Sign Out
Renal function should be evaluated prior to initiation of enalapril therapy, and the drug should be used with caution in patients with renal impairment, sodium depletion or hypovolemia, receiving diuretics, and those undergoing dialysis since severe hypotension may occur. Risk for excessive hypotension sometimes associated with oliguria and/or progressive azotemia.
Enalapril should be used with caution and renal function monitored closely for the first few weeks of therapy in patients with renal-artery stenosis.
Enalapril should be administered with caution in patients with obstruction in the outflow tract of the left ventricle (e.g., aortic stenosis, hypertrophic cardiomyopathy).
Congestive heart failure, history of; risk for excessive hypotension sometimes associated with oliguria and/or progressive azotemia, and rarely with acute renal failure.
Hyperkalemia has been reported; increased risk with renal disease, diabetes, and concomitant use of potassium supplements, potassium containing salt substitutes, and potassium-sparing diuretics.
