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Enalapril Maleate 2 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Enalapril Maleate

Our Enalapril Maleate 2 mg/ml Oral Liquid is a specially crafted medication designed for oral use, offering a precise and manageable mode of administration. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing tablets or capsules, making it an ideal choice for pediatric and geriatric patients. Enalapril Maleate is an angiotensin-converting enzyme (ACE) inhibitor that is commonly prescribed to treat a variety of cardiovascular conditions, including high blood pressure (hypertension), congestive heart failure, and left ventricular dysfunction. By providing this medication in a liquid form, we ensure that patients receive their necessary treatment in a form that is both accessible and easy to consume.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Enalapril Maleate
Oral Liquid
655e337bb40a20f8fe2f4544

Formula Information

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Enalapril Maleate 2 mg/ml Oral Liquid is a custom-prepared medication designed for ease of administration, particularly beneficial for patients who experience difficulty swallowing tablets or capsules, such as children and the elderly. This liquid formulation ensures precise dosing and can be adjusted according to the specific needs of the patient. Enalapril, the active ingredient, is an angiotensin-converting enzyme (ACE) inhibitor, which is commonly used in the management of hypertension and heart failure. By inhibiting the conversion of angiotensin I to the vasoconstrictor angiotensin II, enalapril causes a reduction in blood pressure and a decrease in the workload of the heart.

In the treatment of hypertension, Enalapril Maleate Oral Liquid helps to lower blood pressure, thereby reducing the risk of stroke, heart attack, and kidney problems. For patients with heart failure, it aids in improving the efficiency of the heart, which can lead to an improvement in symptoms such as shortness of breath and swelling in the legs. The liquid form of enalapril is particularly useful for patients who require individualized dosing or for those who have difficulty with adherence to a medication regimen due to the inability to swallow pills.

It is important for patients and prescribers to be aware that this medication should be used with caution in certain populations, including those with renal impairment or a history of angioedema. Monitoring of kidney function and potassium levels is recommended during therapy with enalapril. Additionally, patients should be counseled on the potential for side effects such as cough, dizziness, and hyperkalemia. As with any medication, adherence to prescribed dosing and regular follow-up with a healthcare provider are essential for optimal treatment outcomes.

Bayview Pharmacy's team of compounding pharmacists is dedicated to providing high-quality, personalized medications to meet the unique needs of each patient. If you have any questions about Enalapril Maleate 2 mg/ml Oral Liquid or its use in treating hypertension and heart failure, please do not hesitate to reach out to us for further information and guidance.

Drug Interactions

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Enalapril Maleate is an angiotensin-converting enzyme (ACE) inhibitor used in the treatment of hypertension and heart failure. When considering the use of Enalapril Maleate 2 mg/ml Oral Liquid, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects.

Enalapril can interact with other blood pressure-lowering medications, including diuretics (such as furosemide or hydrochlorothiazide), beta-blockers (like atenolol or metoprolol), and calcium channel blockers (such as amlodipine). Using these medications concomitantly with enalapril may lead to an additive hypotensive effect, which could result in symptoms such as dizziness, lightheadedness, or fainting. It is crucial to monitor blood pressure regularly to ensure it remains within a safe range.

Nonsteroidal anti-inflammatory drugs (NSAIDs), including over-the-counter options like ibuprofen and naproxen, can reduce the effectiveness of enalapril and may lead to worsening of kidney function or increased blood pressure. Patients should consult their healthcare provider before using NSAIDs.

Enalapril may increase serum potassium levels, and therefore, the use of potassium supplements or potassium-sparing diuretics (such as spironolactone or triamterene) should be done cautiously. Hyperkalemia, or high potassium levels, can be dangerous and lead to cardiac arrhythmias. Regular monitoring of electrolytes is recommended.

Patients taking lithium should be aware that enalapril can increase lithium's serum concentration, potentially leading to lithium toxicity. Signs of lithium toxicity include tremors, confusion, and ataxia. Lithium levels should be monitored closely when starting or adjusting the dose of enalapril.

Angiotensin receptor blockers (ARBs) or aliskiren should not be used in combination with enalapril, especially in patients with diabetes or renal impairment, due to the risk of renal dysfunction, hyperkalemia, and hypotension.

Enalapril may also interact with certain anesthetics, which can potentiate the hypotensive effects of enalapril, and with gold injections, which may lead to a flushing reaction or hypotension.

It is important to inform your healthcare provider of all medications, supplements, and herbal products you are taking before starting enalapril to avoid potential drug interactions. If you experience any unusual symptoms or side effects, contact your healthcare provider immediately. For any questions or concerns regarding the use of Enalapril Maleate 2 mg/ml Oral Liquid, please reach out to us at Bayview Pharmacy.

How Does it Work

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Enalapril Maleate 2 mg/ml Oral Liquid is a specially compounded medication designed for ease of administration and precise dosing. This liquid formulation is particularly beneficial for patients who have difficulty swallowing pills, such as young children or elderly individuals, or for those who require a dosage not readily available in commercial tablet or capsule forms. The active ingredient, Enalapril Maleate, is an angiotensin-converting enzyme (ACE) inhibitor, which works by blocking the conversion of angiotensin I to the potent vasoconstrictor angiotensin II. This results in vasodilation, or the widening of blood vessels, which in turn leads to a reduction in blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.

