(!4 )3 ). 4()3 ,%!&,%4
1. What Enalapril Maleate is and what it is used for
2. What you need to know before you take Enalapril
Maleate
3. How to take Enalapril Maleate
4. Possible side effects
5. How to store Enalapril Maleate
6. Contents of the pack and other information

1

What Enalapril Maleate is and what it is
used for

TAKEN IF YOU ARE MORE THAN  MONTHS PREGNANT AS IT
MAY CAUSE SERIOUS HARM TO YOUR BABY IF USED AT THAT
STAGE SEE SECTION  @0REGNANCY AND BREAST FEEDING@ 
Other precautions you should remember whilst
taking this medicine:
s )F YOU ARE ABOUT TO HAVE A TREATMENT CALLED @,$,
APHERESIS WHICH IS THE REMOVAL OF CHOLESTEROL
FROM YOUR BLOOD BY A MACHINE YOU SHOULD TELL THE
DOCTOR WHO IS TREATING YOU THAT YOU ARE TAKING
%NALAPRIL -ALEATE4HE DOCTOR MAY WISH TO STOP YOUR
MEDICINE TO PREVENT A POSSIBLE ALLERGIC REACTION
s )F YOU ARE TO UNDERGO ANY DESENSITISATION
TREATMENT TO REDUCE THE EFFECTS OF AN ALLERGY TO BEE
OR WASP STINGS YOU SHOULD TELL THE DOCTOR BEFORE
TREATMENT THAT YOU ARE TAKING %NALAPRIL -ALEATE
4HE DOCTOR MAY WISH TO STOP YOUR MEDICINE TO
PREVENT A POSSIBLE ALLERGIC REACTION
s )F YOU ARE GOING TO HAVE AN ANAESTHETIC EVEN AT
THE DENTIST OR UNDERGO ANY SURGERY YOU SHOULD TELL
THE DOCTOR OR DENTIST TREATING YOU THAT YOU ARE
TAKING %NALAPRIL -ALEATE
Other medicines and Enalapril Maleate
4ELL YOUR DOCTOR OR PHARMACIST IF YOU ARE TAKING HAVE
RECENTLY TAKEN OR MIGHT TAKE ANY OTHER MEDICINES
4HIS INCLUDES HERBAL MEDICINES4HIS IS BECAUSE
%NALAPRIL MALEATE CAN AFFECT THE WAY SOME MEDICINES
WORK AND SOME OTHER MEDICINES CAN AFFECT THE WAY
%NALAPRIL MALEATE WORKS

