"Enap" or "Enalapril": what is better? Instructions for use "Enapa", price, reviews

In recent years, more and more people complain of increased blood pressure. In order to reduce it, doctors prescribe pills. Their huge variety is sometimes just confusing. Among this large number of more often in pharmacies asked "Enap" or "Enalapril."

And then everyone has a question: "What are the differences between these two drugs?" "Enap" or "Enalapril" - which is better?

What is the difference between Enap and Enalapril?

Enalapril is the active substance of the drug, and Enap is the trade name. This drug belongs to the group of angiotensin converting enzyme inhibitors. Angiotensin is a hormone from a protein structure with different forms. The fact is that angiotensin causes vasospasms and in the shortest time can lead to diseases of the cardiovascular system. Tablets "Enalapril" suppress the development of heart disease. Only prescribe medicine should the doctor, based on your indicators.

Enalapril tablets are widely used. They are helping:

• Lower blood pressure.
• Reduce the frequency of angina attacks.
• Prevent the development of heart attack and cardiac arrhythmias.

Enap: application

Assign the drug "Enap" with essential and renovascular arterial hypertension and heart failure. This medication also helps patients with severe clinical insufficiency and asymptomatic left ventricular dysfunction. The medicine is shown in this case, since it can slow the progression of the disease.

Also, "Enap" indications for use is as follows: with ischemic disease, the drug perfectly reduces the incidence of stroke and heart attack, well helps with angina pectoris.

How do drugs work?

At the time when "Enap" or "Enalapril" enter the body, hydrolysis of the main component occurs, resulting in the formation of enalaprilate - an active metabolite. This component inhibits the activity of enzymes, and as a result, there is a violation of angiotensin transformation. These drugs help to expand blood vessels, significantly reduce the level of aldosterone in the blood.

When the drug is administered orally, the blood pressure level decreases , but not dramatically, but gradually. Changes in heart rate are not observed.

Also, with admission, the renal blood flow increases, and kidney function improves significantly. These medicines prevent the progression of diabetic nephropathy. If you take "Enalapril" systematically, it improves the quality of life in people with arterial hypertension and reduces the number of deaths in heart failure.

It has no negative effect on fat and carbohydrate metabolism, does not cause a breakdown in sexual function. The effect of the drug does not depend on the sex and age of the person, the concentration of renin in the blood and the presence of a bad habit - smoking.

How to apply the drug?

Now about how to use "Enap". Tablets are taken without chewing, regardless of food intake. With arterial hypertension, it starts with 5 mg per day, but depending on the condition and the doctor's prescription, the dose can be increased to 20 mg. And in the most difficult cases - and up to 40 mg.

With heart failure begin taking with 2.5 mg, but the dosage can be increased depending on the degree of the disease.

In those patients who took diuretics, especially if their dose was high, taking Enapa can reduce the volume of circulating blood, which can lead to hypertension. That's why such patients should not exceed the dose of 5 mg per day.

But for those with chronic renal failure, the dose should be selected, relying on the level of creatinine. If it is 30 ml / min, then you can prescribe Enalapril tablets in the amount of 5 mg per day, and if the level is lower than this figure, then you should start with 2.5 mg.

Enap for children

Most parents are interested in whether it is possible for children to take Enap or Enalapril. What is better and what to choose from?

For each child it is necessary to select the dose of the drug individually, depending on what disease and what its degree. Also it is necessary to take into account the level of arterial pressure and the tolerance of the medicine to the body. For children weighing between 20-50 kg, the daily dose is 2.5 mg. And if the weight is more than 50 kg, then you can start with 5 mg per day.

As for which of the two drugs to choose, there is no difference. If you decide to purchase "Enap", the price will be slightly higher. What medicine is worth choosing, the doctor will tell you.

Enalapril: contraindications

Choose among the two drugs - "Enap" or "Enalapril" - which is better, will not be difficult. The main thing is that before taking pills, it is necessary to get acquainted with contraindications.

Contraindications for drugs are very few, but they should pay attention to: this is the sensitivity to enalapril or its metabolite - enalaprilat. There were also cases when the patient had angioedema and porphyria during admission.

Side effects of Enalapril

It is necessary to read not only about how to take and what contraindications to the use of the drug "Enalapril". He also has side effects, and there are many of them. About them you need to know that if they manifest lower dose or stop taking medication. When taking the drug may manifest such symptoms:

• Arterial blood pressure drops sharply;
• Nausea and headache;
• Angina pectoris;
• dizziness;
• Heart attack and arrhythmia;
• Weakness and insomnia;
• Anxiety;
• fast fatiguability;
• noise in ears;
• Dry mouth, etc.

