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"As enalapril stops the production of angiotensin II, these actions are reversed. Therefore more urine is produced by the kidneys, which results in less fluid in the blood vessels. The blood vessels also widen.

Enalapril belongs to a group of medicines called ACE inhibitors. These work by blocking the action of a chemical in the body called angiotensin converting enzyme (ACE). Normally ACE produces another chemical, angiotensin II. Thus enalapril reduces the amount of angiotensin II in the blood.

Angiotensin II usually has two actions. Firstly, it acts on blood vessels to make them narrow and secondly it acts on the kidneys to produce less urine.

The overall effect of this is a drop in blood pressure, and therefore a decrease in the effort required by the heart to pump blood around the body. This can help treat high blood pressure and also heart failure, where the pumping action of the heart has become less effective."

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