In particular, talk to your doctor if you are taking any
of the following:
s DIURETICS ALSO KNOWN AS @WATER TABLETS EG
AMILORIDE SPIRONOLACTONE EPLERENONE
OR TRIAMTERENE
s POTASSIUM SUPPLEMENTS OR POTASSIUM CONTAINING
SALT SUBSTITUTES
s OTHER MEDICINES TO LOWER BLOOD PRESSURE EG
NITROGLYCERIN
s NON STEROIDAL ANTI INFLAMMATORY DRUGS INCLUDING
#/8  INHIBITORS USUALLY TAKEN TO RELIEVE PAIN
INFLAMMATION ANDOR STIFFNESS EG IBUPROFEN OR
DICLOFENAC
s ANTI DIABETIC MEDICINES TABLETS AS WELL AS INSULINS
s IMMUNOSUPPRESSANTS MEDICINES THAT REDUCE THE
BODYS NATURAL DEFENCE SYSTEM EG CICLOSPORINS
s HYPNOTICS MEDICINES TO HELP YOU SLEEP EG
TEMAZEPAM
s NARCOTICS MEDICINES USED TO RELIEVE MODERATE TO
SEVERE PAIN EG MORPHINE OR PETHIDINE
s TRICYCLIC ANTIDEPRESSANTS EG AMITRIPTYLINE
s ANTIPSYCHOTICS MEDICINES TO TREAT SCHIZOPHRENIA
MANIC DEPRESSION AND PARANOIA EG
CHLORPROMAZINE HALOPERIDOL CLOZAPINE
s LITHIUM USED TO TREAT DEPRESSION
s ALLOPURINOL USED TO TREAT GOUT
What you need to know before you take
s HEPARIN USED TO THIN THE BLOOD
s PROCAINAMIDE USED TO TREAT SOME HEART
Enalapril Maleate
CONDITIONS
DO NOT take Enalapril Maleate:
s SYMPATHOMIMETICS EG
s IF YOU ARE ALLERGIC TO %NALAPRIL -ALEATE ANY OTHER
DOPAMINE TERBUTALINE
!#% INHIBITOR OR ANY OF THE OTHER INGREDIENTS OF
SALMETEROL SALBUTAMOL
THIS MEDICINE LISTED IN SECTION 
EPHEDRINE ADRENALINE OR
s IF YOU HAVE EVER EXPERIENCED AN ALLERGIC REACTION TO
PHENYLPROPANOLAMINE
AN !#% INHIBITOR DRUG EG CAPTOPRIL RAMIPRIL
PHENYLPROPANOLAMINE AND
s IF YOU HAVE EVER EXPERIENCED AN ALLERGIC REACTION
EPHEDRINE MAY BE PRESENT
INVOLVING SWELLING OF HANDS LIPS TONGUE OR THROAT
IN MEDICINES FOR COLDS AND
s IF YOU ARE MORE THAN  MONTHS PREGNANT IT IS ALSO
NASAL STUFFINESS
BETTER TO AVOID %NALAPRIL -ALEATE IN EARLY
s THERAPY WITH GOLD
PREGNANCY n SEE SECTION  0REGNANCY AND
s ACETYLSALICYLIC ACID ASPIRIN
BREAST FEEDING
s THROMBOLYTICS MEDICINES USED TO DISSOLVE BLOOD
s IF YOU WERE BORN WITH A TENDENCY FOR TISSUE
CLOTS
SWELLING HEREDITARY ANGIOEDEMA OR IF YOU HAVE
s ALCOHOL
TISSUE SWELLING WITH NO KNOWN CAUSE IDIOPATHIC
s 9OUR DOCTOR MAY NEED TO CHANGE YOUR DOSE ANDOR
ANGIOEDEMA
TO TAKE OTHER PRECAUTIONS )F YOU ARE TAKING AN
s IF YOU HAVE DIABETES OR IMPAIRED KIDNEY FUNCTION
ANGIOTENSIN II RECEPTOR BLOCKER !2" OR ALISKIREN
AND YOU ARE TREATED WITH A BLOOD PRESSURE
SEE ALSO INFORMATION UNDER THE HEADINGS @$O NOT
LOWERING MEDICINE CONTAINING ALISKIREN
TAKE %NALAPRIL -ALEATE AND @7ARNINGS AND
PRECAUTIONS 
Do not take Enalapril maleate if any of the above
apply to you. If you are not sure, talk to your doctor
Enalapril Maleate with food, drink and alcohol
or pharmacist before taking Enalapril maleate.
s %NALAPRIL MALEATE CAN BE TAKEN WITH OR WITHOUT

s %NALAPRIL -ALEATE BELONGS TO A GROUP OF DRUGS
CALLED !NGIOTENSIN #ONVERTING %NZYME !#%
)NHIBITORS WHICH ARE VASODILATORS DRUGS WHICH
WIDEN THE BLOOD VESSELS 4HIS LOWERS YOUR BLOOD
PRESSURE
s 4HIS MEDICINE WORKS BY WIDENING THE BLOOD
VESSELS MAKING IT EASIER FOR THE HEART TO PUMP
BLOOD AROUND THE BODY4HIS HELPS TO LOWER BLOOD
PRESSURE
s %NALAPRIL -ALEATE IS USED
s IN THE TREATMENT OF HIGH BLOOD PRESSURE
s IN THE TREATMENT OF HEART FAILURE4HIS IS WHEN
YOUR HEART IS NOT COPING WITH ITS WORKLOAD
PROPERLY4HIS CAN MAKE YOU FEEL TIRED AFTER LIGHT
EXERCISE BREATHLESS OR CAUSE SWELLING OF YOUR
ANKLES OR LEGS4HIS MEDICINE SHOULD IMPROVE
YOUR SYMPTOMS PREVENT YOUR HEART FAILURE FROM
GETTING WORSE AND REDUCE THE LIKELIHOOD THAT YOU
WILL NEED TO GO INTO HOSPITAL FOR THE TREATMENT OF
HEART FAILURE
s 4O PREVENT THE SIGNS OF HEART FAILURE IN PATIENTS
WITH ASYMPTOMATIC LEFT VENTRICULAR DYSFUNCTION
4HE SIGNS INCLUDE SHORTNESS OF BREATH TIREDNESS
AFTER LIGHT PHYSICAL ACTIVITY SUCH AS WALKING OR
SWELLING OF THE ANKLES AND FEET

