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Enal-H Tablet is used to treat hypertension (high blood pressure). It contains Enalapril and Hydrochlorothiazide, which decreases the constriction and narrowing of blood vessels leading to high blood pressure. Thereby, it widens and relaxes blood vessels. Also, it removes excess water and certain salts such as sodium and potassium from the blood. This reduces the fluid volume circulating through blood vessels and lower high blood pressure. In some cases, you may experience dizziness, weakness, blurred vision, nausea, headache, orthostatic hypotension (low blood pressure when standing up from sitting or lying position), high cholesterol or uric acid levels, electrolyte imbalance, diarrhoea, chest pain, fast heartbeat, changes in taste or stomach pain. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

East West Pharma India Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Enal-H Tablet

Enal-H Tablet belongs to a class of medication called 'anti-hypertensive' primarily used to treat hypertension (high blood pressure). Hypertension is a condition in which the force exerted by the blood against the artery walls becomes so high that it causes health problems, such as heart disease.

Enal-H Tablet is a combination of two drugs: Enalapril (angiotensin-converting enzyme inhibitor) and Hydrochlorothiazide (diuretic). Enalapril belongs to the class angiotensin-converting enzyme (ACE) inhibitors that work by blocking an angiotensin-converting enzyme which decreases the production of angiotensin II in the body that causes constriction and narrowing of blood vessels leading to high blood pressure. Thereby, it widens and relaxes blood vessels. Hydrochlorothiazide belongs to diuretics (water tablets) that work by increasing the removal of excess water and certain salts such as sodium and potassium from the blood. This removal of water from blood reduces the fluid volume circulating through blood vessels. Thus, together they lower high blood pressure.

Take Enal-H Tablet as prescribed. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience dizziness, weakness, blurred vision, nausea, headache, orthostatic hypotension (low blood pressure when standing up from sitting or lying position), high cholesterol or uric acid levels, electrolyte imbalance, diarrhoea, chest pain, fast heartbeat, changes in taste or stomach pain. Most of these side effects of Enal-H Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.

Enal-H Tablet is not recommended for pregnant women, especially in second and third trimesters as it may cause serious harm to the baby. Therefore, pregnant or breastfeeding women are advised to consult a doctor before taking Enal-H Tablet . Avoid potassium supplements with Enal-H Tablet as it may lead to high potassium levels in the blood. If you have asthma, diabetes, low blood pressure, difficulty in urination, gout, blood disorders, systemic lupus erythematosus (an autoimmune disease), scleroderma (hardening and tightening of skin), cerebrovascular disease (a condition affecting blood flow to the brain), have a history of angioedema (swelling under the skin) or skin cancer, kidney, liver or heart problems inform your doctor before taking Enal-H Tablet .

Uses of Enal-H Tablet

Enal-H Tablet is used in the treatment of high blood pressure (hypertension). The detailed uses of Enal-H Tablet are as follows:

  • Controls high blood pressure: Enal-H Tablet helps to lower blood pressure by relaxing blood vessels and removing excess salt and water through urine.
  • Prevents complications: By keeping blood pressure under control, Enal-H Tablet reduces the risk of heart attacks, strokes, and kidney problems.

Key Benefits

Enal-H Tablet is a combination of two drugs, namely: Enalapril and Hydrochlorothiazide. Enalapril belongs to the class angiotensin-converting enzyme (ACE) inhibitors that work by blocking an angiotensin-converting enzyme which decreases the production of angiotensin II in the body causes constriction and narrowing of blood vessels leading to high blood pressure. Thereby, it widens and relaxes blood vessels. Hydrochlorothiazide is a diuretic (water tablet) that increases the removal of excess water and certain salts such as sodium and potassium from the blood. This removal of water from blood reduces the fluid volume circulating through blood vessels. Thus, together they lower high blood pressure.

Side effects of Enal-H Tablet
  • Reduce salt intake to minimize fluid buildup.
  • Use compression stockings, sleeves, or gloves.
  • Gently massage the affected area towards the heart.
  • Protect the swollen area from injury and keep it clean.
  • Use lotion or cream to keep the skin moisturized.

Directions for Use

  • Take Enal-H Tablet with or without food or as advised by a doctor.
  • Recommended to take twice a day or as advised by your doctor.
  • Swallow the medicine as a whole with glass of water.
  • Do not crush, break, or chew it.

