Enalapril-felodipine Oral Tablet

ENALAPRIL; FELODIPINE (e NAL a pril; fe LOE di peen) is a combination of two drugs. It is used to treat high blood pressure.

This drug can cause serious side effects. See which side effects you should report to your doctor right away.

Know how to use your medication, and learn what might happen if you miss a dose.

Talk to your healthcare provider if you have any of these conditions.

Know what to watch for and get tips for reducing your risks while taking this drug.

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• breathing problems
• chest pain
• decreased amount of urine passed
• dry cough
• fast, irregular, pounding heartbeat
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• stomach pain
• swelling of your ankles, legs

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• drowsiness or dizziness
• facial flushing
• headache

Do not take this medicine with any of the following medications:

• alfuzosin
• grapefruit juice

This medicine may also interact with the following medications:

• cimetidine
• diuretics
• erythromycin
• lithium
• medicines for fungal infections like fluconazole, itraconazole, ketoconazole, voriconazole
• medicines for high blood pressure
• medicines for seizures like carbamazepine, phenobarbital, or phenytoin
• NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
• potassium supplements
• tacrolimus

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Swallow whole. Do not crush, break or chew. Take this medicine regularly either on an empty stomach or with a light meal. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on the advice of your doctor or health care professional.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

They need to know if you have any of these conditions:

• bone marrow disease
• heart or blood vessel disease
• if you are on a special diet, such as a low salt diet
• immune system disease like lupus
• kidney or liver disease
• low blood pressure
• previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat
• an unusual or allergic reaction to enalapril, felodipine, other medicines, insect venom, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure as directed. Ask your doctor or health care professional what your blood pressure should be and when you should contact him or her. Call your doctor or health care professional if you notice an irregular or fast heart beat.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.

If you are going to have surgery, tell your doctor or health care professional that you are taking this medicine.

Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information.

Check with your doctor or health care professional if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of too much body fluid can make it dangerous for you to take this medicine.

Avoid salt substitutes unless you are told otherwise by your doctor or health care professional.

Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.

This medicine can cause dental problems for some patients. Clean and floss your teeth carefully and regularly. Check with your dentist if your gums get swollen or inflamed and have the dentist clean your teeth regularly.

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from moisture and light. Keep container tightly closed. Throw away any unused medicine after the expiration date.