Nuril 10 Tablet
Product Info
| Prescription required | Yes |
| Marketer | USV Ltd |
| Active Ingredient | Enalapril (10mg) |
| Storage | Store below 30°C |
| Chemical Class | Dipeptides |
| Habit Forming | No |
| Therapeutic Class | CARDIAC |
| Action Class | Angiotensin-converting enzyme (ACE) inhibitors |
| User Rating | 4.9 |
| User Reviews | 364 |
FAQ
Does Nuril 10 cause excessive urination? Can it cause kidney damage?
No, Nuril 10 does not cause excessive urination (loss of water through urine). The use of Nuril 10 may not affect normally functioning kidneys. However, damage to the kidneys may occur when Nuril 10 is given with a diuretic (water pill, a medicine that increases the urine output). In such a case, either the diuretic should be discontinued or its dose should be reduced. If you have severe heart failure or your kidneys are already affected then there is a risk of kidney failure. However, timely and appropriate treatment can reverse the damage caused to kidneys.
Can use of Nuril 10 affect my liver?
In rare cases, Nuril 10 may cause yellowing of skin and eyes, loss of appetite and an increase in liver enzymes. It can also cause considerable damage to the liver and even death. Therefore, if you experience any such symptoms, call your doctor immediately.
Is it safe to use Nuril 10 along with hydrochlorthiazide?
You have to be careful when taking Nuril 10 with hydrochlorothiazide, as it can further decrease your blood pressure. You may also develop symptoms of kidney failure, such as a reduced amount of urine, swelling of your legs, ankles, and feet from retention of water. While some may experience unexplained shortness of breath, excessive drowsiness or fatigue, persistent nausea, confusion, pain or pressure in your chest and seizures (fits). These symptoms usually occur if there is substantial water or salt loss prior to starting Nuril 10. Therefore, if you face any such issues contact your doctor who will either advise you to discontinue hydrochlorothiazide or give a lower dose. The doctor may also advise you Nuril 10 in very low doses when used in combination with hydrochlorothiazide.
What can happen if I suddenly stop taking Nuril 10?
You should not stop taking Nuril 10 without consulting your doctor. Doing this can suddenly increase your blood pressure which may cause a risk of heart attack or stroke. If you experience any side effects, talk to your doctor who will prescribe you another medicine.
What is Nuril 10? What is it used for?
Nuril 10 belongs to a group of medicines known as angiotensin-converting enzyme (ACE) inhibitors. It relaxes and widens the blood vessels, making it easier for the blood to pass through the vessels. As a result of this, the heart does not have to work more to push the blood. Since the workload on the heart is reduced, it helps to lower the blood pressure and thus reduces the risk of heart attack and stroke. It is also used for the treatment and prevention of congestive heart failure.
How long does it take for Nuril 10 to start working?
Nuril 10 starts reducing blood pressure within few hours. However, it may take few weeks to see full benefits. You may not notice any difference after taking Nuril 10 for high blood pressure, it can only be noticed when you get your blood pressure checked. So, keep taking the medicine to feel better. If you are taking Nuril 10 for heart failure, it may take few weeks to months before you start feeling better.
How long do I need to take Nuril 10?
You may have to take Nuril 10 for long time (even for life time), until and unless any serious side effect starts bothering and deters you from taking it. However, do not stop taking it without the advice of your doctor.
I am taking ibuprofen for arthritis, is it safe to take Nuril 10 along with it?
You should avoid taking ibuprofen and Nuril 10 together since there is a risk of kidney damage. Also, this combined usage may reduce the effectiveness of Nuril 10. Consult your doctor for an alternative to ibuprofen.
Is it safe to take Nuril 10 for a long time?
Yes, Nuril 10 is generally well tolerated by most people and can be taken for long term. However, its long-term use can sometimes cause your kidneys to not work properly. Your doctor will get regular blood tests done to check whether your kidneys are functioning properly or not.
Can I take Nuril 10 before surgery?
Inform your doctor that you are taking Nuril 10, before surgery, especially when the use of general anesthetic (to put you to sleep) is recommended. This is done because Nuril 10 can reduce your blood pressure when it is used with an anesthetic. Hence, your doctor may advise you to stop taking Nuril 10 24 hours before surgery.
What if you forget to take Nuril Tablet?
If you miss a dose of Nuril 10, skip it and continue with your normal schedule. Do not double the dose.
Nuril 10 Tablet Reviews
Nuril 10 belongs to a group of medicines known as angiotensin-converting enzyme (ACE) inhibitors. It is widely used to treat high blood pressure and heart failure and may be prescribed after a heart attack. It also lowers the chances of having a heart attack or stroke.
