Instructions for use "Anapa"

The drug "Enap" is available in the form of tablets dosage of 2.5 mg, 5 mg, 10 mg and 20 mg Single dose depends on the blood pressure and adjusted in the course of treatment.

The initial dosage for hypertension is 5-10 mg "Anapa" 1 times a day. In the absence of the desired result after 1 week the dosage may be increased to 10-20 mg, in severe cases – up to 40 mg per day.

In the treatment of renovascular hypertension and any renal impairment, the initial dose is 2.5 mg. Further dosage is established in accordance with the needs and well-being of the patient. The maximum daily dose in this case is 20 mg.

In the treatment of chronic heart failure initial dose "Anapa" is 2.5 mg. Further, if necessary, it can increase. Consider the following scheme for the adjustment of the daily dose: 4-7 days 5 mg daily for 2 doses, for 7-13 days – 10 mg daily for 1-2 times, then within 2 weeks, 20 mg in 1-2 reception.
The drug is taken regardless of meals, every day at the same time. Tablets swallowed whole, washed down with water.

Contraindications and cautions

The drug is contraindicated in high sensitivity to its components, in particular, to the enalapril, and porphyria and the picture of the disease cases of angioedema. The drug is not prescribed during pregnancy and lactation, children under 18 years of age.

With be should take the drug to people with diseases of the heart, kidneys, disorders of cerebral circulation, reduction of blood volume. Also be wary appoint "Enap" when taking immunosuppressants, patients on dialysis and people over 65.
If overdose can cause hypotension.

Side effects

In the treatment of drug "Enap" can be side effects in the form of cough, shortness of breath, arrhythmias, weakness, dizziness, fatigue, nausea, abdominal pain, diarrhoea, muscle spasms. Sometimes there can be reactions such as skin rash and bronchospasm.


The drug "Enap" contributes to the mild decrease in blood pressure. According to the reviews, especially effective drug helps to overcome the crisis of hypertension in the elderly. When you receive the tool, it should be remembered that therapy will be effective only if properly selected dosage.

During treatment necessary to monitor the pressure level and keep it down to only the desired mark. To begin therapy "Anupam" should be the minimum dose. Increase the dosage in the absence of the desired effect. In the treatment of "Anupam" it should be remembered that this drug might interact with other medications.