Medical Editor: John P. Cunha, DO, FACOEP
Epaned (enalapril) Powder for Oral Solution is an antihypertensive medication used to treat high blood pressure (hypertension). Common side effects of Epaned include fatigue, dizziness, spinning sensation, lightheadedness, weakness, cough, and rash.
The recommended initial dose of Epaned in adults is 5 mg once a day, which is adjusted up to a maximum of 40 mg daily as needed to help achieve blood pressure goals. Epaned may interact with nonsteroidal anti-inflammatory drugs (NSAIDs), angiotensin receptor blockers, ACE inhibitors, aliskiren, diuretics, potassium supplements, potassium-containing salt substitutes, lithium, and injectable gold. Tell your doctor all medications and supplements you use. Epaned is not recommended for use during pregnancy. It can harm a fetus. This drug passes into breast milk. Consult your doctor before breastfeeding.
Our Epaned (enalapril) Powder for Oral Solution Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
The following adverse reactions are described elsewhere:
- Angioedema [see WARNINGS AND PRECAUTIONS]
- Hypotension [see WARNINGS AND PRECAUTIONS]
- Hepatic failure [see WARNINGS AND PRECAUTIONS]
- Renal impairment [see WARNINGS AND PRECAUTIONS]
- Hyperkalemia [see WARNINGS AND PRECAUTIONS]
Clinical Trials Experience
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.
Enalapril has been evaluated for safety in more than 10,000 patients, including over 1,000 patients treated for one year or more.
Adverse reactions (where rate on enalapril exceeds the rate on placebo by at least 0.2%) occurring in greater than 1% of patients with hypertension treated with enalapril in controlled clinical trials are shown below. In patients treated with enalapril, the maximum duration of therapy was three years; in placebo treated patients, the maximum duration of therapy was 12 weeks.
Adverse Reactions Occurring in Greater Than 1% of
Patients With Hypertension
|Enalapril Maleate Tablets
(n = 2314) Incidence (discontinuation)
(n = 230) Incidence
|Body As A Whole|
|Fatigue||3.0 ( < 0.1)||2.6|
|Orthostatic Effects||1.2 ( < 0.1)||0.0|
Adverse reactions seen in clinical trials of heart failure were similar to those seen in clinical trials for hypertension. In patients treated for heart failure, there was an increased incidence of hypotension 6.7 percent versus 0.6 percent in placebo and dizziness 7.9 percent versus 0.6 percent in placebo.
Other Adverse Reactions From Clinical Studies Or Postmarketing Experience
The following adverse reactions have been reported in clinical studies or postmarketing experience with enalapril. Because some of these reactions were reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.
Other serious clinical adverse experiences occurring since the drug was marketed or adverse experiences occurring in 0.5 to 1.0% of patients with hypertension or heart failure in clinical trials are listed below and, within each category, are in order of decreasing severity.
Cardiovascular: Cardiac arrest; myocardial infarction or cerebrovascular accident, possibly secondary to excessive hypotension in high risk patients [see WARNINGS AND PRECAUTIONS]; pulmonary embolism and infarction; pulmonary edema; rhythm disturbances, including atrial tachycardia and bradycardia; atrial fibrillation; palpitation; Raynaud's phenomenon.
Musculoskeletal: Muscle cramps.
Skin: Exfoliative dermatitis, toxic epidermal necrolysis, Stevens-Johnson syndrome, pemphigus, herpes zoster, erythema multiforme, urticaria, pruritus, alopecia, flushing, diaphoresis, photosensitivity.
Miscellaneous: A symptom complex has been reported which may include some or all of the following: a positive ANA, an elevated erythrocyte sedimentation rate, arthralgia/arthritis, myalgia/myositis, fever, serositis, vasculitis, leukocytosis, eosinophilia, photosensitivity, dermatologic manifestations.
Read the entire FDA prescribing information for Epaned (Enalapril Powder for Oral Solution)
© Epaned Patient Information is supplied by Cerner Multum, Inc. and Epaned Consumer information is supplied by First Databank, Inc., used under license and subject to their respective copyrights.