How Enal-H Tablet Works

Enal-H Tablet is a combination of two drugs: Enalapril (angiotensin-converting enzyme inhibitor) and Hydrochlorothiazide (diuretic). Enalapril belongs to the class angiotensin-converting enzyme (ACE) inhibitors that work by blocking an angiotensin-converting enzyme which decreases the production of angiotensin II in the body that causes constriction and narrowing of blood vessels leading to high blood pressure. Thereby, it widens and relaxes blood vessels. Hydrochlorothiazide belongs to diuretics (water tablets) that work by increasing the removal of excess water and certain salts such as sodium and potassium from the blood. This removal of water from blood reduces the fluid volume circulating through blood vessels. Thus, together they lower high blood pressure.
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Alcohol

Unsafe

Avoid alcohol consumption with Enal-H Tablet as it may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness or headache.

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Pregnancy

Unsafe

Please consult a doctor if you are pregnant. Enal-H Tablet is not recommended for pregnant women, especially in the second and third trimesters as it may cause birth defects or serious harm to the baby.

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Breast Feeding

Unsafe

Enal-H Tablet may be excreted in human milk. Therefore, Enal-H Tablet is not recommended for breastfeeding mothers as it may be unsafe for the baby. However, please consult a doctor.

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Driving

Caution

Enal-H Tablet may cause dizziness or tiredness in some people. Therefore, avoid driving if you feel dizzy or tired after taking Enal-H Tablet .

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Liver

Caution

Enal-H Tablet should be given with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required. Avoid taking Enal-H Tablet if you have severe liver problems.

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Kidney

Caution

Enal-H Tablet should be given with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required. Avoid taking Enal-H Tablet if you have severe kidney problems.

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Children

Unsafe

It is not recommended for children as the safety and effectiveness were not established.

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Heart

Caution

Enal-H Tablet should be taken with caution in patients with heart problems. Please inform your doctor if you have any pre-existing heart problems before using Enal-H Tablet .

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Geriatrics

Caution

Enal-H Tablet should be given with caution in elderly patients due to an increased risk of side effects. Seek medical advice before using Enal-H Tablet .

What if I have taken an overdose of Enal-H Tablet

Do not take more than the prescribed dose of Enal-H Tablet as it may cause overdose. The symptoms of overdose include light-headedness, dizziness or fainting. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Maintain a low salt diet and minimize eating processed foods as they contain more sodium. Try to replace salt with spices or herbs to add flavor to the food.
  • Do regular exercise such as cycling, walking, jogging, dancing, or swimming for a minimum of 30 minutes per day.
  • Chronic stress may also cause high blood pressure. Therefore, avoid stress triggers and make time for yourself to relax and do activities that you enjoy.
  • Maintain a diet that is rich in vegetables, fruits, whole grains, and low-fat dairy products.
  • Try to include heart-healthy omega 3 fatty acid-containing foods in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil which may help in lowering high blood pressure.
  • Quit smoking and avoid the consumption of alcohol.

Have a query?

How Soon It Starts Working

The time required for Enal-H Tablet to start to work: Enal-H Tablet ideally shows its action within 2 hours after administration. The time for which the effects of Enal-H Tablet last: The effect of Enal-H Tablet lasts for 24 hours.

What if you forget to take Enal-H Tablet

If you miss a dose of Enal-H Tablet , take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

If you are known to be allergic to Enal-H Tablet or any other medicines, please tell your doctor. Enal-H Tablet is not recommended for pregnant women, especially in second and third trimesters as it may cause serious harm to the baby. Therefore, pregnant or breastfeeding women are advised to consult a doctor before taking Enal-H Tablet . It is advised to complete the full course of medication and do not suddenly stop taking Enal-H Tablet as it may cause recurring symptoms or worsen the condition. Avoid potassium supplements with Enal-H Tablet as it may lead to high potassium levels in the blood. If you are about to under any surgery, receive anesthetics, LDL apheresis treatment (cholesterol removal from blood using a machine), or desensitization treatment, inform your doctor that you are taking Enal-H Tablet . If you have asthma, diabetes, low blood pressure, difficulty in urination, gout, blood disorders, systemic lupus erythematosus (an autoimmune disease), scleroderma (hardening and tightening of skin), cerebrovascular disease (a condition affecting blood flow to the brain), have a history of angioedema (swelling under the skin) or skin cancer, kidney, liver or heart problems inform your doctor before taking Enal-H Tablet . 

