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Bitensil (Enalapril)

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Bitensil is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to help prevent people with a certain heart problem (left ventricular dysfunction) from developing heart failure. Bitensil belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily.

Other names for this medication:
Acetensil, Angiotec, Bidinatec, Cetampril, Controlvas, Converten, Corvo, Enalafel, Enalagamma, Enalaprol, Enalich, Enapril, Enaprotec, Enecal, Enpril, Iecatec, Intonis, Istopril, Laprilen, Maxen, Nalabest, Pressitan, Reminal, Supotron, Tencas

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Avapro, Compazine, Aceon, Allegra, Levothroid, Prevacid, Rebetol, Zanaflex, Duricef, Avana, Unicycline, Maintate, Antacal, Amirone, Imprax, Amodipin,

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Also known as: Enalapril


Bitensil (enalapril) is an ACE inhibitor. ACE stands for angiotensin converting enzyme.

Bitensil is used to treat high blood pressure (hypertension) in adults and children who are at least 1 month old.

Bitensil is also used to treat congestive heart failure in adults.

Bitensil is also used to treat a disorder of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart). This disorder can decrease the heart's ability to pump blood to the body.


Usual Adult Dose for Hypertension:

Initial dose: 5 mg orally once a day Maintenance dose: 10 to 40 mg orally per day as a single dose or in 2 divided doses Maximum dose: 40 mg orally daily as a single dose or in 2 divided doses In combination with diuretics: Initial dose: 2.5 mg orally once a day If feasible, the diuretic should be discontinued 2 to 3 days prior to initiation of therapy with enalapril. If required, diuretic therapy may be gradually resumed.

Usual Adult Dose for Congestive Heart Failure:

Initial dose: 2.5 mg orally once a day Maintenance dose: 2.5 to 20 mg daily in 2 divided doses Maximum dose: 40 mg orally per day in 2 divided doses Comments: -Treatment is usually combined with diuretics and digitalis. -Doses should be titrated upward, as tolerated, over a period of a few days or weeks.

Usual Adult Dose for Left Ventricular Dysfunction:

Initial dose: 2.5 mg orally twice a day Maintenance dose: 20 mg orally per day in 2 divided doses Comments: -After the initial dose, the patient should be observed for at least 2 hours and until blood pressure has stabilized for at least an additional hour. -If possible, the dose of any concomitant diuretic should be reduced which may diminish the likelihood of hypotension.

Usual Pediatric Dose for Hypertension:

Children 1 month to 17 years: Initial dose: 0.08 mg/kg/day (up to 5 mg) in 1 to 2 divided doses. Adjust dosage based on patient response. Maximum dose: Doses greater than 0.58 mg/kg (40 mg) have not been evaluated in pediatric patients. Comment: -Not recommended in neonates and in pediatric patients with glomerular filtration rate less than 30 mL/min, as no data are available.

Detailed Bitensil dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.


Store at room temperature below 30 degrees C (86 degrees F) away from moisture and heat. Keep container tightly closed. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Bitensil are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


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