Nuril 10 can be prescribed either alone or in combination with other medicines. It should be taken on an empty stomach. This medicine should be taken at the same time each day to get the most benefit. It is important to continue taking it regularly even if you feel well or even if your blood pressure is controlled. Most people with high blood pressure do not feel ill, but if you stop taking this medicine, your condition could get worse. This is a widely used medicine and is considered safe for long-term use.
Making some changes in your lifestyle will also help lower your blood pressure. These may include regular exercise, losing weight, smoking cessation, reducing alcohol intake, and reducing the amount of salt in your diet as advised by your doctor. The most common side effects of this medicine include decreased blood pressure, cough, increased potassium level in blood, fatigue, weakness, and dizziness. Most of these are temporary and resolve with time. Talk to your doctor if any of the side effects bother you or do not go away.
Before taking this medicine, let your doctor know if you have any kidney or liver problems. Pregnant or breastfeeding mothers should also consult their doctor before taking it. Your doctor may check your kidney function, blood pressure, and potassium levels in your blood at regular intervals while you are taking this medicine.
How Nuril 10 Tablet Works
Nuril 10 is an angiotensin converting enzyme (ACE) inhibitor. It works by reducing stress on the heart and relaxing blood vessel so that blood flows more smoothly and the heart can pump blood more efficiently.
How to Use Nuril 10 Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nuril 10 may be taken with or without food, but it is better to take it at a fixed time.
Benefits of Nuril 10 Tablet
- In Treatment of Hypertension (high blood pressure): Nuril 10 belongs to a group of medicines called ACE inhibitors. It reduces stress on the heart and relaxes the blood vessels. This widens the blood vessels and makes it easier for the heart to pump blood around your body, thereby lowering your blood pressure. Controlled blood pressure reduces the risk of having a heart attack, stroke, or kidney problems. The medicine must be taken regularly, as prescribed, to be effective. You do not usually feel immediate benefit from taking this medicine, however, it helps you maintain your blood pressure in the long term.
- In Treatment of Heart failure: Nuril 10 makes it easier for your heart to pump blood around your body so the heart has to do less work. This can improve your heart function and reduce the symptoms of heart failure. It will help improve your quality of life and enable you to go about your daily activities more efficiently. The medicine must be taken regularly and as long as the doctor has prescribed it to be effective.
- In Treatment of Prevention of heart attack and stroke: Nuril 10 lowers your blood pressure. As a result, it reduces the chance of damage to the small blood vessels in your heart and kidneys. This reduces the risk of getting a heart attack and kidney problems. It also helps in slowing down the rate at which they get worse if you already have problems. This medicine must be taken regularly to be effective.
Uses of Nuril 10 Tablet
- Treatment of Prevention of heart attack and stroke
- Treatment of Heart failure
- Treatment of Hypertension (high blood pressure)
Nuril 10 Tablet Side Effects
Safety Tips
Alcohol
UNSAFE
It is unsafe to consume alcohol with Nuril 10.
Pregnancy
CONSULT YOUR DOCTOR
Nuril 10 is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Nuril 10 is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.Use of Nuril 10 immediately after childbirth should be avoided.
Driving
UNSAFE
Nuril 10 may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Liver
CAUTION
Nuril 10 should be used with caution in patients with liver disease. Dose adjustment of Nuril 10 may be needed. Please consult your doctor.
Kidney
CAUTION
Nuril 10 should be used with caution in patients with kidney disease. Dose adjustment of Nuril 10 may be needed. Please consult your doctor.
Quick Tips
- It should be taken with or without food, preferably at the same time each day.
- It may increase the level of potassium in blood. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
- Let your doctor know about any cough, or throat irritation that does not go away.
- Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.
- Nuril 10 can make you feel dizzy for the first few days, so rise slowly if you have been sitting or lying down. You can also prefer taking it at bedtime to avoid dizziness throughout the day.
References
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 463.
- Benowitz NL. Antihypertensive Agents. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 182.
- Enalapril. Greenwood Village, Colorado: Silvergate Pharmaceuticals, Inc.; 1985 [revised Jan 2016].
- Central Drugs Standard Control Organisation (CDSCO). Enalapril.
- Enalapril maleate [Drug Label]. Steinbach, Canada: Valeant Pharmaceuticals International, Inc.; 2014.
- Hilal-Dandan R. Renin and Angiotensin. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 733.
- Pfeffer MA, Opie LH. Inhibitors of the Renin-Angiotensin-Aldosterone System. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 141-42.
- Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198.