How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Vamvakias Your Own Question

Dr.  Vamvakias
Dr. Vamvakias, Veterinarian
Category: Pet
Satisfied Customers: 998
Experience:  Small Animal & Emergency Medicine
11348
Type Your Pet Question Here...
Dr. Vamvakias is online now
A new question is answered every 9 seconds

Enacard vs Enalapril

Customer Question

I have a fifteen year old toy poodle and my vet recommends Enacard. When I asked him about "Enalapril" he said he would not recommend going with a generic brand for this medication. Do you agreee? Just a note: My vet said he now sells pet meds on line (he refused to fill my prescription for 1800 pet meds--the people who said that enalapril is the equivalent to enacard).
Submitted: 9 years ago.
Category: Pet
Expert:  Dr. Vamvakias replied 9 years ago.

Loretta,


I did alittle "quick" research from some other vets and there is nothing suggesting there is any less efficacy of enalapril to enacard. As a clinician the problem with online companies like 1800...is they are giving you medications at a low cost...but if you have a problem with that medication you go to your vet.  So they are wanting the $$ from the sell but not the support of being your vet and dealing with the possible outcomes.


I would talk with your vet about getting enalapril. He can do his own research...via a network called www.vin.com that he is probably familiar with. It is a vet only network..but it has lots of information about using the generic form.  You just need to communicate the desire for the less expensive medication and if he is using an online pharmacy, the generic should be available.


Dr.V

Customer: replied 9 years ago.
Reply to Dr. Vamvakias's Post: Yes, I DO understand that enalapril is the same as enacard. My own "quick" search shows me that exactly the same indications are given, side-effects, etc.

I have talked to my vet. He does not give me any conclusive reasons on why these two medications would vary.

Do you have any professional opinion on so called "generic" prescriptions in general and specificaly on enacard. This is why I am seeking another opinion. Any trial research? Any knowledge that you may have from your own practice? I can forward the www.vin.com to my vet.

It seems they are both are equivalent.
Expert:  Dr. Vamvakias replied 9 years ago.

 They both are equivalent...I use both enalapril and enacard. Why do I have both?? Because sometimes MERCK (enacard) has bulk discounts and I am able to purchase for less than normal. I do not have a problem with dispensing enalapril AT ALL..and I can find NO research suggesting that there is a difference.


Some other medications, the generic brands do not do as well...but Enacard/enalapril does not fall into that category.


Dr.V

Customer: replied 9 years ago.
Reply to Dr. Vamvakias's Post: Thank you.
Expert:  Dr. Vamvakias replied 9 years ago.

 You are welcome...good luck,


Dr.V

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I must tell you I found this site by accident and was amazed when I asked a question of the Veteranians online. I wish I could have found it sooner it could have made such a difference in the outcome of my pet's surgery. However, I am passing along the information to my sister-in-law (a cat-rescue person who is also a nurse), and perhaps it will help someone else who may experience the same problem. The doctor who answered my question was amazing, and while it didn't come it time to change the outcome of my situation, it is reassuring to know the caliber of Vets/Doctors that you have at JustAnswer. Thank you for being there. Alice H. Jacksonville, Fl.
< Last | Next >
  • I must tell you I found this site by accident and was amazed when I asked a question of the Veteranians online. I wish I could have found it sooner it could have made such a difference in the outcome of my pet's surgery. However, I am passing along the information to my sister-in-law (a cat-rescue person who is also a nurse), and perhaps it will help someone else who may experience the same problem. The doctor who answered my question was amazing, and while it didn't come it time to change the outcome of my situation, it is reassuring to know the caliber of Vets/Doctors that you have at JustAnswer. Thank you for being there. Alice H. Jacksonville, Fl.
  • You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets! Linh Charleston, WV
  • $1,000 spent at his vet, and I finally get the correct diagnosis from Nancy Holmes for $15 Carol Cedar Hill, MO
  • I think this is the greatest web site in the world. Thanks to all! Judy New Haven, CT
  • I have referred several friends to your web site. I'm impressed with how easy it is to use your site, the Experts available and the quickness of answers. Nina USA
  • I am completely pleased with the quick response that I received in our time of need for our dog, Jasmine. I couldn't believe how quick the response was and I thank you. It's good to know you're there!! Jasmine's Mom USA
  • Please let everyone involved with your site know that your Expert, Dr. Lucy, has saved my dog's life. I will recommend your site to all my pet loving friends. Thank you again for simply being there! Sonya G Easley, SC
 
 
 

Meet The Experts:

 
 
 
  • Dr. Andy

    Medical Director

    Satisfied Customers:

    522
    2003 Graduate
< Last | Next >
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    522
    2003 Graduate
  • http://ww2.justanswer.com/uploads/JA/Jav917/2012-2-20_54059_201221802254JoananddavidArchuleta3.64x64.jpg Joan's Avatar

    Joan

    Vet Technician

    Satisfied Customers:

    2337
    Vet Tech for 30+yrs. Small Animals and Fish
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Veterinarian

    Satisfied Customers:

    273
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    157
    12 years of experience in emergency, surgery and medicine
  • http://ww2.justanswer.com/uploads/MS/MsAM/2012-6-9_16426_anna.64x64.jpeg Anna's Avatar

    Anna

    Pet Expert/Biologist

    Satisfied Customers:

    2916
    40 yrs.: herps, pocket pets, rabbits, poultry, dogs, horses. Biology degree. Vet assistant.
  • http://ww2.justanswer.com/uploads/BA/babybloo/2011-3-10_62613_DavidandI.64x64.jpg Theresa's Avatar

    Theresa

    Voice for your pet

    Satisfied Customers:

    1132
    Veterinary Technician for 15 years
  • http://ww2.justanswer.com/uploads/JA/jadedangel57/2011-11-8_193134_janenewsm.64x64.jpg Jane Lefler's Avatar

    Jane Lefler

    Behaviorist, Breeder, See Qual.

    Satisfied Customers:

    884
    15 years Breeding Experience, Former vol. Vet Assistant, Dog Behaviorist