What precautions should be taken when initiating Enalapril therapy, particularly in patients with preexisting conditions like kidney impairment or low blood pressure?
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What precautions should be taken when initiating Enalapril therapy, particularly in patients with preexisting conditions like kidney impairment or low blood pressure?
1. Start with a low dose of Enalapril in patients with kidney impairment or low BP, and monitor renal function closely.
2. Monitor blood pressure frequently when initiating Enalapril in patients with hypotension to avoid severe drops in BP.
3. Assess baseline kidney function and electrolytes before starting Enalapril, especially in those with renal impairment, and adjust dosage accordingly.