Prescription onlyLower-cost generic available

Vasotec

(Enalapril)

Prescription onlyLower-cost generic available
  • Pill
  • Liquid
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Lowers blood pressure.

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Our bottom line

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

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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.
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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.
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Side effect rates for Vasotec (Enalapril)

1012 From clinical trials of Enalapril / Heart failure
  • Dizziness
  • Low blood pressure
  • Heart-related chest pain
  • Abdominal pain
  • Muscle weakness
  • Orthostatic effects
  • Positional low blood pressure
  • Cough
  • Diarrhea
  • Fainting

Risks and Warnings for Vasotec (Enalapril)

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    • Higher risk if:
    • Women of childbearing age

    Vasotec (Enalapril) can cause birth defects or death to a fetus. If you are pregnant or considering having a baby, talk to your doctor about alternative medicines.

    This is a black box warning. The FDA requires this warning when there is a significant risk of serious or life-threatening effects that anyone taking the drug should consider.

Means that some groups have a high risk of experiencing this side effect

Common concerns from people taking Vasotec (Enalapril)

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Pregnancy
Kidneys and liver
  • 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.