Compare Enalapril vs. Altace

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Vasotec
(enalapril)

Altace
(ramipril)

Lowers blood pressure. Enalapril is a good blood pressure-lowering medicine that protects kidney function.Lowers blood pressure. Altace (ramipril) is a good blood pressure-lowering medicine that protects your kidney function. It's also a good option if you have trouble swallowing pills since you can open the capsules.
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Coupons for Enalapril
Best available price for 30 (20mg) tablets of enalapril
Coupons for Altace
Best available price for 30 (10mg) capsules of altace
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
4.26Enalapril
Reviews for Enalapril
44%
of people (All ages) say Enalapril is worth it
40%
say it works well
21%
say it's a big hassle
Have you used Vasotec (enalapril)?
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Have you used Altace (ramipril)?
Worth itNot sureNot worth it
Side effects
EnalaprilAltace
  • Low blood pressure 7%
  • Positional low blood pressure 2%
  • Muscle weakness 2%
  • Orthostatic effects 2%
  • Fainting 2%
More Enalapril side effects »
  • Low blood pressure 6%
  • Increased cough 4%
  • Dizziness 1%
  • Chest pain 1%
  • Nausea 1%
  • Low blood pressure when standing up 1%
  • Fainting 1%
  • Vomiting 1%
  • Vertigo 1%
More Altace side effects »
How it works
EnalaprilAltace
Enalapril is an angiotensin converting enzyme (ACE) inhibitor. It blocks a chemical that tightens blood vessels. This makes blood vessels relax, which lowers blood pressure and allows more blood and oxygen to get to your heart and other organs.Altace (ramipril) is an angiotensin converting enzyme (ACE) inhibitor. It blocks a chemical that usually tightens blood vessels. By making blood vessels relax, it lowers blood pressure and allows more blood and oxygen to get to your heart and other organs.
Type of medication
EnalaprilAltace
Prescription onlyPrescription only
Available as
EnalaprilAltace
  • Pill
  • Liquid
  • Pill
Used for
EnalaprilAltace
Risk factors for serious side effects
EnalaprilAltace
  • Women of childbearing age
  • African descent
  • Current kidney problems
  • Medicine that increase potassium
  • Use of salt substitute
Detailed Vasotec (enalapril) risks & warnings »
  • Women of childbearing age
  • African descent
  • Current kidney problems
  • Medicines that increase potassium
  • Using salt substitutes
Detailed Altace (ramipril) risks & warnings »
Pregnancy

Research studies with real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Research studies with real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Kidneys and liver
EnalaprilAltace
  • Requires routine blood tests to check kidney function.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • Requires routine blood tests to check how your kidneys are working.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
Upsides and benefits
EnalaprilAltace
  • A first-choice blood pressure treatment for many people.
  • Lowers the risk of heart attack and stroke.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • Recommended for anyone with heart failure since it lowers the risk of death and further damage to your heart.
  • The only ACE inhibitor that doctors can give through an IV if that's needed.
  • Altace (ramipril) is a first-choice blood pressure treatment for many people.
  • It lowers your risk of heart attack and stroke.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • It's recommended for anyone with heart failure since it lowers the risk of death and further damage to your heart.
  • Altace (ramipril) is the only ACE inhibitor that you can open and sprinkle in applesauce or water.
Downsides and risks
EnalaprilAltace
  • Up to 1 in 10 people can get a dry cough with this medicine. It ranges from a mild tickle in the throat to a persistent hacking cough.
  • Compared to other ACE inhibitors, less flexible on when you take it. Enalapril needs to be taken multiple times a day on an empty stomach.
  • Requires a yearly blood test to see how the medicine is affecting your body.
  • Not safe to use if you're pregnant.
  • Some people can get a dry cough while using this medicine. It ranges from a mild tickle in the throat to a persistent hacking cough.
  • You'll need to get routine blood tests to see how this medicine is affecting your body.
  • Women, be sure to use contraception while taking this medication since it can harm a fetus. It's also not safe to use if you're already pregnant.
Tips from our pharmacists for people taking the medication
EnalaprilAltace
  • Can cause dizziness in the first few days.
  • Check your blood pressure 1 week after starting this medicine, and tell your doctor if it hasn't improved.
  • Tell your doctor about any dizziness, fatigue, cough, or throat irritation that doesn't go away.
  • Requires routine blood tests to check kidney function.
  • Don't take it if you're pregnant.
  • Altace (ramipril) can make you feel dizzy for the first few days.
  • Check your blood pressure one week after starting Altace (ramipril) or changing your dose.
  • Tell your doctor about any dizziness, cough, or throat irritation that doesn't go away.
  • Requires routine blood tests to check how your kidneys are working.
  • Don't take Altace (ramipril) if you're pregnant.
  • If you can't swallow the capsule, you can open it up and mix with water, apple juice, or apple sauce.
Learn more
More about EnalaprilSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Vasotec (enalapril)?
Worth itNot sureNot worth it
More about AltaceSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Altace (ramipril)?
Worth itNot sureNot worth it