This is achieved by reducing sodium and water retention in the body. Additionally, Enalapril Maleate can help to improve the symptoms of left ventricular dysfunction by enhancing the heart's pumping capability. The oral liquid form of Enalapril Maleate ensures that the medication can be accurately measured to the specific dose prescribed by a healthcare provider, ensuring personalized treatment for each patient's needs.

It is important for patients and prescribers to understand that while Enalapril Maleate can significantly improve blood pressure control and heart function, it is not a cure for hypertension or heart failure. Patients are advised to adhere to their prescribed medication regimen and to make lifestyle changes that can improve their overall cardiovascular health, such as maintaining a healthy diet, exercising regularly, and avoiding smoking. Regular monitoring of blood pressure and kidney function is also essential while on this medication.

For those interested in using Enalapril Maleate 2 mg/ml Oral Liquid, it is crucial to consult with a healthcare provider to determine the appropriate dosage and to discuss any potential side effects or interactions with other medications. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing support and guidance to ensure the safe and appropriate use of this medication.

Other Uses

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Enalapril Maleate is primarily utilized for its antihypertensive effects as an angiotensin-converting enzyme (ACE) inhibitor. It is commonly prescribed for the management of hypertension (high blood pressure) and symptomatic heart failure. Additionally, it may be used as an off-label application for patients with various forms of kidney disease, as it can help to reduce proteinuria and slow the progression of renal impairment. Enalapril is sometimes prescribed to reduce the risk of stroke in patients with hypertension and left ventricular hypertrophy, although this is not its primary indication.

Beyond its standard indications, Enalapril Maleate in a 2 mg/ml oral liquid form may have versatility in dosing that is not available in the tablet formulation. This allows for titration to the minimum effective dose, potentially decreasing the risk of side effects, which is especially beneficial in pediatric and geriatric populations where dose sensitivity may be higher. Furthermore, for patients with conditions that affect absorption or those who have had bariatric surgery, the liquid formulation may offer improved pharmacokinetics compared to solid dosage forms.

Compounding pharmacists may also facilitate the preparation of Enalapril Maleate oral liquid for patients who have allergies to certain excipients found in commercially available tablets. In scenarios where a patient is on a complex drug regimen, the liquid form allows for the potential of combining multiple medications into a single dosage form, where stability and compatibility permit, to simplify the treatment protocol and improve adherence.

It is important to note that while the use of Enalapril Maleate oral liquid may offer benefits in certain scenarios, it should be used under the guidance of a healthcare provider, with careful monitoring for potential side effects such as cough, hyperkalemia, and, in rare cases, angioedema. If you have any questions or require further information regarding the use of Enalapril Maleate 2 mg/ml Oral Liquid or its suitability for specific patients, do not hesitate to reach out to us at Bayview Pharmacy. We are here to assist in ensuring optimal therapeutic outcomes for your patients.

Frequently Asked Questions

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What is Enalapril Maleate 2 mg/ml Oral Liquid?

Enalapril Maleate 2 mg/ml Oral Liquid is a prescription medication formulated as a liquid for ease of oral administration. It contains the active ingredient Enalapril Maleate, which is used to treat high blood pressure and heart failure. The liquid formulation is designed to provide accurate dosing for patients who may have difficulty swallowing solid dosage forms such as tablets or capsules.

How should Enalapril Maleate Oral Liquid be taken?

The medication should be taken exactly as prescribed by your healthcare provider. The liquid form allows for dosing flexibility and should be measured using an appropriate measuring device to ensure the correct dose is administered. It can be taken with or without food.

Who is Enalapril Maleate Oral Liquid suitable for?

It is particularly suitable for pediatric and geriatric patients, as well as others who have difficulty with swallowing pills. It can be used by anyone for whom the medication has been prescribed and who may benefit from a liquid form of medication.

Can the dosage of Enalapril Maleate Oral Liquid be adjusted?

Yes, the dosage can be adjusted by your healthcare provider based on your medical condition, response to treatment, and any other medications you may be taking. It is important not to adjust your dose unless specifically instructed by your healthcare provider.

What are the potential side effects of Enalapril Maleate Oral Liquid?

Common side effects of Enalapril include dizziness, light-headedness, or dry cough. However, if you experience serious side effects such as fainting, symptoms of a high potassium blood level, or signs of infection, you should contact your healthcare provider immediately.

How should Enalapril Maleate Oral Liquid be stored?

This medication should be stored at room temperature away from light and moisture. Do not store in the bathroom. Keep the bottle tightly closed and out of reach of children and pets.

What should I do if I miss a dose of Enalapril Maleate Oral Liquid?

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Can Enalapril Maleate Oral Liquid be taken with other medications?

Enalapril Maleate may interact with other medications and over-the-counter products. It is important to discuss all medications, including supplements and herbal products, with your healthcare provider to avoid potential interactions.

Is Enalapril Maleate Oral Liquid available over the counter?

No, this medication requires a prescription from a licensed healthcare provider. It is not available over the counter.

What should I do in case of an overdose?

In case of an overdose, seek immediate medical attention or call the Poison Control Center. Symptoms of overdose may include severe dizziness, fainting, or weakness.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Enalapril Maleate 2 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally