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Enalapril, like other ACE inhibitors, can affect kidney function, but it’s not necessarily “bad” for the kidneys when used appropriately. Here’s how it can impact kidney health:
Potential for Kidney Dysfunction: Enalapril can affect kidney function, particularly in people with preexisting kidney conditions or those at risk for kidney issues. It can alter kidney blood flow and may lead to increased levels of blood urea nitrogen (BUN) and serum creatinine, markers of kidney function.
Risk of Hyperkalemia: Enalapril can increase potassium levels in the blood, which may cause hyperkalemia. Elevated potassium levels can be harmful, particularly for people with compromised kidney function.
Acute Kidney Injury (AKI): In some cases, ACE inhibitors like enalapril can cause a sudden decline in kidney function, particularly when starting the medication or increasing the dose.
Monitoring: Regular monitoring of kidney function and electrolytes (like potassium) is important while taking enalapril. Your healthcare provider will typically perform blood tests to check for any changes in kidney function.
For most people, enalapril is safe and effective when used as prescribed. If you have existing kidney problems or other conditions that affect kidney function, it’s crucial to discuss these with your healthcare provider before starting enalapril. They will assess the risks and benefits and may adjust the dosage or recommend additional monitoring to ensure kidney health is maintained.
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