Land: Armenien
Sprog: engelsk
Kilde: Դեղերի և բժշկական տեխնոլոգիաների փորձագիտական կենտրոնի գործունեության Հայաստանի Հանրապետությունում
enalapril (enalapril maleate), hydrochlorothiazide
Artesan Pharma GmbH & Co. KG
enalapril (enalapril maleate), hydrochlorothiazide
20mg+12,5mg
tablets
Prescription
_Ena+HCT-Denk 20/12.5_ Tablet – oral use Combination of an angiotensin-converting enzyme in hibitor and a diuretic Active ingredients: Enalapril + hydrochlorothiazide Package leaflet: Information for the patient READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START TAKING THIS MEDICINE BECAUSE IT CON- TAINS IMPORTANT INFORMATION FOR YOU. – Keep this leaflet. You may need to read it again. – If you have any further questions, ask your doctor or pharmacist. – This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. – If you get any side effects talk to your doc- tor or pharmacist. This includes any pos- sible side effects not listed in this leaflet. See section 4. In this leaflet: 1. WHAT ENA+HCT-DENK IS AND WHAT IT IS USED FOR 2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE ENA+HCT-DENK 3. HOW TO TAKE ENA+HCT-DENK 4. POSSIBLE SIDE EFFECTS 5. HOW TO STORE ENA+HCT-DENK 6. CONTENTS OF THE PACK AND OTHER INFORMATION 1. What Ena+HCT-Denk is and what it is used for ENALAPRIL belongs to a group of medicines called angiotensin converting enzyme inhibitors (ACE in- hibitors) and lowers blood pressure by widening the blood vessels. HYDROCHLOROTHIAZIDE belongs to a group of drugs called diuretics (“water tablets”) and lowers blood pressure by increasing urine output. Ena+HCT-Denk contains a combination of enal- april and hydrochlorothiazide and are used as a treatment for high blood pressure when treat- ment with enalapril as a single agent on its own has proven insufficient. Your doctor may also prescribe Ena+HCT-Denk in- stead of separate tablets of the same doses of enal- april and hydrochlorothiazide. This fixed dose combination is not suitable for initial therapy. 2. Before you take Ena+HCT-Denk Do not take Ena+HCT-Denk: • if you are allergic to enalapril maleate, hydro- chlorothiazide or any of the other ingredients of this medicine (listed in section 6). • if you are allergic (hypersensitive) to sulpho na- mide-derived medicin Læs hele dokumentet
1 SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCT Ena+HCT-Denk 20/12.5 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Active substances: Enalapril and hydrochlorothiazide Each tablet contains 20 mg enalapril maleate and 12.5 mg hydrochlorothiazide. Excipient with known effect : lactose monohydrate For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Tablet White, round, tablets that are scored on one side, with lateral notches. The score line is only to facilitate breaking for ease of swallowing and not to divide into equal doses. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Treatment of essential hypertension. This fixed dose combination is indicated in patients whose blood pressure is not adequately controlled with enalapril alone. This fixed dose may also replace the combination of 20 mg enalapril maleate and 12.5 mg hydrochlorothiazide in patients who have been stabilised on the individual active substances given in the same proportions as separate medications. This fixed dose combination is not suitable for initial therapy. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Ena+HCT-Denk 20/12.5 can be administered in a single dose/day with or without food. Individual dose titration with both active substances can be recommended. When clinically appropriate, direct change from ACE inhibitor monotherapy to the fixed combination may be considered. _DOSAGE IN PATIENTS WITH NORMAL RENAL FUNCTION _ The usual dosage is one tablet, taken once daily. _DOSAGE IN RENAL INSUFFICIENCY _ Creatinine clearance greater than 30 ml/min: The dose of enalapril should be titrated in patients with renal impairment whose creatinine clearance is ≥ 30 ml/min before switching to the fixed combination. Loop diuretics are preferred to thiazides in this population. The dose of enalapril maleate and hydrochlorothiazide should be kept as low as possible (see section 4.4). Potassium and creatinine should be monitored periodically in these patients, e.g. every 2 months when the treatment has been stabilis Læs hele dokumentet