Compare Enalapril vs. nimodipine

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

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Vasotec (Enalapril)

Prescription only

Nymalize (nimodipine)

Prescription only
Lowers blood pressure.

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

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3.2/ 5 average rating with 95 reviewsforEnalapril
Helps with recovery after an episode of bleeding in the brain.

Nymalize (nimodipine) acts specifically on the blood vessels of the brain to reduce long-term damage from brain bleed, but is expensive.

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.
  • Available in a liquid formulation if you have difficulty swallowing a pill.
  • Treatment is short-term, for 21 days only.
  • Safe to use even if you have kidney or liver problems.
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.
  • Needs to be taken several times in a day, usually every four hours.
  • Not a good option for elderly because it lowers blood pressure and causes constipation.
  • Inteacts with a lot of other medications, especially for the treatment of HIV.
  • Available in a generic verison, but is still expensive.
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Used for
  • Subarachnoid hemorrhage
Dosage forms
  • Pill
  • Liquid
  • Pill
  • Liquid
Price
Lowest price
$530.06
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Lowest price
$154.26
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Reviews
95 reviews so far
44%
saidit'sworth it
40%
saiditworked well
21%
saidit'sa big hassle

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Side effects
14possible 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%
  • Diarrhea
    2%
  • Headache
    2%
  • Vertigo
    2%
  • Cough
    2%
See more detailed side effects
The Nymalize (nimodipine) FDA package insert doesn’t have numbers about how common side effects are.
Risks and risk factors
  • Harm to fetus
    • Women of childbearing age
  • Cough
  • Unusual tongue swelling
    • African descent
  • Heart problems due to high potassium
    • Current kidney problems
    • Medicine that increase potassium
    • Use of salt substitute
See more detailed risks and warnings
  • Life-threatening low blood pressure
  • Monitoring of blood pressure
    • Using other medicines that lower blood pressure such as diuretics and beta-blockers
  • Interactions with other medicines
    • Taking other medicines that interact with Nymalize (nimodipine)
  • Liver disease
    • Liver disease
See more detailed risks and warnings
Learn more about Vasotec (Enalapril)
Learn more about Nymalize (nimodipine)