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compositionComposition:ENALAPRIL-2.5MG
prescriptionPrescription Medicine

Nuril 2.5 mg 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-2.5MG

Manufacturer/Marketer :

USV Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

NPPA :

Regulated

About Nuril 2.5 mg Tablet

Nuril 2.5 mg Tablet is used to treat hypertension (high blood pressure). It is also used to treat heart failure and help prevent its symptoms.

Nuril 2.5 mg Tablet contains Enalapril, which works by blocking a naturally occurring substance called angiotensin II, which tightens the blood vessels. Nuril 2.5 mg Tablet relaxes and widens the blood vessels, thereby helping to lower high blood pressure and reduce the heart’s workload.

Take Nuril 2.5 mg Tablet exactly as prescribed by your doctor. Swallow it whole with a glass of water; do not crush or chew it. In some cases, Nuril 2.5 mg 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 Nuril 2.5 mg Tablet on your own, even if your blood pressure becomes normal, as this may worsen your condition. Inform your doctor before starting Nuril 2.5 mg Tablet if you have hypotension (low blood pressure), electrolyte imbalances, or liver, kidney, or heart problems. Nuril 2.5 mg Tablet should be taken during pregnancy and breastfeeding only after consulting your doctor. Nuril 2.5 mg Tablet is not recommended for children.

Uses of Nuril 2.5 mg Tablet

Nuril 2.5 mg Tablet is used in the treatment of hypertension and heart failure. The detailed uses of Nuril 2.5 mg Tablet are as follows:

  • Treatment of hypertension: Nuril 2.5 mg Tablet is used to lower high blood pressure and reduce the risk of heart attack, stroke, and kidney damage.
  • Management of heart failure: Nuril 2.5 mg 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

  • Nuril 2.5 mg 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 Nuril 2.5 mg Tablet as a whole with a glass of water.
  • Do not crush, break, or chew it.

Key Benefits

Nuril 2.5 mg 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 Nuril 2.5 mg Tablet Works

Nuril 2.5 mg Tablet contains Enalapril, which works by blocking a naturally occurring substance called angiotensin II, which tightens the blood vessels. Nuril 2.5 mg 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 Nuril 2.5 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 Nuril 2.5 mg Tablet

Do not take more than the prescribed dose of Nuril 2.5 mg 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 Nuril 2.5 mg 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 Nuril 2.5 mg Tablet if you have any heart, liver, or kidney problems, bone marrow suppression, hyperkalaemia (high potassium level), or if you are currently on haemodialysis.
  • Nuril 2.5 mg Tablet should be avoided during pregnancy and breastfeeding, as it may cause harm to the baby.
  • Nuril 2.5 mg Tablet is not recommended for use in children, as its safety and effectiveness have not been established.
  • Tell your doctor that you are using Nuril 2.5 mg 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 Nuril 2.5 Tablet:
Using aliskiren together with Nuril 2.5 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 Nuril 2.5 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 Nuril 2.5 Tablet:
Taking potassium citrate with Nuril 2.5 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 Nuril 2.5 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.
How does the drug interact with Nuril 2.5 Tablet:
Taking Nuril 2.5 Tablet with potassium chloride 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 Nuril 2.5 Tablet together with Potassium chloride 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, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
How does the drug interact with Nuril 2.5 Tablet:
Using Nuril 2.5 Tablet together with Irbesartan 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 Irbesartan with Nuril 2.5 Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, consult a doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, and feelings of heaviness in your legs. Do not stop using any medications without talking to a doctor.
How does the drug interact with Nuril 2.5 Tablet:
Due to the additive effect, the coadministration of Nuril 2.5 Tablet and Amiloride (potassium-sparing diuretic) may increase blood potassium levels. 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 Nuril 2.5 Tablet together with Allopurinol may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any signs and symptoms of hyperkalemia like, weakness, confusion, numbness or tingling, and uneven heartbeats, consult your doctor immediately. Do not discontinue any medication without consulting your doctor.
How does the drug interact with Nuril 2.5 Tablet:
Nuril 2.5 Tablet combined with Trimethoprim can cause hyperkalemia by elevating blood potassium levels. In severe cases, hyperkalemia can induce muscle paralysis, renal damage, and cardiac problems. The risk is increased if you are elderly, dehydrated, or have a history of renal or cardiovascular disease.

How to manage the interaction:
Although taking Nuril 2.5 Tablet together with Trimethoprim 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, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
How does the drug interact with Nuril 2.5 Tablet:
Taking Nuril 2.5 Tablet and Ferric Carboxymaltoside increases the side effects of Nuril 2.5 Tablet.

How to manage the interaction:
Although taking Nuril 2.5 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 Nuril 2.5 Tablet:
Teriflunomide can cause liver damage, and taking it with medications like Nuril 2.5 Tablet, which have a similar effect, increases the risk.

How to manage the interaction:
Although taking Nuril 2.5 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 Nuril 2.5 Tablet:
Coadministration of Nuril 2.5 Tablet with Spironolactone 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 Nuril 2.5 Tablet together with Spironolactone 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, coconut water, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
How does the drug interact with Nuril 2.5 Tablet:
Nuril 2.5 Tablet, when taken together with Tizanidine, may lead to hypotension (low blood pressure) due to the additive effect.

How to manage the interaction:
Although taking Nuril 2.5 Tablet together with Tizanidine 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 hypotension, such as headache, dizziness, drowsiness, fainting, or irregular heartbeat. It is advised not to drive or operate any machinery that requires alertness and to be cautious when getting up from a sitting or lying position. Do not discontinue any medication without consulting your doctor.

