Nuril 2.5 Tablet

Reviews How to Use Benefits Uses Side Effects

Product Info

Prescription required	Yes
Marketer	USV Ltd
Active Ingredient	Enalapril (2.5mg)
Storage	Store below 30°C
Chemical Class	Dipeptides
Habit Forming	No
Therapeutic Class	CARDIAC
Action Class	Angiotensin-converting enzyme (ACE) inhibitors
User Rating	4.2
User Reviews	737

FAQ

How long does it take for Nuril 2.5 to start working?

Nuril 2.5 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 2.5 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 2.5 for heart failure, it may take few weeks to months before you start feeling better.

What is Nuril 2.5? What is it used for?

Nuril 2.5 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.

Can I take Nuril 2.5 before surgery?

Inform your doctor that you are taking Nuril 2.5, before surgery, especially when the use of general anesthetic (to put you to sleep) is recommended. This is done because Nuril 2.5 can reduce your blood pressure when it is used with an anesthetic. Hence, your doctor may advise you to stop taking Nuril 2.5 24 hours before surgery.

What can happen if I suddenly stop taking Nuril 2.5?

You should not stop taking Nuril 2.5 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.

Can use of Nuril 2.5 affect my liver?

In rare cases, Nuril 2.5 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 2.5 along with hydrochlorthiazide?

You have to be careful when taking Nuril 2.5 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 2.5. 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 2.5 in very low doses when used in combination with hydrochlorothiazide.

Does Nuril 2.5 cause excessive urination? Can it cause kidney damage?

No, Nuril 2.5 does not cause excessive urination (loss of water through urine). The use of Nuril 2.5 may not affect normally functioning kidneys. However, damage to the kidneys may occur when Nuril 2.5 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.

How long do I need to take Nuril 2.5?

You may have to take Nuril 2.5 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.

Is it safe to take Nuril 2.5 for a long time?

Yes, Nuril 2.5 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.

I am taking ibuprofen for arthritis, is it safe to take Nuril 2.5 along with it?

You should avoid taking ibuprofen and Nuril 2.5 together since there is a risk of kidney damage. Also, this combined usage may reduce the effectiveness of Nuril 2.5. Consult your doctor for an alternative to ibuprofen.

What if you forget to take Nuril Tablet?

If you miss a dose of Nuril 2.5, skip it and continue with your normal schedule. Do not double the dose.

Nuril 2.5 Tablet Reviews

Nuril 2.5 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 2.5 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 2.5 Tablet Works

Nuril 2.5 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 2.5 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 2.5 may be taken with or without food, but it is better to take it at a fixed time.

Benefits of Nuril 2.5 Tablet

In Treatment of Prevention of heart attack and stroke: Nuril 2.5 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.
In Treatment of Heart failure: Nuril 2.5 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 Hypertension (high blood pressure): Nuril 2.5 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.

Uses of Nuril 2.5 Tablet

Treatment of Prevention of heart attack and stroke
Treatment of Heart failure
Treatment of Hypertension (high blood pressure)

Nuril 2.5 Tablet Side Effects

Safety Tips

Alcohol ^UNSAFE

It is unsafe to consume alcohol with Nuril 2.5.

Breast feeding ^{CONSULT YOUR DOCTOR}

Nuril 2.5 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 2.5 immediately after childbirth should be avoided.

Kidney ^CAUTION

Nuril 2.5 should be used with caution in patients with kidney disease. Dose adjustment of Nuril 2.5 may be needed. Please consult your doctor.

Pregnancy ^{CONSULT YOUR DOCTOR}

Nuril 2.5 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.

Liver ^CAUTION

Nuril 2.5 should be used with caution in patients with liver disease. Dose adjustment of Nuril 2.5 may be needed. Please consult your doctor.

Driving ^UNSAFE

Nuril 2.5 may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Quick Tips

Nuril 2.5 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.
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.
It should be taken with or without food, preferably at the same time each day.
Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

References

Enalapril maleate [Drug Label]. Steinbach, Canada: Valeant Pharmaceuticals International, Inc.; 2014.
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.
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.
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198.
Central Drugs Standard Control Organisation (CDSCO). Enalapril.
Enalapril. Greenwood Village, Colorado: Silvergate Pharmaceuticals, Inc.; 1985 [revised Jan 2016].
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.
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.