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ENVAS AM 5 MG/5 MG TABLET

Tablet
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Composition FOR Envas AM

Amlodipine(5mg),Enalapril(5mg)

food interaction for Envas AM

alcohol interaction for Envas AM

pregnancy interaction for Envas AM

lactation interaction for Envas AM

food
alcohol
pregnancy
lactation
ENVAS AM 5 MG/5 MG TABLET may be taken with or without food, but it is better to take it at a fixed time.
None
CAUTION
It is unsafe to consume alcohol with ENVAS AM 5 MG/5 MG TABLET.
UNSAFE
ENVAS AM 5 MG/5 MG TABLET is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
CONSULT YOUR DOCTOR
ENVAS AM 5 MG/5 MG TABLET is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
SAFE IF PRESCRIBED

SALT INFORMATION FOR Envas AM

Amlodipine(5mg)

Uses

Amlodipine is used in the treatment of Hypertension (high blood pressure) and Angina (heart-related chest pain).

How it works

Amlodipine is a calcium channel blocker. In high blood pressure, it normalizes the blood pressure by relaxing the blood vessels to reduce the pressure on them, thereby improving the blood flow in the body. The enhanced blood flow in the body, further relaxes the heart muscles by reducing the workload on the heart. It also improves the oxygen flow in the body, thereby, preventing any heart-related chest pain.

Common side effects

Headache, Nausea, Abdominal pain, Flushing (sense of warmth in the face, ears, neck and trunk), Dizziness, Palpitations, Edema (swelling), Hypotension (low blood pressure), Chest pain, Fainting, Muscle cramp, Visual disturbance, Shortness of breath, Change in bowel habits, Weakness, Insomnia (difficulty in sleeping), Mood changes, Depression, Tremors, Taste change, Hypoesthesia (decreased sensitivity to stimuli), Paresthesia (tingling or pricking sensation), Arrhythmia (irregular heartbeats), Vomiting, Dryness in mouth, Rash, Muscle pain, Back pain, Frequent urge to urinate, Impotence, Breast enlargement in male, Decreased white blood cell count (lymphocytes), Low blood platelets, Allergic reaction, Increased glucose level in blood, Confusion, Hypertonia (increased muscle tone), Pancreatic inflammation, Gingival hyperplasia, Hepatitis (viral infection of liver), Angioedema (swelling of deeper layers of skin), Stevens-Johnson syndrome
Enalapril(5mg)

Uses

Enalapril is used in the treatment of Hypertension (high blood pressure), prevention of heart attack and stroke and Heart failure.

How it works

Enalapril is an angiotensin converting enzyme (ACE) inhibitor. It works by reducing stress on the heart and relaxing blood vessel so that blood flows more smoothly and the heart can pump blood more efficiently.

Common side effects

Cough, Dizziness, Fatigue, Increased potassium level in blood, Hypotension (low blood pressure), Blurred vision, Headache, Muscle cramp, Paresthesia (tingling or pricking sensation), Liver dysfunction, Anaphylactic reaction, Decreased white blood cell count (neutrophils), Agranulocytosis (deficiency of granulocytes in the blood), Angioedema (swelling of deeper layers of skin)

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Expert advice FOR Envas AM

  • You have been prescribed Amlodipine to improve your blood pressure and/or to reduce the number and severity of angina attacks.
  • Lowering blood pressure reduces the chance of future heart attack and stroke.
  • Take it at the same time every day to help you remember to take it.
  • A sudden drop in your blood pressure may occur, especially when you first start taking Amlodipine. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
  • It can cause ankle or foot swelling. To reduce the swelling, raise your legs while you are sitting down. Talk to your doctor if it does not go away.
  • It may cause dizziness. Do not drive or perform any activity that requires mental focus until you know how Amlodipine affects you. 
  • Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding. 

Frequently asked questions FOR Envas AM

Amlodipine

Q. How long does it take for Amlodipine to work?
Amlodipine starts working on the day it is taken. However, it may take weeks to see the full effect. You should continue taking the medicine even if you feel better or if you do not notice any considerable difference. Consult your doctor if you have any concerns or you feel worse after taking the medicine.
Q. Does Amlodipine cause itching?
Amlodipine may cause itching in some patients, though it is an uncommon side effect. However, if you experience severe itching contact your doctor.
Q. Is Amlodipine bad for the kidneys?
No, there is no evidence that Amlodipine causes deterioration of kidney problems. Amlodipine can be used in normal doses in patients with kidney problems. In fact, its blood pressure-lowering effect, it helps to prevent injury to the kidneys due to hypertension.
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Q. Should I take Amlodipine in the morning or at night?
Amlodipine can be taken anytime of the day. Usually, it is advised to be taken in the morning, but your doctor may advise to take it in the evening as well. You should take it at the same time each day so that you remember to take it and consistent levels of medicine are maintained in the body.
Q. For how long do I need to take Amlodipine?
You should keep on taking Amlodipine for as long as your doctor has recommended you to take it. You may need to take it lifelong. Do not stop taking it, even if you feel well or your blood pressure is well controlled. If you stop taking Amlodipine, your blood pressure may increase again and your condition may worsen.
Q. Is Amlodipine a beta-blocker?
No, Amlodipine is not a beta-blocker. It belongs to a class of medicines known as calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so that blood can easily flow through the blood vessels.
Q. What are the serious side effects of Amlodipine?
Amlodipine may cause some serious side effects such as liver problems (yellowing of skin, nausea, vomiting, and loss of appetite), pancreatitis (severe stomach pain, nausea, and vomiting), and recurrent chest pain which may be indicative of a heart attack. However, these side effects are rarely seen. Remember that your doctor has prescribed this medicine to you because the benefit to you is greater than the risk of any potential side effects. Follow your doctor's advice.
Q. What should I avoid while taking Amlodipine?
Consult your doctor first before starting any new prescription or non-prescription medicines or supplements. Take low sodium and low-fat diet, and adhere to the lifestyle changes as advised by your doctor. Avoid eating grapefruit (chakotra) or drinking grapefruit juice while taking Amlodipine. Stop smoking and taking alcohol as this helps to lower your blood pressure and prevents heart problems.
Q. I have developed ankle edema and swelling over my feet after using a Amlodipine. What should I do?
Amlodipine can cause ankle or foot swelling. To reduce swelling raise your legs while you are sitting down. Talk to your doctor if it does not go away.

