Envas 5 Tablet (Enalapril 5 mg): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Swelling of the face, lips, throat, or tongue
- Difficulty breathing or swallowing
- Severe dizziness or fainting
- Decreased urine output or swelling in legs
- Irregular heartbeat or palpitations
- Severe abdominal pain
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is hiril 5mg tablet used for?
This medicine contains Enalapril 5 mg, an ACE inhibitor used to treat high blood pressure and heart failure. It works by relaxing blood vessels to lower blood pressure and reduce the heart's workload. It is taken orally, usually once or twice daily.
- Generic Name: Enalapril (5mg)
- Manufacturer: Hinglaj Laboratories
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 hiril 5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एनालाप्रिल 5 मिलीग्राम युक्त है और मुख्य रूप से उच्च रक्तचाप (हाइपरटेंशन) और हृदय विफलता के इलाज के लिए उपयोग की जाती है। यह रक्त वाहिकाओं को आराम देकर रक्तचाप को कम करती है और हृदय पर दबाव कम करती है। यह दवा दिल के दौरे के बाद जीवन रक्षा दर को बढ़ाने और कुछ गुर्दे की बीमारियों की प्रगति को धीमा करने में भी मदद करती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में चक्कर आना, थकान, सिरदर्द, सूखी खांसी और जी मिचलाना शामिल हैं। ये आमतौर पर हल्के होते हैं और शरीर के अनुकूल होने पर कम हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें चेहरे, होंठ, गले या जीभ में सूजन (एंजियोएडेमा), गुर्दे की समस्या और उच्च पोटेशियम स्तर शामिल हो सकते हैं। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को गुर्दे की बीमारी, यकृत की बीमारी, मधुमेह या एंजियोएडेमा के इतिहास के बारे में बताएं। पोटेशियम सप्लीमेंट या नमक के विकल्प का सेवन बिना डॉक्टर की सलाह के न करें। यदि आप गर्भवती हैं या गर्भवती होने की योजना बना रही हैं तो यह दवा न लें। शराब से बचें क्योंकि इससे चक्कर आ सकते हैं। बैठने या लेटने की स्थिति से धीरे-धीरे उठें। डॉक्टर की सलाह के बिना दवा बंद न करें।
💊 hiril 5mg tablet Uses & Benefits
[{"condition":"Hypertension","description":"This medicine is used to lower high blood pressure, reducing the risk of stroke, heart attack, and kidney problems.","evidence":"Well-established"},{"condition":"Heart failure","description":"It helps improve symptoms and survival in patients with heart failure by reducing the workload on the heart.","evidence":"Well-established"},{"condition":"Asymptomatic left ventricular dysfunction","description":"Used to prevent the progression to symptomatic heart failure in patients with reduced ejection fraction.","evidence":"Well-established"},{"condition":"Post-myocardial infarction","description":"Administered after a heart attack to improve survival and reduce the risk of future cardiovascular events.","evidence":"Well-established"},{"condition":"Diabetic nephropathy","description":"Used to slow the progression of kidney disease in patients with diabetes and proteinuria.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Scleroderma renal crisis","description":"Sometimes used off-label for managing scleroderma renal crisis, a rare but serious kidney complication.","evidence":"Limited"},{"condition":"Migraine prophylaxis","description":"Occasionally prescribed off-label to prevent migraines, though evidence is limited.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Heart failure, Post-myocardial infarction, Diabetic nephropathy
📋 Drug Information
| Generic Name(s) | Enalapril (5mg) |
| Brand Name | hiril 5mg tablet |
| Manufacturer | Hinglaj Laboratories |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Angiotensin-converting enzyme (ACE) inhibitors |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and light. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | WHO recommends ACE inhibitors like enalapril as first-line treatment for hypertension in certain patient populations, especially those with diabetes or heart failure. |
| ICMR Guideline | ICMR guidelines recommend ACE inhibitors for the management of hypertension, particularly in patients with comorbid conditions like diabetes and heart failure. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by inhibiting the angiotensin-converting enzyme (ACE). ACE is responsible for converting angiotensin I to angiotensin II, a potent vasoconstrictor. By blocking this conversion, this medicine reduces levels of angiotensin II, leading to relaxation of blood vessels (vasodilation) and decreased secretion of aldosterone. This results in lower blood pressure, reduced sodium and water retention, and decreased workload on the heart. Additionally, it increases levels of bradykinin, a vasodilator, which contributes to its blood pressure-lowering effect but may also cause side effects like cough.
