Enalapril and Diltiazem : Before Using

Enalapril and Diltiazem - Systemic

Enalapril and Diltiazem *** Before Using *** How to Use *** Fore Safe Use *** Side Effects

Before Using

In deciding to using a medication, the chance of taking the drug must be weighed against the good it will do. This is a decision you will make. For enalapril and diltiazem combination, the following must be considered

Allergic reaction

Tell your family doctor if you have any unusual or allergy to enalapril or diltiazem, as well as to any other ACE inhibitor - benazepril, captopril, fosinopril, lisinopril, moexipril, quinapril, ramipril, or trandolapril. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy care

Studies with this combination drug have not been done in pregnant women. However, use of ACE inhibitors during pregnancy, especially in the second and third trimesters - after the first 3 months can cause low blood pressure, kidney failure, an underdeveloped skull, or even death in newborns. Diltiazem has causing problems in pets, including birth defects, pregnancy that continues too long, poor bone development and stillbirth. Therefore, it is important that you check with your family doctor immediately if you think that you may be pregnant . Be sure that you have discussed this with your family doctor before taking this combination drug.

Breast-feeding problem

Diltiazem and enalapril pass into breast milk. Breast-feeding is not recommended in women who are taking this drug.

Use for Children

Studies on this drug have been done only in adult diseaseds and there is no special info comparing use of enalapril and diltiazem in child with use in other age groups.

Elderly care

Although this drug has not been shown to cause various side effects or problems in elderly people than it does in younger adults, blood levels of the diltiazem component may be increased in the elderly and elderly people may be more sensitive to the effects of this combination drug.

Racial differences Black diseaseds may be less sensitive to the blood pressure-lowering effects of this drug. In addition, the risk of a serious allergy involving swelling of the face, mouth, hands, or feet may be increased in black diseaseds.

Drug interactions

Although certain medication must not be using together at all, in other cases two various medication may be using together even if an interaction might occur. In these cases, your family doctor may want to change the dose, or other precautions may be necessary. When you are taking this drug, it is especially important that your health care professional know if you are taking any of the following:

Beta-blockers - acebutolol " Sectral ", atenolol " Tenormin ", betaxolol " Kerlone ", bisoprolol " Zebeta ", carteolol " Cartrol ", carvedilol " Coreg ", labetalol " Normodyne ", metoprolol " Lopressor ", nadolol " Corgard ", oxprenolol " Trasicor ", penbutolol " Levatol ", pindolol " Visken ", propranolol " Inderal ", sotalol " Sotacor ", timolol " Blocadren " Effects of these medication and diltiazem on the heart may be increased

Digitalis glycosides - heart drug " Lanoxin " Effects of these medication may be increased

Diuretics - water pills Blood pressure lowering effect may be increased

Potassium-containing medication or supplements
Salt substitutes that contain potassium Use of these substances with ACE inhibitors may result in an unusually high potassium level in the blood, which can lead to irregular heart rhythm and other problems

Always tell your health care professional if you are using any of the following medication in the eye:

Betaxolol - Betoptic
Carteolol - Ocupress
Levobunolol - Betagan
Metipranolol - OptiPranolol
Timolol - Timoptic Effects on heart and blood pressure may be increased

Other Information for using

The presence of other medical problems may effect the use of this drug. Make sure you tell your family doctor if you have any other medical problems, especially:

Bee-sting allergy treats
Dialysis Increased risk of serious allergy occurring

Dehydration Lowering effects on blood pressure may be increased

Diabetes mellitus - sugar diabetes Increased risk of potassium levels in the body becoming too high

Heart attack or stroke
Heart or blood vessel disease
Hypotension - low blood pressure Further lowering of blood pressure may make problems resulting from these conditions worse

Heart rate or rhythm problems Diltiazem may make these problems worse

Kidney disease Effects may be increased because of slower removal of the drug from the body

Liver disease Diltiazem has been reported to cause liver problems in pets

Scleroderma
Systemic lupus erythematosus - SLE Increased risk of blood problems causing by ACE inhibitors

Previous reaction to an ACE inhibitor involving hoarseness; swelling of face, mouth, hands, or feet; or sudden trouble in breathing Reaction is more likely to occur with this drug