Product image of Lercaprel (Enalapril Maleate, Lercanidipine Hydrochloride) supplied by GNH India

Lercaprel

Active Ingredient:
Enalapril Maleate, Lercanidipine Hydrochloride
Origin:
EU

Lercaprel (Enalapril Maleate, Lercanidipine Hydrochloride)

Enalapril maleate and lercanidipine hydrochloride, the active ingredients in Lercaprel, are an ACE inhibitor and calcium‑channel blocker combination presented as an oral tablet for adult use. The product is indicated for the treatment of hypertension, helping to lower blood pressure in patients requiring dual‑mechanism therapy and is available in the European market.

GNH India supplies Lercaprel as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution.

Manufacturer / TM Owner

Recordati Ireland Ltd.

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Indications & Clinical Uses

Lercaprel, a combined ACE inhibitor and calcium‑channel blocker, is used to manage conditions within the hypertension disease family.

  • Hypertension: lowers systolic and diastolic blood pressure in adult patients.
  • Essential hypertension: provides combined ACE inhibition and calcium‑channel blockade for improved control.
  • High blood pressure: reduces vascular resistance and cardiac workload.
  • Cardiovascular risk reduction: assists in decreasing the risk of stroke and heart attack associated with elevated blood pressure.
  • Isolated systolic hypertension: effectively reduces elevated systolic pressure in older adults.

How It Works

  • Enalapril maleate blocks the angiotensin‑converting enzyme, preventing conversion of angiotensin I to the vasoconstrictor angiotensin II, which leads to vasodilation and reduced aldosterone‑mediated sodium retention. Lercanidipine hydrochloride selectively inhibits L‑type calcium channels in vascular smooth muscle, decreasing intracellular calcium influx, causing arterial relaxation. The combined actions produce additive blood‑pressure‑lowering effects through complementary pathways. By targeting both the renin‑angiotensin system and calcium‑mediated vascular tone, the formulation offers synergistic control of systemic blood pressure.

Side Effects

Lercaprel may be associated with a range of adverse reactions, which are generally categorized by frequency and severity.

Common Side Effects

  • Cough: dry or tickling sensation in the throat.
  • Dizziness: light‑headed feeling, especially after standing.
  • Headache: mild to moderate intensity.
  • Flushing: warmth and redness of the face or neck.
  • Peripheral edema: swelling of ankles or lower legs.
  • Fatigue: feeling unusually tired.

Serious or Rare Side Effects

  • Angioedema: swelling of lips, tongue, or airway requiring emergency care.
  • Severe hypotension: marked drop in blood pressure causing faintness.
  • Hyperkalemia: elevated blood potassium levels that may affect heart rhythm.
  • Acute renal impairment: sudden decrease in kidney function.
  • Hepatic dysfunction: abnormal liver enzyme elevations.
  • Neutropenia: low white‑blood‑cell count increasing infection risk.

Precautions & Warnings

When prescribing Lercaprel, clinicians should consider several precautionary measures to ensure patient safety.

  • Renal function: monitor creatinine and eGFR in patients with existing kidney disease.
  • Electrolytes: check serum potassium regularly, especially when combined with potassium‑sparing agents.
  • Pregnancy: avoid use unless clearly necessary, as safety data are limited.
  • Concomitant ACE inhibitors: do not co‑administer with other ACE inhibitors or ARBs to prevent excessive renin‑angiotensin blockade.
  • Hypotension: observe patients for symptomatic low blood pressure after the first dose.
  • Store at ambient temperature: keep tablets in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Lercaprel can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Potassium‑sparing diuretics: may cause dangerous hyperkalemia when combined.
  • Aliskiren in diabetic patients: increases risk of renal impairment and hyperkalemia.

Moderate Interactions (Monitor Closely)

  • NSAIDs: can diminish antihypertensive effect and affect renal function.
  • Lithium: concurrent use may raise lithium serum concentrations.
  • Rifampin: may lower plasma levels of both enalapril and lercanidipine, reducing blood‑pressure control.

Frequently Asked Questions

Lercaprel is a prescription oral tablet that combines enalapril maleate, an ACE inhibitor, with lercanidipine hydrochloride, a calcium‑channel blocker. The combination is approved for the treatment of hypertension in adult patients, providing dual‑mechanism blood‑pressure reduction. It is intended for use when monotherapy does not achieve target blood pressure or when a combined approach is clinically appropriate.

Enalapril maleate is converted in the body to enalaprilat, which inhibits the angiotensin‑converting enzyme (ACE). By blocking ACE, the formation of angiotensin II—a potent vasoconstrictor—is reduced, leading to vasodilation, decreased aldosterone secretion, and lower sodium and water retention. The result is a reduction in systemic vascular resistance and blood pressure.

The dosage of Lercaprel is individualized by the prescribing healthcare professional based on the patient’s blood‑pressure level, response, and tolerability. The prescriber determines the appropriate strength and dosing schedule, which may be adjusted during therapy. Patients should follow the exact instructions provided on the prescription label and consult their clinician for any changes.

Safety of Lercaprel during pregnancy and lactation has not been fully established. ACE inhibitors are generally contraindicated in the second and third trimesters because of potential fetal toxicity, and calcium‑channel blockers should be used only if the benefit outweighs the risk. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To place an order, visit the product page for Lercaprel on the GNH India website (gnhindia.com) and submit an enquiry with 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—including any cold‑chain requirements—and assistance with import documentation.

Compared with single‑agent therapies, Lercaprel offers the convenience of two complementary mechanisms in one tablet, potentially improving blood‑pressure control and adherence. ACE inhibitor‑only products lack calcium‑channel blockade, while calcium‑channel blocker‑only agents do not inhibit the renin‑angiotensin system. The combination may be more effective in patients who need both vasodilation and reduced angiotensin‑II activity, but individual response varies.

Lercaprel tablets should be stored at ambient temperature, preferably below 25 °C, in the original packaging to protect them from moisture and light. Keep the product out of reach of children and do not use after the expiry date indicated on the label. No refrigeration is required for this oral formulation.

Lercaprel is taken orally, usually once daily, with or without food as directed by the prescribing clinician. The tablet should be swallowed whole with a glass of water and not crushed or chewed unless specifically advised. Patients should follow the dosing schedule prescribed and avoid missing doses, as consistent intake helps maintain stable blood‑pressure control.

The most serious adverse reactions to watch for include angioedema (swelling of the lips, tongue, or airway), severe hypotension, hyperkalemia, acute renal impairment, hepatic dysfunction, and neutropenia. If any of these symptoms occur—such as difficulty breathing, sudden drop in blood pressure, swelling, or signs of infection—medical attention should be sought immediately.

Lercaprel is contraindicated in patients with known hypersensitivity to enalapril, lercanidipine, or any component of the formulation. It should also be avoided in individuals with a history of angioedema related to ACE‑inhibitor therapy, severe renal impairment, or those already receiving another ACE inhibitor or ARB. Clinicians must assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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