Enalapril is an angiotensin converting enzyme inhibitor (or ACE inhibitor). What this means is that enalapril stops the angiotensin converting enzyme from producing a compound called angiotensin-ll, which is a potent vasoconstrictor.
An anticoagulation effect generally occurs within 24 hours after warfarin administration. However, peak anticoagulant effect may be delayed 72 to 96 hours. The duration of action of a single dose of racemic warfarin is 2 to 5 days. The effects of COUMADIN may become more pronounced as effects of daily maintenance doses overlap.
In their report in the July 1 issue of the journal Biological Psychiatry, Winokur and his colleagues evaluated the effect of Remeron on patients' sleep by studying their sleep in a sleep laboratory. Six patients who were diagnosed with severe depression and complained of sleep problems were selected. The sleep-inducing effects of Remeron could be seen within the first week of treatment. Time taken to fall asleep decreased from about 15 minutes to five minutes. Total sleep time increased by about an hour a night -- from six hours to seven hours.