VASOTEC Tablet (2018)
Βιβλιογραφική αναφορά
Συγγραφείς
Bausch Health US LLC
Λέξεις κλειδιά
0187-0140 0187-0141 0187-0142 0187-0143
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BOXED WARNING SECTION
<b>WARNING: FETAL TOXICITY</b> <b><em>See full prescribing information for complete boxed warning</em>.</b> <b>When pregnancy is detected, discontinue VASOTEC <sup></sup> as soon as possible.</b> <b>Drugs ...
1. Description
VASOTEC (Enalapril Maleate) is the maleate salt of enalapril, the ethyl ester of a long-acting angiotensin-converting enzyme inhibitor, enalaprilat. Enalapril maleate is chemically described as (S)1[<em> ...
2. Clinical Pharmacology
Mechanism of Action Enalapril, after hydrolysis to enalaprilat, inhibits angiotensin-converting enzyme (ACE) in human subjects and animals. ACE is a peptidyl dipeptidase that catalyzes the conversion of ...
3. Indications and Usage
Hypertension VASOTEC is indicated for the treatment of hypertension. VASOTEC is effective alone or in combination with other antihypertensive agents, especially thiazide- type diuretics. The blood pressure ...
4. Contraindications
VASOTEC is contraindicated in patients who are hypersensitive to this product and in patients with a history of angioedema related to previous treatment with an angiotensin-converting enzyme inhibitor ...
5. Warnings
Anaphylactoid and Possibly Related Reactions Presumably because angiotensin-converting enzyme inhibitors affect the metabolism of eicosanoids and polypeptides, including endogenous bradykinin, patients ...
6.1. General
Aortic Stenosis/Hypertrophic Cardiomyopathy As with all vasodilators, enalapril should be given with caution to patients with obstruction in the outflow tract of the left ventricle. Impaired Renal Function ...
6.2. Information for Patients
Angioedema Angioedema, including laryngeal edema, may occur at any time during treatment with angiotensin-converting enzyme inhibitors, including enalapril. Patients should be so advised and told to report ...
6.4. Drug Interactions
Neprilysin Inhibitors Patients taking concomitant neprilysin inhibitors may be at increased risk for angioedema (see WARNINGS). Dual Blockade of the Renin-Angiotensin System (RAS) Dual blockade of the ...
6.6. Carcinogenesis, Mutagenesis, Impairment of Fertility
There was no evidence of a tumorigenic effect when enalapril was administered for 106 weeks to male and female rats at doses up to 90 mg/kg/day or for 94 weeks to male and female mice at doses up to 90 ...
6.9. Nursing Mothers
Enalapril and enalaprilat have been detected in human breast milk. Because of the potential for serious adverse reactions in nursing infants from enalapril, a decision should be made whether to discontinue ...
6.10. Pediatric Use
Neonates with a History of In Utero Exposure to VASOTEC If oliguria or hypotension occurs, direct attention toward support of blood pressure and renal perfusion. Exchange transfusions or dialysis may be ...
7. Adverse Reactions
VASOTEC has been evaluated for safety in more than 10,000 patients, including over 1000 patients treated for one year or more. VASOTEC has been found to be generally well tolerated in controlled clinical ...
9. Overdosage
Limited data are available in regard to overdosage in humans. Single oral doses of enalapril above 1,000 mg/kg and ≥1,775 mg/kg were associated with lethality in mice and rats, respectively. The most likely ...
10. Dosage and Administration
Hypertension In patients who are currently being treated with a diuretic, symptomatic hypotension occasionally may occur following the initial dose of VASOTEC. The diuretic should, if possible, be discontinued ...
11. How Supplied
VASOTEC (Enalapril Maleate) Tablets NDC Number Strength Quantity Description 0187-0140-30 2.5 mg Bottles of 30<br /> (with desiccant) White, oval shaped tablet imprinted with VASO 2.5 and scored on ...
12. Storage and Handling
Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. Keep container tightly closed. Protect from moisture. Dispense in a tight container as per ...