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.
What are the possible side effects of Coumadin? Coumadin may cause serious side effects including: See â What is the most important information I should know about Coumadin? â Death of skin tissue (skin necrosis or gangrene). This can happen soon after starting Coumadin. It happens because blood clots form and block blood flow to an area of your body.