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Envas Tablet is used to treat hypertension and heart failure. It relaxes and widens blood vessels, helping the heart pump blood more easily. This helps reduce symptoms like swelling, shortness of breath, and tiredness, and lowers the risk of hospitalisation and complications such as heart attack, stroke, and kidney damage.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ENALAPRIL-5MG

Manufacturer/Marketer :

Cadila Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

NPPA :

Regulated

About Envas Tablet

Envas Tablet is used to treat hypertension (high blood pressure). It is also used to treat heart failure and help prevent its symptoms.

Envas Tablet contains Enalapril, which works by blocking a naturally occurring substance called angiotensin II, which tightens the blood vessels. Envas Tablet relaxes and widens the blood vessels, thereby helping to lower high blood pressure and reduce the heart’s workload.

Take Envas Tablet exactly as prescribed by your doctor. Swallow it whole with a glass of water; do not crush or chew it. In some cases, Envas Tablet may cause side effects, including headache, dry cough, nausea, weakness, dizziness, and blurred vision. Please consult your doctor if these side effects persist or worsen.

Do not stop taking Envas Tablet on your own, even if your blood pressure becomes normal, as this may worsen your condition. Inform your doctor before starting Envas Tablet if you have hypotension (low blood pressure), electrolyte imbalances, or liver, kidney, or heart problems. Envas Tablet should be taken during pregnancy and breastfeeding only after consulting your doctor. Envas Tablet is not recommended for children.

Uses of Envas Tablet

Envas Tablet is used in the treatment of hypertension and heart failure. The detailed uses of Envas Tablet are as follows:

  • Treatment of hypertension: Envas Tablet is used to lower high blood pressure and reduce the risk of heart attack, stroke, and kidney damage.
  • Management of heart failure: Envas Tablet is also used to treat heart failure and to prevent symptoms, such as foot or ankle swelling, shortness of breath, and tiredness after mild physical activity.

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Directions for Use

  • Envas Tablet may be taken with or without food, as advised by your physician.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow Envas Tablet as a whole with a glass of water.
  • Do not crush, break, or chew it.

Key Benefits

Envas Tablet offers the following medicinal benefits:

  • Effectively treats high blood pressure by relaxing and widening the blood vessels.
  • Helps manage heart failure by making it easier for the heart to pump blood.
  • Prevents symptoms of heart failure and may reduce the need for hospitalisation.
  • Protects kidney function, especially in people with diabetes or kidney disease.
  • Long-term use may reduce the risk of serious complications such as heart attack and stroke.

How Envas Tablet Works

Envas Tablet contains Enalapril, which works by blocking a naturally occurring substance called angiotensin II, which tightens the blood vessels. Envas Tablet relaxes and widens the blood vessels, thereby helping to lower high blood pressure and reduce the heart’s workload.

Storage

Store in a cool and dry place away from sunlight
Side effects of Envas Tablet
Managing Low Blood Pressure Triggered by Medication: Expert Advice:
  • If you experience low blood pressure symptoms like dizziness, lightheadedness, or fainting while taking medication, seek immediate medical attention.
  • Make lifestyle modifications and adjust your medication regimen under medical guidance to manage low blood pressure.
  • As your doctor advises, regularly check your blood pressure at home. Record your readings to detect any changes and share them with your doctor.
  • Fluid intake plays a vital role in managing blood pressure by maintaining blood volume, regulating blood pressure, and supporting blood vessel function. Drinking enough fluids helps prevent dehydration, maintain electrolyte balance, and regulate fluid balance.
  • Take regular breaks to sit or lie down if you need to stand for long periods.
  • When lying down, elevate your head with extra pillows to help improve blood flow.
  • Avoid heavy exercise or strenuous activities that can worsen low blood pressure.
  • Wear compression socks as your doctor advises to enhance blood flow, reduce oedema, and control blood pressure.
  • If symptoms persist or worsen, or if you have concerns about your condition, seek medical attention for personalized guidance and care.
  • 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.

What if I have taken an overdose of Envas Tablet

Do not take more than the prescribed dose of Envas Tablet , as it may cause serious side effects. If you suspect you have taken an overdose or notice any unusual symptoms, please consult a doctor immediately.

