The drug "Berlipril" (tablets) are prescribed for arterial hypertension, heart failure. The active substance is enalapril maleate.
The medicine causes a lowering of the arterialpressure without a compensatory increase in heart rate. When taking the drug there is a decrease in peripheral vascular resistance. The drug helps to increase exercise tolerance, reduce hypertrophy in the left ventricle, improve intracellular blood flow in the kidneys.
The duration of the effect depends on the amountaccepted drug. When used in recommended dosages, the hemodynamic and antihypertensive effects persist for twenty-four hours.
Removal of the drug "Berlipril" is mainly carried out with urine.
Eating does not affect the absorption of the active ingredient. The dosage of the drug "Berlipril" instructions for use recommends that you select for each patient individually.
In hypertension, the initial amountThe drug ranges from five to twenty milligrams per day. In a mild degree of pathology prescribed from 5 to 10 mg. In patients with renal hypertension, decompensated cardiac activity, electrolyte imbalance during therapy, a significant decrease in pressure is likely. In this case, systematic monitoring of the patient’s condition and the administration of a dosage of less than 5 mg is necessary.
If before prescribing the medicine "Berlipril"the patient was taking high doses of diuretics, hypovolemia may occur at the beginning of treatment. Subsequently arterial hypotension develops. In this case, the drug "Berlipril" instructions for use recommends prescribing in the lowest dosage (less than five milligrams) and stop taking diuretics for two or three days before starting therapy. In the course of treatment, it is necessary to systematically monitor the activity of the kidneys and the indicator of potassium in the plasma.
As a maintenance therapy, the drug "Berlipril" instructions for use recommends prescribing 20 mg daily. The maximum dose per day is forty milligrams.
When treating patients with asymptomatic dysfunctionIn the left ventricle and heart failure, the medicine "Berlipril" is recommended by the instruction to be prescribed in addition to beta-adrenoreceptor blockers, digitalis preparations, or diuretics. The initial dose in these cases is 2.5 milligrams.
Treatment should begin only under control.specialist. If there is no symptomatic hypotension or its manifestations are short-lived, a gradual increase in the dose to twenty milligrams is allowed. This amount can be taken by the patient at one or two times per day.
Before and during the first days of therapy, kidney activity and blood pressure indicators should be monitored.
Лекарство "Берлиприл" инструкция по применению не admits to the appointment in the presence of angioedema in the history of the disease. The drug is not recommended for hypersensitivity to it, as well as during lactation and pregnancy.
Among the most common sidemanifestations should be distinguished dizziness, hypotension (orthostatic including), heart attack, irregular heart rhythm, tachycardia, chest pain. Taking the medication can provoke dry cough, shortness of breath, abdominal pain, diarrhea, angioedema, skin rash, asthenia, increased fatigue, hyperkalemia, increased creatinine levels, changes in taste, and anorexia.
If these and other negative reactions appear, you should consult a doctor.
Before using the tool "Berlipril" is recommended to read the instructions.
