Patient Information Leaflet
Enalapril/Hidroclorotiazida Sandoz 20 mg/12.5 mg Tablets EFG
Enalapril maleate/hydrochlorothiazide
Read this leaflet carefully before you start taking the medicine, as it contains important information for you.
1.What Enalapril/Hidroclorotiazida Sandoz is and what it is used for
2.What you need to know before starting to take Enalapril/Hidroclorotiazida Sandoz
3.How to take Enalapril/Hidroclorotiazida Sandoz
4.Possible side effects
5.Storage of Enalapril/Hidroclorotiazida Sandoz
6.Contents of the pack and additional information
Enalapril/Hidroclorotiazida Sandoz contains a combination of enalapril and hidroclorotiazida and are used as a treatment for high blood pressure when treatment with enalapril as a single medication has been shown to be insufficient on its own.
Your doctor may also prescribe Enalapril/Hidroclorotiazida Sandoz instead of separate tablets of the same doses of enalapril and hidroclorotiazida.
This fixed-dose combination is not suitable as initial treatment.
You should speak with a doctor if you do not feel better or if you feel worse.
Enalaprilbelongs to a group of medications called angiotensin-converting enzyme inhibitors (ACE inhibitors), which reduces blood pressure by dilating blood vessels.
Hidroclorotiazidabelongs to a group of medications called diuretics and reduces blood pressure by increasing urine production.
Do not take Enalapril/Hidroclorotiazida Sandoz
Warnings and precautions
Consult your doctor or pharmacist before starting to take Enalapril/Hidroclorotiazida Sandoz if:
Your doctor may need to monitor your renal function, blood pressure and electrolyte levels in your blood (e.g. potassium) at regular intervals.
See also the information under the heading "Do not take Enalapril/Hidroclorotiazida Sandoz".
You should consult your doctor if you think you are (or may become) pregnant. Enalapril maleate/hidroclorotiazida is not recommended at the beginning of pregnancy, and should not be taken if you are more than 3 months pregnant, as this could cause serious harm to your baby if you take it during this period (see section pregnancy). Enalapril/Hidroclorotiazida Sandoz is not recommended during breastfeeding.
Generally, Enalapril/Hidroclorotiazida Sandoz is not recommended if the following occurs, so you should consult your doctor before starting to take this medicine:
See also the section "Other medicines and Enalapril/Hidroclorotiazida Sandoz" later in this leaflet.
Inform your doctor if you are a sportsman who has a doping control, as Enalapril/Hidroclorotiazida Sandoz contains an active ingredient that may produce positive results in a doping test.
Patients aged over 70 years or who are malnourished should take special care when using Enalapril/Hidroclorotiazida Sandoz.
Enalapril/Hidroclorotiazida Sandoz may be less effective in people of black race.
Children and adolescents
This medicine is not recommended for use in children.
If you develop any of the following symptoms while taking Enalapril/Hidroclorotiazida Sandoz, inform your doctor immediately:
Other medicines and Enalapril/Hidroclorotiazida Sandoz
Inform your doctor or pharmacist if you are taking, have taken recently or may need to take any other medicine.
You should not takeenalapril/hidroclorotiazida at the same time as the following medicines:
Your doctor may need to change your dose and/or take other precautions: if you are taking an angiotensin II receptor antagonist (ARA) or aliskirén (see also the sections "Do not take Enalapril/Hidroclorotiazida Sandoz" and "Be careful with Enalapril/Hidroclorotiazida Sandoz").
Inform your doctor or pharmacist if you are using or have used recently other medicines, including those acquired without a prescription, natural products or herbs.
Taking Enalapril/Hidroclorotiazida Sandoz with food, drink and alcohol
Enalapril/Hidroclorotiazida Sandoz can be taken without regard to meals. Drinking alcohol with this medicine may increase the blood pressure-lowering effect of the medicine (and may cause dizziness when standing up, etc.).
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, or think you may be pregnant, consult your doctor or pharmacist before using this medicine.
Pregnancy
You should inform your doctor if you think you are (or may become) pregnant. Your doctor will usually recommend stopping treatment with enalapril/hidroclorotiazida before becoming pregnant or as soon as you become pregnant and will recommend taking another medicine instead of enalapril/hidroclorotiazida. Enalapril/hidroclorotiazida is not recommended at the beginning of pregnancy, and should not be taken if you are more than 3 months pregnant, as this could cause serious harm to your baby if used after the third month of pregnancy.
Breastfeeding
Consult your doctor if you are breastfeeding or plan to start breastfeeding.
The use of enalapril/hidroclorotiazida is not recommended in mothers who are breastfeeding.
Driving and operating machines
Dizziness and fatigue have been detected in people treated with enalapril/hidroclorotiazida. If you experience any of these symptoms, do not drive or operate machines (see also section "4. Possible side effects").
Enalapril/Hidroclorotiazida Sandoz contains lactose
If your doctor has told you that you have a certain sugar intolerance, consult with him before taking this medicine.
Enalapril/Hidroclorotiazida contains sodium
This medicine contains less than 1 mmol of sodium (23 mg) per tablet; this is, essentially "sodium-free".
Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.
Adults
The recommended dose is one tablet once a day.
Advanced age
Your doctor may adjust the dose of enalapril and hydrochlorothiazide carefully.
Renal insufficiency
Your doctor will adjust the dose of enalapril and hydrochlorothiazide carefully.
If you are taking other diuretic tablets
If you are taking other diuretic tablets, your doctor will inform you that you must stop taking them 2 or 3 days before starting to take enalapril/hydrochlorothiazide.
Administration form
The tablets should be swallowed with a glass of water.