Drug Warnings

  • Do not take Envas Tablet if you are allergic to any of its ingredients or if you have low blood pressure (less than 90 mmHg), angioedema (swelling), impaired kidney function, or diabetes.
  • Inform your doctor before starting Envas Tablet if you have any heart, liver, or kidney problems, bone marrow suppression, hyperkalaemia (high potassium level), or if you are currently on haemodialysis.
  • Envas Tablet should be avoided during pregnancy and breastfeeding, as it may cause harm to the baby.
  • Envas Tablet is not recommended for use in children, as its safety and effectiveness have not been established.
  • Tell your doctor that you are using Envas Tablet before undergoing any dental or other surgical procedures. Your physician may advise discontinuing this medication before surgery.

Drug-Drug Interactions

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EnalaprilPotassium citrate
Severe

Drug-Drug Interactions

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How does the drug interact with Envas Tablet:
Using aliskiren together with Envas Tablet may increase the risk of serious side effects such as kidney problems, low blood pressure, and high potassium levels in the blood.

How to manage the interaction:
Taking Envas Tablet with aliskiren is not recommended, but it can be taken together if your doctor advises. However, contact your doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, or feelings of heaviness in the legs. Do not stop taking any medications without consulting a doctor.
EnalaprilPotassium citrate
Severe
How does the drug interact with Envas Tablet:
Taking potassium citrate with Envas Tablet may increase potassium levels in the blood, leading to kidney problems, muscle paralysis, and abnormal heart rhythm.

How to manage the interaction:
Co-administration of Envas Tablet with Potassium citrate can result in an interaction, but it can be taken if your doctor has advised it. However, consult the doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, and feelings of heaviness in the legs. Do not discontinue any medications without a doctor's advice.
EnalaprilPotassium iodide
Severe
How does the drug interact with Envas Tablet:
Taking Envas Tablet with Potassium iodide increases the potassium levels in the blood, which may lead to hyperkalemia. In severe cases, hyperkalemia may lead to muscular paralysis, kidney damage, and cardiac problems. The risk is increased if you are elderly, dehydrated, or have a history of kidney or heart disease.

How to manage the interaction:
Although taking Envas Tablet together with Potassium iodide may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, mangoes, beans, coconut and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
How does the drug interact with Envas Tablet:
Coadministration of Envas Tablet with Telmisartan may increase the risk of hyperkalemia (high potassium levels in the blood), hypotension, syncope (fainting), and renal failure due to additive or synergistic effects. If you are elderly, dehydrated, or have a history of renal or heart illness, your risk is enhanced.

How to manage the interaction:
Although taking Envas Tablet together with Telmisartan may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, papayas, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
How does the drug interact with Envas Tablet:
Due to additive or synergistic effects, coadministration of Envas Tablet with candesartan may raise the risk of hyperkalemia, hypotension, syncope, and renal failure. The risk is increased if you are elderly, dehydrated, or have a history of kidney or heart disease.

How to manage the interaction:
Although taking Envas Tablet together with Candesartan may result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, mangoes, beans and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
How does the drug interact with Envas Tablet:
Teriflunomide can cause liver damage, and taking it with medications like Envas Tablet, which have a similar effect, increases the risk.

How to manage the interaction:
Although taking Envas Tablet and Teriflunomide together can cause an interaction, it can be taken if your doctor has suggested it. However, contact your doctor if you experience fever, chills, joint discomfort, swelling, skin irritation, itching, tiredness, stomach ache, dark urine, or bleeding. Do not stop using any medications without a doctor's advice.
How does the drug interact with Envas Tablet:
Taking Envas Tablet and Ferric Carboxymaltoside increases the side effects of Envas Tablet.

How to manage the interaction:
Although taking Envas Tablet with Ferric Carboxymaltose may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience dizziness, lightheadedness, headache, blurred vision, or chest pain, consult your doctor immediately. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Envas Tablet:
Envas Tablet has the potential to cause liver damage; this effect can be increased by the coadministration of medications that affect the liver, such as Leflunomide. This effect can be seen even long after discontinuing leflunomide as it stays in your blood longer.

