Enalapril blocks the conversion of angiotensin I to angiotensin II and prevents the degradation of vasodilator prostaglandins, thereby inhibiting systemic vasoconstriction, regulated by angiotensin II, and promoting systemic vasodilation.

Manage high blood pressure (hypertension): high blood pressure is a common condition in which the long-term force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease.

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
Swallow the tablet with a drink of water.
Do not crush or chew the tablets.
Doses may be changed in special conditions so always follow your doctor's or pharmacist's instructions.
If you take more than you should, talk to a doctor or go to the hospital straight away.
If you forget to take a dose, take it as soon as you remember it unless it is nearly time for your next dose.
Do not take a double dose (two doses at the same time) to make up for the forgotten dose.

Headache or feeling tired
Feeling dizzy. This is more likely to happen when you start taking Enalapril or start taking a higher dose
Fainting, hypotension (abnormally low blood pressure), especially when you stand or sit up quickly
Dry tickly cough, inflammation of your sinuses (sinusitis) or bronchitis, shortness of breath
Stomach or gut pain, diarrhea, indigestion, feeling, or being sick
Skin rash with or without raised area
Chest pain
Cramps or pain in your muscles
Blood tests show more potassium than usual in your blood.
Balance problems (vertigo)
Itching and unusual skin sensations such as numbness, tingling, pricking, burning, or creeping on your skin (paresthesia)
Loss or change in the way things taste
Sleep problems
Feeling depressed, anxious, more nervous than usual, or restless
Blocked nose, difficulty breathing, or worsening of asthma
Swelling in your gut which is called “intestinal angioedema” presenting with symptoms like abdominal pain, vomiting, and diarrhea.

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

You will also find the following Non-Pharmacological treatments effective in blood pressure reduction:

Lose extra pounds and watch your waistline
Exercise regularly
Eat a healthy diet
Reduce sodium in your diet
Quit smoking
Reduce caffeine
Reduce your stress
Monitor your blood pressure at home using for example Beurer, Blood Pressure Monitor or Omron Blood Pressure Measuring Device
See your doctor regularly

If you have heart, liver, or kidney problems
If you have lost a lot of body salts or fluids through being sick (vomiting), having diarrhea, sweating more than usual, being on a low salt diet, taking diuretics for a long time
If you are taking any of the following medicines used to treat high blood pressure: an angiotensin II receptor blocker (ARBs), aliskiren.

Store below 25°c
Don’t refrigerate
Keep this medicine out of the sight and reach of children.
Store in the original package to protect from moisture.
Do not use this medicine after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.

Normal: Blood pressure numbers of less than 120/80 mm Hg
Elevated: is when readings consistently range from 120-129 systolic and less than 80 mm Hg diastolic.
Hypertension Stage 1: is when blood pressure consistently ranges from 130-139 systolic or 80-89 mm Hg diastolic.
Hypertension Stage 2: is when blood pressure consistently ranges at 140/90 mm Hg or higher.
Hypertensive crisis: This stage of high blood pressure requires medical attention. If your blood pressure readings suddenly exceed 180/120 mm Hg, wait five minutes and then test your blood pressure again. If your readings are still unusually high, contact your doctor immediately. You could be experiencing a hypertensive crisis.

Renitec, Enalapril Maleate, 10 Mg - 28 Tablets

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