Significant increase in serum potassium levels with potassium supplements and potassium
sparing diuretics.Lithium toxicity in patients receiving Lithium concomitantly.  Alcohol, barbiturates,
narcotics potentiate orthostatic hypotension. Dosage adjustment of antidiabetic drugs        
needed. Potentiation of action of other antihypertensives, corticosteroids, ACTH.

 

Hypertension

Syncope, chest pain, abdominal pain, orthostatic hypotension, palpitation, tachycardia, GI
symptoms, insomnia, nervousnessness,parathesias, vertigo, skin rash, dyspnoea, gout,  
arthalgia,tinnitus, decreased libido, cough.

 

Hypersens, anuria, aortic stenosis, outflow obstruction, pregnancy, lactation, hepatic cirrhosis.

Special precaution:
Renal impairment, anaesthesia, concomittant potassium supplements and potassium sparing
diuretics, hypovolemic patients, diuretic therapy.

 

Hyperetension


Adult-
Hyperetesion-
Enalapril  mal 10mg + hydrochlorthiazide 25mg
1/2 to 1 tablet daily
Elderly- cautious use

Chronic heart failure-
1/2 to 1 tablet daily
Elderly- cautious use