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Enalapril vs. Chlorthalidone

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

Key takeaways

Enalapril (Vasotec) and Chlorthalidone (Thalitone) are both used to treat high blood pressure, but they belong to different medication classes and work in different ways. Enalapril is an ACE inhibitor that relaxes blood vessels by blocking a protein, while Chlorthalidone is a diuretic (water pill) that helps you urinate more to remove extra water and certain electrolytes. Enalapril is also approved for heart failure, whereas Chlorthalidone is used to relieve swelling from conditions like heart failure, kidney problems, and liver problems. Enalapril can be taken by children as young as 1 month old, but Chlorthalidone is typically prescribed for adults. Common side effects of Enalapril include tiredness, dizziness, and cough, while Chlorthalidone often causes more frequent urination, dizziness, and headache. Enalapril is not safe during pregnancy, and Chlorthalidone can cause electrolyte imbalances and is not recommended for people with a sulfa allergy.

Enalapril

(Vasotec)

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Chlorthalidone

 

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Summary for Enalapril

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.

Indications for Enalapril

  • High blood pressure
  • Heart failure

Pros and Cons for Enalapril

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

Common Side Effects for Enalapril

  • Feeling tired (3%)

Warnings for Enalapril

  • Not for use during pregnancy
  • Angioedema (swelling)
  • Low blood pressure
  • Worsening kidney problems
  • Heart problems due to high potassium
  • Liver problems

Summary for Chlorthalidone

Prescription only

Chlorthalidone is used to treat high blood pressure in adults. It can be taken alone or with other blood pressure medications. It's also used with other medications to help reduce swelling caused by certain conditions, like heart failure or kidney problems. Chlorthalidone belongs to a drug class called diuretics (water pills). It comes as a tablet that you take by mouth once a day. Common side effects are needing to urinate more, dizziness, and headache.

Indications for Chlorthalidone

Pros and Cons for Chlorthalidone

Pros

Cons

  • Makes you urinate more often
  • Might be more likely to cause low electrolyte levels
  • Not a good option if you have a sulfa allergy

Common Side Effects for Chlorthalidone

  • Urinating more
  • Dizziness
  • Headache
  • Vertigo (feeling like everything around you is spinning)

Warnings for Chlorthalidone

  • Abnormal electrolyte levels
  • Higher blood sugar
  • Risk of gout
  • Caution use in people with kidney problems
  • Caution use in people with liver problems

Prices with our coupons for Enalapril vs. Chlorthalidone

Price Card Drug Icon
Enalapril60 tablets / 20mg
$17.20$53.10
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Chlorthalidone30 tablets / 25mg
$9.00$9.00
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