Compare Enalapril vs. Atacand

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

Vasotec
(enalapril)

Atacand
(candesartan)

Lowers blood pressure. Enalapril is a good blood pressure-lowering medicine that protects kidney function.Lowers blood pressure. Atacand (candesartan) is a good blood pressure-lowering medicine that protects your kidneys and has few side effects.
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Coupons for Enalapril
Best available price for 30 (20mg) tablets of enalapril
Coupons for Atacand
Best available price for 30 (32mg) tablets of candesartan
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
4.26Enalapril
Reviews for Vasotec (enalapril)
44%
of people (All ages) say Vasotec (enalapril) is worth it
40%
say it works well
21%
say it's a big hassle
Have you used Vasotec (enalapril)?
Worth itNot sureNot worth it
Reviews for Atacand (candesartan)
Not enough review data. Review it!
+56% better vs. Vasotec (enalapril)
Not enough review data. Review it!
+60% better vs. Vasotec (enalapril)
Not enough review data. Review it!
+21% better vs. Vasotec (enalapril)
Have you used Atacand (candesartan)?
Worth itNot sureNot worth it
Side effects
EnalaprilAtacand
  • Low blood pressure 7%
  • Positional low blood pressure 2%
  • Muscle weakness 2%
  • Orthostatic effects 2%
  • Fainting 2%
More Enalapril side effects »
  • Upper respiratory infection 2%
  • Dizziness 1%
  • Back pain 1%
  • Sore throat 1%
  • Runny nose 1%
More Atacand side effects »
How it works
EnalaprilAtacand
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.Atacand (candesartan) is an angiotensin receptor blocker (ARB). It relaxes blood vessels by blocking a chemical that usually makes blood vessels tighter. This lowers your blood pressure and allows more blood and oxygen to get to your heart and other organs.
Type of medication
EnalaprilAtacand
Prescription only
Prescription only
Available as
EnalaprilAtacand
  • Pill
  • Liquid
  • Pill
Used for
EnalaprilAtacand
Risk factors for serious side effects
EnalaprilAtacand
  • 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
  • Infants less than one year old
  • History of kidney problems
  • African descent
  • Current kidney problems
Detailed Atacand (candesartan) 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
EnalaprilAtacand
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • 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.
  • You'll need to have blood tests done regularly since Atacand (candesartan) can affect your kidneys and potassium levels.
  • Atacand (candesartan) can hurt your kidneys. If you already have some degree of kidney damage, Atacand (candesartan) could make it worse. It's important to get blood work done to check your kidney function before starting Atacand (candesartan), and at least once a year while you're still on it.
Pain
EnalaprilAtacand
No pain related info.
  • Atacand (candesartan) can hurt your kidneys. If you already have some degree of kidney damage, Atacand (candesartan) could make it worse. It's important to get blood work done to check your kidney function before starting Atacand (candesartan), and at least once a year while you're still on it.
Upsides and benefits
EnalaprilAtacand
  • 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.
  • Atacand (candesartan) lowers your risk of heart attack and stroke.
  • It works similar to ACE inhibitors (like lisinopril), but it doesn't have the same side effects like coughing and facial swelling.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • It's recommended for people with heart failure since it lowers the risk of death and further damage to your heart.
  • Can be used in children older than 12 months.
Downsides and risks
EnalaprilAtacand
  • 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.
  • You'll need to get yearly blood tests while taking Atacand (candesartan) to see how it is affecting your body.
  • It's not safe to use Atacand (candesartan) if you're pregnant.
  • Atacand (candesartan) can cause the level of potassium in your blood to go up.
  • You'll need to get medical help if you notice any unusual swelling around your head and neck.
Tips from our pharmacists for people taking the medication
EnalaprilAtacand
  • 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.
  • Atacand (candesartan) can make you feel a little dizzy for the first few days.
  • You'll need to have blood tests done regularly since Atacand (candesartan) can affect your kidneys and potassium levels.
  • Don't eat a lot of foods that are high in potassium or use salt substitutes that contain potassium.
  • Tell your doctor about any dizziness or muscle weakness that doesn't go away after the first few days.
  • Don't take Atacand (candesartan) if you're pregnant.
Learn more
More about EnalaprilSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Vasotec (enalapril)?
Worth itNot sureNot worth it
More about AtacandSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Atacand (candesartan)?
Worth itNot sureNot worth it