How to manage the interaction:
Although taking Envas Tablet together with Leflunomide may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of liver damage like fever, chills, unusual bleeding, dark-coloured urine, light colour stools, yellowish discolouration of skin and eyes, and abdominal pain. It is advised not to consume alcohol while using these medications as it may increase the damage o the liver. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Envas Tablet:
Taking Azilsartan medoxomil with Envas Tablet may cause low blood pressure, kidney function impairment, and increased potassium levels in the blood.

How to manage the interaction:
Although taking Azilsartan medoxomil with Envas Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. Consult a doctor if you experience symptoms like vomiting, weakness, confusion, tingling in your hands and feet, or palpitations. Do not stop using any medications without talking to a doctor.
How does the drug interact with Envas Tablet:
Using Envas Tablet together with losartan may increase the risk of side effects such as low blood pressure, kidney function impairment, and a condition called hyperkalemia (high blood potassium).

How to manage the interaction:
Although taking Envas Tablet with Losartan may result in an interaction, they can be taken together if your doctor prescribes it. However, contact a doctor immediately if you experience nausea, vomiting, weakness, tingling of the hands and feet, and feelings of heaviness in the legs. Do not discontinue any medication without consulting a doctor.

Drug-Food Interactions

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ENALAPRIL-5MGPotassium rich foods
Moderate

Drug-Food Interactions

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ENALAPRIL-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:
Consuming a high-potassium diet while taking Envas Tablet can cause hyperkalemia (elevated blood potassium levels). Hyperkalemia may lead to dizziness, lightheadedness, fainting, or a rapid heartbeat. Avoid the consumption of potassium-rich foods.

Diet & Lifestyle Advise

Dietary recommendations:

  • Opt for a diet rich in whole grains, fruits, veggies and low-fat dairy products.
  • Limit sodium chloride (table salt) intake to 2300 mg per day; ideally, less than 1500 mg for most adults.
  • Including heart-healthy omega-3 fatty acid-containing food drinks in your daily diet.
  • Use low-fat cooking oils such as olive, soybean, canola, and coconut oil to help lower your elevated blood pressure.

Lifestyle measures:

  • Keep your weight under control with a body mass index (BMI) of 19.5-24.9.
  • Do regular exercise for at least 150 minutes per week (about 30 minutes most days).
  • Quit smoking and avoid consuming excessive alcohol.
  • Try to reduce stress by practising mindfulness techniques and spending time with your loved ones.
  • Monitor your blood pressure daily, and if there are significant fluctuations, contact your doctor immediately.

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

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Alcohol

Unsafe

Envas Tablet may enhance the hypotensive (low blood pressure) effect of this drug. For better advise, you should consult your doctor whether you can take Envas Tablet with alcohol.

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Pregnancy

Unsafe

Envas Tablet is usually contraindicated during the second and third trimesters of pregnancy. It may cause harm to the developing foetus. Therefore, you should consult your physician before using Envas Tablet .

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Breast Feeding

Caution

Using Envas Tablet is not recommended during breastfeeding.

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Driving

Unsafe

Drive with caution, as Envas Tablet may cause blurry vision and dizziness.

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Liver

Caution

Rare elevations in liver enzymes (such as bilirubin) have been observed while taking Envas Tablet , so it should be taken with caution, especially if you have a history of liver disease or conditions. The dose may have to be adjusted by your doctor.

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Kidney

Caution

Envas Tablet should be used with caution, especially in cases of severe kidney disease. The dose may have to be adjusted by your doctor. Envas Tablet should be used with caution in patients on haemodialysis.

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Children

Caution

Envas Tablet is not recommended for children, as its safety and efficacy have not been established in this population. Please consult your doctor to decide whether to give Envas Tablet to your child.

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Heart

Safe if prescribed

Envas Tablet is generally considered safe for patients with heart disease. However, it is advisable to consult your doctor before using Envas Tablet .

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Geriatrics

Consult your doctor

Envas Tablet should be used in elderly patients only when prescribed by a doctor. Consult your healthcare provider to determine the appropriate dose and duration of treatment.

Country of origin

India

Manufacturer/Marketer address

Sarkhej-Dholka Road, Bhat, Ahmedabad-382 210, INDIA.
Other Info - ENV0002

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