依那普利
別名: Enacard, Vasotec, Glioten, Lotrial, Pres, Renitec, Reniten, Xanef
依那普利可用於幫助您的寵物心臟更輕鬆地泵血，或保護牠們的腎臟減少蛋白質流失。 * **給藥方式：** 可與食物一起或空腹給予。如果您的寵物在空腹服藥後嘔吐，請嘗試與少量零食或餐點一起餵食。 * **持續用藥很重要：** 未經獸醫師同意，請勿突然停止或減少劑量，因為這可能導致心臟或腎臟疾病突然惡化。 * **注意事項：** 如果嘔吐或腹瀉持續存在或變得嚴重，請聯繫您的獸醫師。 * **低血壓的跡象：** 觀察是否有虛弱、嗜睡、步態不穩或昏厥的現象。如果出現這些情況，請立即聯繫獸醫師，因為可能需要調整劑量。 * **監測：** 在服用此藥物期間，您的獸醫師需要定期檢查寵物的血液數值（腎功能和鉀離子）以及血壓。
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
用途
- For adjunctive treatment of heart failure due to hypertrophic cardiomyopathy
- For adjunctive treatment of heart failure due to hypertrophic cardiomyopathy
- For adjunctive treatment of heart failure due to hypertrophic cardiomyopathy
- For proteinuria, hypertension in chronic kidney disease
- For systemic hypertension
- For adjunctive therapy for heart failure
- For dilative cardiomyopathy
- For adjunctive therapy for heart failure
- For adjunctive therapy for heart failure
- As a vasodilator in heart failure
- For adjunctive treatment of heart failure
- For adjunctive treatment of glomerular disease
給藥方式
可能的副作用
- Anorexia
- Vomiting
- Diarrhea
- Weakness
- Hypotension
- Renal dysfunction
- Hyperkalemia
- Lethargy (especially in cats)
- Inappetence
注意事項與禁忌
- Hypersensitivity to ACE inhibitors
- Pregnancy (Category C in first trimester, Category D in second/third trimesters due to fetal kidney developmental risks)
- Use with caution and close supervision in patients with **renal insufficiency** (doses may need to be reduced). Use cautiously in patients with **hyponatremia** or sodium depletion, coronary or cerebrovascular insufficiency, preexisting hematologic abnormalities, or a collagen vascular disease (e.g., SLE). Patients with severe CHF should be monitored very closely upon initiation of therapy for acute hypotension or acute kidney injury. Safe use during nursing cannot be assumed as it is excreted into milk.
藥物相互作用
- Antidiabetic agents (insulin, oral agents): Possible increased risk for hypoglycemia; enhanced monitoring recommended
- Diuretics (e.g., furosemide, hydrochlorothiazide): Potential for increased hypotensive effects; furosemide doses may need reduction (by 25-50%) when adding enalapril
- Potassium-sparing diuretics (e.g., spironolactone, triamterene): Increased hyperkalemic effects; enhanced monitoring of serum potassium recommended
- Hypotensive agents: Potential for increased hypotensive effect
- Lithium: Increased serum lithium levels possible; increased monitoring required
- NSAIDs: May reduce the anti-hypertensive or positive hemodynamic effects of enalapril; may increase risk for reduced renal function
- Potassium supplements: Increased risk for hyperkalemia
常見問題
依那普利用於寵物有什麼用途？
依那普利可用於幫助您的寵物心臟更輕鬆地泵血，或保護牠們的腎臟減少蛋白質流失。 * **給藥方式：** 可與食物一起或空腹給予。如果您的寵物在空腹服藥後嘔吐，請嘗試與少量零食或餐點一起餵食。 * **持續用藥很重要：** 未經獸醫師同意，請勿突然停止或減少劑量，因為這可能導致心臟或腎臟疾病突然惡化。 * **注意事項：** 如果嘔吐或腹瀉持續存在或變得嚴重，請聯繫您的獸醫師。 * **低血壓的跡象：** 觀察是否有虛弱、嗜睡、步態不穩或昏厥的現象。如果出現這些情況，請立即聯繫獸醫師，因為可能需要調整劑量。 * **監測：** 在服用此藥物期間，您的獸醫師需要定期檢查寵物的血液數值（腎功能和鉀離子）以及血壓。
依那普利對我的寵物安全嗎？
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
本文僅供一般健康教育，不能取代專業獸醫意見。如寵物身體不適，請諮詢獸醫。