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.
Elderly people can exhibit Sundownerâs Syndrome when mental processes (e.g. thinking) reach a high point late in the day, leading to information overload. Sundownerâs Syndrome generally occurs between 3 p.m. and 8 p.m., but this may vary with the seasons. It may be more effective to schedule activities in the morning. Late afternoon is a good time to relax.