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Enalapril (e NAL a pril)

Pediatric Medication

Brand Names: U.S.

Epaned; Vasotec

Brand Names: Canada

ACT-Enalapril; Apo-Enalapril; Mylan-Enalapril; PMS-Enalapril; PRO-Enalapril; RAN-Enalapril; Riva-Enalapril; Sandoz-Enalapril; Sig-Enalapril; Taro-Enalapril; Teva-Enalapril; Vasotec

Warning

If your child is or may be pregnant:

  • Do not give this drug to your child if she is pregnant. Use during pregnancy may cause birth defects or loss of the unborn baby. If your child gets pregnant or plans on getting pregnant while taking this drug, call the doctor right away.

What is this drug used for?

  • It is used to treat high blood pressure.
  • It is used to help a weak heart.

Is it safe for my child to take this drug?

  • Not if your child has an allergy to enalapril or any other part of this drug.
  • Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • Not if your child has any of these health problems: A block in the kidneys’ arteries, other kidney disease, or hyperaldosteronism.

What are some things I need to know or do while my child takes this drug?

  • Tell dentists, surgeons, and other doctors that your child is using this drug.
  • Do not run out of this drug.
  • Have your child’s blood pressure checked often. Talk with your child’s doctor.
  • Have your child’s blood work checked often. Talk with your child’s doctor.
  • Check all drugs your child is taking with your child’s doctor. This drug may not mix well with some other drugs.
  • Do not give antacids within 2 hours of this drug.
  • If your child is on a low-salt or salt-free diet, talk with your child’s doctor.
  • If your child is taking a salt substitute that has potassium, potassium-saving water pills, or extra potassium, talk with the doctor.
  • Do not give this drug to an infant younger than 1 month of age.
  • Do not give to a child who has kidney disease.
  • If your child is taking this drug and has high blood pressure, talk with the doctor before giving OTC products that may raise blood pressure. These include cough or cold drugs, diet pills, stimulants, ibuprofen or like products, and some natural products or aids.
  • Have your child be careful in hot weather or while your child is being active. Have your child drink lots of fluids to stop fluid loss.

What are some side effects that I need to call my child’s doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • If your child shows any signs of infection. These include a fever of 100.5°F (38°C) or higher, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color or sputum, pain with passing urine, mouth sores, wound that will not heal, or anal itching or pain.
  • If your child shows signs of very bad dizziness or passes out.
  • If your child has a heartbeat that does not feel normal.
  • If your child has chest pain or pressure.
  • If your child has trouble breathing.
  • If your child has a cough that does not go away.
  • If your child has swelling in his/her legs or belly.
  • If your child has a big weight gain.
  • If your child has problems passing urine.
  • If your child starts to sweat more than normal, has fluid loss, is throwing up, or has loose stools. This may lead to low blood pressure.
  • If your child has weakness, numbness, or tingling.
  • If your child gets a rash.
  • Very bad and sometimes deadly liver problems have happened with this drug. Call your child’s doctor right away if your child has signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.

What are some other side effects of this drug?

  • To lower the chance of feeling dizzy or passing out, have your child get up slowly over a few minutes when sitting or lying down. Have your child be extra careful climbing stairs.
  • Headache.
  • Bad taste in your mouth. This most often goes back to normal.
  • Cough.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.

All products:

  • Give as you have been told, even if your child feels well.
  • To gain the most benefit, do not miss giving your child doses.
  • Give this drug with or without food. Give with food if it causes an upset stomach.
  • Have your child drink lots of noncaffeine liquids every day unless told to drink less liquid by your child’s doctor.

Tablet:

  • A liquid (suspension) can be made if your child cannot swallow pills. Talk with your child’s doctor or pharmacist.

All liquid products:

  • Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, get an oral syringe, a dropper, a spoon, or a cup (only for older children) from your pharmacist.

Liquid (suspension):

  • Shake well before use.

What do I do if my child misses a dose?

  • Give a missed dose as soon as you think about it.
  • If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
  • Do not give 2 doses or extra doses.
  • Do not change the dose or stop this drug. Talk with the doctor.

How do I store and/or throw out this drug?

Liquid (suspension):

  • Store liquid (suspension) in a refrigerator. Throw away any part not used after 30 days.

All other products:

  • Store at room temperature. Do not freeze.
  • Store in a dry place. Do not store in a bathroom.

Liquid (solution):

  • Throw away any unused part 60 days after this drug was mixed. Talk with your pharmacist if you are not sure when this is.

All products:

  • Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Copyright

Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.