2

Warnings and precautions
Talk to your doctor or pharmacist before taking
Enalapril maleate:
s )F YOU MAY BE DEHYDRATED FOR EXAMPLE YOU HAVE
SUFFERED FROM EXCESSIVE VOMITING OR DIARRHOEA
RECENTLY
s )F YOU SUFFER FROM NARROWING OF THE BLOOD VESSELS
LEADING TO YOUR KIDNEYS
s )F YOU HAVE A CONDITION CALLED @AORTIC STENOSIS OR
@OUTFLOW OBSTRUCTION A NARROWING OF THE MAIN
ARTERY LEADING FROM YOUR HEART
s )F YOU HAVE ANY OTHER SERIOUS HEART PROBLEMS
APART FROM HEART FAILURE OR SUFFER FROM
CEREBROVASCULAR INSUFFICIENCY INSUFFICIENT BLOOD
SUPPLY TO THE BRAIN
s )F YOU SUFFER FROM KIDNEY PROBLEMS OR YOU ARE ON
DIALYSIS
s )F YOU HAVE HAD A KIDNEY TRANSPLANT
s )F YOU SUFFER FROM LIVER PROBLEMS
s )F YOU ARE DIABETIC9OU SHOULD MONITOR YOUR BLOOD
FOR LOW BLOOD GLUCOSE LEVELS ESPECIALLY DURING THE
FIRST MONTH OF TREATMENT4HE LEVEL OF POTASSIUM IN
YOUR BLOOD CAN ALSO BE HIGHER
s )F YOU HAVE PREVIOUSLY HAD AN ALLERGIC REACTION WITH
SWELLING OF THE FACE LIPS TONGUE OR THROAT WITH
DIFFICULTY IN SWALLOWING OR BREATHING9OU SHOULD BE
AWARE THAT BLACK PATIENTS ARE AT INCREASED RISK OF
THESE TYPES OF REACTIONS TO !#% INHIBITORS
s )F YOU HAVE LOW BLOOD PRESSURE YOU MAY NOTICE
THIS AS FAINTNESS OR DIZZINESS ESPECIALLY WHEN
STANDING
s )F YOU ARE ON A LOW SALT DIET ARE TAKING POTASSIUM
SUPPLEMENTS POTASSIUM SPARING AGENTS OR
POTASSIUM CONTAINING SALT SUBSTITUTES
s )F YOU SUFFER FROM A COLLAGEN VASCULAR DISEASE SUCH
AS LUPUS ERYTHEMATOSUS RHEUMATOID ARTHRITIS OR
SCLERODERMA ARE ON THERAPY THAT SUPPRESSES YOUR
IMMUNE SYSTEM ARE TAKING THE DRUGS ALLOPURINOL
OR PROCAINAMIDE OR ANY COMBINATIONS OF THESE
s )F YOU HAVE A BLOOD PROBLEM THAT INCLUDES ONE OF
THE FOLLOWING LOW WHITE BLOOD CELLS COUNT LOW
PLATELET COUNT OR DECREASED NUMBER OF RED BLOOD
CELLS ANAEMIA
s )F YOU ARE BREAST FEEDING OR ABOUT TO START
BREAST FEEDING SEE SECTION  0REGNANCY AND
BREAST FEEDING
s IF YOU ARE TAKING ANY OF THE FOLLOWING MEDICINES
USED TO TREAT HIGH BLOOD PRESSURE
s AN ANGIOTENSIN II RECEPTOR BLOCKER !2"S ALSO
KNOWN AS SARTANS n FOR EXAMPLE VALSARTAN
TELMISARTAN IRBESARTAN IN PARTICULAR IF YOU HAVE
DIABETES RELATED KIDNEY PROBLEMS
s ALISKIREN
9OUR DOCTOR MAY CHECK YOUR KIDNEY FUNCTION BLOOD
PRESSURE AND THE AMOUNT OF ELECTROLYTES EG
POTASSIUM IN YOUR BLOOD AT REGULAR INTERVALS
3EE ALSO INFORMATION UNDER THE HEADING @$O NOT TAKE
%NALAPRIL -ALEATE

