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.
Answer: As long as you take regular dosages, you can take most medications with coumadin without problem. The problem arises if you take a large dose one day (or for a week) and then none for a while. The dosage of coumadin can be adjusted for almost any metabolic problem as long as the problem is relatively fixed.