Product image of Istopril (Enalapril Maleate) supplied by GNH India

Istopril

Active Ingredient:
Enalapril Maleate
Origin:
EU

Istopril (Enalapril Maleate)

Enalapril, the active ingredient in Istopril, is an angiotensin-converting enzyme (ACE) inhibitor presented as an oral tablet for oral use. It belongs to the antihypertensive therapeutic class and is indicated for the management of high blood pressure, chronic heart failure, and post‑myocardial infarction ventricular remodeling in adult patients.

GNH India supplies Istopril as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing consistent product quality, regulatory compliance and reliable supply chains for global healthcare providers.

Manufacturer / TM Owner

Codal Synto Ltd

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Indications & Clinical Uses

  • Istopril (enalapril) acts on the renin‑angiotensin‑aldosterone system to control cardiovascular conditions.
  • Hypertension: lowers systolic and diastolic blood pressure, reducing risk of stroke and heart attack.
  • Chronic heart failure: improves symptoms and survival by decreasing cardiac afterload.
  • Asymptomatic left ventricular dysfunction: slows progression to symptomatic heart failure.
  • Post‑myocardial infarction ventricular remodeling: limits adverse remodeling and supports cardiac function.

How It Works

  • Enalapril is converted in vivo to enalaprilat, which binds to the active site of angiotensin‑converting enzyme (ACE). This inhibition prevents the conversion of angiotensin I to the potent vasoconstrictor angiotensin II, leading to vasodilation, reduced aldosterone secretion, decreased sodium and water retention, and ultimately lower arterial pressure and cardiac workload.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Persistent dry cough
  • Dizziness or light‑headedness
  • Headache
  • Fatigue
  • Nausea
  • Taste disturbance

Serious or Rare Side Effects

  • Angioedema (swelling of face, lips, tongue)
  • Severe hypotension
  • Acute renal impairment
  • Hyperkalemia
  • Neutropenia or leukopenia
  • Hepatic dysfunction

Precautions & Warnings

  • Patients should be evaluated for specific risk factors before initiating therapy.
  • Monitor blood pressure: ensure adequate control without excessive hypotension.
  • Assess renal function: check serum creatinine and eGFR periodically.
  • Check serum potassium: avoid hyperkalemia, especially with potassium‑sparing agents.
  • Avoid use in pregnancy: classified as Category D due to fetal toxicity.
  • Use caution in aortic stenosis: may precipitate hypotension.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Enalapril may interact with several drug classes, requiring clinical attention.

Major Interactions (Avoid)

  • Aliskiren in diabetic patients: increased risk of renal dysfunction and hyperkalemia.
  • Lithium: enalapril can raise lithium levels, risking toxicity.
  • Potassium‑sparing diuretics or supplements: may cause dangerous hyperkalemia.

Moderate Interactions (Monitor Closely)

  • Loop or thiazide diuretics: may enhance hypotensive effect.
  • NSAIDs (e.g., ibuprofen): can reduce antihypertensive efficacy and impair renal function.

Frequently Asked Questions

Istopril contains enalapril, an ACE inhibitor prescribed to lower high blood pressure, manage chronic heart failure, treat asymptomatic left ventricular dysfunction, and reduce adverse cardiac remodeling after a myocardial infarction.

Enalapril is converted to enalaprilat, which blocks the angiotensin‑converting enzyme. This prevents formation of angiotensin II, leading to vasodilation, reduced aldosterone release, lower sodium and water retention, and ultimately decreased blood pressure and cardiac workload.

The appropriate dose of Istopril is determined by the prescribing clinician based on the patient’s condition, response, and renal function. Dosage adjustments are made individually and should follow the prescriber’s instructions.

Istopril is classified as Pregnancy Category D, indicating evidence of fetal risk. It should be avoided during pregnancy. Limited data are available for breastfeeding; the drug may pass into milk, so use is generally not recommended without medical advice.

To order Istopril, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Istopril (enalapril) shares the same mechanism as other ACE inhibitors such as lisinopril or ramipril. Clinical efficacy and safety profiles are comparable, though individual patient response, dosing frequency, and tolerability may differ, making prescriber choice dependent on specific patient factors.

Istopril tablets should be stored at room temperature, below 25 °C, in the original packaging to protect from moisture and light. Keep the container tightly closed and out of reach of children.

Istopril is taken orally, usually once or twice daily as directed by a healthcare professional. Tablets should be swallowed whole with a glass of water and can be taken with or without food.

Serious risks include angioedema (swelling of the face, lips, tongue, or throat), severe hypotension, acute kidney injury, and hyperkalemia. Patients should seek immediate medical attention if they experience swelling, difficulty breathing, sudden dizziness, or marked changes in urine output.

Istopril should not be used by patients with a known hypersensitivity to enalapril or any ACE inhibitor, those with a history of angioedema related to ACE inhibition, or pregnant women. Caution is advised in patients with severe renal impairment or bilateral renal artery stenosis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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