FOOD
s 9OU SHOULD KEEP YOUR ALCOHOL INTAKE TO A
MINIMUM WHILE YOU ARE TAKING THIS MEDICINE AS
ALCOHOL INCREASES THE BLOOD PRESSURE LOWERING
EFFECTS OF %NALAPRIL -ALEATE AND THIS MEDICINE
MAY INCREASE THE EFFECTS OF ALCOHOL

9OU MUST TELL YOUR DOCTOR IF YOU THINK YOU ARE or
might become PREGNANT %NALAPRIL -ALEATE IS NOT
RECOMMENDED IN EARLY PREGNANCY AND MUST NOT BE

s Adults:
High Blood Pressure
4REATMENT WILL USUALLY START WITH n MG PER DAY
4HIS MAY BE GRADUALLY INCREASED TO A MAINTENANCE

Pregnancy and breast-feeding
)F YOU ARE PREGNANT OR BREAST FEEDING THINK YOU MAY
BE PREGNANT OR ARE PLANNING TO HAVE A BABY ASK YOUR
DOCTOR OR PHARMACIST FOR ADVICE BEFORE TAKING THIS
MEDICINE
Pregnancy
s $/ ./4 TAKE %NALAPRIL -ALEATE IF YOU ARE MORE
THAN  MONTHS PREGNANT
s 9OU MUST TELL YOUR DOCTOR IF YOU THINK YOU ARE (or
might become) PREGNANT9OUR DOCTOR WILL
NORMALLY ADVISE YOU TO STOP TAKING %NALAPRIL
-ALEATE BEFORE YOU BECOME PREGNANT OR AS SOON
AS YOU KNOW YOU ARE PREGNANT AND WILL ADVISE YOU
TO TAKE ANOTHER MEDICINE INSTEAD OF %NALAPRIL
-ALEATE %NALAPRIL -ALEATE IS NOT RECOMMENDED IN
EARLY PREGNANCY AND MUST NOT BE TAKEN WHEN
MORE THAN  MONTHS PREGNANT AS IT MAY CAUSE
SERIOUS HARM TO YOUR BABY IF USED AFTER THE THIRD
MONTH OF PREGNANCY
Breast-feeding
s 4ELL YOUR DOCTOR IF YOU ARE BREAST FEEDING OR ABOUT
TO START BREAST FEEDING "REAST FEEDING NEWBORN
BABIES FIRST FEW WEEKS AFTER BIRTH AND ESPECIALLY
PREMATURE BABIES IS NOT RECOMMENDED WHILST
TAKING %NALAPRIL -ALEATE
s )N THE CASE OF AN OLDER BABY YOUR DOCTOR SHOULD
ADVISE YOU ON THE BENEFITS AND RISKS OF TAKING
%NALAPRIL -ALEATE WHILST BREAST FEEDING COMPARED
WITH OTHER TREATMENTS
Driving and using machines
s %NALAPRIL -ALEATE MAY CAUSE BLURRED VISION
DIZZINESS OR WEARINESS )F YOU ARE AFFECTED $/
./4 DRIVE OR OPERATE MACHINERY
Enalapril Maleate contains lactose
s %NALAPRIL -ALEATE CONTAINS LACTOSE WHICH IS A TYPE
OF SUGAR )F YOU HAVE BEEN TOLD BY YOUR DOCTOR THAT
YOU HAVE INTOLERANCE TO SOME SUGARS TALK TO YOUR
DOCTOR BEFORE TAKING THIS MEDICINE

3

Version:

231-30-51008- ENALAPRIL A/S TAB TUK
How to take Enalapril Maleate

!LWAYS TAKE THIS MEDICINE EXACTLY AS YOUR DOCTOR OR
PHARMACIST HAS TOLD YOU #HECK WITH YOUR DOCTOR OR
PHARMACIST IF YOU ARE NOT SURE
4HE TABLETS SHOULD BE SWALLOWED PREFERABLY WITH A
DRINK OF WATER4HE TABLETS SHOULD USUALLY BE TAKEN
ONCE A DAY IN THE MORNING BUT YOUR DOCTOR MAY ASK
YOU TO TAKE THEM TWICE A DAY EG IN THE MORNING AND
IN THE EVENING4HE RECOMMENDED DOSE FOR

1

23 September 2014

DOSE OF  MG PER DAY4HE MAXIMUM
MAINTENANCE DOSE IS  MG PER DAY
Heart Problems
4REATMENT WILL USUALLY START WITH  MG PER DAY
4HIS MAY BE GRADUALLY INCREASED TO A MAXIMUM
DOSE OF  MG PER DAY GIVEN IN DIVIDED DOSES4HE
USUAL LONG TERM DOSE IS  MG EACH DAY TAKEN IN
ONE OR TWO DOSES
Dialysis patients
/N DIALYSIS DAYS YOU SHOULD TAKE YOUR USUAL DOSE
after dialysis
s Older patients or patients with kidney
problems:
)F YOU ARE ELDERLY OR HAVE KIDNEY PROBLEMS THE
DOSE MAY BE LOWER
s Use in children and adolescents:
%XPERIENCE WITH THE USE OF THIS MEDICINE IN
CHILDREN WITH HIGH BLOOD PRESSURE IS LIMITED
&OR CHILDREN WHO CAN SWALLOW THE TABLETS %NALAPRIL
-ALEATE IS GIVEN ONCE A DAY
4HE DOCTOR WILL DECIDE THE DOSE DEPENDING ON THE
CHILDS WEIGHT AND BLOOD PRESSURE RESPONSE !S A
GUIDE THE RECOMMENDED INITIAL DOSE IS
s children weighing from 20 kg to 50 kg   MG
s children weighing over 50 kg   MG
4HE MAINTENANCE DOSAGE SHOULD BE ADJUSTED
ACCORDING TO THE NEEDS OF THE CHILD TO A MAXIMUM OF
 MG DAILY IN CHILDREN WEIGHING  KG TO  KG AND
 MG IN CHILDREN WEIGHING OVER  KG
%NALAPRIL -ALEATE IS NOT RECOMMENDED IN BABIES OR
CHILDREN WITH KIDNEY PROBLEMS
If you take more Enalapril Maleate than you should
)F YOU OR SOMEONE ELSE SWALLOW A LOT OF THE TABLETS
ALL TOGETHER OR IF YOU THINK A CHILD HAS SWALLOWED ANY
OF THE TABLETS CONTACT YOUR NEAREST HOSPITAL CASUALTY
DEPARTMENT OR YOUR DOCTOR IMMEDIATELY
!N OVERDOSE IS LIKELY TO CAUSE LOW BLOOD PRESSURE
AND YOU MAY FEEL LIGHT HEADED AND DIZZY
0LEASE TAKE THIS LEAFLET ANY REMAINING TABLETS AND THE
CONTAINER WITH YOU TO THE HOSPITAL OR DOCTOR SO THAT
THEY KNOW WHICH TABLETS WERE CONSUMED
If you forget to take Enalapril Maleate
)F YOU FORGET TO TAKE A TABLET TAKE ONE AS SOON AS YOU
REMEMBER UNLESS IT IS NEARLY TIME TO TAKE THE NEXT
ONE $O NOT TAKE A DOUBLE DOSE TO MAKE UP FOR A
FORGOTTEN DOSE
If you stop taking Enalapril Maleate
$/ ./4 STOP TAKING YOUR MEDICINE WITHOUT TALKING TO
YOUR DOCTOR FIRST EVEN IF YOU FEEL BETTER )F YOU SEE
ANOTHER DOCTOR OR GO INTO A HOSPITAL LET THE DOCTOR OR
THE STAFF KNOW WHAT MEDICINES YOU ARE TAKING
)F YOU HAVE ANY FURTHER QUESTIONS ON THE USE OF THIS
MEDICINE ASK YOUR DOCTOR OR PHARMACIST

4

Possible side effects

,IKE ALL MEDICINES THIS MEDICINE CAN CAUSE SIDE
EFFECTS ALTHOUGH NOT EVERYBODY GETS THEM
You may feel dizzy or light-headed, have visual
problems for a short time after you take your first
dose, OR WHEN YOU FIRST TAKE AN INCREASED DOSE )T
MAY HELP TO LIE DOWN UNTIL YOU FEEL BETTER )F YOU ARE
WORRIED OR IF THESE EFFECTS CONTINUE TALK TO YOUR
DOCTOR OR PHARMACIST