Before taking the drug "Enalapril", side effects should be studied in order to stop receiving it and not to aggravate your condition in such cases.

Admission during pregnancy

Women who are only going to become mothers, it is better not to take the drug "Enap". And those who have become pregnant, you need to choose the right tactic for the reception of the remedy. In the II and III trimesters, the use of this drug is generally prohibited. After the woman has given birth and will feed the baby with a breast, medicament is also not prescribed. And if you still can not do without it, you need to regularly check the blood pressure level, check the blood potassium content and kidney function of the baby, whose mother is breastfeeding while taking the drug "Enap".

Form release of drugs

As we said in our article, one drug is no different from the other, they both have one active substance - enalapril. Therefore, to answer the question of interest to many: "Enap" or "Enalapril" - which is better? "- it will not be difficult. Both of these medicines are good, and the form of release they are also the same, with the dosage problems should not be. Issue "Enap" and "Enalapril" in tablets containing from 2.5 and up to 20 mg of the active substance.

The difference between these two drugs is small, but still it is, and the most significant - in price.

Cost of medicine

The main thing that worries many patients is the price of the drug, because it often happens that the treatment takes place in a complex, and this is quite expensive and not always affordable for everyone. As for the drugs "Enap" and "Enalapril", their cost is not too high and will appeal to consumers.

The price for "Enap" ranges from 100 to 400 rubles, depending on the manufacturer and the amount of active substance. Domestic drugs are much cheaper than imported drugs, and there is no difference: the effect of both is simply excellent. But "Enalapril" costs several times cheaper - from 20 to 80 rubles. The cost of both these drugs is low, so almost all patients are satisfied.

Analogues of "Enalapril"

If suddenly there is no this medicine in the pharmacy, then how to replace "Enalapril"? There is a huge list of similar drugs. In addition, most of them in the composition there are other additional components that enhance the effectiveness of the basic substance.

The majority of buyers are happy with the price on Enalapril. Analogues can cost several times more, within 100 rubles, but due to the fact that they have more additional components that increase efficiency. Here in this case, many do not pay attention to the difference in price.

The main analogues of "Enalapril" are:

• Enam.
• "Vasolapril".
• "Enarenal".
• "Envas".
• Invor.
• "Bagopril";
• «Renitek».
• "The Korandil."

This is not a complete list, in fact, there are many good analogues to this drug, and each patient can choose the one that is more suitable for him. All analogs help block the production of angiotensin and significantly reduce the stress of the blood vessels and all organs of the cardiovascular system. Each of the drugs listed has its own individual characteristics, but the indications for use are practically the same.

The analogues existing for the medicine "Enap" are identical in composition. You can add a few more, which are available for the price, and are very good in efficiency:

• "Berlipril 10 or 20".
• "Renipril".

Each of these drugs is good in its own way, but they also contain additional components that increase the effectiveness of medicines. Choose from this huge list for tablets "Enap" analogs and replacement will not be a big deal. And you still have to choose, because each person has different illnesses, and the sensitivity to the components of the medicine is individual. Make this difficult choice will help you your doctor.

Interaction with other drugs

The medicine can be used before or after a meal, as is convenient for the patient. With the reception of "Enalapril" hypotensive effectiveness of nitrates, potassium ions, prazosin is observed. NSAIDs significantly reduce its positive effect.

The simultaneous use of this drug and diuretics with potassium content often leads to the development of hyperkalemia.

This drug reduces the level of lithium clearance, reduces the period of excretion of theophylline. "Cimetidine", on the contrary, increases the output.

The threat that arterial hypotension may develop in a short time , increases if the patient is anesthetized, or if he took alcoholic beverages. That is why it is better to refuse alcohol intake.

What is still better?

To answer unambiguously the question: "Enap" or "Enalapril" - what is better? "- will be very difficult, because both of these drugs have one active substance. There is no difference between the two drugs. Perhaps the only difference is in price. But, as practice has shown, each patient chooses for himself the drug that came up to him personally.

Each of these drugs, although there is one active substance, but the additional components are different, which means that in each individual case, two almost identical means can act differently. Therefore, you must carefully choose the drug.

Reviews

As for opinions about the drugs "Enap" and "Enalapril", most patients who personally tried the effects of these drugs themselves, speak of them only positively.

People with unstable blood pressure are also very happy with these two drugs, as they quickly and, most importantly, gently reduce the increased pressure, and then keep it at an optimal level for a long time.

Even mothers who give these medicines to children tell that if they do not exceed the dose, then "Enap" is a great help in the most difficult cases.

Enalapril has a lot of side effects, but if you do not take the dose and take into account all the nuances of your disease, you can avoid them.