Like all medicines Enalapril Actavis Tablets can cause side effects, although not everybody gets them. The following side effects may happen with the medicine: Stop taking Enalapril Actavis Tablets and talk to a doctor straight away, if the patient notice any of the following: Swelling of the face, lips, tongue or throat which may cause difficulty in breathing or swallowing.
Swelling of the hands, feet or ankles.
If the patient develops a raised red skin rash (hives).
Be aware that black patients are at increased risk of these types of reactions. If any of these happen, stop taking Enalapril Actavis Tablets and talk to a doctor straight away.
When the patient starts taking Enalapril Actavis Tablets he/she may feel faint or dizzy. If this happens, it will help to lie down. This is caused by the blood pressure lowering. It should improve as the patient continues to take the medicine. If worried, talk to the doctor.
Other side effects include: Very Common (affects more than 1 in 10 people): Feeling dizzy, weak or sick; blurred vision; cough.
Common (affects less than 1 in 10 people): Low blood pressure, changes in heart rhythm, fast heartbeat, angina or chest pain; headache, fainting (syncope); change in sense of taste, shortness of breath; diarrhoea or abdominal pain, rash; tiredness (fatigue), depression; allergic reactions with swelling of the face, lips, tongue or throat with difficulty in swallowing or breathing; increased blood potassium level, increased levels of creatinine in the blood (both are usually detected by a test).
Uncommon (affects less than 1 in 100 people): sudden fall in blood pressure; fast or uneven heart beats (palpitations); heart attack (possibly due to very low blood pressure in certain high-risk patients, including those with blood flow problems of the heart or brain); anaemia (including aplastic and haemolytic); stroke (possibly due to very low blood pressure in high-risk patients); confusion, sleeplessness or sleepiness, nervousness; feeling the skin prickling or being numb; vertigo; ringing in the ears (tinnitus); runny nose, sore throat or hoarseness; asthma; slow movement of food through the intestine, inflammation of the pancreas; being sick (vomiting), indigestion, constipation, anorexia; irritated stomach (gastric irritations), dry mouth, ulcer, impaired kidney function, kidney failure; increased perspiration; itching or nettle rash; loss of hair; muscle cramps, flushing, generally feeling unwell (malaise), high temperature (fever), impotence; high level of proteins in the urine (measured in a test); low level of blood sugar or sodium, high level of blood urea (all measured in a blood test).
Rare (affects less than 1 in 1,000 people): 'Raynaud's phenomenon' where the hands and feet may become very cold and white due to low blood flow; changes in blood values such as a lower number of white and red blood cells, lower haemoglobin, lower number of blood platelets; bone marrow depression; autoimmune diseases; strange dreams or sleep problems; pulmonary infiltrates; inflammation of the nose; pneumonia; inflammation of the cheeks, gums, tongue, lips, throat; lower amount of urine produced; erythema multiforme; 'Stevens-Johnson syndrome' a serious skin condition where the patient has reddening and scaling of the skin, blistering or raw sores, or detachment of the top layer of skin from bottom layers; liver problems such as lower liver function, inflammation of the liver, jaundice (yellowing of the skin or eyes), higher levels of liver enzymes or bilirubin (measured in a blood test); enlargement of the mammary glands in males.
Very Rare (affects less than 1 in 10,000 people): swelling in the intestine (intestinal angioedema).
If any of these side effects gets serious, or if the patient notices any side effects not listed, tell the doctor or pharmacist.