Uncommon MAY AFFECT UP TO  IN  PEOPLE 
s SUDDEN FALL IN BLOOD PRESSURE ESPECIALLY WHEN
STANDING UP
s LOW BLOOD SUGAR LEVELS OR SODIUM LEVELS HIGH LEVEL
OF BLOOD UREA CONFUSION SLEEPINESS DIFFICULTY
SLEEPING NERVOUSNESS PINS AND NEEDLES AND
NUMBNESS VERTIGO A SENSATION THAT YOUR
SURROUNDINGS ARE SPINNING EITHER UP AND DOWN OR
FROM SIDE TO SIDE
s ANAEMIA LOW BLOOD COUNT CAUSING UNUSUAL
TIREDNESS OR WEAKNESS
s HEART ATTACK STROKE THESE ARE MORE COMMON IN
HIGH RISK PATIENTS
s PALPITATIONS AWARENESS OF YOUR HEARTBEAT
s RUNNY NOSE SORE THROAT AND HOARSENESS WHEEZING
s INFLAMMATION OF YOUR PANCREAS SWOLLEN PAINFUL
ABDOMEN CONSTIPATION BACK PAIN AND VOMITING
INDIGESTION LOSS OF APPETITE DRY MOUTH STOMACH
ULCER
s SWEATING ITCHING NETTLE RASH HAIR LOSS
s KIDNEY PROBLEMS INCLUDING KIDNEY FAILURE
s PROTEIN IN THE URINE GIVING THE URINE A FROTHY
APPEARANCE
s IMPOTENCE INABILITY TO GET OR MAINTAIN AN ERECTION
s MUSCLE CRAMPS FLUSHING RINGING IN THE EARS
GENERAL FEELING OF BEING UNWELL FEVER
Rare MAY AFFECT UP TO  IN   PEOPLE 
s BLOOD DISORDERS CHARACTERISED BY FEVER CHILLS SORE
THROAT ULCERS IN THE MOUTH OR THROAT OR
UNEXPLAINED BRUISING OR BLEEDING
s BONE MARROW DEPRESSION SWOLLEN GLANDS
AUTOIMMUNE DISEASES WHERE THE BODY ATTACKS
ITSELF
s ERYTHEMA MULTIFORME
s h3TEVENS *OHNSON SYNDROMEv A SERIOUS SKIN
CONDITION WITH REDDENING SCALING OF YOUR SKIN
BLISTERING OR DETACHMENT OF THE TOP LAYER OF SKIN
s ABNORMAL DREAMS AND OTHER SLEEP DISTURBANCES
s 2AYNAUDS PHENOMENON POOR BLOOD CIRCULATION
WHICH MAKES THE TOES AND FINGERS NUMB AND PALE
s RUNNY AND ITCHY NOSE PNEUMONIA PULMONARY
INFILTRATES
s INFLAMMATION AND ULCERATION OF THE MOUTH AND
TONGUE
s HIGHER LEVELS OF LIVER ENZYMES OR BILIRUBIN IN BLOOD
LIVER FAILURE HEPATITIS INFLAMMATION OF THE LIVER
JAUNDICE YELLOWING OF THE SKIN AND WHITES OF THE
EYES
s BLISTERS WHICH MAY BURST EASILY BECOMING RAW AND
PAINFUL OR MAY BLEED RED ITCHY SPOTS PEELING SKIN
LEAVING RED RAW PATCHES OVER THE BODY
BLISTERSBLEEDING OF THE LIPS EYES NOSE MOUTH AND
GENITALS
s BREAST SWELLING IN MEN
s THE PRODUCTION OF A REDUCED AMOUNT OF URINE
4HERE HAVE ALSO BEEN REPORTS OF A SYMPTOM COMPLEX
WHICH MAY INCLUDE SOME OR ALL OF THE FOLLOWING
&EVER INFLAMMATION OF THE BLOOD VESSELS MUSCLE
PAIN AND INFLAMMATION BONE PAIN AND INFLAMMATION
ABNORMAL BLOOD TEST RESULTS BLOOD DISORDERS RASH
SENSITIVITY TO LIGHT AND OTHER SKIN CONDITIONS
Very rare MAY AFFECT UP TO  IN   PEOPLE 
s SWELLING IN YOUR INTESTINE INTESTINAL ANGIOEDEMA 