Enalapril

Q. What is Enalapril? What is it used for?
Enalapril belongs to a group of medicines known as angiotensin-converting enzyme (ACE) inhibitors. It relaxes and widens the blood vessels, making it easier for the blood to pass through the vessels. As a result of this, the heart does not have to work more to push the blood. Since the workload on the heart is reduced, it helps to lower the blood pressure and thus reduces the risk of heart attack and stroke. It is also used for the treatment and prevention of congestive heart failure.
Q. Does Enalapril cause excessive urination? Can it cause kidney damage?
No, Enalapril does not cause excessive urination (loss of water through urine). The use of Enalapril may not affect normally functioning kidneys. However, damage to the kidneys may occur when Enalapril is given with a diuretic (water pill, a medicine that increases the urine output). In such a case, either the diuretic should be discontinued or its dose should be reduced. If you have severe heart failure or your kidneys are already affected then there is a risk of kidney failure. However, timely and appropriate treatment can reverse the damage caused to kidneys.
Q. Can use of Enalapril affect my liver?
In rare cases, Enalapril may cause yellowing of skin and eyes, loss of appetite and an increase in liver enzymes. It can also cause considerable damage to the liver and even death. Therefore, if you experience any such symptoms, call your doctor immediately.
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Q. Is it safe to use Enalapril along with hydrochlorthiazide?
You have to be careful when taking Enalapril with hydrochlorothiazide, as it can further decrease your blood pressure. You may also develop symptoms of kidney failure, such as a reduced amount of urine, swelling of your legs, ankles, and feet from retention of water. While some may experience unexplained shortness of breath, excessive drowsiness or fatigue, persistent nausea, confusion, pain or pressure in your chest and seizures (fits). These symptoms usually occur if there is substantial water or salt loss prior to starting Enalapril. Therefore, if you face any such issues contact your doctor who will either advise you to discontinue hydrochlorothiazide or give a lower dose. The doctor may also advise you Enalapril in very low doses when used in combination with hydrochlorothiazide.
Q. I am taking ibuprofen for arthritis, is it safe to take Enalapril along with it?
You should avoid taking ibuprofen and Enalapril together as there could be a risk of kidney damage. Moreover, this combined usage may also reduce the effectiveness of Enalapril. Consult your doctor for an alternative medication for arthritis.
Q. How long does it take for Enalapril to start working?
Enalapril starts reducing blood pressure within a few hours of taking it. However, the medicine may take a few weeks to show full benefits. You may not notice any difference in blood pressure after taking Enalapril. This is because changes in blood pressure can only be noticed when you get your blood pressure checked. So, it is advised to keep taking the medicine as advised by the doctor. However, if you are taking Enalapril for heart failure, it may take a few weeks to months before you start feeling better.
Q. How long do I need to take Enalapril?
You may have to take Enalapril for a long time or even lifelong. However, if you experience any serious side effect which persists for long and bothers you, inform your doctor. Do not stop taking it without consulting your doctor.
Q. What can happen if I suddenly stop taking Enalapril?
You should not stop taking Enalapril without consulting your doctor. Doing this can suddenly increase your blood pressure which may increase the risk of heart attack or stroke. If you experience any side effects, talk to your doctor. Your doctor will suggest ways to manage or prevent them.
Q. Is it safe to take Enalapril for a long time?
Yes, Enalapril is generally well tolerated by most people and can be taken for a long term. However, its long-term use can sometimes affect the way your kidneys work. Your doctor may advise you to get regular blood tests done to check whether your kidneys are functioning properly or not.
Q. Can I take Enalapril before surgery?
Inform your doctor that you are taking Enalapril, before surgery, especially when the use of general anesthetic (to put you to sleep) is recommended. This is done because Enalapril can reduce your blood pressure when it is used with an anesthetic. Hence, your doctor may advise you to stop taking Enalapril 24 hours before surgery.

Content on this page was last updated on 26 October, 2024, by Dr. Varun Gupta (MD Pharmacology)