Enalapril (Vasotec)

(eh-NAL-uh-pril, eh-NAL-uh-pril-at)

Enalapril (Vasotec) belongs to a class of medicines known as angiotensin converting enzyme (ACE) inhibitors. It is used to treat mild to severe high blood pressure as well as congestive heart failure and kidney disease. It is also sometimes prescribed for other uses; ask your child's doctor for more information. Enalapril is given as a tablet, usually once or twice daily.  A liquid suspension may also be available. Your child's doctor may start with a low dose, and then be gradually increased as needed.

  • Give this medicine to your child only as directed. Do not stop unless directed to stop by your child's doctor.
  • This medication can be taken by your child with or without food.
  • Tell your doctor about any allergies, especially prescription allergies, and allergies to insect venom (such as bees) since this reaction may be worse when taking ACE inhibitors.
  • Tell your doctor about your child’s other conditions, especially heart and kidney disease, diabetes, lupus, scleroderma or angioedema.
  • Tell your doctor what prescription and nonprescription medicines, vitamins and supplements your child is taking.   Be sure to mention any of the following:  aliskiren (for diabetes), NSAIDS (such as Motrin, ibuprofen), lithium, diuretics, and any medication raising potassium or decreasing kidney function. Do not use a salt substitute or potassium supplement without your child's doctor's advice, since ACE inhibitors may also increase potassium.
  • Limit or avoid giving your child natural licorice, which can cause the body to retain sodium and water.
  • Follow up with your child's doctor regularly. Your child's doctor may do blood tests to make sure the medicine is working properly, and may make changes to your child’s dose as needed.
  • Do not take ACE inhibitors if you are pregnant or actively trying to become pregnant, since ACE inhibitors may be harmful to the fetus, especially in early pregnancy.
  • Your child may feel lightheaded when they first start taking this medication, or if your child's doctor increases the dose. Standing up slowly and drinking plenty of fluids may help. If your child has a fainting spell, call your child's doctor right away.
  • Plan ahead so your child does not run out of medicine as this may cause swings in blood pressure.
  • Tell your child's doctor if your child is having surgery, or a sedated procedure, since he or she may want to adjust the medicine based on the date of the surgery or procedure time.
  • Do not use this medicine after the expiration date on the bottle / package.
  • Keep this medication out of the reach of children.
  • If too much medicine is taken by accident, call the Drug and Poison Information Center (DPIC) at 513-636-5111, or 1-800-222-1222, or call your child's doctor right away.

For any information related to your child's medicine dosing schedule and / or missed doses, call the healthcare provider who prescribed the medicine. If a dose is missed, do not double the dose, just take the next dose as scheduled.

  • Dizziness
  • Rash
  • Dry cough
  • Headache
  • Fatigue
  • Upset stomach
  • Changes in taste
  • Chest pain, fast heart beat
  • Changes in lab / blood work

There may be other side effects, so call your doctor if any concerns develop.

Call if your child is having any side effects, especially:

  • Trouble breathing or swallowing
  • Swelling of the lips, tongue, throat, face, hands, feet or ankles
  • Vomiting, diarrhea, or other condition causing dehydration, since this may lower blood pressure
  • Excessive sweating
  • Persistent cough
  • Fainting
  • Yellowing of the skin or eyes
  • Fever, or other signs of infection

Last Updated 12/2013