Compare Enalapril vs. Toprol XL
Head-to-head comparisons of medication uses, side effects, ratings, and more.
Enalapril is a good blood pressure-lowering medicine that protects kidney function.
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.
- 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.
- 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.
- Extended release
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- Orthostatic Effects2%
- Chest Pain2%
- Abdominal Pain2%
- Orthostatic Hypotension2%
- Angina Pectoris2%
- Dizziness/balance problems2%
- Slower heartbeat2%
- Harm to fetus
Women of childbearing age
- Unusual tongue swelling
- Heart problems due to high potassium
Current kidney problems
...and 2 more risk factors
- Heart problems
Sudden discontinuation of medicine
...and 1 more risk factors
- Masked symptoms of low blood sugar
- Masked symptoms of overactive thyroid
- Increased symptoms of heart failure
- Increased risks during surgery
Major surgery requiring anesthesia
- Trouble breathing (bronchospastic disease)
History of asthma
...and 1 more risk factors