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.
Implications for Thyroid Patients. The recommendations by researchers are clear: You should wait at least 60 minutes after taking your levothyroxine before you drink coffee or espresso. And if that is not possible, then you may want to talk to your doctor about taking levothyroxine medication at night.