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Enol Composition – Atenolol 50 MG
Manufactured By – Elikem Pharma
Prescription – Prescription Required
Form – Tablet
Price – Rs 110
Quantity – 10 tablets in 1 strip
What is Enol?
- Enzoheal is an enzyme that is extracted from pineapple juice and is used as medicine
- Enzoheal is a fixed dose combination of Trypsin, Bromelain and Rutoside which is a potent anti-inflammatory agent (reduces signs of inflammation like swelling) and promotes wound healing
- It is a proteolytic enzyme, debriding agent and is anti-inflammatory
- It is indicated for reducing swelling, especially of the nose and sinuses after surgery or injury and also for certain other inflammatory conditions
Manufactured By – Elikem Pharma Ltd.
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Uses of Enol
It is prescribed for:
- Hypertension (High blood pressure)
- Coronary heart disease
- Angina pectoris (Chest pain)
How does Enol work?
- Enol being a beta-blocker, reduces blood pressure primarily by decreasing cardiac output
- Enol keeps blood vessels from narrowing, which decreases blood pressure and increases blood flow
- It increases the release of nitric oxide which produces dilatation of blood vessels and thereby improves blood flow. It also reduces heart rate without improving maximal exercise tolerance
- It may also decrease sympathetic outflow from the central nervous system (CNS) and inhibit the release of renin from the kidneys, thus decreasing the formation of angiotensin II and the secretion of aldosterone
Enol Price in India
|Elikem Pharmaceuticals Pvt. Ltd Enol (50 mg) Tablet-10 Tablets||Rs 196|
How to take Enol?
- Enol is administered orally in the form of tablets
- Taking Enol after a meal is advisable to reduce chances of stomach upset. However, the drug can be taken on an empty stomach
- Take the tablets with water
- Enol tablets should be swallowed as a whole and not broken, crushed or chewed
Common Dosage of Enol
- The drug dosage is decided by the physician based upon:
- Health status/medical condition of the patient
- Severity of symptoms
- Reaction to the first dose
- History of allergy/drug reactions
- High blood pressure: 25-50 mg per day, may rise to 100 mg per day
- Chest pain: 50 mg per day; may increase to 100 mg per day. Some patients may require 200 mg per day
- Post heart attack: 100 mg per day or 50 mg twice daily for 6-9 days post heart attack
- Never use more than the recommended dose or for longer periods of time without doctor’s consent
- In case of non-improvement of symptoms or symptoms getting worse, seek medical attention immediately
When to avoid Enol?
- Avoid taking Enol if you are allergic to it or other ingredients present inside it
- Do not take Enol if you have clinical depression
- Enol is contraindicated in patients having second or third degree heart block or bradycardia or poor blood circulation due to heart failure
- Patients having tumor in adrenal glands should not take Enol
- Avoid intake of Enol if you are pregnant or a lactating mother
- Enol is not recommended if you have Sick sinus syndrome (unless a permanent pacemaker is in place)
- Enol is not recommended in patients with liver or kidney diseases
- Enol is not recommended in patients with low blood pressure
- History of bronchospasm and bronchial asthma
- Untreated pheochromocytoma
- Metabolic acidosisEnol is used with caution in patients with:
- Raynaud’s disease
- First degree heart block
- Prinzmetal’s angina
- Chronic obstructive pulmonary disease
- History of psoriasis
Drug interactions to be careful about
Following drugs should be avoided while taking Enol:
- Verapamil, Digitalis, Amiodarone and Diltiazem (heart rate decreasing drugs)
- Drugs used in the treatment of asthma
- Antidiabetic medications since Enol can block the signs of hypoglycemia
- Drugs that act on alpha receptors like ephedrine. It can produce excessive rise in blood pressure
- NSAIDs such as ibuprofen and naproxen, which may block the effect of Enol on blood pressure
- Drugs that lower blood pressure and increase potassium levels such as Chlorthiazide
- Catecholamine-depleting drugs (eg, reserpine)
- Anti-arrhythmic agents – Disopyramide, Amiodarone
Precautions when taking Enol
- The drug accumulates in patients with renal failure, and dosage should be adjusted for patients whose creatinine clearance is < 35 ml/min
- Enol may be required to be stopped before any surgery or dental treatment
- Enol may block the symptoms of low blood glucose levels. Thus, diabetic patients must take extra care while using this drug
- Avoid consuming alcohol and do no drive
Side Effects of Enol
- Common side effects include –
- Difficulty breathing
- Impaired vision
- Decreased heartbeats
- Heart failure
- Low blood pressure
Are There Any Reported Allergic Reactions?
Symptoms of allergic reactions:
- Hives – red, itchy bumps on skin
- Difficulty in breathing
- Swelling on face, throat or hands
Effect of Enol on organs
- Cardiovascular reactions- Slow heart rate, heart failure, low blood pressure
- Central Nervous System reactions- Headache, fatigue, dizziness, hallucinations, confusion and sleep disturbances
- Gastrointestinal reactions – Diarrhea and nausea
- Respiratory reactions- Wheezing and shortness of breath
- Other reactions- Lack of sexual drive, impotence, and erectile dysfunction
Shows Effects / Results in
- Enol blocks beta-1 receptors, which are present in heart which eventually prevents the action of nerve chemicals adrenaline and noradrenaline on the heart
- As a result, heart beats at a slower rate and with lesser force, and pumps out lesser blood into blood vessels
- This action of Enol reduces blood pressure in hypertensive patients
- Since the heart treated with Enol beats slowly and with less force, it uses lesser energy thus relieving pain in angina and also reduces the risk of heart attack
Storage Requirements of Enol
- Keep it in an air-tight container
- Keep it away from direct light or moisture
- Keep it out of reach of children
- Follow a well-maintained diet and regular exercise
- Stop smoking while taking this medicine
- Sudden discontinuation can sometimes lead to myocardial infarction (heart attack) or ventricular arrhythmias
- When pregnancy is detected, discontinue Enol as soon as possible
In diabetic patients, use of Enol can hide symptoms of low blood sugar. Therefore, regular blood sugar assessment is advisable.
Is Enol addictive?
Can I have Enol with alcohol?
Any particular food item to be avoided?
Avoid taking orange juice.
Can I have Enol when pregnant?
Can I have Enol when feeding a baby?
Can I drive after taking Enol?
What happens if I overdose on Enol?
Overdosing of Enol may cause extreme weakness or lack of energy, slow heart rate, shortness of breath, or fainting.
What happens if I eat expired Enol?
Expired drug may become ineffective in treating your prescribed conditions, thus to be on the safer side, it is important not to use expired drug.
What happens if I miss a dose of Enol?
If you miss a dose of Enol, skip it and continue with your normal schedule. Do not double dose for a missed one.