Drug-Drug Interactions

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Drug-Drug Interaction: Enal-H Tablet may have interaction with pain killers (aspirin), antidepressants (duloxetine, fluoxetine, sertraline), water tablets (hydrochlorothiazide, furosemide), anticonvulsants (pregabalin), medicines used to lower high blood pressure (metoprolol, amlodipine), bronchodilators (albuterol, salmeterol), vitamin (cholecalciferol).

Drug- Food Interaction: Enal-H Tablet may interact with potassium salt substitutes and potassium supplements resulting in hyperkalemia (high levels of potassium in the blood) and may cause severe adverse effects such as irregular heartbeat, muscle paralysis, and kidney failure. Also, avoid intake of potassium-rich foods such as coconut water, bananas, and broccoli.

Drug-Disease Interaction: If you have asthma, diabetes, low blood pressure, difficulty in urination, gout, blood disorders, systemic lupus erythematosus (an autoimmune disease), scleroderma  (hardening and tightening of skin), cerebrovascular disease (a condition affecting blood flow to the brain), have a history of angioedema (swelling under the skin) or skin cancer, kidney, liver or heart problems inform your doctor before taking Enal-H Tablet .

Drug-Drug Interactions

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How does the drug interact with Enal-H Tablet:
Taking Aliskiren with Enal-H Tablet may increase the potassium levels in blood and kidney problems.

How to manage the interaction:
Although taking Aliskiren with Enal-H Tablet can result in an interaction, it can be taken if prescribed by a doctor. However, if you experience symptoms such as nausea, vomiting, loss of hunger, increased or decreased urine, swelling in hands or legs, shortness of breath, muscle pain, tiredness, weakness, confusion, slow or rapid heart rate, or numbness of tingling sensation in hands or legs, consult a doctor. Do not discontinue any medication without consulting a doctor.
How does the drug interact with Enal-H Tablet:
Co-administration of Dofetilide and Enal-H Tablet together can increase the risk of irregular heartrate.

How to manage the interaction:
Although taking Enal-H Tablet with Dofetilide can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, slow or rapid heartbeat. Do not stop taking any medication without consulting a doctor.
How does the drug interact with Enal-H Tablet:
Co-administration of Cisapride and Enal-H Tablet together can increase the risk of irregular heartrate.

How to manage the interaction:
Although taking Enal-H Tablet with Cisapride can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, slow or rapid heartbeat. Do not stop taking any medication without consulting a doctor.
How does the drug interact with Enal-H Tablet:
Taking Amiloride with Enal-H Tablet may increase the potassium levels in blood and kidney problems.

How to manage the interaction:
Although taking Amiloride with Enal-H Tablet can result in an interaction, it can be taken if prescribed by a doctor. However, if you experience symptoms such as nausea, vomiting, loss of hunger, increased or decreased urine, swelling in hands or legs, shortness of breath, muscle pain, tiredness, weakness, confusion, slow or rapid heart rate, or numbness of tingling sensation in hands or legs, consult a doctor. Do not discontinue any medication without consulting a doctor.
How does the drug interact with Enal-H Tablet:
Co-administration of Ketoconazole and Enal-H Tablet may increase the risk of liver problems.

How to manage the interaction:
Although taking Enal-H Tablet with Ketoconazole may result in an interaction, they can be taken together if prescribed by a doctor. However, contact a doctor immediately if you experience any symptoms like fever, chills, unusual bleeding, dark-colored urine, light-colored stools, yellowish discoloration of skin and eyes, and abdominal pain. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Enal-H Tablet:
Taking Telmisartan with Enal-H Tablet may increase the potassium levels in blood and kidney problems.

How to manage the interaction:
Although taking Telmisartan with Enal-H Tablet can result in an interaction, it can be taken if prescribed by a doctor. However, if you experience symptoms such as nausea, vomiting, loss of hunger, increased or decreased urine, swelling in hands or legs, shortness of breath, muscle pain, tiredness, weakness, confusion, slow or rapid heart rate, or numbness of tingling sensation in hands or legs, consult a doctor. Do not discontinue any medication without consulting a doctor.
How does the drug interact with Enal-H Tablet:
Taking Valsartan with Tenofovir alafenamide + Emtricitabine may increase the risk of kidney problems and other side effects.

