Compare Enalapril vs. Toprol XL

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

Vasotec (Enalapril)

Prescription only
Lowers blood pressure.

Enalapril is a good blood pressure-lowering medicine that protects kidney function.

4.3/ 7 average rating with 95 reviewsforEnalapril
Lowers blood pressure and controls heart rate.

Toprol XL (metoprolol succinate) is good for controlling chest pain, treating heart failure, and heart attack. It has the added benefit of being taken once a day.

5.2/ 7 average rating with 164 reviewsforToprol XL
Upsides
  • 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.
  • A first-choice treatment to prevent chest pain (angina). It makes attacks less frequent and helps you be more active without having chest pain.
  • Toprol XL (metoprolol succinate) is a first-choice treatment for heart failure since it may prevent long-term heart damage.
  • It's also a first-choice for heart attack treatment since it lowers the risk of death during and after a heart attack.
  • Toprol XL (metoprolol succinate) is the extended release version of metoprolol tartrate and only needs to be taken once a day.
  • It's available as a generic and is relatively cheap.
Downsides
  • 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.
  • Taking a beta blocker can make you feel more tired or out of breath during exercise or normal daily routines. This gets better for most people, but for some this may not go away.
  • It's not a first-choice treatment for high blood pressure according to the latest guidelines, except if you have heart failure or heart disease.
  • Toprol XL (metoprolol succinate) can hide symptoms of low blood sugar if you have diabetes.
  • You can't miss doses. Stopping Toprol XL (metoprolol succinate) suddenly can cause your blood pressure to go up quickly, which increases your risk of heart attack and stroke.
Used for
Dosage forms
  • Pill
  • Liquid
  • Extended release
Price
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$9.99
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$39.66
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Reviews
95 
44%
think this treatment is worth it
40%
think this treatment works well
21%
think this treatment is a hassle

Have you used Vasotec (Enalapril)?

Leave a review
164 
60%
think this treatment is worth it
54%
think this treatment works well
13%
think this treatment is a hassle

Have you used Toprol XL (metoprolol succinate)?

Leave a review
Side effects
10possible side effects
  • Dizziness
    8%
  • Hypotension
    7%
  • Orthostatic Effects
    2%
  • Syncope
    2%
  • Chest Pain
    2%
  • Fatigue
    2%
  • Abdominal Pain
    2%
  • Asthenia
    2%
  • Orthostatic Hypotension
    2%
  • Angina Pectoris
    2%
See more detailed side effects
2possible side effects
  • Dizziness/balance problems
    2%
  • Slower heartbeat
    2%
See more detailed side effects
Risks and warnings
  • Harm to fetus

    Women of childbearing age

  • Unusual tongue swelling

    African descent

  • Heart problems due to high potassium

    Current kidney problems

    ...and 2 more risk factors

See more detailed risks and warnings
  • Heart problems

    Sudden discontinuation of medicine

    ...and 1 more risk factors

  • Masked symptoms of low blood sugar

    Diabetes

  • Masked symptoms of overactive thyroid

    Hyperthyroidsim

  • Increased symptoms of heart failure

    Heart failure

  • Increased risks during surgery

    Major surgery requiring anesthesia

  • Trouble breathing (bronchospastic disease)

    History of asthma

    ...and 1 more risk factors

See more detailed risks and warnings