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Compare Enalapril vs. Altace

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

Key takeaways

Enalapril (Vasotec) and Ramipril (Altace) are both ACE inhibitors used to treat high blood pressure and heart failure. Both Ramipril and Enalapril are available in both brand and generic forms. Enalapril can be taken by children as young as 1 month old for high blood pressure, whereas Ramipril is only for adults. Both medications can cause a dry cough. Enalapril is taken once or twice daily, and Ramipril is also taken once or twice daily, depending on the dose. Both medications can cause dizziness and tiredness, but Ramipril can also cause headaches. Neither medication should be used during pregnancy due to the risk of harm to the unborn baby.

drug combination

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  • Enalapril (Vasotec)
    Ramipril
  • Enalapril (Vasotec)
    Ramipril

  • Summary of Enalapril vs. Altace

    Summary for ACE inhibitor
    Prescription only

    Enalapril (Vasotec) is a first-choice medication used for treating high blood pressure. It's also approved for heart failure. Enalapril (Vasotec) belongs to a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It's taken by mouth, once or twice daily. Enalapril (Vasotec) doesn't cause many side effects, but some include tiredness, dizziness, and cough.

    Summary for ACE inhibitor
    Prescription only

    Ramipril is an angiotensin-converting enzyme (ACE) inhibitors. This medication treats high blood pressure by relaxing blood vessels. It can also ease heart failure symptoms after a heart attack. Ramipril is taken by mouth, typically once or twice daily, by adults. Some of the more common side effects of this medication include headache, dizziness, and feeling tired. Ramipril is generic only because the brand name Altace is no longer available.

  • Indications of Enalapril vs. Altace

    Indications for
    •High blood pressure
    •Heart failure
    Indications for
    •High blood pressure
    •Heart failure after heart attack

  • Pros and Cons of Enalapril vs. Altace

    Pros and Const for ACE inhibitor
    Pros
    •A first-choice blood pressure lowering medication for many people
    •Taken by mouth
    •Can be taken by children as young as 1 month old (high blood pressure only)
    •Available as a liquid for people who have trouble swallowing pills
    Cons
    •More likely to cause a dry cough, compared to angiotensin II receptor blockers (ARBs)
    •Can't be taken during pregnancy or breastfeeding
    •Might not work as well for lowering high blood pressure in black people
    •Need to take twice daily for heart failure
    Pros and Const for ACE inhibitor
    Pros
    •Taken by mouth
    •Capsules can be opened and sprinkled on applesauce or water for those with trouble swallowing
    •Available as a lower-cost generic
    Cons
    •More likely to cause a dry cough, compared to ARBs
    •Not safe to use if you're pregnant
    •Might not work as well for lowering blood pressure in Black people

  • Common Side Effects of Enalapril vs. Altace

    Common Side Effects for
    •Feeling tired (3%)
    Common Side Effects for

    High blood pressure

    •Headache (5%)
    •Dizziness (2%)
    •Feeling tired or weak (2%)

    Heart failure after heart attack

    •Low blood pressure (11%)
    •Cough (8%)
    •Dizziness (4%)

  • Warnings of Enalapril vs. Altace

    Common Side Effects for
    •Not for use during pregnancy
    •Angioedema (swelling)
    •Low blood pressure
    •Worsening kidney problems
    •Heart problems due to high potassium
    •Liver problems
    Common Side Effects for
    •Not for use during pregnancy
    •Angioedema (swelling)
    •Severe allergic reaction
    •Liver problems
    •Worsening kidney problems
    •Lower blood cell counts
    •Low blood pressure
    •Heart problems due to high potassium
    •Cough

  • Prices with our coupons for Enalapril vs. Altace

    Learn more about Enalapril
    Learn more about Ramipril

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