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ENALAPRILAT-INJECTABLE (cont.)

PRECAUTIONS: This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: history of an allergic reaction which included swelling of the face/lips/tongue/throat (angioedema). Tell your doctor your medical history, especially of: kidney problems, liver problems, heart problems, low sodium (hyponatremia) or swelling problems, diabetes, dehydration, any allergies (especially to other ACE inhibitor drugs such as captopril or lisinopril). This drug may make you dizzy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position. Consult your doctor before using salt substitutes or low-salt products. A preservative (benzyl alcohol) which may be found in this product or in the liquid used to mix this product (diluent) can infrequently cause serious problems (sometimes death), if given in large amounts (more than 100 mg/kg daily) to an infant during the first months of life (neonatal period). The risk is also greater with low birth weight infants. Symptoms include sudden gasping, low blood pressure, or a very slow heartbeat. Report these symptoms to the doctor immediately should they occur. If possible, a preservative-free product should be used when treating neonates. This medication is not recommended for use during pregnancy. Consult your doctor for more details. This medication passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medication you may use, especially: "water pills" (potassium-sparing diuretics such as amiodarone, spironolactone, and triamterene and non-potassium-sparing diuretics such as furosemide or hydrochlorothiazide), potassium supplements, NSAIDs (e.g., ibuprofen, indomethacin, naproxen), lithium, trimethoprim-containing medications (e.g., sulfamethoxazole/trimethoprim), azathioprine, other drugs for high blood pressure. Do not start or stop any medicine without doctor or pharmacist approval.




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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


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