The combination of enalapril and hydrochlorothiazide is used to treat high blood pressure. Enalapril is in a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It works by decreasing certain chemicals that tighten the blood vessels, so blood flows more smoothly. Hydrochlorothiazide is in a class of medications called diuretics (‘water pills’). It works by causing the kidneys to get rid of unneeded water and salt from the body into the urine.
High blood pressure is a common condition and when not treated, can cause damage to the brain, heart, blood vessels, kidneys, and other parts of the body. Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle changes will also help to control your blood pressure. These changes include eating a diet that is low in fat and salt, maintaining a healthy weight, exercising at least 30 minutes most days, not smoking, and using alcohol in moderation.
Side Effects Of Enalapril and Hydrochlorothiazide
Enalapril and hydrochlorothiazide may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- excessive tiredness
- muscle cramps
- the decrease in sexual ability
Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately:
- swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
- difficulty breathing or swallowing
- fever, sore throat, chills, and other signs of infection
- yellowing of the skin or eyes
- dry mouth
- infrequent urination
- upset stomach
- chest pain
- fast or irregular heartbeat
Enalapril and hydrochlorothiazide may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
Warnings & Precautions
Before taking enalapril and hydrochlorothiazide:
- tell your doctor and pharmacist if you are allergic to enalapril (Vasotec, in Vaseretic); hydrochlorothiazide (HCTZ, Microzide, Oretic); angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin, in Lotrel), captopril (Capoten), fosinopril (Monopril), lisinopril (in Prinzide, in Zestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), and trandolapril (Mavik, in Tarka); sulfa drugs; any other medications; or any of the ingredients in enalapril and hydrochlorothiazide tablets. Ask your pharmacist for a list of the ingredients.
- tell your doctor or pharmacist if you are taking valsartan and sacubitril (Entresto) or if you have stopped taking it within the last 36 hours. Your doctor will probably tell you not to take enalapril and hydrochlorothiazide, if you are also taking valsartan and sacubitril. Also, tell your doctor if you have diabetes and you are taking aliskiren (Tekturna, in Amturnide, Tekamlo, Tekturna HCT). Your doctor will probably tell you not to take enalapril and hydrochlorothiazide if you have diabetes and you are also taking aliskiren.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: aspirin and other nonsteroidal anti-inflammatory medications (NSAIDs) such as indomethacin (Indocin, Tivorbex); cholestyramine (Prevalite); colestipol (Colestid); diuretics (‘water pills’); insulin or oral medications for diabetes; lithium (Lithobid); oral steroids such as dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos); other medications for high blood pressure; pain medications; phenobarbital (Luminal); and potassium supplements. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you have or have ever had heart, parathyroid, liver, or kidney disease; lupus; diabetes; allergies; asthma; gout; or angioedema (a condition that causes hives, difficulty breathing, and painful swelling of the face, lips, throat, tongue, hands, or feet).
- tell your doctor if you are breast-feeding.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking enalapril and hydrochlorothiazide.
- ask your doctor about the safe use of alcoholic beverages while you are taking enalapril and hydrochlorothiazide. Alcohol can make the side effects of enalapril and hydrochlorothiazide worse.
- you should know that diarrhea, vomiting, not drinking enough fluids, and sweating a lot can cause a drop in blood pressure, which may cause lightheadedness and fainting.
Enalapril and Hydrochlorothiazide Dosage
The combination of enalapril and hydrochlorothiazide comes as a tablet to take by mouth. It is usually taken with or without food once or twice a day. To help you remember to take enalapril and hydrochlorothiazide, take it around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take enalapril and hydrochlorothiazide exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Enalapril and hydrochlorothiazide control high blood pressure but do not cure it. Continue to take enalapril and hydrochlorothiazide even if you feel well. Do not stop taking enalapril and hydrochlorothiazide without talking to your doctor.
Keep all appointments with your doctor and the laboratory. Your blood pressure should be checked regularly to determine your response to enalapril and hydrochlorothiazide. Your doctor may order certain lab tests to check your body’s response to enalapril and hydrochlorothiazide.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
All information has been provided courtesy of MedLinePlus from the National Library of Medicine and from the FDA.