Reporting of side effects
)F YOU GET ANY SIDE EFFECTS TALK TO YOUR DOCTOR
PHARMACIST OR NURSE4HIS INCLUDES ANY POSSIBLE SIDE
EFFECTS NOT LISTED IN THIS LEAFLET9OU CAN ALSO REPORT
SIDE EFFECTS DIRECTLY VIA THE9ELLOW #ARD 3CHEME AT
Stop taking the tablets and tell your doctor
WWWMHRAGOVUKYELLOWCARD
immediately OR GO TO THE CASUALTY DEPARTMENT AT YOUR "Y REPORTING SIDE EFFECTS YOU CAN HELP PROVIDE MORE
NEAREST HOSPITAL IF YOU EXPERIENCE ANY OF THE
INFORMATION ON THE SAFETY OF THIS MEDICINE
FOLLOWING SIDE EFFECTS
How to store Enalapril Maleate
s AN ALLERGIC REACTION CAUSING ITCHY RAISED RASH
SWELLING OF THE LIPS FACE TONGUE OR NECK LEADING TO
Keep
this medicine out of the sight and reach of
SEVERE DIFFICULTY IN BREATHING OR SEVERE SKIN RASH OR
children.
HIVES
s BLISTERS WHICH MAY BURST EASILY BECOMING RAW AND 3TORE IN THE ORIGINAL CONTAINER $O NOT STORE ABOVE
ยช#
PAINFUL OR MAY BLEED RED ITCHY SPOTS PEELING SKIN
$O NOT USE THIS MEDICINE AFTER THE EXPIRY DATE WHICH
LEAVING RED RAW PATCHES OVER THE BODY
BLISTERSBLEEDING OF THE LIPS EYES NOSE MOUTH AND IS STATED ON THE OUTER PACKAGING AFTER %804HE EXPIRY
DATE REFERS TO THE LAST DAY OF THAT MONTH
GENITALS
$O NOT TRANSFER THEM TO ANOTHER CONTAINER +EEP
s A SWOLLEN PAINFUL ABDOMEN CONSTIPATION BEING
THEM IN A SECURE PLACE WHERE CHILDREN CANNOT GET AT
SICK INDIGESTION LOSS OF APPETITE DRY MOUTH THIS
THEM
COULD BE A SIGN OF AN OBSTRUCTION OR BLOCKAGE OF
4HIS MEDICINE IS FOR YOU /.,9 DO NOT GIVE IT TO
THE BOWEL
ANYONE ELSE
s SEVERE PAIN IN THE ABDOMEN AND BACK THIS COULD
$O NOT THROW AWAY ANY MEDICINES VIA WASTEWATER OR
BE A SIGN OF PANCREATITIS
HOUSEHOLD WASTE !SK YOUR PHARMACIST HOW TO THROW
s BLOOD DISORDERS INCLUDING ANAEMIA LOW BLOOD
AWAY MEDICINES YOU NO LONGER USE4HESE MEASURES
COUNT CAUSING UNUSUAL TIREDNESS OR WEAKNESS OR
WILL HELP PROTECT THE ENVIRONMENT
BONE MARROW PROBLEMS 3YMPTOMS MAY INCLUDE
FEVER CHILLS SORE THROAT ULCERS IN YOUR MOUTH OR
Contents of the pack and other information
THROAT OR UNEXPLAINED BRUISING OR BLEEDING
s LUNG PROBLEMS INCLUDING INFLAMMATION OF THE LUNG What Enalapril Maleate Tablets contain:
PNEUMONIA 9OU MAY FEEL UNWELL OR LESS HUNGRY
s 4HE ACTIVE SUBSTANCE IS %NALAPRIL -ALEATE
HAVE A HIGH TEMPERATURE FEVER DIFFICULTY
 MG  MG  MG OR  MG
BREATHING SHORTNESS OF BREATH COUGH
s 4HE OTHER INGREDIENTS ARE COLLOIDAL ANHYDROUS
s HIGH TEMPERATURE TIREDNESS LOSS OF APPETITE
SILICA MAGNESIUM STEARATE SODIUM HYDROXIDE
STOMACH PAIN FEELING SICK JAUNDICE YELLOWING OF
POVIDONE TALC CROSPOVIDONE MICROCRYSTALLINE
