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Missed dose. Take a dose as soon as you remember. If it is almost time for your next dose.wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

A. Angioedema is an uncommon side effect with enalapril and usually occurs in the first month of treatment. Although it is possible to have this condition occur later in is more common in African-American patients.women and people who have a history of drug or seasonal allergies. The exact prevalence and incidence of ARB-induced angioedema are not known.but are thought to be significantly lower than the ACE inhibitors. For patients who cannot take any other alternatives.ARBs seem the way to go for people who have had this issue with ACE inhibitors.although careful monitoring is recommended for the physician. There are no clear cut ways to distinguish which medication would be best in this case for your condition.but it has been shown that losartan (Cozaar) seems to show the most cases with angioedema.if it happens at all.with the ARBs. Lori Mendoza.PharmD Poulin.PharmD.

Studies in dogs indicate that enalapril crosses the blood-brain barrier poorly.if at all. enalaprilat does not enter the brain. Multiple doses of enalapril maleate in rats do not result in accumulation in any tissues. Milk of lactating rats contains radioactivity following administration of 14 C-enalapril maleate. Radioactivity was found to cross the placenta following administration of labeled drug to pregnant hamsters.

Enalapril is generally well tolerated.and side effects usually are mild and transient. A dry.persistent cough has been reported commonly with the use of ACE inhibitors. Coughing resolves after discontinuing the medication.

Enalapril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily.

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