Enavas 20mg Tablet belongs to a group of medicines known as angiotensin-converting enzyme (ACE) inhibitors. It is widely used to treat high blood pressure and heart failure and may be prescribed after a heart attack. It also lowers the chances of having a heart attack or stroke.

Enavas 20mg Tablet is used to lower blood pressure (hypertension) and may prevent changes or damage to the heart and kidney.

Uses of Enavas Tablet

Treatment of Hypertension (high blood pressure)
Treatment of Prevention of heart attack and stroke
Treatment of Heart failure

Benefits of Enavas Tablet

In Treatment of Hypertension (high blood pressure)

Enavas 20mg Tablet belongs to a group of medicines called ACE inhibitors. It reduces stress on the heart and relaxes the blood vessels. This widens the blood vessels and makes it easier for the heart to pump blood around your body, thereby lowering your blood pressure. Controlled blood pressure reduces the risk of having a heart attack, stroke, or kidney problems. The medicine must be taken regularly, as prescribed, to be effective. You do not usually feel immediate benefit from taking this medicine, however, it helps you maintain your blood pressure in the long term.

In Treatment of Prevention of heart attack and stroke

Enavas 20mg Tablet lowers your blood pressure. As a result, it reduces the chance of damage to the small blood vessels in your heart and kidneys. This reduces the risk of getting a heart attack and kidney problems. It also helps in slowing down the rate at which they get worse if you already have problems. This medicine must be taken regularly to be effective.

In Treatment of Heart failure

Enavas 20mg Tablet makes it easier for your heart to pump blood around your body so the heart has to do less work. This can improve your heart function and reduce the symptoms of heart failure. It will help improve your quality of life and enable you to go about your daily activities more efficiently. The medicine must be taken regularly and as long as the doctor has prescribed it to be effective.

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Side effects of Enavas Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Enavas

Decreased blood pressure
Cough
Increased potassium level in blood
Fatigue
Weakness
Dizziness

How to use Enavas Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Enavas 20mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Enavas 20mg Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Enavas 20mg 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.

Breast feeding

SAFE IF PRESCRIBED

Enavas 20mg Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Use of Enavas 20mg Tablet immediately after childbirth should be avoided.

Driving

UNSAFE

Enavas 20mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Enavas 20mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Enavas 20mg Tablet may be needed. Please consult your doctor.
Regular monitoring of blood pressure, kidney function test, and potassium levels is recommended while you are taking this medicine.

Liver

CAUTION

Enavas 20mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Enavas 20mg Tablet may be needed. Please consult your doctor.
Inform your doctor if you experience fatigue, develop yellowing of the skin and eyes or white stools while taking this medicine.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Enavas 20mg Tablet

₹6.5/Tablet

Enam 20mg Tablet

Dr Reddy's Laboratories Ltd

₹3.08/tablet

53% cheaper

Enapril 20mg Tablet

Intas Pharmaceuticals Ltd

₹9.9/tablet

52% costlier

Quick tips

It should be taken with or without food, preferably at the same time each day.
Enavas 20mg Tablet can make you feel dizzy for the first few days, so rise slowly if you have been sitting or lying down. You can also prefer taking it at bedtime to avoid dizziness throughout the day.
Let your doctor know about any cough, or throat irritation that does not go away.
It may increase the level of potassium in blood. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

Fact Box

Chemical Class

Dipeptides

Habit Forming

Therapeutic Class

CARDIAC

Action Class

Angiotensin-converting enzyme (ACE) inhibitors

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FAQs

What is Enavas 20mg Tablet? What is it used for?

Enavas 20mg Tablet 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.

Does Enavas 20mg Tablet cause excessive urination? Can it cause kidney damage?

No, Enavas 20mg Tablet does not cause excessive urination (loss of water through urine). The use of Enavas 20mg Tablet may not affect normally functioning kidneys. However, damage to the kidneys may occur when Enavas 20mg Tablet 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.

Can use of Enavas 20mg Tablet affect my liver?

In rare cases, Enavas 20mg Tablet 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.

Is it safe to use Enavas 20mg Tablet along with hydrochlorthiazide?

You have to be careful when taking Enavas 20mg Tablet 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 Enavas 20mg Tablet. 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 Enavas 20mg Tablet in very low doses when used in combination with hydrochlorothiazide.

I am taking ibuprofen for arthritis, is it safe to take Enavas 20mg Tablet along with it?

You should avoid taking ibuprofen and Enavas 20mg Tablet together since there is a risk of kidney damage. Also, this combined usage may reduce the effectiveness of Enavas 20mg Tablet. Consult your doctor for an alternative to ibuprofen.

How long does it take for Enavas 20mg Tablet to start working?

Enavas 20mg Tablet starts reducing blood pressure within few hours. However, it may take few weeks to see full benefits. You may not notice any difference after taking Enavas 20mg Tablet for high blood pressure, it can only be noticed when you get your blood pressure checked. So, keep taking the medicine to feel better. If you are taking Enavas 20mg Tablet for heart failure, it may take few weeks to months before you start feeling better.

How long do I need to take Enavas 20mg Tablet?

You may have to take Enavas 20mg Tablet for long time (even for life time), until and unless any serious side effect starts bothering and deters you from taking it. However, do not stop taking it without the advice of your doctor.

What can happen if I suddenly stop taking Enavas 20mg Tablet?

You should not stop taking Enavas 20mg Tablet without consulting your doctor. Doing this can suddenly increase your blood pressure which may cause a risk of heart attack or stroke. If you experience any side effects, talk to your doctor who will prescribe you another medicine.

Is it safe to take Enavas 20mg Tablet for a long time?

Yes, Enavas 20mg Tablet is generally well tolerated by most people and can be taken for long term. However, its long-term use can sometimes cause your kidneys to not work properly. Your doctor will get regular blood tests done to check whether your kidneys are functioning properly or not.

Can I take Enavas 20mg Tablet before surgery?

Inform your doctor that you are taking Enavas 20mg Tablet, before surgery, especially when the use of general anesthetic (to put you to sleep) is recommended. This is done because Enavas 20mg Tablet can reduce your blood pressure when it is used with an anesthetic. Hence, your doctor may advise you to stop taking Enavas 20mg Tablet 24 hours before surgery.

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References

Hilal-Dandan R. Renin and Angiotensin. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 733.
Benowitz NL. Antihypertensive Agents. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 182.
Pfeffer MA, Opie LH. Inhibitors of the Renin-Angiotensin-Aldosterone System. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 141-42.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 463.
Enalapril. Greenwood Village, Colorado: Silvergate Pharmaceuticals, Inc.; 1985 [revised Jan 2016]. [Accessed 18 Mar. 2019] (online) Available from:
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 18 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). Enalapril. [Accessed 18 Mar. 2019] (online) Available from:

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