Open Access
Enalapril induced severe hyponatremia and altered sensorium in a child
Author(s) -
Syed Ahmed Zaki,
Swapnil Bhongade,
Preeti Shanbag
Publication year - 2011
Publication title -
indian journal of pharmacology/the indian journal of pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.286
H-Index - 59
eISSN - 1998-3751
pISSN - 0253-7613
DOI - 10.4103/0253-7613.84984
Subject(s) - enalapril , hyponatremia , medicine , angiotensin converting enzyme , heart failure , cardiology , anesthesia , blood pressure
Enalapril is an angiotensin converting enzyme inhibitor widely used in children for treatment of hypertension and congestive cardiac failure. We report a 5-year-old boy who developed severe hyponatremia and altered sensorium on enalapril therapy. The serum sodium gradually became normal within 3 days. The patient's sensorium improved significantly on correction of hyponatremia. Through this case, we highlight the importance of monitoring serum sodium in patients on enalapril therapy.