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Vasotec

Last reviewed on RxList: 8/7/2017
Vasotec Patient Information Including Side Effects

Brand Names: Vasotec

Generic Name: enalapril (Pronunciation: e NAL a pril)

What is enalapril (Vasotec)?

Enalapril is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting enzyme.

Enalapril is used to treat high blood pressure (hypertension) and congestive heart failure.

Enalapril is also used to treat a disorder of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart). This disorder can decrease the heart's ability to pump blood to the body.

Enalapril may also be used for purposes not listed in this medication guide.

What are the possible side effects of enalapril (Vasotec)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; severe stomach pain; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

  • feeling like you might pass out;
  • urinating more or less than usual, or not at all;
  • swelling, rapid weight gain;
  • weakness, confusion, increased thirst, loss of appetite, vomiting, pounding heartbeats or fluttering in your chest;
  • fever, chills, body aches, flu symptoms;
  • pale skin, easy bruising or bleeding;
  • fast or uneven heartbeats;
  • high potassium (slow heart rate, weak pulse, muscle weakness, tingly feeling);
  • chest pain; or
  • jaundice (yellowing of the skin or eyes).

Less serious side effects may include:

  • cough;
  • loss of taste sensation, loss of appetite;
  • dizziness, drowsiness, headache;
  • sleep problems (insomnia);
  • dry mouth;
  • nausea, vomiting, diarrhea; or
  • mild skin itching or rash.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Read the Vasotec (enalapril) Side Effects Center for a complete guide to possible side effects

What is the most important information I should know about enalapril (Vasotec)?

Do not use this medication if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant.

You should not use this medication if you are allergic to enalapril, or similar medicines such as such as benazepril (Lotensin), captopril (Capoten Capozide), fosinopril (Monopril), lisinopril (Prinivil, Prinzide, Zestoretic, Zestril), moexipril (Univasc, Uniretic), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), trandolapril (Mavik, Tarka), and others.

Before you take enalapril, tell your doctor if you have kidney or liver disease, heart disease, diabetes, or a connective tissue disease such as Marfan syndrome, Sjogren's syndrome, lupus, scleroderma, or rheumatoid arthritis.

Tell your doctor about all other medicines you use.

Conditions that may cause very low blood pressure include: vomiting, diarrhea, heavy sweating, heart disease, dialysis, a low salt diet, or taking diuretics (water pills). Follow your doctor's instructions about the type and amount of liquids you should drink while taking enalapril. Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting.

If you need surgery, tell the surgeon ahead of time that you are using enalapril. You may need to stop using the medicine for a short time. Your blood pressure will need to be checked often. Your kidney or liver function may also need to be tested. Visit your doctor regularly.

Vasotec Patient Information including How Should I Take

What should I discuss with my healthcare provider before taking enalapril (Vasotec)?

You should not use this medication if you are allergic to enalapril, or similar medicines such as such as benazepril (Lotensin), captopril (Capoten Capozide), fosinopril (Monopril), lisinopril (Prinivil, Prinzide, Zestoretic, Zestril), moexipril (Univasc, Uniretic), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), trandolapril (Mavik, Tarka), and others.

To make sure you can safely take enalapril, tell your doctor if you have any of these other conditions:

  • kidney disease (or if you are on dialysis);
  • liver disease;
  • heart disease or congestive heart failure (unless you are taking enalapril for this condition);
  • diabetes; or
  • a history of blood clot or stroke (including "mini-stroke").

FDA pregnancy category D. Do not use enalapril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant. Enalapril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control while taking this medication.

Enalapril can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using enalapril.

How should I take enalapril (Vasotec)?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results.

Enalapril can be taken with or without food.

Shake the oral suspension (liquid) well just before you measure a dose. Measure the liquid with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Conditions that may cause very low blood pressure include: vomiting, diarrhea, heavy sweating, heart disease, dialysis, a low salt diet, or taking diuretics (water pills). Follow your doctor's instructions about the type and amount of liquids you should drink while taking enalapril. Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting.

Your blood pressure will need to be checked often. Your kidney or liver function may also need to be tested. Visit your doctor regularly.

If you need surgery, tell the surgeon ahead of time that you are using enalapril. You may need to stop using the medicine for a short time.

If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

Store the liquid medicine in the refrigerator, do not freeze. Throw away any unused liquid after 30 days.

Vasotec Patient Information including If I Miss a Dose

What happens if I miss a dose (Vasotec)?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose (Vasotec)?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include feeling light-headed or fainting.

What should I avoid while taking enalapril (Vasotec)?

Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of enalapril.

Do not use salt substitutes or potassium supplements while taking enalapril, unless your doctor has told you to.

What other drugs will affect enalapril (Vasotec)?

Tell your doctor about all other medicines you use, especially:

  • a diuretic (water pill) such as amiloride (Midamor, Moduretic), spironolactone (Aldactone, Aldactazide), or triamterene (Dyrenium, Maxzide, Dyazide);
  • gold injections to treat arthritis;
  • lithium (Lithobid, Eskalith);
  • a potassium supplement such as Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, or Polycitra; or
  • aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Arthrotec, Cambia, Cataflam, Voltaren, Flector Patch, Pennsaid, Solareze), indomethacin (Indocin), meloxicam (Mobic), and others.

This list is not complete and other drugs may interact with enalapril. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about enalapril.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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