Do not take this medication with any of the following medications:

-sacubitril; valsartan
This medicine may also interact with the following:

-diuretics
-lithium
-medicines for high blood pressure
-NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
-potassium salts or potassium supplements

They need to know if you have any of these conditions:

-bone marrow disease
-heart or blood vessel disease
-if you are on a special diet, such as a low salt diet
-immune system disease like lupus
-kidney or liver disease
-low blood pressure
-previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat
-an unusual or allergic reaction to enalapril, other ACE inhibitors, insect venom, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure as directed. Ask your doctor or health care professional what your blood pressure should be and when you should contact him or her. Call your doctor or health care professional if you notice an irregular or fast heart beat.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information.
Check with your doctor or health care professional if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of too much body fluid can make it dangerous for you to take this medicine.
Avoid salt substitutes unless you are told otherwise by your doctor or health care professional.
Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.

Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from moisture. Keep the container tightly closed.