Skip to main content

Compare
Vasotec vs. Entresto

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

Key takeaways

Enalapril (Vasotec) and Entresto (sacubitril/valsartan) are both used to treat heart conditions, but they have some key differences. Enalapril is an ACE inhibitor that helps relax blood vessels to lower blood pressure and treat heart failure. It is available in generic form and can be taken once or twice daily. Entresto, on the other hand, is a combination of two medications: sacubitril, a neprilysin inhibitor, and valsartan, an ARB. It is specifically used for heart failure and is taken twice daily. Unlike Enalapril, Entresto is not available as a generic. Both medications can cause side effects like dizziness and cough, as well as low blood pressure and high potassium levels. Additionally, you should not take Entresto if you have taken an ACE inhibitor like Enalapril within the last 36 hours due to the risk of angioedema.

Enalapril

(Vasotec)

Get free coupons

Entresto

(sacubitril / valsartan)

Get free coupons

Summary for Vasotec

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 Vasotec

  • High blood pressure
  • Heart failure

Pros and Cons for Vasotec

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 Vasotec

  • Feeling tired (3%)

Warnings for Vasotec

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

Summary for Entresto

Prescription only

Entresto (sacubitril / valsartan) is a combination medication called an angiotensin receptor-neprilysin inhibitor (ARNI). It's used for heart failure in adults and children ages 1 year and older. It helps lower the risk of hospital stays and heart-related death in adults with heart failure. You usually take the medication by mouth twice a day. Entresto is available as tablets. It also comes as Entresto Sprinkle, which are capsules you open and mix the pellets inside with soft food. Side effects include low blood pressure and cough. As of early 2025, there's no generic version of this medication.

Indications for Entresto

Pros and Cons for Entresto

Pros

  • First-choice treatment for some people with heart failure
  • Can lower the risk of hospital visits related to heart failure in adults
  • Combines two medications into one pill for convenience
  • Available as tablets, oral pellets, or a prepared oral solution

Cons

  • Need to take twice daily
  • Can cause dizziness and low blood pressure
  • Not safe during pregnancy

Common Side Effects for Entresto

Warnings for Entresto

  • Not safe during pregnancy
  • Swelling of face, tongue, or throat (angioedema)
  • Low blood pressure
  • Kidney problems
  • High potassium levels

Prices with our coupons for Vasotec vs. Entresto

Price Card Drug Icon
Enalapril60 tablets / 20mg
$17.20$51.25
Get free coupons
More Information
Price Card Drug Icon
Sacubitril/Valsartan60 tablets / 24mg/26mg
$39.33$749.50
Get free coupons
More Information

Browse medications by letter

Show All

Browse prescription and over-the-counter medications from A to Z, compare drug prices, and start saving.