Enalapril
Enalapril is a widely prescribed medication belonging to a class of drugs known as angiotensin-converting enzyme (ACE) inhibitors. It plays a crucial role in managing various cardiovascular conditions by influencing the body’s blood pressure regulation system.

Key Takeaways
- Enalapril is an ACE inhibitor primarily used to treat high blood pressure and heart failure.
- It works by relaxing blood vessels, which helps to lower blood pressure and reduce the heart’s workload.
- Common side effects include cough, dizziness, and fatigue, while more serious effects are rare but possible.
- Dosage is highly individualized and must be determined by a healthcare professional.
What is Enalapril and How It Works
Enalapril is a medication that belongs to the class of angiotensin-converting enzyme (ACE) inhibitors. It is commonly prescribed to treat high blood pressure (hypertension), heart failure, and certain kidney conditions. As a prodrug, enalapril is converted in the liver to its active form, enalaprilat, which then exerts its therapeutic effects.
Enalapril works by blocking the action of the angiotensin-converting enzyme (ACE). This enzyme is responsible for converting angiotensin I to angiotensin II, a powerful vasoconstrictor that narrows blood vessels and stimulates the release of aldosterone, a hormone that promotes sodium and water retention. By inhibiting ACE, enalapril reduces the production of angiotensin II, leading to several beneficial effects. This mechanism helps to relax blood vessels, lower blood pressure, and decrease the workload on the heart, making it an effective treatment for cardiovascular conditions.
What Enalapril is Used For
Enalapril is used for several important medical conditions, primarily those affecting the cardiovascular system. Its ability to lower blood pressure and reduce cardiac strain makes it a valuable therapeutic agent. The main conditions for which enalapril is prescribed include:
- Hypertension (High Blood Pressure): It is widely used to manage essential hypertension, helping to reduce the risk of stroke, heart attack, and kidney problems.
- Heart Failure: Enalapril helps to improve symptoms, reduce hospitalizations, and prolong life in patients with symptomatic heart failure by reducing the heart’s workload and improving its pumping efficiency.
- Asymptomatic Left Ventricular Dysfunction: It is also used to prevent the development of symptomatic heart failure in patients who have left ventricular dysfunction but are not yet experiencing symptoms.
- Diabetic Nephropathy: In some cases, enalapril may be used to slow the progression of kidney disease in patients with diabetes, particularly those with proteinuria.
According to the World Health Organization (WHO), hypertension affects an estimated 1.28 billion adults aged 30-79 years worldwide, highlighting the critical need for effective treatments like enalapril.
Enalapril Side Effects and Dosage Information
Like all medications, enalapril can cause side effects, although not everyone experiences them. Understanding potential Enalapril side effects is important for patients. Common side effects are generally mild and may include:
- Dry, persistent cough
- Dizziness or lightheadedness, especially when standing up
- Fatigue or weakness
- Headache
- Nausea
More serious, though less common, side effects can include angioedema (swelling of the face, lips, tongue, or throat), kidney problems, high potassium levels (hyperkalemia), and severe low blood pressure. Patients should seek immediate medical attention if they experience any signs of a serious allergic reaction or severe swelling.
Regarding Enalapril dosage information, it is crucial to understand that the appropriate dose varies significantly among individuals. Dosage is determined by a healthcare professional based on the patient’s specific medical condition, kidney function, other medications being taken, and response to treatment. Enalapril is typically taken once or twice daily, with or without food. It is vital to follow the prescribed dosage strictly and not to adjust it without consulting a doctor. Regular monitoring of blood pressure, kidney function, and electrolyte levels is often required during treatment with enalapril to ensure safety and efficacy.