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

Naprilene

Active Ingredient:
Enalapril Maleate
Origin:
EU

Naprilene (Enalapril Maleate)

Enalapril, the active ingredient in Naprilene, is an ACE inhibitor presented as an oral tablet for oral use. It treats hypertension, heart failure, left ventricular dysfunction, and is used after myocardial infarction to improve cardiovascular outcomes.

GNH India supplies Naprilene as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Alfasigma España, S.L.

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Indications & Clinical Uses

Naprilene, an ACE inhibitor, acts on the renin‑angiotensin system to manage several cardiovascular conditions.

  • Hypertension: lowers systemic blood pressure and reduces risk of stroke and heart attack.
  • Heart failure: improves ventricular function and decreases hospitalisation rates.
  • Left ventricular dysfunction: supports cardiac remodeling and functional recovery.
  • Post‑myocardial infarction: reduces mortality and prevents adverse cardiac events.

How It Works

  • Enalapril is converted in vivo to enalaprilat, which binds to and inhibits angiotensin‑converting enzyme (ACE). This blockade 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 blood pressure and cardiac workload.

Side Effects

Common Side Effects

  • Cough: dry, persistent throat irritation.
  • Dizziness: especially upon standing.
  • Headache: mild to moderate intensity.
  • Fatigue: general feeling of tiredness.
  • Hypotension: notable drop in blood pressure.
  • Nausea: occasional upset stomach.

Serious or Rare Side Effects

  • Angioedema: swelling of face, lips, tongue, or airway.
  • Severe hyperkalemia: elevated blood potassium levels.
  • Acute renal impairment: sudden decline in kidney function.
  • Hepatic dysfunction: abnormal liver enzyme elevations.
  • Anaphylactic reaction: severe allergic response.
  • Pancreatitis: inflammation of the pancreas.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Monitor blood pressure: check regularly after starting or adjusting dose.
  • Assess renal function: adjust dosing in patients with impaired kidneys.
  • Check serum potassium: avoid hyperkalemia, especially with potassium‑sparing agents.
  • Avoid in pregnancy: contraindicated in the second and third trimesters (Category D).
  • Use caution in elderly: start with lower dose due to increased sensitivity.
  • Store at room temperature: keep in the original pack, protect from moisture and heat.

Avoid Interactions

Enalapril may interact with several medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Aliskiren (in diabetic patients): increased risk of renal dysfunction.
  • Lithium: elevated lithium concentrations leading to toxicity.
  • Potassium supplements or potassium‑sparing diuretics: heightened risk of hyperkalemia.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may blunt antihypertensive effect and affect renal function.
  • Loop or thiazide diuretics: can cause excessive hypotension.
  • Other ACE inhibitors or ARBs: additive effects on potassium and renal parameters.

Frequently Asked Questions

Naprilene contains enalapril, an ACE inhibitor prescribed to lower high blood pressure, manage chronic heart failure, treat left ventricular dysfunction, and improve outcomes after a myocardial infarction. It works by relaxing blood vessels and reducing the heart's workload, helping to prevent complications such as stroke or further cardiac events.

Enalapril is converted in the body to enalaprilat, which blocks the angiotensin‑converting enzyme (ACE). By inhibiting ACE, the drug reduces the formation of angiotensin II, a powerful vasoconstrictor, leading to vessel relaxation, lower blood pressure, decreased aldosterone release, and reduced sodium and water retention.

The appropriate dose of Naprilene is individualized and set by the prescribing clinician based on the patient’s condition, response, and renal function. Dosage may be started low and titrated upward, with regular monitoring to achieve therapeutic goals while minimizing side effects.

Naprilene is classified as Pregnancy Category D, indicating evidence of risk to the fetus, especially in the second and third trimesters, and it is generally contraindicated during pregnancy. Limited data exist for breastfeeding; the drug may pass into milk, so use is discouraged unless the benefit outweighs potential risk.

To order Naprilene, 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 (including any cold‑chain requirements), and necessary import documentation.

Naprilene (enalapril) belongs to the ACE inhibitor class, which directly blocks the conversion of angiotensin I to angiotensin II. Compared with ARBs, ACE inhibitors also increase bradykinin levels, which can cause a dry cough but may offer additional vascular benefits. They are often preferred for heart‑failure patients due to proven mortality reduction.

Naprilene tablets should be stored at room temperature, below 25 °C, in their original container to protect from moisture and light. Keep the product out of reach of children and avoid storing in humid or excessively hot environments to maintain potency.

Naprilene is taken orally, usually once or twice daily as directed by a healthcare professional. It can be swallowed with or without food; however, taking it with a full glass of water helps ensure proper absorption. Patients should follow the prescriber’s instructions regarding timing and any dose adjustments.

The most serious risks include angioedema, which can cause life‑threatening swelling of the face or airway; severe hypotension, especially after the first dose; acute kidney injury, particularly in patients with pre‑existing renal disease; and hyperkalemia, which can lead to cardiac arrhythmias if potassium levels become too high.

Naprilene should be avoided in patients with a known history of angioedema related to ACE inhibitors, in those who are pregnant (especially after the first trimester), and in individuals with severe renal impairment or bilateral renal artery stenosis. Caution is also advised for patients with hyperkalemia or those taking potassium‑sparing diuretics.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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