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Pronunciation |
|
(e
NAL a pril & fe LOE di
peen) |

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U.S. Brand
Names |
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Lexxel™ |

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Generic
Available |
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No |

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Pharmacological Index |
|
Antihypertensive Agent, Combination |

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|
Use |
|
Treatment of hypertension, however, not indicated for initial treatment of
hypertension; replacement therapy in patients receiving separate dosage forms
(for patient convenience); when monotherapy with one component fails to achieve
desired antihypertensive effect, or when dose-limiting adverse effects limit
upward titration of monotherapy |

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|
Pregnancy Risk
Factor |
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C/D (2nd and 3rd trimesters) |

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Adverse
Reactions |
|
See individual agents |

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Drug
Interactions |
|
See individual agents |

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Mechanism of
Action |
|
See individual agents |

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Usual Dosage |
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Adults: Oral: 1 tablet daily |

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Cardiovascular
Considerations |
|
Combination therapy for the treatment of hypertension should be
individualized for each patient. Potential advantages for enalapril and
felodipine combination therapy may include improved compliance and synergistic
reductions in blood pressure with an accompanied reduction in side effects. ACE
inhibitors are standard therapy for left ventricular systolic dysfunction.
Felodipine has neutral effects on mortality in this setting and therefore may be
considered for the treatment of hypertension or angina in patients with heart
failure. |

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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
No information available to require special precautions |

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Dental Health:
Effects on Dental Treatment |
|
Calcium channel blockers cause gingival hyperplasia in approximately 1% of
patients. There have been fewer reports with felodipine than with other CCBs.
The hyperplasia will disappear with cessation of drug therapy. Consultation with
physician is suggested. |

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Patient
Information |
|
See individual agents. Pregnancy/breast-feeding precautions: Inform
prescriber if you are or intend to be pregnant. Consult prescriber if
breast-feeding. |

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Dosage Forms |
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Tablet, extended release: Enalapril maleate 5 mg and felodipine 5
mg |

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