Enalapril/Hidroclorotiazida Sandoz can be taken with meals or on an empty stomach.
The groove is only for breaking and facilitating swallowing and not for dividing into equal doses.
If you take more Enalapril/Hidroclorotiazida Sandoz than you should
If you have taken more Enalapril/Hidroclorotiazida Sandoz than you should, consult your doctor immediately, your pharmacist or go to the nearest hospital immediately, or call the Toxicological Information Service, Teléfono: 91 562 04 20, indicating the medication and the amount ingested.
If you (or someone) ingest many tablets at once, or if you think a child has swallowed any of the tablets, seek immediate medical attention. A overdose may cause decreased blood pressure, an excessively fast or slow heart rate, palpitations (sensation of an excessively fast or irregular heart rate), shock, rapid breathing, cough, discomfort, cramps, dizziness, numbness and confusion or anxiety, excessive urination or inability to urinate. Go to the doctor or hospital with this leaflet, the remaining tablets and the packaging, so that they know the tablets that have been taken.
If you forgot to take Enalapril/Hidroclorotiazida Sandoz
Do not take a double dose to compensate for the missed doses, take the next dose at the usual time. If you have any other questions about the use of this medication, ask your doctor or pharmacist.
If you interrupt the treatment with Enalapril/Hidroclorotiazida Sandoz
The treatment of hypertension is a long-term treatment and the interruption of this treatment should be consulted with the doctor. Stopping or suspending your treatment may cause an increase in blood pressure.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everyone will experience them.
If you experience any of the following, stop taking Enalapril/Hidroclorotiazida Sandoz and tell your doctor immediately or go to the nearest hospital emergency department:
This is a potentially serious but rare side effect (may affect up to 1 in 10 patients) indicative of liver inflammation. You may need urgent medical attention or hospitalization.
Enalapril maleate/hydrochlorothiazide frequently (may affect up to 1 in 10 patients) causes a decrease in blood pressure that may be associated with dizziness and weakness. In some patients, this may occur after the first dose or when the dose is increased. If you experience these symptoms, you should contact your doctor immediately.
Enalapril maleate/hydrochlorothiazide rarely (may affect up to 1 in 1,000 patients) may cause a reduction in the number of white blood cells and may decrease your resistance to infections. If you have an infection with symptoms such as fever and severe deterioration of your general condition, or fever with symptoms of local infection such as sore throat/pharynx/mouth or urinary problems, you should see your doctor immediately. They will do a blood test to check for possible reduction of white blood cells (agranulocytosis). It is essential to inform your doctor about your medication.
With the use of enalapril maleate/hydrochlorothiazide and other ACE inhibitors, there have been frequent reports (may affect more than 1 in 10 patients) of a dry cough, which may persist for a long time, but may also be a symptom of another upper respiratory tract disease. You should contact your doctor if this symptom appears.
The following side effects have also been reported:
Frequent (may affect more than 1 in 10 patients)
Common (may affect up to 1 in 10 patients)
Rare (may affect up to 1 in 100 patients)
Very rare (may affect up to 1 in 10,000 patients)
Unknown (cannot be estimated from available data)
Reporting of side effects
If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through theSistema Español de Farmacovigilancia de medicamentos de Uso Humano:https://www.notificaram.es.By reporting side effects, you can contribute to providing more information on the safety of this medicine.
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date that appears on the carton and on the blister after CAD/EXP. The expiration date is the last day of the month indicated.
Do not store at a temperature above 30 °C. Store in the original packaging to protect it from moisture.
Medicines should not be disposed of through drains or in the trash. Dispose of the containers and medicines you no longer need at your local SIGRE collection point at your usual pharmacy. Ask your pharmacist how to dispose of the containers and medicines you no longer need. This will help protect the environment.
Composition of Enalapril/Hidroclorotiazida Sandoz
Appearance of the product and contents of the package
Enalapril/Hidroclorotiazida Sandoz 20/12.5 mg tablets are white, oval, biconvex, breakable, scored on both faces, and with the mark “E|H” on one face.
The tablets are presented in OPA-Al-PVC/Al blisters, which are contained in a cardboard box.
Enalapril/Hidroclorotiazida Sandoz 20/12.5 mg tablets are available in packaging sizes of 10, 14, 20, 28, 30, 49, 50, 50x1, 60, 84, 90, 98, and 100 tablets.
Only some packaging sizes may be commercially available.
Holder of the marketing authorization and responsible for manufacturing
Holder of the marketing authorization
Sandoz Farmacéutica, S.A.
Centro Empresarial Parque Norte
Edificio Roble
C/ Serrano Galvache, 56
28033 Madrid
Spain
Responsible for manufacturing
Salutas Pharma GmbH
Otto-von-Guericke-Allee 1
39179 Barleben
Germany
or
Sandoz A/S
Edvard Thomsens Vej 14
2300 København S
Denmark
This medicine is authorized in the member states of the European Economic Area with the following names:
Austria:Enalapril HCT Sandoz 20 mg/12.5 mg - Tablets
France:ENALAPRIL/HYDROCHLOROTHIAZIDE SANDOZ 20 mg/12.5 mg, scored tablet
Italy:ENALAPRIL IDROCLOROTIAZIDE HEXAL 20 mg + 12.5 mg tablets
Netherlands:ENALAPRILMALEAAT/HYDROCHLOORTHIAZIDE 20/12.5 MG, tablets 20/12.5 mg
Slovenia:ANATON 20 mg/12.5 mg tablets
Last review date of this leaflet: April 2022
Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS) http://www.aemps.gob.es/
The average price of Enalapril/hidroclorotiazida sandoz 20/12,5 mg comprimidos efg in July, 2025 is around 1.84 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.
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