How to manage the interaction:
Although taking Valsartan with Tenofovir alafenamide + Emtricitabine can result in an interaction, it can be taken if prescribed by a doctor. However, if you experience symptoms such as nausea, vomiting, loss of hunger, increased or decreased urine, swelling in hands or legs, shortness of breath, muscle pain, tiredness, weakness, confusion, slow or rapid heart rate, or tingling of hands or legs, consult a doctor. Do not discontinue any medication without consulting a doctor.
How does the drug interact with Enal-H Tablet:
Co-administration of Pimozide and Enal-H Tablet together can increase the risk of irregular heartrate and other side effects.

How to manage the interaction:
Although taking Enal-H Tablet with Pimozide can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, slow or rapid heartbeat, weakness, tiredness, muscle pains or confusion. Do not stop taking any medication without consulting a doctor.
How does the drug interact with Enal-H Tablet:
Co-administration of Enal-H Tablet and Tizanidine can increase the risk of side effects.

How to manage the interaction:
Co-administration of Enal-H Tablet and Tizanidine can possibly result in an interaction, it can be taken if a doctor has advised it. If you notice any symptoms like headache, dizziness, rapid heart rate, or chest pain, consult a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Enal-H Tablet:
Co-administration of Amiodarone and Enal-H Tablet together can increase the risk of irregular heartrate.

How to manage the interaction:
Although taking Enal-H Tablet with Amiodarone can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, slow or rapid heartbeat. Do not stop taking any medication without consulting a doctor.

Drug-Food Interactions

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ENALAPRIL-5MG+HYDROCHLOROTHIAZIDE-12.5MGPotassium rich foods
Moderate

Drug-Food Interactions

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ENALAPRIL-5MG+HYDROCHLOROTHIAZIDE-12.5MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
Consumption of potassium rich food while on the treatment with Enal-H Tablet can lead to weakness, confusion, numbness of tingling sensation in hands or legs, or slow or rapid heartbeat. Avoid or limit consumption of potassium rich food while on the treatment with Enal-H Tablet.

All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Enal-H Tablet is used to treat hypertension (high blood pressure).

Enal-H Tablet contains Enalapril and Hydrochlorothiazide. Enalapril belongs to the class angiotensin-converting enzyme (ACE) inhibitors that work by blocking an angiotensin-converting enzyme which decreases the production of angiotensin II in the body that causes constriction and narrowing of blood vessels leading to high blood pressure. Thereby, it widens and relaxes blood vessels. Hydrochlorothiazide is a diuretic (water tablet) that increases the removal of excess water and certain salts such as sodium and potassium from the blood. This removal of water from blood reduces the fluid volume circulating through blood vessels. Thus, together they lower high blood pressure.

You are not recommended to take furosemide with Enal-H Tablet as co-administration of these two medicines may increase the risk of low blood pressure. However, if you experience dizziness, reduced heart rate, headache or fainting, please consult a doctor immediately. If you are supposed to use these medicines together, you are advised to contact your doctor so that the dose may be adjusted to use safely.

It is advised to inform your doctor if you have had skin cancer or develop an unexpected skin lesion as hydrochlorothiazide in Enal-H Tablet may increase the risk of certain types of skin and lip cancer especially when taken in high doses for a long period. Therefore, it is recommended to protect the skin from UV rays and sun exposure while taking Enal-H Tablet .

No, you are not recommended to take potassium supplements with Enal-H Tablet as it may increase the levels of potassium in the blood (hyperkalaemia). However, please consult a doctor before taking other medicines with Enal-H Tablet .

If you have any kidney problems, it is advised to inform your doctor before taking Enal-H Tablet as Enal-H Tablet may worsen kidney functioning if there is any existing kidney problem. However, if you experience unexplained weight gain, swelling in feet, ankles or hands, please consult your doctor immediately.

You are not recommended to take more than the prescribed dose of Enal-H Tablet as it may cause Enal-H Tablet overdose resulting in symptoms such as low blood pressure, cough, nausea, dizziness, cramps, drowsiness, fast or slow heartbeat, anxiety, increased urination or difficulty in urination. However, if you experience any of these symptoms while taking Enal-H Tablet , please consult a doctor immediately.Enal-H Tablet belongs to a class of medication called 'anti-hypertensive' primarily used to treat hypertension (high blood pressure). Hypertension is a condition in which the force exerted by the blood against the artery walls becomes so high that it causes health problems, such as heart disease.

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Author Details

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Country of origin

India

Manufacturer/Marketer address

6, Nandalal Bose Sarani,Kolkata -700071.
Other Info - ENA0042
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