Mechanism Steps
💡 How to Take hiril 5mg tablet
Strength: Enalapril 5 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual starting dose for hypertension is 5 mg once daily, but it may be increased to 10-40 mg daily in one or two divided doses. For heart failure, the starting dose is 2.5 mg twice daily, gradually increased to a target of 10-20 mg twice daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced renal function and may require lower initial doses. Start with 2.5 mg once daily and titrate slowly. Monitor renal function and potassium levels. |
| Renal Impairment | In patients with renal impairment, the dose should be reduced. For creatinine clearance 30-80 mL/min, start with 5 mg once daily; for 10-30 mL/min, start with 2.5 mg once daily; for <10 mL/min, start with 2.5 mg on dialysis days. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | In patients with hepatic impairment, the dose may need to be reduced. Monitor liver function. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is 40 mg for hypertension and 40 mg for heart failure, but individualization is required. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of hiril 5mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Potassium supplements | Major | |
| Spironolactone | Major | |
| Ibuprofen | Major | |
| Lithium | Major | |
| Furosemide | Moderate | |
| Metoprolol | Moderate | |
| Amitriptyline | Moderate | |
| Antacids | Minor | |
| Cimetidine | Minor |
🚨 Major Interactions
- Potassium supplements
- Potassium-sparing diuretics (e.g., spironolactone)
- NSAIDs (e.g., ibuprofen)
- Lithium
⚡ Moderate Interactions
- Diuretics
- Beta-blockers
- Tricyclic antidepressants
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering effect of this medicine, leading to dizziness, lightheadedness, and fainting. It is advisable to limit or avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["History of angioedema related to ACE inhibitors","Hereditary or idiopathic angioedema","Pregnancy","Bilateral renal artery stenosis","Concomitant use with aliskiren in patients with diabetes"]
⚠️ Warnings & Precautions
["Angioedema: May occur at any time. Discontinue and seek emergency care if suspected.","Hypotension: May occur, especially in volume-depleted patients. Monitor blood pressure.","Hyperkalemia: Risk increased with potassium supplements, potassium-sparing diuretics, or renal impairment.","Renal impairment: Dose adjustment may be needed. Monitor kidney function.","Cough: Persistent dry cough may occur; consider alternative if bothersome.","Neutropenia/Agranulocytosis: Rare, but monitor blood counts in high-risk patients.","Use in children: Safety and efficacy not established for children under 6 years."]
🤱 Lactation Safety
Enalapril is present in breast milk in small amounts. It is generally considered safe during breastfeeding, but consult your doctor to weigh the benefits and risks.
💊 Overdose Management
Overdose may cause severe hypotension, bradycardia, and electrolyte imbalances. Treatment is supportive and symptomatic. If overdose is suspected, contact a poison control center or emergency room immediately. Measures may include intravenous fluids, vasopressors, and monitoring of vital signs and electrolytes.
⏰ Missed Dose
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 continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Before taking this medicine, inform your doctor if you have kidney disease, liver disease, diabetes, or a history of angioedema. Avoid using potassium supplements or salt substitutes containing potassium without consulting your doctor, as this medicine can increase potassium levels. Do not take this medicine if you are pregnant or planning to become pregnant, as it can harm the unborn baby. Use effective contraception while taking this medicine. Avoid alcohol, as it can enhance the blood pressure-lowering effect and cause dizziness. Stand up slowly from a sitting or lying position to prevent dizziness. Do not stop taking this medicine abruptly without consulting your doctor, as this can cause a rebound increase in blood pressure. Keep all appointments for monitoring blood pressure, kidney function, and potassium levels.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the blood pressure-lowering effects and may require lower initial doses. Monitor renal function and potassium levels closely. Risk of falls due to dizziness may be increased.
🤰 Pregnancy Planning (TTC)
This medicine is contraindicated during pregnancy. If you are planning to become pregnant, consult your doctor to switch to a safer alternative before conception. Use effective contraception while taking this medicine.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be temporarily stopped before surgery to prevent hypotension during anesthesia. Follow your doctor's instructions.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It may cause dry mouth or dizziness during dental procedures. Maintain good oral hygiene and stay hydrated.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally safe while taking this medicine, but avoid sudden strenuous activities that may cause dizziness. Stay hydrated and rise slowly after exercise. If you experience dizziness or fainting during exercise, stop and consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, especially when starting treatment or increasing the dose. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal activities once adjusted to the medication.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects like angioedema, severe hypotension, or kidney problems, seek immediate medical attention. Your doctor may adjust the dose or switch to a different medicine.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe and effective for managing hypertension and heart failure. Regular monitoring of blood pressure, kidney function, and potassium levels is required. Some patients may develop a persistent dry cough. Rarely, it can cause kidney impairment or high potassium. Do not stop the medicine without consulting your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and weight loss can help control blood pressure and complement medicine.
Evidence: Well-establishedAlternative class for patients who cannot tolerate ACE inhibitors due to cough.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, consult your doctor before receiving any live vaccines while on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from moisture. If traveling across time zones, consult your doctor about adjusting dosing times. Check local customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts lowering blood pressure within 1 hour, with peak effect in 4-6 hours. Full benefits may take several weeks.
A: Yes, you can take it with or without food. Taking it with food may reduce stomach upset.
A: Take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: No, this medicine is contraindicated in pregnancy as it can harm the fetus. Consult your doctor immediately if you become pregnant.
🤔 Common Patient Concerns
🔄 Substitutes for hiril 5mg tablet
View AllAlternative brands with exact same active ingredient:
-
canvas 5mg tabletZydus Cadila ₹4.22 71.9% CHEAPER
-
minipril 5mg tabletAlembic Pharmaceuticals Ltd ₹6.25 58.3% CHEAPER
-
enpril 5mg tabletWockhardt Ltd ₹6.42 57.2% CHEAPER
-
malepril 5 tabletZeelab Pharmacy Pvt Ltd ₹7.00 53.3% CHEAPER
-
renin 5mg tabletTerrace Pharmaceuticals ₹9.38 37.5% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Enalapril can be stopped once blood pressure is normal.
Fact: Enalapril controls but does not cure hypertension. It should be continued as prescribed to maintain blood pressure control. - Myth: Enalapril is safe to use during pregnancy.
Fact: Enalapril is contraindicated in pregnancy as it can harm the fetus. - Myth: Enalapril causes cough in everyone.
Fact: Only about 5-20% of patients experience a dry cough; many do not.
🔄 Alternative Options
Generic Alternatives
- Enalapril maleate 5 mg tablet
Brand Alternatives
- Envas 5 mg tablet
- Enalapril 5 mg tablet (various brands)