THE SKIN OR WHITES OF THE EYES LIVER FAILURE4HESE
CELLULOSE LACTOSE MONOHYDRATE
MAY BE SYMPTOMS OF HEPATITIS INFLAMMATION OF
What Enalapril Maleate Tablets look like and
THE LIVER 
s A COMPLEX SIDE EFFECT WHICH MAY INCLUDE SOME OR contents of the pack:
ALL OF THE FOLLOWING SYMPTOMS FEVER INFLAMMATION s 4HE  MG TABLETS ARE WHITE OR ALMOST WHITE
ROUND TABLETS ENGRAVED WITH %$  ON ONE SIDE
OF THE BLOOD VESSELS OFTEN WITH SKIN RASH MUSCLE
AND A BREAKLINE ON THE OTHER SIDE
PAIN AND INFLAMMATION JOINT PAIN AND
s 4HE  MG TABLETS ARE WHITE OR ALMOST WHITE ROUND
INFLAMMATION ABNORMAL BLOOD TEST RESULTS BLOOD
TABLETS ENGRAVED WITH %$  ON ONE SIDE AND A
DISORDERS RASH SENSITIVITY TO LIGHT OTHER SKIN
BREAKLINE ON THE OTHER SIDE
CONDITIONS AND SEROSITIS INFLAMMATION OF
s 4HE  MG TABLETS ARE WHITE OR ALMOST WHITE
MEMBRANES LINING THE LUNGS HEART STOMACH AND
ROUND TABLETS ENGRAVED WITH %$  ON ONE SIDE
SOME ORGANS 
AND A BREAKLINE ON THE OTHER SIDE
4HESE ARE VERY SERIOUS BUT RARE SIDE EFFECTS9OU MAY s 4HE  MG TABLETS ARE WHITE OR ALMOST WHITE
NEED URGENT MEDICAL ATTENTION OR HOSPITALISATION
ROUND TABLETS ENGRAVED WITH %$  ON ONE SIDE
AND A BREAKLINE ON THE OTHER SIDE
4HE FOLLOWING SIDE EFFECTS HAVE BEEN REPORTED AT THE
s 4HE TABLETS ARE AVAILABLE IN PACK SIZES OF   
APPROXIMATE FREQUENCIES SHOWN
 AND  TABLETS
Very common MAY AFFECT MORE THAN  IN  PEOPLE 
s 4HE  MG TABLETS ARE ALSO AVAILABLE IN PACK SIZES OF
s BLURRED VISION
  AND  TABLETS
s DIZZINESS
s 4HE  MG TABLETS ARE ALSO AVAILABLE IN PACK SIZES
s COUGH
OF  AND  TABLETS
s NAUSEA FEELING SICK
.OT ALL PACK SIZES MAY BE MARKETED
s LETHARGY

5

6

Common MAY AFFECT UP TO  IN  PEOPLE 
s HEADACHE DEPRESSION
s LOW BLOOD PRESSURE YOU MAY FEEL LIGHT HEADED OR
FAINT FAINTING
s CHEST PAIN CHANGES IN HEARTPULSE RATE INCLUDING A
FAST HEART RATE
s SHORTNESS OF BREATH
s DIARRHOEA ABDOMINAL PAIN CHANGES IN SENSE OF
TASTE
s RASH
s TIREDNESS
s ALLERGIC REACTIONS WITH SWELLING OF THE FACE
EXTREMITIES LIPS TONGUE THROAT WITH DIFFICULTY
SWALLOWING OR BREATHING
s CHANGE IN
SOME BLOOD
TESTS INCREASED
POTASSIUM AND
CREATININE LEVEL
 9
IN BLOOD 

Marketing Authorisation Holder and Manufacturer
-ARKETING !UTHORISATION HOLDER AND COMPANY
RESPONSIBLE FOR MANUFACTURE
4%6! 5+ ,IMITED %ASTBOURNE ". !'
This leaflet was last revised: 09/2014
0,  

Pharma code reading direction

REG0062847

Version 4.2

Approved

Page 2 of 3

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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