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.
- The clinic can authorize prescription refills for warfarin (CoumadinÂ®). - An anticoagulation clinic pharmacist is available for questions 24 hours a day, 7 days a week. Referral to the Clinic: Your doctor has to refer you to the clinic.