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Enalapril vs. Nimodipine

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

Key takeaways

Enalapril (Vasotec) and Nimodipine (Nymalize) are both prescription medications, but they are used for different conditions and belong to different drug classes. Enalapril (Vasotec) is an ACE inhibitor used to treat high blood pressure and heart failure, while Nimodipine (Nymalize) is a calcium channel blocker used to prevent brain damage after a type of brain bleed called an aneurysmal subarachnoid hemorrhage (aSAH). Enalapril is typically taken once or twice daily, whereas Nimodipine must be taken every 4 hours for 3 weeks. Enalapril can cause side effects like tiredness, dizziness, and cough, while Nimodipine's common side effects include low blood pressure and dizziness. Enalapril is available in both pill and liquid forms, making it easier for people who have trouble swallowing pills, whereas Nimodipine comes in capsules and a liquid form. Additionally, Enalapril should not be used during pregnancy, while Nimodipine requires careful monitoring of blood pressure due to its potential to cause dangerously low blood pressure.

Enalapril

(Vasotec)

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Nimodipine

(Nymalize)

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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 Nimodipine

Prescription only

Nimodipine (Nymalize) is used to help prevent brain damage after an aneurysmal subarachnoid hemorrhage (a type of brain bleed). Your provider will typically start this medication in the hospital as soon as possible, but usually within 4 days of a subarachnoid hemorrhage. Nimodipine (Nymalize) is taken by mouth or given through a feeding tube every 4 hours for 3 weeks. Generic nimodipine comes as an oral capsule, while brand name Nymalize (nimodipine) comes as an oral liquid. The most common side effect of nimodipine (Nymalize) is low blood pressure, so your provider will check your blood pressure regularly while you're taking this medication.

Indications for Nimodipine

  • Prevention of brain damage after a type of brain bleed called an aneurysmal subarachnoid hemorrhage (aSAH)

Pros and Cons for Nimodipine

Pros

  • Prevents worsening of brain function after brain bleed
  • Available in liquid form if you can't swallow the capsule
  • Treatment typically lasts 3 weeks
  • Low risk of serious side effects

Cons

  • Can interact with some common medications and supplements
  • Needs to be taken every 4 hours
  • Needs to be taken on an empty stomach
  • Can lower blood pressure and cause dizziness

Common Side Effects for Nimodipine

  • Low blood pressure (4%)
  • Diarrhea (2%)
  • Rash (2%)
  • Stomach irritation (2%)

Warnings for Nimodipine

  • Take by mouth only
  • Low blood pressure
  • Medication interactions

Prices with our coupons for Enalapril vs. Nimodipine

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Enalapril60 tablets / 20mg
$17.20$53.10
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Nimodipine90 capsules / 30mg
$68.18$1,481.75
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