Drug-Food Interactions

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ENALAPRIL-2.5MGPotassium rich foods
Moderate

Drug-Food Interactions

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ENALAPRIL-2.5MGPotassium 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 Nuril 2.5 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]

All Substitutes & Brand Comparisons

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Alcohol

Unsafe

Nuril 2.5 mg Tablet may enhance the hypotensive (low blood pressure) effect of this drug. For better advise, you should consult your doctor whether you can take Nuril 2.5 mg Tablet with alcohol.

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Pregnancy

Unsafe

Nuril 2.5 mg 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 Nuril 2.5 mg Tablet .

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Breast Feeding

Caution

Using Nuril 2.5 mg Tablet is not recommended during breastfeeding.

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Driving

Unsafe

Drive with caution, as Nuril 2.5 mg 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 Nuril 2.5 mg 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

Nuril 2.5 mg Tablet should be used with caution, especially in cases of severe kidney disease. The dose may have to be adjusted by your doctor. Nuril 2.5 mg Tablet should be used with caution in patients on haemodialysis.

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Children

Caution

Nuril 2.5 mg 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 Nuril 2.5 mg Tablet to your child.

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Heart

Safe if prescribed

Nuril 2.5 mg Tablet is generally considered safe for patients with heart disease. However, it is advisable to consult your doctor before using Nuril 2.5 mg Tablet .

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Geriatrics

Consult your doctor

Nuril 2.5 mg 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.

FAQs

Nuril 2.5 mg Tablet is used to treat hypertension (high blood pressure). It is also used to treat heart failure and help prevent its symptoms.

Nuril 2.5 mg Tablet contains Enalapril, which works by blocking a naturally occurring substance called angiotensin II, which tightens the blood vessels. Nuril 2.5 mg Tablet relaxes and widens the blood vessels, thereby helping to lower high blood pressure and reduce the heart’s workload.

No, it is a prescribed drug, given by a physician for preventing specific medical conditions. Taking it on your own can cause unwanted side effects.

It is advised to continue your medication even after your blood pressure is under control or normal, as it can suddenly rise at any time. If you have any discomfort, please consult your doctor immediately.

Before surgery, you should inform your doctor that you are taking Nuril 2.5 mg Tablet as it can reduce your blood pressure when used along with anaesthesia, which is given before a major operation.

If you forget to take Nuril 2.5 mg Tablet , take it as soon as you remember, then continue taking it at the usual times. Do not take a double dose to make up for a forgotten dose.

Nuril 2.5 mg Tablet may cause side effects such as nausea, weakness, cough, dizziness and blurred vision. If these side effects persist or worsen, please consult your doctor.

No, Nuril 2.5 mg Tablet does not cause excessive urination. Normal kidney function may not be affected by Nuril 2.5 mg Tablet . However, when Nuril 2.5 mg Tablet is given with a diuretic (water pill, a medicine that increases the urine output), kidney damage may occur. In this case, either the diuretic should be discontinued or its dose reduced. If you have severe heart failure or your kidneys are already affected, then there is a risk of kidney failure. However, kidney damage can be reversed by timely and appropriate treatment.

Rarely, Nuril 2.5 mg Tablet may cause yellowing of the skin and eyes, increased liver enzymes, and loss of appetite. Additionally, it might cause significant liver damage and even death. Therefore, if you experience any such symptoms, contact your doctor immediately.

You should be cautious when taking Nuril 2.5 mg Tablet with hydrochlorothiazide, as it can further lower your blood pressure. You may also develop kidney failure symptoms, such as reduced urine output and swelling of your legs, ankles, and feet due to water retention. While others may experience unexplained shortness of breath, persistent nausea, excessive drowsiness or fatigue, pain, confusion, or pressure in the chest and seizures (fits). These symptoms typically occur if there is considerable water or salt loss prior to starting Nuril 2.5 mg Tablet . Therefore, if you experience any of these symptoms, contact your doctor, who will either advise you to stop taking hydrochlorothiazide or lower the dose. The doctor may also recommend you Nuril 2.5 mg Tablet in very low doses when used in combination with hydrochlorothiazide.

You are recommended to avoid taking ibuprofen with Nuril 2.5 mg Tablet , as there is a risk of kidney damage, and it may reduce the effectiveness of Nuril 2.5 mg Tablet . However, please consult your doctor before taking Nuril 2.5 mg Tablet with other medicines.

Nuril 2.5 mg Tablet starts working within a few hours. However, it may take a few weeks to see its full effects. After taking Nuril 2.5 mg Tablet for high blood pressure, you may not notice any difference until you get your blood pressure checked. It may take a few weeks to months before you start feeling better, if you are taking Nuril 2.5 mg Tablet for heart failure.

You should take Nuril 2.5 mg Tablet for as long as your doctor advises. You might need to take it lifelong, unless any serious side effects start bothering you and stop you from taking it. However, do not discontinue it without first consulting your physician.

Yes, Nuril 2.5 mg Tablet can be used long-term, as it is generally well tolerated by most people. However, long-term use can impair kidney function. Your doctor will recommend regular blood tests to check whether your kidneys are functioning properly.

Country of origin

India

Manufacturer/Marketer address

Arvind Vithal Gandhi Chowk, BSD Marg, Station Road, Govandi East, Mumbai - 400 088. , India.
Other Info - NUR0002

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