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Enalapril Maleate 2mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Enalapril Maleate

Enalapril Maleate 2mg/mL Oral Suspension is a liquid dosage form in which enalapril maleate is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to treat hypertension and heart failure, helping to manage blood pressure and improve heart function.

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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
Suspension

Formula Information

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Enalapril Maleate is an angiotensin-converting enzyme (ACE) inhibitor commonly prescribed for the management of hypertension and heart failure. It works by inhibiting the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor, thereby promoting vasodilation and reducing blood pressure.

While Enalapril is widely available in tablet form, certain patients may require an alternative dosage form. These include pediatric patients who cannot swallow tablets, geriatric patients with dysphagia, or those requiring precise dosing adjustments that tablets cannot provide.

The Enalapril Maleate 2mg/mL Oral Suspension is a compounded liquid formulation in which the active ingredient is uniformly dispersed throughout the liquid medium, ensuring a homogeneous mixture. This allows for accurate dosing and ease of administration, which is particularly important in populations requiring individualized therapy.

For prescribers, this compounded oral suspension provides flexibility in dosing regimens, enabling titration of doses that meet the specific needs of each patient. It allows for adjustments in dose increments that are smaller than what is available in commercially produced tablets, thus optimizing therapeutic outcomes while minimizing potential side effects.

For patients, the liquid suspension simplifies the administration process. It is especially beneficial for children and elderly patients who may have difficulty swallowing pills. The uniform distribution of Enalapril in the suspension ensures that each dose contains the exact amount of medication prescribed, enhancing adherence to treatment plans.

The compounded Enalapril Maleate 2mg/mL Oral Suspension should be administered as directed by the healthcare provider. It is important to use a calibrated measuring device to ensure accurate dosing. Patients should shake the suspension well before each use to maintain the uniform dispersion of the medication.

Proper storage of the oral suspension is crucial to maintain its stability and efficacy. It should be stored at room temperature, away from light and moisture, and kept out of reach of children. Patients should be advised to discard any remaining suspension after the expiration date provided by the pharmacy.

As with all medications, patients should be monitored for potential side effects, including dizziness, hypotension, and signs of renal dysfunction. It is important to report any adverse reactions to the prescribing healthcare provider promptly.

At Bayview Pharmacy, our team of compounding pharmacists is dedicated to providing customized medication solutions to meet the unique needs of each patient. We utilize high-quality ingredients and adhere to strict compounding standards to ensure the safety and efficacy of our formulations.

If you have any questions, please reach out to us.

Drug Interactions

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Enalapril Maleate 2mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use, particularly for patients who may have difficulty swallowing tablets. This formulation is primarily used in the management of hypertension and heart failure, and it may also be prescribed for other conditions as determined by a healthcare provider. As with any medication, it is important to be aware of potential drug interactions that could affect the efficacy and safety of Enalapril Maleate.

Enalapril is an angiotensin-converting enzyme (ACE) inhibitor, and it works by relaxing blood vessels, which helps to lower blood pressure and improve blood flow. Patients and prescribers should be aware that Enalapril can interact with a variety of medications, potentially leading to adverse effects or reduced therapeutic efficacy. One of the most significant interactions is with diuretics, particularly potassium-sparing diuretics such as spironolactone, triamterene, or amiloride. Concurrent use can increase the risk of hyperkalemia, a condition characterized by elevated potassium levels in the blood, which can be dangerous if not monitored and managed appropriately.

Nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen and naproxen, may also interact with Enalapril. These medications can reduce the antihypertensive effects of Enalapril and may increase the risk of renal impairment, especially in patients with pre-existing kidney conditions. It is advisable for patients to consult with their healthcare provider before using NSAIDs while on Enalapril therapy.

Another important interaction to consider is with lithium, a medication commonly used to treat bipolar disorder. Enalapril can increase lithium levels in the blood, potentially leading to lithium toxicity. Patients taking both medications should have their lithium levels monitored regularly to avoid adverse effects.

Additionally, Enalapril may interact with other antihypertensive agents, such as beta-blockers or calcium channel blockers, which can lead to an additive effect in lowering blood pressure. While this can be beneficial in achieving blood pressure goals, it also necessitates careful monitoring to prevent hypotension, especially when initiating or adjusting therapy.

Patients should also be cautious when using salt substitutes or potassium supplements, as these can further increase the risk of hyperkalemia when taken with Enalapril. It is important for patients to discuss their diet and any supplements they are taking with their healthcare provider to ensure safe use of this medication.

For both patients and prescribers, understanding these potential drug interactions is crucial for optimizing treatment outcomes and minimizing risks. If you have any questions or concerns about the use of Enalapril Maleate 2mg/mL Oral Suspension, please reach out to us for further information and guidance.

How Does it Work

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Enalapril Maleate 2mg/mL Oral Suspension is a liquid dosage form designed to provide a uniform dispersion of the active ingredient, enalapril maleate, throughout a liquid medium. This formulation ensures a homogeneous mixture, allowing for precise dosing and ease of administration, particularly beneficial for patients who may have difficulty swallowing tablets or require tailored dosing adjustments. The oral suspension is particularly advantageous for pediatric patients, elderly patients, or those with specific swallowing difficulties, as it allows for flexible dosing and can be easily measured using an oral syringe or dosing cup.

Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor, a class of medication primarily used to treat hypertension (high blood pressure) and heart failure. It works by inhibiting the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor, thereby leading to vasodilation and a subsequent reduction in blood pressure. By decreasing the workload on the heart and reducing blood pressure, enalapril maleate helps to prevent complications such as stroke, heart attack, and kidney problems. In patients with heart failure, it improves symptoms by enhancing cardiac output and reducing fluid retention.

The oral suspension form of enalapril maleate allows for rapid absorption and onset of action. The liquid formulation ensures that the medication is evenly distributed in the gastrointestinal tract, promoting consistent absorption and therapeutic effect. This is particularly important in managing chronic conditions where maintaining stable blood levels of the medication is crucial for optimal therapeutic outcomes.

For prescribers, the flexibility of dosing with the oral suspension allows for individualized treatment plans, accommodating specific patient needs and ensuring adherence to therapy. The ability to adjust doses easily can be particularly beneficial in titrating the medication to achieve the desired therapeutic effect while minimizing potential side effects. Patients and caregivers should be instructed on the proper use of the oral suspension, including shaking the bottle well before each use to ensure uniform distribution of the medication and accurate dosing.

If you have any questions or require further information about Enalapril Maleate 2mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation and its use in treating hypertension and heart failure.

Other Uses

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Enalapril Maleate 2mg/mL Oral Suspension is primarily used for the management of hypertension and heart failure. However, this liquid formulation may have other potential uses that could be beneficial for both patients and prescribers. One such use is in the management of chronic kidney disease (CKD), particularly in patients with proteinuria. Enalapril, an angiotensin-converting enzyme (ACE) inhibitor, can help reduce proteinuria and slow the progression of kidney damage by decreasing intraglomerular pressure. This can be particularly advantageous for patients who are unable to swallow tablets or require precise dosing adjustments, as the liquid suspension allows for flexible titration.

Additionally, Enalapril Maleate Oral Suspension may be considered for use in pediatric patients who require treatment for hypertension or heart failure. The liquid form is especially useful for children who have difficulty swallowing pills or need smaller, more accurate doses than those available in tablet form.

In some cases, Enalapril Maleate Oral Suspension might be used off-label for the treatment of certain conditions such as diabetic nephropathy, where it can help in reducing the risk of cardiovascular events and slowing the progression of renal disease. The ability to adjust the dosage easily with a liquid formulation can be particularly beneficial in managing these complex conditions, where precise dosing is essential to balance efficacy and minimize potential side effects.

For patients with swallowing difficulties, such as those with esophageal disorders or post-stroke dysphagia, the liquid suspension offers a practical alternative to solid dosage forms. This ensures that patients continue to receive their medication without interruption, maintaining therapeutic efficacy and adherence to their treatment regimen.

As with any medication, it is important for both patients and prescribers to consider the specific needs and circumstances of the individual when determining the appropriateness of Enalapril Maleate Oral Suspension for uses beyond its primary indications. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries or support you may need regarding this medication.

Frequently Asked Questions

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What is Enalapril Maleate 2mg/mL Oral Suspension?

Enalapril Maleate 2mg/mL Oral Suspension is a liquid dosage form where the active ingredient, Enalapril Maleate, is uniformly dispersed in a liquid medium to create a homogeneous mixture for easy administration.

What is the purpose of Enalapril Maleate Oral Suspension?

This oral suspension is used to treat high blood pressure (hypertension) and heart failure, helping to prevent strokes, heart attacks, and kidney problems by relaxing blood vessels for smoother blood flow.

How should I store Enalapril Maleate Oral Suspension?

Store the suspension at room temperature, away from direct sunlight and moisture. Ensure the bottle is tightly closed and keep it out of reach of children.

How do I properly administer Enalapril Maleate Oral Suspension?

Shake the bottle well before each use to ensure the medication is evenly distributed. Use a proper measuring device or spoon to ensure accurate dosing as prescribed by your healthcare provider.

Can I take Enalapril Maleate Oral Suspension with food?

Yes, Enalapril Maleate Oral Suspension can be taken with or without food. However, try to take it at the same time each day to maintain consistent blood levels of the medication.

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

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

Are there any side effects associated with Enalapril Maleate Oral Suspension?

Common side effects may include dizziness, lightheadedness, or tiredness as your body adjusts to the medication. If any of these effects persist or worsen, contact your healthcare provider.

Can children use Enalapril Maleate Oral Suspension?

Yes, but the dosage and administration should be determined by a healthcare provider based on the child's specific condition and response to treatment.

What should I do in case of an overdose?

In case of an overdose, seek immediate medical attention or contact a Poison Control Center. Symptoms of overdose may include severe dizziness, fainting, or unusually fast or slow heartbeat.

Can I stop taking Enalapril Maleate Oral Suspension if I feel better?

Do not stop taking the medication without consulting your healthcare provider, even if you feel better. Stopping the medication abruptly may worsen your condition.

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 2mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally